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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

ST MARY'S REGIONAL MEDICAL CENTER

Lewiston, ME · CCN 200034 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $11,755 across 1 payer

Source: https://stmarysmaine.com/wp-content/uploads/2026/06/010211551_st-mary-_s-regional-medical-center_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,418 distinct procedures filed
137 distinct payers
58,808 rate rows
2026-07-31 last MRF observed
Data quality

16,728 of 58,808 rate rows are consumer-grade (28.4%)

42,080 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 38,758
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,316
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stmarysmaine.com/CMS%20Files/010211551_st-mary-_s-regional-medical-center_standardcharges.csv
Found on page https://stmarysmaine.com/pricing/
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint c31a8ff60c91fba3… · 5,638,882 bytes · first seen 2026-11-03

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $561,074.12 $561,074.12 $561,074.12 nat. median
$359,244
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $364,114.53 $364,114.53 $364,114.53 nat. median
$248,541
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $277,407.05 $277,407.05 $277,407.05 nat. median
$198,115
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $275,779.02 $275,779.02 $275,779.02 nat. median
$190,359
1.4× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $204,641.00 $204,641.00 $204,641.00 nat. median
$75,037
outlier · 2.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $198,877.75 $198,877.75 $198,877.75 nat. median
$63,504
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $179,971.24 $179,971.24 $179,971.24 nat. median
$126,461
1.4× median
J9029
HCPCS 		"Inj 1 $175,117.95 $175,117.95 $175,117.95 nat. median
$68,400
outlier · 2.6×
7
MS_DRG 		Lung Transplant 1 $168,261.95 $168,261.95 $168,261.95 nat. median
$117,977
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $158,935.56 $158,935.56 $158,935.56 nat. median
$65,720
outlier · 2.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $156,148.57 $156,148.57 $156,148.57 nat. median
$110,084
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $147,234.08 $147,234.08 $147,234.08 nat. median
$103,938
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 1 $147,065.17 $147,065.17 $147,065.17 nat. median
$92,645
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $143,198.45 $143,198.45 $143,198.45 nat. median
$93,226
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $141,287.18 $141,287.18 $141,287.18 nat. median
$97,137
1.5× median
90288
HCPCS 		Botulism Ig IV 1 $140,051.23 $140,051.23 $140,051.23 nat. median
$51,570
outlier · 2.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $133,964.33 $133,964.33 $133,964.33 nat. median
$94,943
1.4× median
J9226
HCPCS 		Supprelin La Implant 1 $129,456.88 $129,456.88 $129,456.88 nat. median
$55,159
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 1 $129,371.30 $129,371.30 $129,371.30 nat. median
$93,787
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $127,107.92 $127,107.92 $127,107.92 nat. median
$90,512
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $117,061.73 $117,061.73 $117,061.73 nat. median
$77,936
1.5× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 2 $74,053.60 $114,310.91 $114,310.91 nat. median
$49,873
outlier · 2.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $112,512.88 $112,512.88 $112,512.88 nat. median
$78,164
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $109,529.69 $109,529.69 $109,529.69 nat. median
$76,979
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $109,185.38 $109,185.38 $109,185.38 nat. median
$77,487
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $102,239.32 $102,239.32 $102,239.32 nat. median
$74,298
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $99,764.15 $99,764.15 $99,764.15 nat. median
$72,247
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $99,334.08 $99,334.08 $99,334.08 nat. median
$71,737
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $99,005.36 $99,005.36 $99,005.36 nat. median
$67,908
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $93,791.27 $93,791.27 $93,791.27 nat. median
$63,564
1.5× median
10
MS_DRG 		Pancreas Transplant 1 $93,233.87 $93,233.87 $93,233.87 nat. median
$64,851
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 $93,194.89 $93,194.89 $93,194.89 nat. median
$61,263
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $92,699.86 $92,699.86 $92,699.86 nat. median
$66,623
1.4× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $92,645.29 $92,645.29 $92,645.29 nat. median
$66,584
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $89,805.02 $89,805.02 $89,805.02 nat. median
$62,577
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $89,364.55 $89,364.55 $89,364.55 nat. median
$63,829
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $87,457.18 $87,457.18 $87,457.18 nat. median
$61,660
1.4× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $86,877.69 $86,877.69 $86,877.69 nat. median
$57,485
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $86,814.03 $86,814.03 $86,814.03 nat. median
$60,517
1.4× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $85,432.87 $85,432.87 $85,432.87 nat. median
$59,493
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $85,432.87 $85,432.87 $85,432.87 nat. median
$61,995
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $85,122.34 $85,122.34 $85,122.34 nat. median
