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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 VINCENT HOSPITAL

Worcester, MA · CCN 220176 · Rates published

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

95,225 of 162,211 rate rows are consumer-grade (58.7%)

66,986 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 17,851
per-diem day rate — not a per-procedure price 474
placeholder amount (≤ $0.02) — excluded from medians 50
exceeds 10× this hospital's gross charge — excluded from medians 13
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 success · 2026-06-08
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
$370,174
outlier · 4.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $636,522.46 $814,478.87 $725,500.67 nat. median
$206,368
outlier · 3.5×
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
$202,986
outlier · 3.6×
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 3 $51,409.54 $860,997.93 $502,855.57 nat. median
$17,496
outlier · 28.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $358,289.65 $458,458.85 $408,374.25 nat. median
$117,303
outlier · 3.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $324,189.54 $414,825.17 $369,507.35 nat. median
$102,358
outlier · 3.6×
215
MS_DRG 		Other Heart Assist System Implant 1 $296,848.04 $379,839.64 $338,343.84 nat. median
$99,019
outlier · 3.4×
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
$93,672
outlier · 3.5×
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
$108,660
outlier · 2.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $268,603.20 $343,698.22 $306,150.71 nat. median
$82,712
outlier · 3.7×
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
$81,118
outlier · 3.5×
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
$74,915
outlier · 3.5×
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
$72,138
outlier · 3.6×
10
MS_DRG 		Pancreas Transplant 1 $213,929.14 $273,738.60 $243,833.87 nat. median
$68,882
outlier · 3.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $213,839.71 $273,624.16 $243,731.93 nat. median
$64,027
outlier · 3.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $212,703.83 $272,170.72 $242,437.27 nat. median
$71,240
outlier · 3.4×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $212,578.62 $272,010.50 $242,294.56 nat. median
$68,887
outlier · 3.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $206,061.49 $263,671.35 $234,866.42 nat. median
$66,526
outlier · 3.5×
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
$65,950
outlier · 3.5×
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
$133,176
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $200,674.28 $256,778.00 $228,726.14 nat. median
$64,732
outlier · 3.5×
6
MS_DRG 		Liver Transplant Without Mcc 3 $115,209.75 $367,881.80 $224,555.79 nat. median
$46,260
outlier · 4.9×
593
MS_DRG 		Skin Ulcers With Cc 3 $3,040.34 $460,609.70 $223,891.82 nat. median
$12,573
outlier · 17.8×
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
$61,920
outlier · 3.6×
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
$64,510
outlier · 3.5×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $195,316.89 $249,922.81 $222,619.85 nat. median
$59,793
outlier · 3.7×
7
MS_DRG 		Lung Transplant 3 $131,943.21 $494,024.23 $211,761.88 nat. median
$122,708
1.7× 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
$265,286
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
$60,726
outlier · 3.4×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $182,494.32 $233,515.35 $208,004.84 nat. median
$60,185
outlier · 3.5×
28
MS_DRG 		Spinal Procedures With Mcc 1 $179,125.45 $229,204.63 $204,165.04 nat. median
$57,823
outlier · 3.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $179,074.77 $229,139.78 $204,107.27 nat. median
$59,099
outlier · 3.5×
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
$58,024
outlier · 3.5×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 1 $176,782.15 $226,206.20 $201,494.17 nat. median
$56,920
outlier · 3.5×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $174,960.57 $223,875.35 $199,417.96 nat. median
$57,424
outlier · 3.5×
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
$56,697
outlier · 3.5×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $171,934.55 $220,003.33 $195,968.94 nat. median
$54,596
outlier · 3.6×
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
$54,211
outlier · 3.5×
602
MS_DRG 		Cellulitis With Mcc 3 $28,839.75 $330,166.11 $189,448.41 nat. median
$14,838
outlier · 12.8×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 1 $165,945.12 $212,339.40 $189,142.26 nat. median
$50,270
outlier · 3.8×
834
MS_DRG 		Acute Leukemia With Mcc 1 $163,670.39 $209,428.71 $186,549.55 nat. median
$53,173
outlier · 3.5×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 1 $161,953.16 $207,231.38 $184,592.27 nat. median
$53,805
outlier · 3.4×
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
$51,319
outlier · 3.5×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $157,302.33 $201,280.29 $179,291.31 nat. median
$51,307
outlier · 3.5×
653
MS_DRG 		Major Bladder Procedures With Mcc 1 $154,920.27 $198,232.27 $176,576.27 nat. median
$51,418
outlier · 3.4×
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
$48,732
outlier · 3.5×
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
$48,170
outlier · 3.5×
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
$47,740
outlier · 3.5×
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
$49,171
outlier · 3.4×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 1 $143,958.03 $184,205.25 $164,081.64 nat. median
$46,647
outlier · 3.5×

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
             
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
10 MS_DRG Pancreas Transplant 2 1 — — $213,929.14 $273,738.60 $243,833.87 2026-06-05
