Price Transparencybeta Hospital negotiated rates

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

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Hospital

ST VINCENT HOSPITAL

Worcester, MA · CCN 220176 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $13,066 across 2 payers · range $4,395-$18,811

Source: https://mrfs.hyvehealthcare.com/TenetHealth/621861198_saint-vincent-hospital_standardcharges.json · observed 2026-06-05

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.

13,545 distinct procedures filed
19 distinct payers
162,211 rate rows
2026-06-05 last MRF observed
Data quality

95,205 of 162,211 rate rows are consumer-grade (58.7%)

67,006 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 48,598
template filing: same amount across many unrelated codes — excluded 17,113
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 697
per-diem day rate — not a per-procedure price 474
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 55
placeholder amount (≤ $0.02) — excluded from medians 50
exceeds 10× this hospital's gross charge — excluded from medians 13
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/621861198_saint-vincent-hospital_standardcharges.json
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-10-31
Content fingerprint ed8c03fa8414724a… · 35,272,466 bytes · first seen 2026-06-08

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 $1,287,408.82 $1,647,337.45 $1,467,373.14 nat. median
$359,244
outlier · 4.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $636,522.46 $814,478.87 $725,500.67 nat. median
$198,115
outlier · 3.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $632,786.89 $809,698.93 $721,242.91 nat. median
$190,359
outlier · 3.8×
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 3 $51,409.54 $860,997.93 $502,855.57 nat. median
$16,717
outlier · 30.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $358,289.65 $458,458.85 $408,374.25 nat. median
$110,084
outlier · 3.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $324,189.54 $414,825.17 $369,507.35 nat. median
$97,137
outlier · 3.8×
215
MS_DRG 		Other Heart Assist System Implant 1 $296,848.04 $379,839.64 $338,343.84 nat. median
$93,787
outlier · 3.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $291,654.62 $373,194.25 $332,424.43 nat. median
$90,512
outlier · 3.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $167,328.82 $651,646.24 $318,440.92 nat. median
$103,938
outlier · 3.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $268,603.20 $343,698.22 $306,150.71 nat. median
$77,936
outlier · 3.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $250,530.56 $320,572.90 $285,551.73 nat. median
$77,487
outlier · 3.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $228,913.16 $292,911.79 $260,912.47 nat. median
$72,247
outlier · 3.6×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $227,172.08 $290,683.95 $258,928.02 nat. median
$67,908
outlier · 3.8×
10
MS_DRG 		Pancreas Transplant 1 $213,929.14 $273,738.60 $243,833.87 nat. median
$64,851
outlier · 3.8×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 1 $213,839.71 $273,624.16 $243,731.93 nat. median
$61,263
outlier · 4.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $212,703.83 $272,170.72 $242,437.27 nat. median
$66,623
outlier · 3.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $212,578.62 $272,010.50 $242,294.56 nat. median
$66,584
outlier · 3.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $206,061.49 $263,671.35 $234,866.42 nat. median
$62,577
outlier · 3.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $205,050.83 $262,378.13 $233,714.48 nat. median
$63,829
outlier · 3.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $92,912.96 $528,403.21 $229,851.02 nat. median
$126,461
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $200,674.28 $256,778.00 $228,726.14 nat. median
$61,660
outlier · 3.7×
6
MS_DRG 		Liver Transplant Without Mcc 3 $115,209.75 $367,881.80 $224,555.79 nat. median
$44,153
outlier · 5.1×
593
MS_DRG 		Skin Ulcers With Cc 3 $3,040.34 $460,609.70 $223,891.82 nat. median
$11,933
outlier · 18.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $196,029.42 $250,834.54 $223,431.98 nat. median
$61,995
outlier · 3.6×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $196,029.42 $250,834.54 $223,431.98 nat. median
$59,493
outlier · 3.8×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $195,316.89 $249,922.81 $222,619.85 nat. median
$58,052
outlier · 3.8×
7
MS_DRG 		Lung Transplant 3 $131,943.21 $494,024.23 $211,761.88 nat. median
$117,977
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $121,135.37 $1,069,055.74 $209,298.99 nat. median
$248,541