$58,052
1.5× median
J9266
HCPCS 		Pegaspargase Injection 1 $81,733.38 $81,733.38 $81,733.38 nat. median
$33,314
outlier · 2.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $79,626.30 $79,626.30 $79,626.30 nat. median
$58,220
1.4× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $79,534.05 $79,534.05 $79,534.05 nat. median
$58,234
1.4× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $78,771.36 $78,771.36 $78,771.36 nat. median
$57,798
1.4× median
28
MS_DRG 		Spinal Procedures With Mcc 1 $78,065.84 $78,065.84 $78,065.84 nat. median
$54,377
1.4× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $78,043.75 $78,043.75 $78,043.75 nat. median
$56,633
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $77,478.56 $77,478.56 $77,478.56 nat. median
$55,110
1.4× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $77,223.90 $77,223.90 $77,223.90 nat. median
$50,808
1.5× median

Other procedures at this hospital

Browse this hospital's 8,418 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 1 — — $561,074.12 $561,074.12 $561,074.12 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $364,114.53 $364,114.53 $364,114.53 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $277,407.05 $277,407.05 $277,407.05 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $275,779.02 $275,779.02 $275,779.02 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $204,641.00 $204,641.00 $204,641.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $198,877.75 $198,877.75 $198,877.75 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $179,971.24 $179,971.24 $179,971.24 2026-04-01
J9029 HCPCS "Inj 1 1 — — $175,117.95 $175,117.95 $175,117.95 2026-04-01
7 MS_DRG Lung Transplant 1 1 — — $168,261.95 $168,261.95 $168,261.95 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $158,935.56 $158,935.56 $158,935.56 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $156,148.57 $156,148.57 $156,148.57 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $147,234.08 $147,234.08 $147,234.08 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $147,065.17 $147,065.17 $147,065.17 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $143,198.45 $143,198.45 $143,198.45 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 1 1 — — $141,287.18 $141,287.18 $141,287.18 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $140,051.23 $140,051.23 $140,051.23 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $133,964.33 $133,964.33 $133,964.33 2026-04-01
J9226 HCPCS Supprelin La Implant 1 1 — — $129,456.88 $129,456.88 $129,456.88 2026-04-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $129,371.30 $129,371.30 $129,371.30 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $127,107.92 $127,107.92 $127,107.92 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $117,061.73 $117,061.73 $117,061.73 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $74,053.60 $114,310.91 $114,310.91 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 1 1 — — $112,512.88 $112,512.88 $112,512.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $109,529.69 $109,529.69 $109,529.69 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $109,185.38 $109,185.38 $109,185.38 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $102,239.32 $102,239.32 $102,239.32 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $99,764.15 $99,764.15 $99,764.15 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $99,334.08 $99,334.08 $99,334.08 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $99,005.36 $99,005.36 $99,005.36 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $93,791.27 $93,791.27 $93,791.27 2026-04-01
10 MS_DRG Pancreas Transplant 1 1 — — $93,233.87 $93,233.87 $93,233.87 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 1 — — $93,194.89 $93,194.89 $93,194.89 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $92,699.86 $92,699.86 $92,699.86 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $92,645.29 $92,645.29 $92,645.29 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $89,805.02 $89,805.02 $89,805.02 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $89,364.55 $89,364.55 $89,364.55 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $87,457.18 $87,457.18 $87,457.18 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 1 — — $86,877.69 $86,877.69 $86,877.69 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $86,814.03 $86,814.03 $86,814.03 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $85,432.87 $85,432.87 $85,432.87 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $85,432.87 $85,432.87 $85,432.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $85,122.34 $85,122.34 $85,122.34 2026-04-01
