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

WALTHALL COUNTY GENERAL HOSPITAL CAH

Tylertown, MS · CCN 251324 · Rates published

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You selected 93306 (CPT)

HB 93306 ECHO TRANSTHOR, 2D/MMODE W SPECTRL & COLR FLOW DOPPLER

This hospital’s price: $430 across 20 payers · range $95-$913

Source: https://www.forresthealth.org/app/files/public/0cfb4638-f79b-4f2f-8c4e-b11bce581837/273156796_Walthall-General-Hospital_standardcharges.csv · observed 2026-01-30

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.

28,295 distinct procedures filed
24 distinct payers
209,077 rate rows
2026-01-30 last MRF observed
Data quality

199,813 of 209,077 rate rows are consumer-grade (95.6%)

9,264 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 8,282
per-diem day rate — not a per-procedure price 819
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 68
placeholder amount (≤ $0.02) — excluded from medians 50
percent-of-charges filed in the dollar field — excluded from medians 25
exceeds 10× this hospital's gross charge — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.forresthealth.org/app/files/public/0cfb4638-f79b-4f2f-8c4e-b11bce581837/273156796_Walthall-General-Hospital_standardcharges.csv
Found on page https://www.forresthealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-07-31
Content fingerprint 0585cee4ecfd2ac7… · 99,397,412 bytes · first seen 2026-05-15

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
714
OTHER 		Outpatient Apc 1 $4,669,619.61 $4,669,619.61 $4,669,619.61 nat. median
$3,325,455
1.4× median
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,465,050.00 $4,552,600.00 $4,508,825.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,710,000.00 $4,452,000.00 $3,821,300.00 nat. median
$3,705,478
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 8 $3,710,000.00 $4,452,000.00 $3,821,300.00 nat. median
$3,710,000
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 2 $3,378,680.42 $3,681,912.60 $3,530,296.51 nat. median
$2,588,981
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,321,781.51 $3,986,137.81 $3,421,434.96 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,193,000.00 $3,831,600.00 $3,288,790.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,968,000.00 $3,561,600.00 $3,057,040.00 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,403,458.75 $2,884,150.50 $2,475,562.51 nat. median
$2,467,386
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $2,798,400.00 $2,401,960.00 nat. median
$2,401,965
1.0× median
9081
OTHER 		Outpatient Apc 2 $802,606.00 $874,638.84 $838,622.42 nat. median
$13
outlier · 64509.4×
9194
OTHER 		Tisagenlecleucel Car-pos T 2 $795,130.01 $866,491.90 $830,810.96 nat. median
$577,163
1.4× median
9498
OTHER 		Ciltacabtagene Car-pos T 2 $775,019.95 $844,576.98 $809,798.46 nat. median
$587,650
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $786,032.40 $801,444.80 $793,738.60 nat. median
$813,967
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 2 $742,679.21 $809,333.70 $776,006.45 nat. median
$563,449
1.4× median
9413
OTHER 		Lisocabtagene Car Pos T 2 $726,054.08 $791,216.49 $758,635.28 nat. median
$562,201
1.3× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 2 $688,142.46 $749,902.35 $719,022.41 nat. median
$533,230
1.3× median
9391
OTHER 		Brexucabtagene Car Pos T 2 $686,082.13 $747,657.11 $716,869.62 nat. median
$492,768
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $565,623.84 $678,748.61 $582,592.56 nat. median
$739,258
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $551,318.34 $661,582.01 $567,857.89 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $528,312.43 $633,974.92 $544,161.80 nat. median
$622,450
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $516,485.97 $619,783.16 $531,980.55 nat. median
$640,950
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $489,517.15 $587,420.58 $504,202.66 nat. median
$608,239
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $488,051.51 $585,661.81 $502,693.06 nat. median
$591,721
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $89,066.25 $388,645.20 $377,128.00 nat. median
$359,454
1.0× median
9373
OTHER 		Outpatient Apc 2 $334,080.60 $364,063.90 $349,072.25 nat. median
$334,081
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $252,215.10 $458,169.75 $281,683.00 nat. median
$249,036
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $275,782.50 $281,190.00 $278,486.25 nat. median
$319,951