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $182,705.99 $233,786.20 $208,246.10 nat. median
$58,220
outlier · 3.6×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $182,494.32 $233,515.35 $208,004.84 nat. median
$58,234
outlier · 3.6×
28
MS_DRG 		Spinal Procedures With Mcc 1 $179,125.45 $229,204.63 $204,165.04 nat. median
$54,377
outlier · 3.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $179,074.77 $229,139.78 $204,107.27 nat. median
$56,633
outlier · 3.6×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $177,777.90 $227,480.34 $202,629.12 nat. median
$55,110
outlier · 3.7×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $176,782.15 $226,206.20 $201,494.17 nat. median
$53,841
outlier · 3.7×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $174,960.57 $223,875.35 $199,417.96 nat. median
$55,425
outlier · 3.6×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $174,847.28 $223,730.39 $199,288.84 nat. median
$53,768
outlier · 3.7×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $171,934.55 $220,003.33 $195,968.94 nat. median
$51,152
outlier · 3.8×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $167,608.69 $214,468.06 $191,038.38 nat. median
$50,496
outlier · 3.8×
602
MS_DRG 		Cellulitis With Mcc 3 $28,839.75 $330,166.11 $189,448.41 nat. median
$14,007
outlier · 13.5×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 1 $165,945.12 $212,339.40 $189,142.26 nat. median
$47,998
outlier · 3.9×
834
MS_DRG 		Acute Leukemia With Mcc 1 $163,670.39 $209,428.71 $186,549.55 nat. median
$50,314
outlier · 3.7×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $161,953.16 $207,231.38 $184,592.27 nat. median
$50,830
outlier · 3.6×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 1 $158,891.36 $203,313.58 $181,102.47 nat. median
$48,227
outlier · 3.8×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $157,302.33 $201,280.29 $179,291.31 nat. median
$49,305
outlier · 3.6×
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $154,920.27 $198,232.27 $176,576.27 nat. median
$49,995
outlier · 3.5×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $150,263.48 $192,273.55 $171,268.52 nat. median
$46,440
outlier · 3.7×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $147,234.48 $188,397.71 $167,816.10 nat. median
$45,362
outlier · 3.7×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $146,730.64 $187,753.01 $167,241.83 nat. median
$45,172
outlier · 3.7×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $146,119.48 $186,970.98 $166,545.23 nat. median
$46,626
outlier · 3.6×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 1 $143,958.03 $184,205.25 $164,081.64 nat. median
$44,798
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 13,545 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 2 1 — — $1,287,408.82 $1,647,337.45 $1,467,373.14 2026-06-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $636,522.46 $814,478.87 $725,500.67 2026-06-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $632,786.89 $809,698.93 $721,242.91 2026-06-05
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 26 3 — — $51,409.54 $860,997.93 $502,855.57 2026-06-05
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — — $358,289.65 $458,458.85 $408,374.25 2026-06-05
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 1 — — $324,189.54 $414,825.17 $369,507.35 2026-06-05
215 MS_DRG Other Heart Assist System Implant 2 1 — — $296,848.04 $379,839.64 $338,343.84 2026-06-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $291,654.62 $373,194.25 $332,424.43 2026-06-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 3 — — $167,328.82 $651,646.24 $318,440.92 2026-06-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $268,603.20 $343,698.22 $306,150.71 2026-06-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $250,530.56 $320,572.90 $285,551.73 2026-06-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $228,913.16 $292,911.79 $260,912.47 2026-06-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $227,172.08 $290,683.95 $258,928.02 2026-06-05
10 MS_DRG Pancreas Transplant 2 1 — — $213,929.14 $273,738.60 $243,833.87 2026-06-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 1 — — $213,839.71 $273,624.16 $243,731.93 2026-06-05
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $212,703.83 $272,170.72 $242,437.27 2026-06-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $212,578.62 $272,010.50 $242,294.56 2026-06-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — — $206,061.49 $263,671.35 $234,866.42 2026-06-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 1 — — $205,050.83 $262,378.13 $233,714.48 2026-06-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 3 — — $92,912.96 $528,403.21 $229,851.02 2026-06-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $200,674.28 $256,778.00 $228,726.14 2026-06-05