J9266 HCPCS Pegaspargase Injection 1 1 — — $81,733.38 $81,733.38 $81,733.38 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $79,626.30 $79,626.30 $79,626.30 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $79,534.05 $79,534.05 $79,534.05 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $78,771.36 $78,771.36 $78,771.36 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $78,065.84 $78,065.84 $78,065.84 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $78,043.75 $78,043.75 $78,043.75 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $77,478.56 $77,478.56 $77,478.56 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $77,223.90 $77,223.90 $77,223.90 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 1 1 — — $77,044.59 $77,044.59 $77,044.59 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $76,250.72 $76,250.72 $76,250.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $76,201.35 $76,201.35 $76,201.35 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $74,931.93 $74,931.93 $74,931.93 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $74,453.79 $74,453.79 $74,453.79 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $74,149.75 $74,149.75 $74,149.75 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $73,046.65 $73,046.65 $73,046.65 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 — — $37,839.51 $108,145.05 $72,992.28 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $72,820.57 $72,820.57 $72,820.57 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 1 1 — — $72,321.64 $72,321.64 $72,321.64 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $45,821.11 $72,036.88 $72,036.88 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $71,760.34 $71,760.34 $71,760.34 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $71,330.27 $71,330.27 $71,330.27 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $71,078.21 $71,078.21 $71,078.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $70,976.86 $70,976.86 $70,976.86 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $70,865.12 $70,865.12 $70,865.12 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 1 1 — — $70,581.87 $70,581.87 $70,581.87 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $69,289.07 $69,289.07 $69,289.07 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 1 1 — — $69,247.49 $69,247.49 $69,247.49 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $68,782.34 $68,782.34 $68,782.34 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $68,554.97 $68,554.97 $68,554.97 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $68,406.59 $68,406.59 $68,406.59 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $67,633.76 $67,633.76 $67,633.76 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $67,516.83 $67,516.83 $67,516.83 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $65,487.32 $65,487.32 $65,487.32 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $64,801.29 $64,801.29 $64,801.29 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 1 1 — — $64,281.57 $64,281.57 $64,281.57 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $63,947.65 $63,947.65 $63,947.65 2026-04-01
9149 OTHER — 3 3 — — $63,752.26 $63,752.26 $63,752.26 2025-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $63,681.29 $63,681.29 $63,681.29 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $62,739.30 $62,739.30 $62,739.30 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $62,422.27 $62,422.27 $62,422.27 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $61,857.07 $61,857.07 $61,857.07 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $61,085.29 $61,085.29 $61,085.29 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $60,778.66 $60,778.66 $60,778.66 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $60,248.54 $60,248.54 $60,248.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 1 1 — — $60,008.17 $60,008.17 $60,008.17 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 1 1 — — $59,570.31 $59,570.31 $59,570.31 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $38,261.77 $59,365.66 $59,365.66 2026-04-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $59,279.26 $59,279.26 $59,279.26 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $59,101.26 $59,101.26 $59,101.26 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $59,075.27 $59,075.27 $59,075.27 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $58,844.00 $58,844.00 $58,844.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $58,232.03 $58,232.03 $58,232.03 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $58,215.14 $58,215.14 $58,215.14 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $57,986.46 $57,986.46 $57,986.46 2026-04-01
9494 OTHER — 12 10 — — $57,490.89 $57,490.89 $57,490.89 2025-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $46,857.96 $57,436.89 $57,386.89 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 3 — — $57,346.19 $83,606.06 $57,346.19 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 1 1 — — $56,225.91 $56,225.91 $56,225.91 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $55,777.65 $55,777.65 $55,777.65 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $55,419.04 $55,419.04 $55,419.04 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $55,100.71 $55,100.71 $55,100.71 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $54,778.49 $54,778.49 $54,778.49 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 1 1 — — $54,751.20 $54,751.20 $54,751.20 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $54,526.42 $54,526.42 $54,526.42 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $54,425.08 $54,425.08 $54,425.08 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $54,214.59 $54,214.59 $54,214.59 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $54,175.61 $54,175.61 $54,175.61 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $53,959.93 $53,959.93 $53,959.93 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 — — $46,470.88 $60,960.56 $53,715.72 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $53,602.62 $53,602.62 $53,602.62 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 6 — — $38,665.33 $64,167.23 $53,402.11 2026-04-01