100 MS_DRG Seizures With Mcc 2 1 — — $57,741.82 $73,885.05 $65,813.43 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
116 MS_DRG Intraocular Procedures With Cc/mcc 2 1 — — $53,904.89 $68,975.40 $61,440.14 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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — — $358,289.65 $458,458.85 $408,374.25 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 1 — — $176,782.15 $226,206.20 $201,494.17 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
164 MS_DRG Major Chest Procedures With Cc 2 1 — — $75,248.01 $96,285.55 $85,766.78 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
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
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $161,953.16 $207,231.38 $184,592.27 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
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
178 MS_DRG Respiratory Infections And Inflammations With Cc 26 3 — — $29,097.49 $227,626.21 $146,957.08 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
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
181 MS_DRG Respiratory Neoplasms With Cc 26 3 — — $19,733.23 $146,181.68 $60,331.76 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $212,703.83 $272,170.72 $242,437.27 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
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
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
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
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
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
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
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
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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — — $174,960.57 $223,875.35 $199,417.96 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
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 1 — — $135,550.77 $173,447.51 $154,499.14 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
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
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 2 1 — — $93,675.43 $119,864.83 $106,770.13 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
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
265 MS_DRG Aicd Lead Procedures 2 1 — — $107,869.40 $138,027.09 $122,948.24 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
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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $157,302.33 $201,280.29 $179,291.31 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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 1 — — $76,112.59 $97,391.84 $86,752.21 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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 1 — — $98,135.45 $125,571.77 $111,853.61 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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $137,691.34 $176,186.54 $156,938.94 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
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $179,125.45 $229,204.63 $204,165.04 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
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 1 — — $80,679.94 $103,236.12 $91,958.03 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
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
30 MS_DRG Spinal Procedures Without Cc/mcc 26 3 — — $25,418.28 $128,731.35 $71,168.20 2026-06-05
303 MS_DRG Atherosclerosis Without Mcc 26 3 — — $20,070.11 $257,456.90 $141,631.19 2026-06-05
304 MS_DRG Hypertension With Mcc 26 3 — — $35,477.47 $197,609.79 $90,636.36 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
32 MS_DRG Ventricular Shunt Procedures With Cc 2 1 — — $63,531.50 $81,293.39 $72,412.45 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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 3 — — $39,957.72 $126,342.92 $68,762.36 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
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
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
332 MS_DRG Rectal Resection With Mcc 2 1 — — $107,943.93 $138,122.46 $123,033.19 2026-06-05
333 MS_DRG Rectal Resection With Cc 2 1 — — $69,828.01 $89,350.25 $79,589.13 2026-06-05
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 1 — — $106,459.24 $136,222.69 $121,340.96 2026-06-05
336 MS_DRG Peritoneal Adhesiolysis With Cc 2 1 — — $62,866.67 $80,442.69 $71,654.68 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
35 MS_DRG Carotid Artery Stent Procedures With Cc 2 1 — — $71,267.98 $91,192.79 $81,230.38 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
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
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
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
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 2 1 — — $57,920.70 $74,113.93 $66,017.32 2026-06-05
37 MS_DRG Extracranial Procedures With Mcc 2 1 — — $98,147.38 $125,587.03 $111,867.21 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
374 MS_DRG Digestive Malignancy With Mcc 2 1 — — $63,761.06 $81,587.13 $72,674.10 2026-06-05
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 2 1 — — $54,498.16 $69,734.54 $62,116.35 2026-06-05
397 MS_DRG Appendix Procedures With Mcc 2 1 — — $71,399.15 $91,360.65 $81,379.90 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
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
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 1 — — $86,463.66 $110,636.83 $98,550.24 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
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
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
409T CPT Insj/rplc Car Modulj Pls Gn 3 2 — — $18,648.00 $65,472.00 $58,922.00 2026-06-05