0.9× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 4 $188,812.20 $305,001.00 $223,998.84 nat. median
$155,833
1.4× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 4 $188,812.20 $305,001.00 $223,998.84 nat. median
$155,563
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $191,026.80 $218,535.30 $214,316.00 nat. median
$190,559
1.1× median
5834
APR_DRG 		Neonate With Ecmo 5 $208,862.26 $212,957.60 $210,909.93 nat. median
$307,206
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $165,871.80 $237,228.00 $210,336.75 nat. median
$198,418
1.1× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 4 $167,738.57 $210,640.11 $181,696.72 nat. median
$140,341
1.3× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 4 $167,738.57 $210,640.11 $181,696.72 nat. median
$140,341
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $171,323.59 $174,682.87 $173,003.23 nat. median
$247,214
0.7× median
5833
APR_DRG 		Neonate With Ecmo 5 $165,422.87 $168,666.45 $167,044.66 nat. median
$244,017
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $163,805.72 $167,017.59 $165,411.66 nat. median
$202,993
0.8× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 4 $145,373.57 $187,661.27 $159,813.54 nat. median
$120,722
1.3× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 4 $145,373.57 $187,661.27 $159,813.54 nat. median
$120,722
1.3× median
24
APR_DRG 		Heart And/Or Lung Transplant 5 $158,077.95 $161,177.52 $159,627.73 nat. median
$241,437
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $124,662.60 $153,455.85 $141,300.00 nat. median
$126,695
1.1× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 4 $123,008.57 $164,682.43 $137,930.36 nat. median
$105,940
1.3× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 4 $123,008.57 $164,682.43 $137,930.36 nat. median
$105,940
1.3× median
K1007
HCPCS 		2025_dme_schedule_rate_MSNR 2 $111,860.04 $163,129.22 $137,494.63 nat. median
$96,983
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $108,161.10 $300,354.75 $131,018.00 nat. median
$110,307
1.2× median
7
MS_DRG 		Lung Transplant 3 $116,551.80 $134,064.45 $130,688.00 nat. median
$117,974
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $125,492.07 $127,952.70 $126,722.38 nat. median
$120,517
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $124,353.01 $126,791.31 $125,572.16 nat. median
$154,011
0.8× median
5832
APR_DRG 		Neonate With Ecmo 5 $121,983.47 $124,375.31 $123,179.39 nat. median
$159,249
0.8× median

Other procedures at this hospital

Browse this hospital's 28,295 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
714 OTHER Outpatient Apc 1 1 — — $4,669,619.61 $4,669,619.61 $4,669,619.61 2026-01-30
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 6 — — $4,465,050.00 $4,552,600.00 $4,508,825.00 2026-01-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 8 — — $3,710,000.00 $4,452,000.00 $3,821,300.00 2026-01-30
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 8 — — $3,710,000.00 $4,452,000.00 $3,821,300.00 2026-01-30
9141 OTHER Inj Onase Abepar-xioi Treat 2 2 — — $3,378,680.42 $3,681,912.60 $3,530,296.51 2026-01-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 8 — — $3,321,781.51 $3,986,137.81 $3,421,434.96 2026-01-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 8 — — $3,193,000.00 $3,831,600.00 $3,288,790.00 2026-01-30
J3393 HCPCS Inj, Betibeglogene Autotemce 8 8 — — $2,968,000.00 $3,561,600.00 $3,057,040.00 2026-01-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 8 — — $2,403,458.75 $2,884,150.50 $2,475,562.51 2026-01-30
J3392 HCPCS Inj, Exagamglogene Autotem 8 8 — — $2,332,000.00 $2,798,400.00 $2,401,960.00 2026-01-30
9081 OTHER Outpatient Apc 2 2 — — $802,606.00 $874,638.84 $838,622.42 2026-01-30
9194 OTHER Tisagenlecleucel Car-pos T 2 2 — — $795,130.01 $866,491.90 $830,810.96 2026-01-30
9498 OTHER Ciltacabtagene Car-pos T 2 2 — — $775,019.95 $844,576.98 $809,798.46 2026-01-30
Q2057 HCPCS Afamitresgene Autoleucel 5 5 — — $786,032.40 $801,444.80 $793,738.60 2026-01-30
9422 OTHER Idecabtagene Vicleucel Car 2 2 — — $742,679.21 $809,333.70 $776,006.45 2026-01-30
9413 OTHER Lisocabtagene Car Pos T 2 2 — — $726,054.08 $791,216.49 $758,635.28 2026-01-30
9035 OTHER Axicabtagene Ciloleucel Car+ 2 2 — — $688,142.46 $749,902.35 $719,022.41 2026-01-30
9391 OTHER Brexucabtagene Car Pos T 2 2 — — $686,082.13 $747,657.11 $716,869.62 2026-01-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $565,623.84 $678,748.61 $582,592.56 2026-01-30
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $551,318.34 $661,582.01 $567,857.89 2026-01-30