6 MS_DRG Liver Transplant Without Mcc 26 3 — — $115,209.75 $367,881.80 $224,555.79 2026-06-05
593 MS_DRG Skin Ulcers With Cc 26 3 — — $3,040.34 $460,609.70 $223,891.82 2026-06-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $196,029.42 $250,834.54 $223,431.98 2026-06-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $196,029.42 $250,834.54 $223,431.98 2026-06-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $195,316.89 $249,922.81 $222,619.85 2026-06-05
7 MS_DRG Lung Transplant 26 3 — — $131,943.21 $494,024.23 $211,761.88 2026-06-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 3 — — $121,135.37 $1,069,055.74 $209,298.99 2026-06-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 1 — — $182,705.99 $233,786.20 $208,246.10 2026-06-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 1 — — $182,494.32 $233,515.35 $208,004.84 2026-06-05
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $179,125.45 $229,204.63 $204,165.04 2026-06-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $179,074.77 $229,139.78 $204,107.27 2026-06-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $177,777.90 $227,480.34 $202,629.12 2026-06-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 1 — — $176,782.15 $226,206.20 $201,494.17 2026-06-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — — $174,960.57 $223,875.35 $199,417.96 2026-06-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — — $174,847.28 $223,730.39 $199,288.84 2026-06-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $171,934.55 $220,003.33 $195,968.94 2026-06-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $167,608.69 $214,468.06 $191,038.38 2026-06-05
602 MS_DRG Cellulitis With Mcc 26 3 — — $28,839.75 $330,166.11 $189,448.41 2026-06-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $165,945.12 $212,339.40 $189,142.26 2026-06-05
834 MS_DRG Acute Leukemia With Mcc 2 1 — — $163,670.39 $209,428.71 $186,549.55 2026-06-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $161,953.16 $207,231.38 $184,592.27 2026-06-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $158,891.36 $203,313.58 $181,102.47 2026-06-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $157,302.33 $201,280.29 $179,291.31 2026-06-05
653 MS_DRG Major Bladder Procedures With Mcc 2 1 — — $154,920.27 $198,232.27 $176,576.27 2026-06-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $150,263.48 $192,273.55 $171,268.52 2026-06-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — — $147,234.48 $188,397.71 $167,816.10 2026-06-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 1 — — $146,730.64 $187,753.01 $167,241.83 2026-06-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $146,119.48 $186,970.98 $166,545.23 2026-06-05
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 — — $143,958.03 $184,205.25 $164,081.64 2026-06-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 1 — — $143,230.60 $183,274.44 $163,252.52 2026-06-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 3 — — $87,236.59 $393,324.95 $161,786.53 2026-06-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 1 — — $141,933.73 $181,615.00 $161,774.36 2026-06-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $139,876.63 $178,982.79 $159,429.71 2026-06-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $139,459.25 $178,448.71 $158,953.98 2026-06-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 3 — — $54,555.12 $444,224.45 $158,394.01 2026-06-05
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 26 3 — — $41,792.35 $512,624.04 $157,148.71 2026-06-05
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $137,691.34 $176,186.54 $156,938.94 2026-06-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 — — $137,035.45 $175,347.28 $156,191.36 2026-06-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 1 — — $136,686.64 $174,900.95 $155,793.80 2026-06-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 — — $135,610.39 $173,523.81 $154,567.10 2026-06-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 1 — — $135,550.77 $173,447.51 $154,499.14 2026-06-05
799 MS_DRG Splenic Procedures With Mcc 2 1 — — $135,020.10 $172,768.48 $153,894.29 2026-06-05
607 MS_DRG Minor Skin Disorders Without Mcc 26 3 — — $27,022.50 $253,597.11 $152,763.64 2026-06-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 1 — — $133,577.15 $170,922.11 $152,249.63 2026-06-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 1 — — $133,052.44 $170,250.71 $151,651.58 2026-06-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 1 — — $130,962.55 $167,576.53 $149,269.54 2026-06-05