410T CPT Insj/rplc Car Modulj Atr Elt 3 2 — — $12,185.00 $65,472.00 $58,922.00 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
411T CPT Insj/rplc Car Modulj Vnt Elt 3 2 — — $12,185.00 $65,472.00 $58,922.00 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
412T CPT Rmvl Cardiac Modulj Pls Gen 3 2 — — $10,123.00 $65,472.00 $58,922.00 2026-06-05
413T CPT Rmvl Car Modulj Tranvns Elt 3 2 — — $10,123.00 $65,472.00 $58,922.00 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
414T CPT Rmvl & Rpl Car Modulj Pls Gn 3 2 — — $18,648.00 $65,472.00 $58,922.00 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
415T CPT Repos Car Modulj Tranvns Elt 3 2 — — $6,406.00 $65,472.00 $58,922.00 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
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
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
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
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 2 1 — — $58,677.95 $75,082.89 $66,880.42 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
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
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
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
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
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
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
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
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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 — — $143,958.03 $184,205.25 $164,081.64 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
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 2 1 — — $72,782.48 $93,130.71 $82,956.60 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 3 — — $87,236.59 $393,324.95 $161,786.53 2026-06-05
503 MS_DRG Foot Procedures With Mcc 2 1 — — $83,211.06 $106,474.88 $94,842.97 2026-06-05
504 MS_DRG Foot Procedures With Cc 2 1 — — $55,726.46 $71,306.24 $63,516.35 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
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
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
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
516T CPT Insj Wcs Lv Eltrd Only 3 2 — — $12,185.00 $65,472.00 $58,922.00 2026-06-05
517T CPT Insj Wcs Lv Both Compnt Pg 3 2 — — $12,185.00 $65,472.00 $58,922.00 2026-06-05
518T CPT Rmvl Pg Wcs Lv Battery Only 3 2 — — $12,185.00 $65,472.00 $58,922.00 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
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
545 MS_DRG Connective Tissue Disorders With Mcc 2 1 — — $73,986.92 $94,671.89 $84,329.40 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
570 MS_DRG Skin Debridement With Mcc 2 1 — — $87,683.01 $112,197.08 $99,940.04 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
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
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
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
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
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
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 2 1 — — $57,437.73 $73,495.94 $65,466.84 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
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
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
592 MS_DRG Skin Ulcers With Mcc 2 1 — — $57,697.10 $73,827.82 $65,762.46 2026-06-05
593 MS_DRG Skin Ulcers With Cc 26 3 — — $3,040.34 $460,609.70 $223,891.82 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
6 MS_DRG Liver Transplant Without Mcc 26 3 — — $115,209.75 $367,881.80 $224,555.79 2026-06-05
602 MS_DRG Cellulitis With Mcc 26 3 — — $28,839.75 $330,166.11 $189,448.41 2026-06-05
603 MS_DRG Cellulitis Without Mcc 26 3 — — $3,556.24 $370,252.82 $88,897.13 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
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
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 26 3 — — $19,563.67 $145,296.54 $72,654.41 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
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
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 2 — — $42,304.00 $110,148.54 $86,082.06 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
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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 3 — — $21,818.57 $115,210.77 $59,291.63 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
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
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
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 — — $59,953.94 $76,715.63 $68,334.79 2026-06-05
652 MS_DRG Kidney Transplant 2 1 — — $96,281.08 $123,198.97 $109,740.02 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
654 MS_DRG Major Bladder Procedures With Cc 2 1 — — $83,455.53 $106,787.70 $95,121.61 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
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
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
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
665 MS_DRG Prostatectomy With Mcc 2 1 — — $93,052.34 $119,067.54 $106,059.94 2026-06-05
666 MS_DRG Prostatectomy With Cc 2 1 — — $52,151.88 $66,732.30 $59,442.09 2026-06-05
668 MS_DRG Transurethral Procedures With Mcc 2 1 — — $87,053.96 $111,392.16 $99,223.06 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
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
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
681T CPT Rlcj Pulse Gen Only Isdss 3 2 — — $6,406.00 $65,472.00 $58,922.00 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
7 MS_DRG Lung Transplant 26 3 — — $131,943.21 $494,024.23 $211,761.88 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