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $528,312.43 $633,974.92 $544,161.80 2026-01-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $516,485.97 $619,783.16 $531,980.55 2026-01-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 8 — — $489,517.15 $587,420.58 $504,202.66 2026-01-30
Q2053 HCPCS Brexucabtagene Car Pos T 7 7 — — $488,051.51 $585,661.81 $502,693.06 2026-01-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $89,066.25 $388,645.20 $377,128.00 2026-01-30
9373 OTHER Outpatient Apc 2 2 — — $334,080.60 $364,063.90 $349,072.25 2026-01-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $252,215.10 $458,169.75 $281,683.00 2026-01-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $275,782.50 $281,190.00 $278,486.25 2026-01-30
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 4 4 — — $188,812.20 $305,001.00 $223,998.84 2026-01-30
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 4 4 — — $188,812.20 $305,001.00 $223,998.84 2026-01-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $191,026.80 $218,535.30 $214,316.00 2026-01-30
5834 APR_DRG Neonate With Ecmo 5 5 — — $208,862.26 $212,957.60 $210,909.93 2026-01-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $165,871.80 $237,228.00 $210,336.75 2026-01-30
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 4 4 — — $167,738.57 $210,640.11 $181,696.72 2026-01-30
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 4 4 — — $167,738.57 $210,640.11 $181,696.72 2026-01-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $171,323.59 $174,682.87 $173,003.23 2026-01-30
5833 APR_DRG Neonate With Ecmo 5 5 — — $165,422.87 $168,666.45 $167,044.66 2026-01-30
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $163,805.72 $167,017.59 $165,411.66 2026-01-30
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 4 4 — — $145,373.57 $187,661.27 $159,813.54 2026-01-30
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 4 4 — — $145,373.57 $187,661.27 $159,813.54 2026-01-30
24 APR_DRG Heart And/Or Lung Transplant 5 5 — — $158,077.95 $161,177.52 $159,627.73 2026-01-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 3 — — $124,662.60 $153,455.85 $141,300.00 2026-01-30
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 4 4 — — $123,008.57 $164,682.43 $137,930.36 2026-01-30
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 4 4 — — $123,008.57 $164,682.43 $137,930.36 2026-01-30
K1007 HCPCS 2025_dme_schedule_rate_MSNR 2 2 — — $111,860.04 $163,129.22 $137,494.63 2026-01-30
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $108,161.10 $300,354.75 $131,018.00 2026-01-30
7 MS_DRG Lung Transplant 3 3 — — $116,551.80 $134,064.45 $130,688.00 2026-01-30
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $125,492.07 $127,952.70 $126,722.38 2026-01-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $124,353.01 $126,791.31 $125,572.16 2026-01-30
5832 APR_DRG Neonate With Ecmo 5 5 — — $121,983.47 $124,375.31 $123,179.39 2026-01-30
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 4 4 — — $106,234.82 $145,533.41 $120,639.38 2026-01-30
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 4 4 — — $106,234.82 $145,533.41 $120,639.38 2026-01-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $115,516.53 $117,781.56 $116,649.05 2026-01-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $111,735.84 $113,926.74 $112,831.29 2026-01-30
Q0480 HCPCS 2025_dme_schedule_rate_MSNR 4 4 — — $84,711.71 $191,303.49 $112,180.77 2026-01-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $110,373.16 $112,537.34 $111,455.25 2026-01-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $101,986.20 $124,372.80 $110,197.00 2026-01-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $108,076.32 $110,195.47 $109,135.90 2026-01-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $107,899.52 $110,015.19 $108,957.36 2026-01-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $97,866.90 $136,552.50 $108,939.00 2026-01-30
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 5 — — $107,760.16 $109,873.11 $108,816.64 2026-01-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $107,211.02 $109,313.19 $108,262.11 2026-01-30
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 4 4 — — $95,052.32 $130,214.18 $107,940.59 2026-01-30
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 4 4 — — $95,052.32 $130,214.18 $107,940.59 2026-01-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $92,794.50 $214,205.85 $106,494.00 2026-01-30