791 MS_DRG Prematurity With Major Problems 1 1 — — $52,738.59 $52,738.59 $52,738.59 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $52,238.36 $52,238.36 $52,238.36 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $51,765.41 $51,765.41 $51,765.41 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 7 — — $1,990.00 $51,270.29 $51,270.29 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $9,859.82 $54,258.00 $51,237.32 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $50,827.32 $50,827.32 $50,827.32 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 1 1 — — $50,597.34 $50,597.34 $50,597.34 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $50,168.57 $50,168.57 $50,168.57 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $49,884.02 $49,884.02 $49,884.02 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $48,892.66 $48,892.66 $48,892.66 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $48,768.48 $48,768.48 $48,768.48 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 6 — — $22,168.57 $59,722.32 $48,766.21 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 1 1 — — $48,679.57 $48,679.57 $48,679.57 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $48,558.74 $48,558.74 $48,558.74 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $48,149.46 $48,149.46 $48,149.46 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 1 1 — — $47,757.86 $47,757.86 $47,757.86 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 1 1 — — $47,724.59 $47,724.59 $47,724.59 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 1 1 — — $47,705.10 $47,705.10 $47,705.10 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $47,108.72 $47,108.72 $47,108.72 2026-04-01
332 MS_DRG Rectal Resection With Mcc 1 1 — — $47,043.76 $47,043.76 $47,043.76 2026-04-01
265 MS_DRG Aicd Lead Procedures 1 1 — — $47,011.27 $47,011.27 $47,011.27 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $46,551.32 $46,551.32 $46,551.32 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 1 1 — — $46,443.48 $46,443.48 $46,443.48 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $46,396.70 $46,396.70 $46,396.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $46,327.84 $46,327.84 $46,327.84 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $46,288.86 $46,288.86 $46,288.86 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $45,323.48 $45,323.48 $45,323.48 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $45,103.90 $45,103.90 $45,103.90 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $44,885.62 $44,885.62 $44,885.62 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 — — $42,031.06 $47,504.82 $44,767.94 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $44,677.73 $44,677.73 $44,677.73 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $44,545.20 $44,545.20 $44,545.20 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $44,326.92 $44,326.92 $44,326.92 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $44,268.45 $44,268.45 $44,268.45 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 17 10 — — $591.77 $73,449.46 $43,086.69 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $42,919.78 $42,919.78 $42,919.78 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $42,774.26 $42,774.26 $42,774.26 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $42,769.06 $42,769.06 $42,769.06 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $42,702.09 $42,702.09 $42,702.09 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $42,263.63 $42,263.63 $42,263.63 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $41,972.59 $41,972.59 $41,972.59 2026-04-01
652 MS_DRG Kidney Transplant 1 1 — — $41,960.89 $41,960.89 $41,960.89 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $41,929.71 $41,929.71 $41,929.71 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 1 1 — — $41,847.85 $41,847.85 $41,847.85 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 1 1 — — $41,712.73 $41,712.73 $41,712.73 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $41,484.05 $41,484.05 $41,484.05 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $41,367.11 $41,367.11 $41,367.11 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $41,283.96 $41,283.96 $41,283.96 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $41,057.88 $41,057.88 $41,057.88 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $40,940.94 $40,940.94 $40,940.94 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $40,921.45 $40,921.45 $40,921.45 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $40,825.31 $40,825.31 $40,825.31 2026-04-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $40,553.75 $40,553.75 $40,553.75 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $20,799.14 $45,885.90 $40,469.30 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $40,397.84 $40,397.84 $40,397.84 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $39,778.07 $39,778.07 $39,778.07 2026-04-01