178 MS_DRG Respiratory Infections And Inflammations With Cc 26 3 — — $29,097.49 $227,626.21 $146,957.08 2026-06-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $127,984.23 $163,765.55 $145,874.89 2026-06-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $126,430.97 $161,778.04 $144,104.51 2026-06-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 1 — — $125,906.26 $161,106.63 $143,506.45 2026-06-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 1 — — $125,691.61 $160,831.97 $143,261.79 2026-06-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 1 — — $125,629.00 $160,751.86 $143,190.43 2026-06-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $125,262.30 $160,282.64 $142,772.47 2026-06-05
901 MS_DRG Wound Debridements For Injuries With Mcc 2 1 — — $125,113.24 $160,091.90 $142,602.57 2026-06-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 1 — — $124,880.69 $159,794.34 $142,337.52 2026-06-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 — — $124,397.72 $159,176.34 $141,787.03 2026-06-05
303 MS_DRG Atherosclerosis Without Mcc 26 3 — — $20,070.11 $257,456.90 $141,631.19 2026-06-05
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 1 — — $122,993.53 $157,379.57 $140,186.55 2026-06-05
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 26 3 — — $18,525.80 $244,757.31 $137,144.47 2026-06-05
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $119,863.17 $153,374.03 $136,618.60 2026-06-05
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 1 — — $118,777.97 $151,985.45 $135,381.71 2026-06-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 1 — — $116,097.78 $148,555.94 $132,326.86 2026-06-05
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 1 — — $115,397.18 $147,659.46 $131,528.32 2026-06-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 — — $115,224.26 $147,438.21 $131,331.23 2026-06-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 — — $114,461.05 $146,461.62 $130,461.33 2026-06-05
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $112,186.32 $143,550.92 $127,868.62 2026-06-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $111,107.09 $142,169.97 $126,638.53 2026-06-05
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 1 — — $109,506.13 $140,121.42 $124,813.78 2026-06-05
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 1 — — $109,461.41 $140,064.20 $124,762.81 2026-06-05
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 1 — — $108,176.47 $138,420.02 $123,298.24 2026-06-05
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $108,092.99 $138,313.20 $123,203.10 2026-06-05
332 MS_DRG Rectal Resection With Mcc 2 1 — — $107,943.93 $138,122.46 $123,033.19 2026-06-05
265 MS_DRG Aicd Lead Procedures 2 1 — — $107,869.40 $138,027.09 $122,948.24 2026-06-05
165 MS_DRG Major Chest Procedures Without Cc/mcc 26 3 — — $52,066.91 $209,557.74 $122,761.89 2026-06-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 1 — — $106,814.02 $136,676.65 $121,745.33 2026-06-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 1 — — $106,566.57 $136,360.03 $121,463.30 2026-06-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $106,459.24 $136,222.69 $121,340.96 2026-06-05
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $106,301.23 $136,020.51 $121,160.87 2026-06-05
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 1 — — $106,211.79 $135,906.06 $121,058.92 2026-06-05
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 1 — — $106,023.97 $135,665.73 $120,844.85 2026-06-05
163 MS_DRG Major Chest Procedures With Mcc 26 3 — — $42,624.17 $229,155.62 $120,733.16 2026-06-05
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 1 — — $105,138.53 $134,532.74 $119,835.63 2026-06-05
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 1 — — $104,923.87 $134,258.07 $119,590.97 2026-06-05
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $103,969.86 $133,037.34 $118,503.60 2026-06-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 3 — — $56,347.73 $216,107.78 $118,163.59 2026-06-05
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 1 — — $103,492.85 $132,426.97 $117,959.91 2026-06-05
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $102,991.99 $131,786.08 $117,389.04 2026-06-05
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $102,210.89 $130,786.60 $116,498.74 2026-06-05
183 MS_DRG Major Chest Trauma With Mcc 26 3 — — $45,610.91 $194,243.36 $115,554.37 2026-06-05
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 1 — — $98,481.28 $126,014.29 $112,247.79 2026-06-05
37 MS_DRG Extracranial Procedures With Mcc 2 1 — — $98,147.38 $125,587.03 $111,867.21 2026-06-05
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 1 — — $98,135.45 $125,571.77 $111,853.61 2026-06-05
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 1 — — $96,549.40 $123,542.30 $110,045.85 2026-06-05