709 MS_DRG Penis Procedures With Cc/mcc 2 1 — — $69,377.83 $88,774.21 $79,076.02 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
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
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
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
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
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
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
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
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
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
75 MS_DRG Viral Meningitis With Cc/mcc 2 1 — — $57,166.43 $73,148.79 $65,157.61 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
799 MS_DRG Splenic Procedures With Mcc 2 1 — — $135,020.10 $172,768.48 $153,894.29 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
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 2 1 — — $53,961.53 $69,047.88 $61,504.71 2026-06-05
800 MS_DRG Splenic Procedures With Cc 2 1 — — $83,756.64 $107,172.99 $95,464.82 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
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
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
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
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 2 1 — — $63,403.31 $81,129.35 $72,266.33 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
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
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
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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 2 1 — — $163,670.39 $209,428.71 $186,549.55 2026-06-05
835 MS_DRG Acute Leukemia With Cc 2 1 — — $62,183.96 $79,569.10 $70,876.53 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
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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 1 — — $96,442.07 $123,404.97 $109,923.52 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
849 MS_DRG Radiotherapy 2 1 — — $80,778.32 $103,362.01 $92,070.17 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
850 MS_DRG Acute Leukemia With Other Procedures 26 3 — — $19,017.34 $330,342.61 $67,720.49 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
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
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
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
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 26 3 — — $14,937.95 $188,929.61 $62,197.81 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
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
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
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
883 MS_DRG Disorders Of Personality And Impulse Control 2 1 — — $58,621.30 $75,010.41 $66,815.86 2026-06-05
886 MS_DRG Behavioral And Developmental Disorders 2 1 — — $61,870.92 $79,168.54 $70,519.73 2026-06-05
89 MS_DRG Concussion With Cc 26 3 — — $18,301.45 $155,221.72 $59,011.30 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
901 MS_DRG Wound Debridements For Injuries With Mcc 2 1 — — $125,113.24 $160,091.90 $142,602.57 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
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 1 — — $109,506.13 $140,121.42 $124,813.78 2026-06-05
906 MS_DRG Hand Procedures For Injuries 2 1 — — $58,561.68 $74,934.12 $66,747.90 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
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
91 MS_DRG Other Disorders Of Nervous System With Mcc 26 3 — — $17,365.30 $174,610.65 $62,601.20 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
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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 2 — — $636,522.46 $814,478.87 $725,500.67 2026-06-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 2 — — $213,839.71 $273,624.16 $243,731.93 2026-06-05
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 3 2 — — $96,021.71 $122,867.08 $109,444.40 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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 2 — — $116,097.78 $148,555.94 $132,326.86 2026-06-05
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 3 2 — — $65,904.62 $84,329.97 $75,117.29 2026-06-05
935 MS_DRG Non-extensive Burns 3 2 — — $61,414.78 $78,584.88 $69,999.83 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
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
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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $200,674.28 $256,778.00 $228,726.14 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
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
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
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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 1 — — $81,502.78 $104,289.00 $92,895.89 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
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
974 MS_DRG HIV With Major Related Condition With Mcc 2 1 — — $86,040.32 $110,095.13 $98,067.73 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
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
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
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
C7537 HCPCS Insrt Atril Pm W/l Vent 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
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
J7330 HCPCS Cultured Chondrocytes Implnt 5 1 — — $71,585.73 $79,539.70 $79,539.70 2026-06-05
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 1 — — $57,008.05 $63,342.28 $63,342.28 2026-06-05
L7180 HCPCS Dme Pos 5 1 — — $55,323.13 $61,875.53 $61,875.53 2026-06-05
L7181 HCPCS Dme Pos 5 1 — — $57,813.07 $64,660.38 $64,660.38 2026-06-05
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