5831 APR_DRG Neonate With Ecmo 5 5 — — $105,415.96 $107,482.94 $106,449.45 2026-01-30
215 MS_DRG Other Heart Assist System Implant 3 3 — — $89,613.00 $114,833.70 $105,948.00 2026-01-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $99,190.80 $128,339.10 $104,754.00 2026-01-30
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $103,633.02 $105,665.04 $104,649.03 2026-01-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $102,926.89 $104,945.07 $103,935.98 2026-01-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $102,648.74 $104,661.46 $103,655.10 2026-01-30
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 5 — — $101,052.52 $103,033.94 $102,043.23 2026-01-30
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $101,869.20 $101,869.20 $101,869.20 2026-01-30
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $100,758.95 $102,734.61 $101,746.78 2026-01-30
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $100,496.21 $102,466.73 $101,481.47 2026-01-30
L8702 HCPCS 2025_dme_schedule_rate_MSNR 2 2 — — $80,943.19 $118,042.16 $99,492.68 2026-01-30
23 APR_DRG Heart And/Or Lung Transplant 5 5 — — $97,752.68 $99,669.40 $98,711.04 2026-01-30
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $95,721.33 $97,598.22 $96,659.77 2026-01-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $88,045.20 $125,324.55 $96,511.00 2026-01-30
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 4 4 — — $83,869.82 $114,894.96 $95,241.80 2026-01-30
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 4 4 — — $83,869.82 $114,894.96 $95,241.80 2026-01-30
717 OTHER Outpatient Apc 2 2 — — $89,127.90 $97,127.01 $93,127.45 2026-01-30
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $77,935.50 $111,809.70 $92,119.00 2026-01-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $89,816.75 $91,577.87 $90,697.31 2026-01-30
64 APR_DRG Pancreas Transplant 5 5 — — $89,241.17 $90,990.99 $90,116.08 2026-01-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 3 — — $75,869.10 $136,588.95 $84,739.00 2026-01-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $75,630.60 $148,581.00 $84,692.00 2026-01-30
1643 OTHER Y90 Ibritumomab, Rx 2 2 — — $79,881.54 $87,050.81 $83,466.17 2026-01-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $81,086.40 $102,116.70 $83,406.00 2026-01-30
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 4 4 — — $72,687.32 $99,575.73 $82,543.01 2026-01-30
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 4 4 — — $72,687.32 $99,575.73 $82,543.01 2026-01-30
9273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $78,070.85 $85,077.61 $81,574.23 2026-01-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $80,092.38 $81,662.82 $80,877.60 2026-01-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $70,819.20 $149,123.70 $80,611.00 2026-01-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $59,644.80 $167,967.00 $79,273.00 2026-01-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 3 — — $68,806.80 $80,369.55 $78,164.00 2026-01-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $69,104.70 $83,601.45 $77,375.00 2026-01-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $68,579.10 $91,565.10 $74,642.00 2026-01-30
22 APR_DRG Heart And/Or Lung Transplant 5 5 — — $72,543.11 $73,965.53 $73,254.32 2026-01-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $71,853.51 $73,262.40 $72,557.96 2026-01-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $71,140.23 $72,535.13 $71,837.68 2026-01-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $64,967.40 $99,955.35 $71,027.00 2026-01-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $70,245.18 $71,622.53 $70,933.85 2026-01-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $64,173.60 $112,159.35 $70,670.00 2026-01-30
5244 OTHER Level 4 Blood Product Exchange And Related Services 4 4 — — $51,724.19 $90,601.47 $70,471.33 2026-01-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $69,313.22 $70,672.31 $69,992.76 2026-01-30
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 4 4 — — $61,504.82 $84,256.51 $69,844.23 2026-01-30
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 4 4 — — $61,504.82 $84,256.51 $69,844.23 2026-01-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $67,647.60 $68,974.03 $68,310.82 2026-01-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $60,579.90 $97,241.85 $68,283.00 2026-01-30
428* OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $67,406.85 $67,406.85 $67,406.85 2026-01-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 3 3 — — $60,134.40 $68,566.50 $67,047.00 2026-01-30
430* OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $66,977.55 $66,977.55 $66,977.55 2026-01-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $61,901.10 $70,352.55 $66,676.00 2026-01-30
1142 OTHER Supprelin La Implant 2 2 — — $63,627.11 $69,337.56 $66,482.33 2026-01-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $65,326.53 $66,607.44 $65,966.99 2026-01-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 9 9 — — $46,800.00 $76,082.45 $65,304.10 2026-01-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $59,177.70 $83,170.80 $64,579.00 2026-01-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 3 — — $53,717.85 $66,789.00 $64,554.30 2026-01-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $63,212.56 $64,452.02 $63,832.29 2026-01-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $63,155.28 $64,393.62 $63,774.45 2026-01-30
63 APR_DRG Pancreas Transplant 5 5 — — $62,749.89 $63,980.28 $63,365.09 2026-01-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $55,091.70 $78,185.25 $63,243.00 2026-01-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $62,454.66 $63,679.26 $63,066.96 2026-01-30
21 APR_DRG Heart And/Or Lung Transplant 5 5 — — $62,188.62 $63,408.01 $62,798.32 2026-01-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $62,206.20 $62,206.20 $62,206.20 2026-01-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $61,517.75 $62,723.98 $62,120.87 2026-01-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc 3 3 — — $54,059.40 $77,333.40 $61,944.00 2026-01-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $60,178.50 $85,153.95 $61,864.00 2026-01-30
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $61,073.81 $62,271.33 $61,672.57 2026-01-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $54,563.40 $76,347.90 $61,087.00 2026-01-30
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $54,074.70 $66,598.20 $60,795.00 2026-01-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $60,084.57 $61,262.70 $60,673.63 2026-01-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 — — $53,367.30 $98,961.75 $60,359.00 2026-01-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $43,544.70 $60,590.70 $60,359.00 2026-01-30
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 4 — — $42,838.48 $74,631.48 $60,324.45 2026-01-30
4404 APR_DRG Kidney Transplant 5 5 — — $59,373.49 $60,537.67 $59,955.58 2026-01-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $55,155.60 $64,412.55 $59,908.00 2026-01-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $59,177.70 $72,245.25 $59,493.00 2026-01-30
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 5 — — $58,421.70 $59,567.23 $58,994.47 2026-01-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $54,326.70 $61,582.00 $58,962.60 2026-01-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $58,378.74 $59,523.42 $58,951.08 2026-01-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $52,817.40 $75,258.45 $58,842.00 2026-01-30
A9543 HCPCS Y90 Ibritumomab, Rx 9 9 — — $22,011.00 $68,189.46 $58,529.29 2026-01-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $48,245.40 $61,367.00 $58,352.40 2026-01-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $52,783.20 $101,043.45 $58,223.00 2026-01-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $57,912.30 $57,912.30 $57,912.30 2026-01-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $56,950.52 $58,067.19 $57,508.86 2026-01-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $53,667.90 $77,631.75 $57,394.00 2026-01-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 9 — — $50,583.00 $66,643.80 $57,202.60 2026-01-30
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 4 4 — — $50,322.32 $68,937.28 $57,145.44 2026-01-30
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 4 4 — — $50,322.32 $68,937.28 $57,145.44 2026-01-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $51,572.70 $69,040.35 $57,051.00 2026-01-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $55,588.94 $56,678.92 $56,133.93 2026-01-30
1784 APR_DRG External Heart Assist Systems 5 5 — — $55,218.25 $56,300.96 $55,759.61 2026-01-30
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $46,767.60 $67,320.45 $55,746.00 2026-01-30
834 MS_DRG Acute Leukemia With Mcc 3 3 — — $49,409.10 $79,374.60 $55,273.00 2026-01-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $47,644.20 $118,501.65 $55,273.00 2026-01-30
10 MS_DRG Pancreas Transplant 3 3 — — $27,629.10 $79,730.00 $55,084.05 2026-01-30