263 MS_DRG Vein Ligation And Stripping 1 1 — — $39,724.80 $39,724.80 $39,724.80 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $39,410.37 $39,410.37 $39,410.37 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $39,245.36 $39,245.36 $39,245.36 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $39,240.16 $39,240.16 $39,240.16 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 1 1 — — $39,197.28 $39,197.28 $39,197.28 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 — — $29,013.34 $48,563.94 $38,788.64 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 1 1 — — $38,672.37 $38,672.37 $38,672.37 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $38,278.68 $38,278.68 $38,278.68 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 1 1 — — $38,252.69 $38,252.69 $38,252.69 2026-04-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $38,213.71 $38,213.71 $38,213.71 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $30,840.02 $45,311.79 $38,075.90 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $37,705.69 $37,705.69 $37,705.69 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $37,682.30 $37,682.30 $37,682.30 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $37,515.99 $37,515.99 $37,515.99 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $37,497.80 $37,497.80 $37,497.80 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 1 1 — — $37,443.23 $37,443.23 $37,443.23 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 7 — — $18,497.22 $56,715.21 $37,230.92 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 — — $23,957.28 $50,292.01 $37,124.65 2026-04-01
9433 OTHER — 3 2 — — $36,656.56 $36,656.56 $36,656.56 2025-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 5 — — $33,330.81 $54,872.04 $36,654.84 2026-04-01
800 MS_DRG Splenic Procedures With Cc 1 1 — — $36,502.53 $36,502.53 $36,502.53 2026-04-01
503 MS_DRG Foot Procedures With Mcc 1 1 — — $36,264.76 $36,264.76 $36,264.76 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 — — $30,216.91 $42,077.83 $36,147.37 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 — — $15,093.61 $57,075.65 $36,084.63 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $36,015.30 $36,015.30 $36,015.30 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $35,823.00 $35,823.00 $35,823.00 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $35,520.26 $35,520.26 $35,520.26 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 1 1 — — $35,351.35 $35,351.35 $35,351.35 2026-04-01
849 MS_DRG Radiotherapy 1 1 — — $35,204.53 $35,204.53 $35,204.53 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $35,161.66 $35,161.66 $35,161.66 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $26,706.29 $43,404.42 $35,055.35 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $35,047.32 $35,047.32 $35,047.32 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $23,828.44 $45,727.56 $34,778.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $34,561.38 $34,561.38 $34,561.38 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 1 1 — — $34,440.55 $34,440.55 $34,440.55 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $21,417.49 $47,145.10 $34,281.29 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $34,267.74 $34,267.74 $34,267.74 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $33,684.35 $33,684.35 $33,684.35 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $33,511.55 $33,511.55 $33,511.55 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 1 1 — — $33,511.55 $33,511.55 $33,511.55 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 1 1 — — $33,360.83 $33,360.83 $33,360.83 2026-04-01
885 MS_DRG Psychoses 21 10 — — $7,949.30 $33,235.14 $33,235.14 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 — — $17,786.37 $48,422.31 $33,104.34 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $33,013.91 $33,013.91 $33,013.91 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $32,794.33 $32,794.33 $32,794.33 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $32,377.26 $32,377.26 $32,377.26 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $32,244.73 $32,244.73 $32,244.73 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $22,534.36 $41,407.39 $31,970.88 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $31,952.39 $31,952.39 $31,952.39 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 1 1 — — $31,899.11 $31,899.11 $31,899.11 2026-04-01
792 MS_DRG Prematurity Without Major Problems 1 1 — — $31,822.46 $31,822.46 $31,822.46 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 6 5 — — $14,323.80 $40,891.57 $31,809.90 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $31,757.49 $31,757.49 $31,757.49 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $31,719.81 $31,719.81 $31,719.81 2026-04-01
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 13 7 — — $6,129.55 $31,690.95 $31,690.95 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 1 1 — — $31,471.64 $31,471.64 $31,471.64 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $31,369.00 $31,369.00 $31,369.00 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $31,252.06 $31,252.06 $31,252.06 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 1 1 — — $31,116.94 $31,116.94 $31,116.94 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 1 1 — — $30,547.84 $30,547.84 $30,547.84 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 2 2 — — $22,950.48 $37,939.56 $30,445.02 2026-04-01
333 MS_DRG Rectal Resection With Cc 1 1 — — $30,432.20 $30,432.20 $30,432.20 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 1 1 — — $30,363.34 $30,363.34 $30,363.34 2026-04-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 3 3 — — $15,412.30 $30,252.16 $30,252.16 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 1 1 — — $30,236.01 $30,236.01 $30,236.01 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $30,215.22 $30,215.22 $30,215.22 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 2 — — $29,403.71 $31,006.50 $30,205.10 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $30,184.04 $30,184.04 $30,184.04 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 — — $23,078.33 $37,036.55 $30,057.44 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $30,029.42 $30,029.42 $30,029.42 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $29,826.73 $29,826.73 $29,826.73 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $29,817.64 $29,817.64 $29,817.64 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $29,644.83 $29,644.83 $29,644.83 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $29,568.17 $29,568.17 $29,568.17 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 25 11 — — $4,732.00 $46,728.69 $29,555.97 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 — — $17,989.82 $41,120.25 $29,555.03 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $29,436.94 $29,436.94 $29,436.94 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 2 2 — — $27,788.13 $30,857.26 $29,322.69 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $29,086.13 $29,086.13 $29,086.13 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 1 1 — — $29,069.24 $29,069.24 $29,069.24 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 1 1 — — $28,839.26 $28,839.26 $28,839.26 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 1 1 — — $28,722.33 $28,722.33 $28,722.33 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 1 1 — — $28,687.24 $28,687.24 $28,687.24 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $28,567.71 $28,567.71 $28,567.71 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $28,522.23 $28,522.23 $28,522.23 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 3 3 — — $27,535.19 $46,244.69 $28,492.96 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $28,478.06 $28,478.06 $28,478.06 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $28,427.38 $28,427.38 $28,427.38 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $28,357.22 $28,357.22 $28,357.22 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $28,339.03 $28,339.03 $28,339.03 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $28,289.66 $28,289.66 $28,289.66 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 1 1 — — $28,194.81 $28,194.81 $28,194.81 2026-04-01
0813 RC — 2 2 — — $28,070.42 $28,070.42 $28,070.42 2025-08-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 1 1 — — $27,814.12 $27,814.12 $27,814.12 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 1 1 — — $27,688.08 $27,688.08 $27,688.08 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $27,686.78 $27,686.78 $27,686.78 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 1 1 — — $27,675.09 $27,675.09 $27,675.09 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 1 1 — — $27,632.21 $27,632.21 $27,632.21 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $27,554.26 $27,554.26 $27,554.26 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 1 1 — — $27,511.38 $27,511.38 $27,511.38 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 1 1 — — $27,500.98 $27,500.98 $27,500.98 2026-04-01
1559 OTHER New Technology - Level 22 ($2001-$2500) 1 1 — — $27,383.02 $27,383.02 $27,383.02 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $18,292.92 $36,371.30 $27,332.11 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $27,317.78 $27,317.78 $27,317.78 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 2 2 — — $18,911.09 $35,704.76 $27,307.93 2026-04-01
81416 HCPCS Exome Sequence Analysis 1 1 — — $27,259.44 $27,259.44 $27,259.44 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $27,196.95 $27,196.95 $27,196.95 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 1 1 — — $27,121.59 $27,121.59 $27,121.59 2026-04-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $27,100.80 $27,100.80 $27,100.80 2026-04-01
5376 OTHER Level 6 Urology And Related Services 10 7 — — $6,081.00 $29,383.72 $27,075.49 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 1 1 — — $27,074.81 $27,074.81 $27,074.81 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 — — $20,533.22 $33,558.32 $27,045.77 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $26,852.63 $26,852.63 $26,852.63 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $26,773.38 $26,773.38 $26,773.38 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 — — $17,728.34 $35,713.86 $26,721.10 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 1 1 — — $26,623.96 $26,623.96 $26,623.96 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 1 1 — — $26,345.91 $26,345.91 $26,345.91 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 3 — — $25,493.78 $46,207.01 $26,325.68 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 1 1 — — $26,273.15 $26,273.15 $26,273.15 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 1 1 — — $26,178.30 $26,178.30 $26,178.30 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 1 1 — — $25,989.90 $25,989.90 $25,989.90 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 1 1 — — $25,988.60 $25,988.60 $25,988.60 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 2 — — $24,697.43 $27,169.66 $25,933.54 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $25,918.44 $25,918.44 $25,918.44 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 1 1 — — $25,736.53 $25,736.53 $25,736.53 2026-04-01
935 MS_DRG Non-extensive Burns 2 2 — — $24,452.82 $26,765.58 $25,609.20 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 1 1 — — $25,592.31 $25,592.31 $25,592.31 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 2 — — $25,278.43 $46,928.12 $25,278.43 2026-04-01
100 MS_DRG Seizures With Mcc 1 1 — — $25,164.84 $25,164.84 $25,164.84 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $25,145.35 $25,145.35 $25,145.35 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 1 1 — — $25,088.18 $25,088.18 $25,088.18 2026-04-01
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