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $96,442.07 $123,404.97 $109,923.52 2026-06-05
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $96,307.92 $123,233.30 $109,770.61 2026-06-05
652 MS_DRG Kidney Transplant 2 1 — — $96,281.08 $123,198.97 $109,740.02 2026-06-05
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 1 — — $96,209.53 $123,107.41 $109,658.47 2026-06-05
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 1 — — $96,021.71 $122,867.08 $109,444.40 2026-06-05
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 3 — — $29,104.95 $188,897.69 $108,355.71 2026-06-05
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 1 — — $95,011.05 $121,573.86 $108,292.46 2026-06-05
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 1 — — $94,918.63 $121,455.60 $108,187.12 2026-06-05
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 1 — — $94,209.08 $120,547.68 $107,378.38 2026-06-05
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 2 1 — — $93,675.43 $119,864.83 $106,770.13 2026-06-05
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 26 3 — — $22,508.81 $185,452.90 $106,193.77 2026-06-05
665 MS_DRG Prostatectomy With Mcc 2 1 — — $93,052.34 $119,067.54 $106,059.94 2026-06-05
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $92,858.55 $118,819.58 $105,839.07 2026-06-05
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 1 — — $89,939.86 $115,084.89 $102,512.38 2026-06-05
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 1 — — $88,735.41 $113,543.71 $101,139.56 2026-06-05
472 MS_DRG Cervical Spinal Fusion With Cc 2 1 — — $87,832.08 $112,387.82 $100,109.95 2026-06-05
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 1 — — $87,772.45 $112,311.53 $100,041.99 2026-06-05
570 MS_DRG Skin Debridement With Mcc 2 1 — — $87,683.01 $112,197.08 $99,940.04 2026-06-05
668 MS_DRG Transurethral Procedures With Mcc 2 1 — — $87,053.96 $111,392.16 $99,223.06 2026-06-05
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 1 — — $86,517.33 $110,705.50 $98,611.42 2026-06-05
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 1 — — $86,463.66 $110,636.83 $98,550.24 2026-06-05
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 — — $86,040.32 $110,095.13 $98,067.73 2026-06-05
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 1 — — $85,915.10 $109,934.91 $97,925.01 2026-06-05
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 1 — — $85,569.27 $109,492.39 $97,530.83 2026-06-05
800 MS_DRG Splenic Procedures With Cc 2 1 — — $83,756.64 $107,172.99 $95,464.82 2026-06-05
654 MS_DRG Major Bladder Procedures With Cc 2 1 — — $83,455.53 $106,787.70 $95,121.61 2026-06-05
503 MS_DRG Foot Procedures With Mcc 2 1 — — $83,211.06 $106,474.88 $94,842.97 2026-06-05
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $82,197.42 $105,177.85 $93,687.64 2026-06-05
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 — — $81,946.99 $104,857.41 $93,402.20 2026-06-05
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 — — $81,502.78 $104,289.00 $92,895.89 2026-06-05
849 MS_DRG Radiotherapy 2 1 — — $80,778.32 $103,362.01 $92,070.17 2026-06-05
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 1 — — $80,679.94 $103,236.12 $91,958.03 2026-06-05
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 1 — — $80,417.59 $102,900.42 $91,659.01 2026-06-05
304 MS_DRG Hypertension With Mcc 26 3 — — $35,477.47 $197,609.79 $90,636.36 2026-06-05
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 1 — — $79,025.32 $101,118.90 $90,072.11 2026-06-05
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 1 — — $78,628.81 $100,611.54 $89,620.17 2026-06-05
603 MS_DRG Cellulitis Without Mcc 26 3 — — $3,556.24 $370,252.82 $88,897.13 2026-06-05
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 1 — — $77,290.20 $98,898.69 $88,094.45 2026-06-05
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 2 1 — — $76,893.69 $98,391.32 $87,642.51 2026-06-05
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 1 — — $76,547.86 $97,948.80 $87,248.33 2026-06-05
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 1 — — $76,112.59 $97,391.84 $86,752.21 2026-06-05
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 1 — — $75,751.85 $96,930.25 $86,341.05 2026-06-05
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 2 1 — — $75,608.75 $96,747.14 $86,177.95 2026-06-05
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $42,304.00 $110,148.54 $86,082.06 2026-06-05
164 MS_DRG Major Chest Procedures With Cc 2 1 — — $75,248.01 $96,285.55 $85,766.78 2026-06-05
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 26 3 — — $37,607.18 $206,127.46 $85,040.24 2026-06-05
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 1 — — $74,291.01 $95,061.00 $84,676.01 2026-06-05