62 APR_DRG Pancreas Transplant 5 5 — — $54,473.02 $55,541.12 $55,007.07 2026-01-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $50,441.40 $198,201.60 $54,411.00 2026-01-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $49,234.50 $74,343.15 $54,287.00 2026-01-30
5166 OTHER Cochlear Implant Procedure 4 4 — — $44,714.09 $65,576.88 $54,019.13 2026-01-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 3 — — $51,295.50 $65,875.95 $54,010.00 2026-01-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $49,086.90 $68,380.20 $53,959.00 2026-01-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $53,412.73 $54,460.04 $53,936.38 2026-01-30
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 5 — — $53,042.04 $54,082.08 $53,562.06 2026-01-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 1 — — $53,491.50 $53,491.50 $53,491.50 2026-01-30
5232 OTHER Level 2 Icd And Similar Procedures 4 4 — — $45,070.81 $60,209.65 $52,993.47 2026-01-30
84 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $52,423.49 $53,451.40 $52,937.45 2026-01-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $42,958.00 $51,903.90 $51,570.00 2026-01-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $47,966.40 $52,668.90 $51,501.00 2026-01-30
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $51,362.10 $51,362.10 $51,362.10 2026-01-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $50,834.98 $51,831.75 $51,333.37 2026-01-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 3 — — $47,486.70 $58,383.45 $51,330.00 2026-01-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $44,886.60 $63,711.90 $50,790.00 2026-01-30
428 MS_DRG DRG 428 - Multiple Level Combined Anterior And Posterior Spinal Fusion Except Ce… 3 3 — — $42,958.00 $51,570.00 $50,598.00 2026-01-30
L8701 HCPCS 2025_dme_schedule_rate_MSNR 2 2 — — $41,141.33 $59,997.77 $50,569.55 2026-01-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $50,002.73 $50,983.17 $50,492.95 2026-01-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $49,814.90 $50,791.67 $50,303.28 2026-01-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $50,033.00 $57,021.30 $50,095.80 2026-01-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $43,238.70 $51,197.40 $50,072.00 2026-01-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $47,995.20 $52,967.00 $50,026.95 2026-01-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 3 — — $44,447.40 $53,766.45 $50,013.00 2026-01-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 3 — — $44,526.60 $112,504.95 $49,833.00 2026-01-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $49,164.30 $56,700.00 $49,500.00 2026-01-30
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 5 — — $48,964.47 $49,924.56 $49,444.51 2026-01-30
5200 OTHER Implantation Wireless Pa Pressure Monitor 4 4 — — $39,963.33 $60,544.49 $49,270.07 2026-01-30
245 MS_DRG Aicd Generator Procedures 3 3 — — $41,061.60 $76,476.15 $48,868.00 2026-01-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $48,294.69 $49,241.65 $48,768.17 2026-01-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $48,188.94 $49,133.82 $48,661.38 2026-01-30
L7181 HCPCS 2025_dme_schedule_rate_MSNR 4 4 — — $37,686.66 $85,107.38 $48,554.32 2026-01-30
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $41,733.00 $99,500.40 $48,492.00 2026-01-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $47,936.67 $48,876.61 $48,406.64 2026-01-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $47,857.91 $48,796.30 $48,327.11 2026-01-30
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $47,772.54 $48,709.25 $48,240.89 2026-01-30
402* OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $48,109.95 $48,109.95 $48,109.95 2026-01-30
90288 CPT 2025_cigna_rate_CIGNA 4 4 — — $13.65 $85,233.75 $47,845.50 2026-01-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $42,100.20 $49,129.20 $47,755.00 2026-01-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $47,287.83 $48,215.04 $47,751.44 2026-01-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $47,119.84 $48,043.76 $47,581.80 2026-01-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 3 — — $42,226.20 $57,430.35 $47,539.00 2026-01-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $46,748.60 $47,665.24 $47,206.92 2026-01-30
799 MS_DRG Splenectomy With Mcc 3 3 — — $40,760.10 $47,548.00 $47,074.50 2026-01-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $42,847.20 $47,488.95 $47,047.00 2026-01-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 3 — — $46,799.10 $50,946.00 $46,848.60 2026-01-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $41,263.20 $52,286.85 $46,795.00 2026-01-30
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $46,317.87 $47,226.07 $46,771.97 2026-01-30
J9226 HCPCS Supprelin La Implant 9 9 — — $25,830.58 $54,314.16 $46,619.65 2026-01-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $41,566.50 $69,148.35 $46,519.00 2026-01-30
38240 CPT Transplt Allo Hct/donor 7 7 — — $925.00 $46,871.33 $46,420.65 2026-01-30
33276 CPT Insj Phrnc Nrv Stim Sys 9 9 — — $710.00 $51,031.08 $46,350.52 2026-01-30
8634 APR_DRG Neonatal Aftercare 5 5 — — $45,830.97 $46,729.61 $46,280.29 2026-01-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $45,823.26 $46,721.75 $46,272.50 2026-01-30
163 MS_DRG Major Chest Procedures With Mcc 3 3 — — $40,336.20 $55,756.35 $46,092.00 2026-01-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $42,312.60 $199,500.30 $46,073.00 2026-01-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $45,268.60 $46,156.22 $45,712.41 2026-01-30
1794 APR_DRG Defibrillator Implants 5 5 — — $44,987.69 $45,869.80 $45,428.75 2026-01-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $44,752.50 $45,926.00 $45,361.80 2026-01-30
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $44,800.97 $45,679.42 $45,240.20 2026-01-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $44,743.69 $45,621.01 $45,182.35 2026-01-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $44,704.03 $45,580.58 $45,142.30 2026-01-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 3 — — $40,938.30 $46,233.45 $45,116.00 2026-01-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 3 — — $38,636.10 $53,833.95 $44,847.00 2026-01-30
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 4 4 — — $39,139.82 $53,618.05 $44,446.65 2026-01-30
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 4 4 — — $39,139.82 $53,618.05 $44,446.65 2026-01-30
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $37,769.40 $68,925.60 $44,305.00 2026-01-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 3 — — $42,253.65 $50,369.00 $44,295.30 2026-01-30
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $43,458.30 $48,573.00 $44,294.85 2026-01-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $43,859.65 $44,719.65 $44,289.65 2026-01-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $43,707.08 $44,564.08 $44,135.58 2026-01-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $41,736.60 $53,953.00 $44,110.80 2026-01-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $40,166.10 $75,789.00 $43,928.00 2026-01-30
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 5 — — $43,473.54 $44,325.96 $43,899.75 2026-01-30
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $42,888.59 $43,729.55 $43,309.07 2026-01-30
61 APR_DRG Pancreas Transplant 5 5 — — $42,818.09 $43,657.66 $43,237.88 2026-01-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $42,766.87 $43,605.43 $43,186.15 2026-01-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $37,553.40 $77,255.10 $43,180.00 2026-01-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $40,920.30 $44,723.00 $43,124.40 2026-01-30
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $42,580.70 $43,415.61 $42,998.15 2026-01-30
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $42,537.18 $43,371.24 $42,954.21 2026-01-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $42,393.42 $43,224.67 $42,809.05 2026-01-30
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $42,357.62 $43,188.16 $42,772.89 2026-01-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 3 — — $38,946.60 $54,903.15 $42,594.00 2026-01-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $41,551.80 $42,366.54 $41,959.17 2026-01-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $40,324.50 $54,550.80 $41,906.00 2026-01-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 3 — — $41,368.50 $45,919.00 $41,801.40 2026-01-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $37,699.20 $49,350.00 $41,800.00 2026-01-30
448* OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $41,760.90 $41,760.90 $41,760.90 2026-01-30
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 4 — — $30,145.61 $52,557.38 $41,619.46 2026-01-30
1783 APR_DRG External Heart Assist Systems 5 5 — — $40,850.08 $41,651.06 $41,250.57 2026-01-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $37,925.10 $54,467.10 $41,098.00 2026-01-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $40,683.74 $41,481.46 $41,082.60 2026-01-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $37,944.00 $53,639.55 $41,037.00 2026-01-30