545 MS_DRG Connective Tissue Disorders With Mcc 2 1 — — $73,986.92 $94,671.89 $84,329.40 2026-06-05
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 1 — — $73,316.13 $93,813.56 $83,564.85 2026-06-05
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 — — $73,295.26 $93,786.86 $83,541.06 2026-06-05
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 1 — — $72,868.93 $93,241.34 $83,055.13 2026-06-05
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 1 — — $72,782.48 $93,130.71 $82,956.60 2026-06-05
330 MS_DRG Major Small And Large Bowel Procedures With Cc 2 1 — — $71,467.72 $91,448.39 $81,458.05 2026-06-05
397 MS_DRG Appendix Procedures With Mcc 2 1 — — $71,399.15 $91,360.65 $81,379.90 2026-06-05
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 1 — — $71,267.98 $91,192.79 $81,230.38 2026-06-05
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 2 1 — — $71,145.74 $91,036.39 $81,091.07 2026-06-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 3 — — $23,751.75 $201,947.88 $80,757.03 2026-06-05
333 MS_DRG Rectal Resection With Cc 2 1 — — $69,828.01 $89,350.25 $79,589.13 2026-06-05
J7330 HCPCS Cultured Chondrocytes Implnt 5 1 — — $71,585.73 $79,539.70 $79,539.70 2026-06-05
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 2 1 — — $69,720.68 $89,212.91 $79,466.79 2026-06-05
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 1 — — $69,670.00 $89,148.06 $79,409.03 2026-06-05
709 MS_DRG Penis Procedures With Cc/mcc 2 1 — — $69,377.83 $88,774.21 $79,076.02 2026-06-05
357 MS_DRG Other Digestive System O.r. Procedures With Cc 2 1 — — $69,330.13 $88,713.17 $79,021.65 2026-06-05
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $68,903.81 $88,167.66 $78,535.74 2026-06-05
A9543 HCPCS Yttrium 90 Ibritumom Dse 5 1 $342,767.00 $257,075.25 25% off $69,850.46 $77,617.83 $77,617.83 2026-06-05
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 2 1 — — $67,845.44 $86,813.40 $77,329.42 2026-06-05
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 1 — — $67,732.15 $86,668.44 $77,200.29 2026-06-05
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 2 1 — — $67,544.33 $86,428.11 $76,986.22 2026-06-05
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 2 1 — — $66,739.38 $85,398.11 $76,068.74 2026-06-05
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 2 1 — — $66,700.62 $85,348.52 $76,024.57 2026-06-05
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 2 1 — — $66,172.93 $84,673.30 $75,423.11 2026-06-05
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 2 1 — — $65,970.21 $84,413.89 $75,192.05 2026-06-05
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 2 1 — — $65,904.62 $84,329.97 $75,117.29 2026-06-05
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 2 1 — — $65,824.12 $84,226.97 $75,025.54 2026-06-05
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 2 1 — — $65,066.87 $83,258.01 $74,162.44 2026-06-05
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 2 1 — — $64,956.56 $83,116.86 $74,036.71 2026-06-05
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 1 — — $64,911.84 $83,059.64 $73,985.74 2026-06-05
783 MS_DRG Cesarean Section With Sterilization With Mcc 3 2 — — $17,860.00 $93,657.15 $73,193.90 2026-06-05
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 1 — — $63,844.54 $81,693.94 $72,769.24 2026-06-05
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 2 1 — — $63,820.69 $81,663.42 $72,742.05 2026-06-05
374 MS_DRG Digestive Malignancy With Mcc 2 1 — — $63,761.06 $81,587.13 $72,674.10 2026-06-05
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 26 3 — — $19,563.67 $145,296.54 $72,654.41 2026-06-05
32 MS_DRG Ventricular Shunt Procedures With Cc 2 1 — — $63,531.50 $81,293.39 $72,412.45 2026-06-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 3 — — $23,201.07 $300,178.98 $72,389.89 2026-06-05
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 2 1 — — $63,501.69 $81,255.24 $72,378.46 2026-06-05
93657 CPT Comp Ep Abl Afib Adtnl 8 5 $126,275.00 $94,706.25 25% off $3,786.00 $119,961.25 $72,355.57 2026-06-05
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 — — $63,403.31 $81,129.35 $72,266.33 2026-06-05
595 MS_DRG Major Skin Disorders With Mcc 2 1 — — $63,224.43 $80,900.46 $72,062.45 2026-06-05
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 2 1 — — $63,134.99 $80,786.02 $71,960.51 2026-06-05
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 2 1 — — $63,126.05 $80,774.58 $71,950.32 2026-06-05
655 MS_DRG Major Bladder Procedures Without Cc/mcc 2 1 — — $63,102.20 $80,744.06 $71,923.13 2026-06-05
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 — — $62,866.67 $80,442.69 $71,654.68 2026-06-05
412 MS_DRG Cholecystectomy With C.d.e. With Cc 2 1 — — $62,681.83 $80,206.17 $71,444.00 2026-06-05