234 APR_DRG Spinal Procedures 5 5 — — $40,579.64 $41,375.32 $40,977.48 2026-01-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $39,535.20 $42,657.00 $40,867.20 2026-01-30
C1820 HCPCS Hb Pulse Generator, Charge Kit Precision Montage Mri, Bost Sci 33 20 $62,799.00 $62,799.00 $20,095.68 $50,239.20 $40,819.35 2026-01-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $37,377.00 $94,119.30 $40,674.00 2026-01-30
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $40,023.88 $40,808.66 $40,416.27 2026-01-30
4414 APR_DRG Major Bladder Procedures 5 5 — — $40,016.17 $40,800.80 $40,408.49 2026-01-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 — — $34,350.30 $43,269.00 $40,273.20 2026-01-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $39,526.51 $40,301.54 $39,914.02 2026-01-30
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $39,514.39 $40,289.18 $39,901.79 2026-01-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 3 — — $34,553.70 $42,454.80 $39,837.00 2026-01-30
843 OTHER Outpatient Apc 2 2 — — $38,054.61 $41,469.96 $39,762.29 2026-01-30
4403 APR_DRG Kidney Transplant 5 5 — — $39,136.54 $39,903.93 $39,520.23 2026-01-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $33,541.20 $42,816.60 $39,457.00 2026-01-30
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 5 — — $39,008.76 $39,773.64 $39,391.20 2026-01-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $38,950.92 $39,714.67 $39,332.80 2026-01-30
L7180 HCPCS 2025_dme_schedule_rate_MSNR 4 4 — — $30,383.51 $68,614.74 $39,145.16 2026-01-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $38,008.80 $41,607.00 $38,900.25 2026-01-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $34,836.30 $58,633.20 $38,887.00 2026-01-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $31,386.60 $58,453.65 $38,650.00 2026-01-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 3 3 — — $33,057.90 $51,580.80 $38,611.00 2026-01-30
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $38,202.39 $38,951.45 $38,576.92 2026-01-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 3 3 — — $33,639.30 $46,091.70 $38,503.00 2026-01-30
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $38,121.42 $38,868.90 $38,495.16 2026-01-30
1782 APR_DRG External Heart Assist Systems 5 5 — — $38,059.18 $38,805.44 $38,432.31 2026-01-30
140 MS_DRG Major Head And Neck Procedures With Mcc 3 3 — — $31,926.15 $42,292.00 $38,387.70 2026-01-30
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $37,910.46 $38,653.80 $38,282.13 2026-01-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 3 — — $33,867.00 $88,149.60 $38,224.00 2026-01-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $37,653.79 $38,392.10 $38,022.94 2026-01-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $35,207.10 $48,899.70 $38,017.00 2026-01-30
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $37,544.73 $38,280.90 $37,912.82 2026-01-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 3 — — $29,745.90 $41,896.00 $37,814.40 2026-01-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $34,750.80 $55,244.70 $37,721.00 2026-01-30
5231 OTHER Level 1 Icd And Similar Procedures 4 4 — — $31,553.90 $43,391.17 $37,685.50 2026-01-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $37,282.55 $38,013.58 $37,648.07 2026-01-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $37,207.64 $37,937.20 $37,572.42 2026-01-30
793 MS_DRG Full Term Neonate With Major Problems 1 1 — — $37,526.40 $37,526.40 $37,526.40 2026-01-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $37,095.83 $37,823.20 $37,459.51 2026-01-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $37,057.27 $37,783.89 $37,420.58 2026-01-30
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $37,007.15 $37,732.78 $37,369.97 2026-01-30
5378 OTHER Level 8 Urology And Related Services 4 4 — — $28,295.88 $48,048.75 $37,327.90 2026-01-30
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $36,924.53 $37,648.54 $37,286.54 2026-01-30
451* OTHER Single Level Spin Fus Expt Cerv Without Mcc 1 1 — — $37,281.60 $37,281.60 $37,281.60 2026-01-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $32,281.20 $39,103.00 $37,129.50 2026-01-30
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $36,754.33 $37,475.01 $37,114.67 2026-01-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $36,675.02 $37,394.14 $37,034.58 2026-01-30
6904 APR_DRG Acute Leukemia 5 5 — — $36,567.61 $37,284.62 $36,926.12 2026-01-30
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