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 2 1 — — $62,443.33 $79,900.99 $71,172.16 2026-06-05
30 MS_DRG Spinal Procedures Without Cc/mcc 26 3 — — $25,418.28 $128,731.35 $71,168.20 2026-06-05
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 2 1 — — $62,404.57 $79,851.39 $71,127.98 2026-06-05
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 2 1 — — $62,341.96 $79,771.28 $71,056.62 2026-06-05
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 1 — — $62,231.66 $79,630.14 $70,930.90 2026-06-05
835 MS_DRG Acute Leukemia With Cc 2 1 — — $62,183.96 $79,569.10 $70,876.53 2026-06-05
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 2 1 — — $61,954.40 $79,275.36 $70,614.88 2026-06-05
886 MS_DRG Behavioral And Developmental Disorders 2 1 — — $61,870.92 $79,168.54 $70,519.73 2026-06-05
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 3 — — $21,456.28 $162,891.97 $70,299.32 2026-06-05
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 2 1 — — $61,614.53 $78,840.47 $70,227.50 2026-06-05
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 1 — — $61,432.67 $78,607.77 $70,020.22 2026-06-05
935 MS_DRG Non-extensive Burns 2 1 — — $61,414.78 $78,584.88 $69,999.83 2026-06-05
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 2 1 — — $61,089.82 $78,169.07 $69,629.45 2026-06-05
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 2 1 — — $60,451.82 $77,352.70 $68,902.26 2026-06-05
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 3 — — $39,957.72 $126,342.92 $68,762.36 2026-06-05
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 2 1 — — $60,284.87 $77,139.07 $68,711.97 2026-06-05
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 2 1 — — $60,067.23 $76,860.59 $68,463.91 2026-06-05
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 — — $59,953.94 $76,715.63 $68,334.79 2026-06-05
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 2 1 — — $59,819.78 $76,543.96 $68,181.87 2026-06-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 3 — — $13,817.75 $203,435.65 $68,102.29 2026-06-05
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 2 1 — — $59,634.94 $76,307.44 $67,971.19 2026-06-05
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 2 1 — — $59,569.36 $76,223.52 $67,896.44 2026-06-05
908 MS_DRG Other O.r. Procedures For Injuries With Cc 2 1 — — $59,482.90 $76,112.89 $67,797.90 2026-06-05
850 MS_DRG Acute Leukemia With Other Procedures 26 3 — — $19,017.34 $330,342.61 $67,720.49 2026-06-05
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 1 — — $58,677.95 $75,082.89 $66,880.42 2026-06-05
883 MS_DRG Disorders Of Personality And Impulse Control 2 1 — — $58,621.30 $75,010.41 $66,815.86 2026-06-05
906 MS_DRG Hand Procedures For Injuries 2 1 — — $58,561.68 $74,934.12 $66,747.90 2026-06-05
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 2 1 — — $57,920.70 $74,113.93 $66,017.32 2026-06-05
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 2 1 — — $57,911.75 $74,102.49 $66,007.12 2026-06-05
100 MS_DRG Seizures With Mcc 2 1 — — $57,741.82 $73,885.05 $65,813.43 2026-06-05
92925 CPT Cor Atherect Aplas Add 6 5 $87,731.00 $65,798.25 25% off $19,300.82 $83,344.45 $65,798.25 2026-06-05
592 MS_DRG Skin Ulcers With Mcc 2 1 — — $57,697.10 $73,827.82 $65,762.46 2026-06-05
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 2 1 — — $57,512.26 $73,591.31 $65,551.79 2026-06-05
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 2 1 — — $57,437.73 $73,495.94 $65,466.84 2026-06-05
75 MS_DRG Viral Meningitis With Cc/mcc 2 1 — — $57,166.43 $73,148.79 $65,157.61 2026-06-05
902 MS_DRG Wound Debridements For Injuries With Cc 2 1 — — $57,076.99 $73,034.35 $65,055.67 2026-06-05
801 MS_DRG Splenic Procedures Without Cc/mcc 2 1 — — $56,910.04 $72,820.72 $64,865.38 2026-06-05
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 26 3 — — $24,196.64 $145,430.04 $64,749.50 2026-06-05
L7181 HCPCS Dme Pos 5 1 — — $57,813.07 $64,660.38 $64,660.38 2026-06-05
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 2 1 — — $56,361.48 $72,118.79 $64,240.13 2026-06-05
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 26 3 — — $27,360.16 $164,961.17 $64,034.84 2026-06-05
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 1 — — $55,759.25 $71,348.20 $63,553.72 2026-06-05
504 MS_DRG Foot Procedures With Cc 2 1 — — $55,726.46 $71,306.24 $63,516.35 2026-06-05
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 2 1 — — $55,598.26 $71,142.21 $63,370.24 2026-06-05
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 1 — — $57,008.05 $63,342.28 $63,342.28 2026-06-05
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 1 — — $55,419.39 $70,913.32 $63,166.36 2026-06-05
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 2 1 — — $55,419.39 $70,913.32 $63,166.36 2026-06-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 3 — — $21,515.69 $218,599.48 $62,800.71 2026-06-05
91 MS_DRG Other Disorders Of Nervous System With Mcc 26 3 — — $17,365.30 $174,610.65 $62,601.20 2026-06-05
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 2 1 — — $54,757.54 $70,066.43 $62,411.99 2026-06-05
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 2 1 — — $54,700.89 $69,993.95 $62,347.42 2026-06-05
919 MS_DRG Complications Of Treatment With Mcc 2 1 — — $54,581.64 $69,841.36 $62,211.50 2026-06-05
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 26 3 — — $21,386.72 $116,638.30 $62,201.62 2026-06-05
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 26 3 — — $14,937.95 $188,929.61 $62,197.81 2026-06-05
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 2 1 — — $54,557.79 $69,810.84 $62,184.32 2026-06-05
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 1 — — $54,498.16 $69,734.54 $62,116.35 2026-06-05
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 3 — — $27,312.34 $135,776.36 $61,913.96 2026-06-05
L7180 HCPCS Dme Pos 5 1 — — $55,323.13 $61,875.53 $61,875.53 2026-06-05
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 1 — — $53,961.53 $69,047.88 $61,504.71 2026-06-05
116 MS_DRG Intraocular Procedures With Cc/mcc 2 1 — — $53,904.89 $68,975.40 $61,440.14 2026-06-05
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 2 1 — — $53,854.20 $68,910.55 $61,382.38 2026-06-05
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 1 — — $53,779.67 $68,815.18 $61,297.42 2026-06-05
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 2 1 — — $53,773.71 $68,807.55 $61,290.63 2026-06-05
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 2 1 — — $53,573.96 $68,551.96 $61,062.96 2026-06-05
671 MS_DRG Urethral Procedures With Cc/mcc 2 1 — — $53,514.33 $68,475.66 $60,995.00 2026-06-05
505 MS_DRG Foot Procedures Without Cc/mcc 2 1 — — $53,448.75 $68,391.73 $60,920.24 2026-06-05
181 MS_DRG Respiratory Neoplasms With Cc 26 3 — — $19,733.23 $146,181.68 $60,331.76 2026-06-05
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 3 — — $22,638.79 $129,677.44 $60,256.30 2026-06-05
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 2 1 — — $52,861.43 $67,640.22 $60,250.82 2026-06-05
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 2 1 — — $52,736.22 $67,480.00 $60,108.11 2026-06-05
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 3 — — $29,804.89 $130,145.72 $59,860.72 2026-06-05
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 1 — — $52,387.40 $67,033.67 $59,710.54 2026-06-05
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 2 1 — — $52,154.86 $66,736.11 $59,445.49 2026-06-05
666 MS_DRG Prostatectomy With Cc 2 1 — — $52,151.88 $66,732.30 $59,442.09 2026-06-05
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 2 1 — — $52,026.67 $66,572.07 $59,299.37 2026-06-05
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 3 — — $21,818.57 $115,210.77 $59,291.63 2026-06-05
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 2 1 — — $51,788.16 $66,266.89 $59,027.53 2026-06-05
89 MS_DRG Concussion With Cc 26 3 — — $18,301.45 $155,221.72 $59,011.30 2026-06-05
411T OTHER Insj/rplc Car Modulj Vnt Elt 3 2 — — $12,185.00 $65,472.00 $58,922.00 2026-06-05
408T OTHER Insj/rplc Cardiac Modulj Sys 3 2 — — $18,648.00 $65,472.00 $58,922.00 2026-06-05
409T OTHER Insj/rplc Car Modulj Pls Gn 3 2 — — $18,648.00 $65,472.00 $58,922.00 2026-06-05
415T OTHER Repos Car Modulj Tranvns Elt 3 2 — — $6,406.00 $65,472.00 $58,922.00 2026-06-05
516T OTHER Insj Wcs Lv Eltrd Only 3 2 — — $12,185.00 $65,472.00 $58,922.00 2026-06-05
412T OTHER Rmvl Cardiac Modulj Pls Gen 3 2 — — $10,123.00 $65,472.00 $58,922.00 2026-06-05
413T OTHER Rmvl Car Modulj Tranvns Elt 3 2 — — $10,123.00 $65,472.00 $58,922.00 2026-06-05
410T OTHER Insj/rplc Car Modulj Atr Elt 3 2 — — $12,185.00 $65,472.00 $58,922.00 2026-06-05
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 3 2 — — $18,648.00 $65,472.00 $58,922.00 2026-06-05
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 3 2 — — $18,648.00 $65,472.00 $58,922.00 2026-06-05
C7538 HCPCS Insrt Vent Pm W/l Vent Lead 3 2 — — $18,648.00 $65,472.00 $58,922.00 2026-06-05
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 3 2 — — $18,648.00 $65,472.00 $58,922.00 2026-06-05
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 3 2 — — $18,648.00 $65,472.00 $58,922.00 2026-06-05
416T OTHER Reloc Skin Pocket Pls Gen 3 2 — — $6,406.00 $65,472.00 $58,922.00 2026-06-05
517T OTHER Insj Wcs Lv Both Compnt Pg 3 2 — — $12,185.00 $65,472.00 $58,922.00 2026-06-05
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