Price Transparency Hospital negotiated rates

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

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Hospital

SSM ST JOSEPH HEALTH CENTER

Saint Charles, MO · CCN 260005 · Rates published

15,002 distinct procedures filed
19 distinct payers
976,552 rate rows
2026-04-01 last MRF observed
Data quality

896,346 of 976,552 rate rows are consumer-grade (91.8%)

80,206 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 78,902
placeholder amount (≤ $0.02) — excluded from medians 1,304
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=dMTdTRnP5Lut4neQ4vbLFA*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint cf2285ca6d4b8aba… · 87,121,672 bytes · first seen 2026-05-08

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,505,000.00 $4,662,675.00 $4,572,124.50 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,570,000.00 $4,422,320.00 $3,722,119.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,264,000.00 $3,979,755.11 $3,349,627.21 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,162,000.00 $3,898,134.86 $3,280,930.17 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,856,000.00 $4,897,200.00 $2,989,631.53 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,368,485.25 $3,965,706.94 $2,491,691.75 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,847,800.00 $2,392,632.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $924,744.00 $782,949.92 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $1,639,174.88 $710,071.44 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $565,868.94 $1,632,764.82 $679,042.73 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,538.19 $1,600,559.03 $675,045.82 nat. median
$674,188
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $557,317.93 $1,631,105.06 $668,781.52 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $533,230.17 $1,325,558.46 $613,214.70 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,304.61 $1,426,492.91 $587,165.53 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $308,670.65 $762,176.42 $327,288.10 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $333,900.00 $282,423.75 nat. median
$324,450
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $200,314.84 $510,384.85 $213,382.51 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $152,613.37 $376,836.33 $162,953.96 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $139,916.32 $374,624.78 $161,688.52 nat. median
$202,986
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $71,963.43 $183,527.59 $109,641.71 nat. median
$87,411
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $42.50 $244,477.21 $106,076.88 nat. median
$133,176
0.8× median
7
MS_DRG 		Lung Transplant 14 $92,568.03 $228,571.03 $99,475.84 nat. median
$122,708
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $93,943.97 $157,251.39 $95,255.76 nat. median
$63,570
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $85,903.95 $230,939.55 $92,430.78 nat. median
$117,303
0.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $85,718.16 $143,482.33 $88,196.74 nat. median
$54,196
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $80,999.71 $259,393.68 $87,246.16 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $80,906.78 $199,776.82 $86,967.97 nat. median
$98,017
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $78,779.54 $194,524.18 $84,723.76 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $77,728.07 $191,927.87 $83,622.70 nat. median
$102,358
0.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $78,716.12 $131,761.72 $79,633.60 nat. median
$49,935
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $73,699.45 $198,168.21 $79,528.56 nat. median
$100,136
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $53,860.91 $123,386.26 $77,975.95 nat. median
$65,381
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 14 $64,201.54 $249,023.88 $76,703.60 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $69,927.45 $189,788.89 $75,540.91 nat. median
$93,672
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $196,241.40 $74,848.64 nat. median
$69,774
1.1× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $64,925.85 $122,833.57 $73,382.33 nat. median
$44,728
1.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $49,670.47 $122,458.66 $73,158.36 nat. median
$62,270
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $64,400.62 $159,019.44 $69,561.05 nat. median
$82,712
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $61,878.30 $121,968.17 $69,280.46 nat. median
$76,377
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $61,898.11 $152,840.18 $66,920.67 nat. median
$83,442
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $55,272.32 $170,409.67 $66,171.51 nat. median
$66,682
1.0× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $62,922.85 $110,527.41 $66,030.47 nat. median
$48,649
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $60,256.93 $162,308.74 $65,317.52 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $60,067.50 $176,344.49 $65,117.27 nat. median
$81,118
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $123,789.02 $63,005.77 nat. median
$62,507
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 $61,381.30 $102,745.23 $62,462.53 nat. median
$39,020
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $56,246.18 $201,468.92 $61,077.48 nat. median
$77,576
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $48,540.66 $148,640.17 $59,579.30 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $54,647.89 $147,598.55 $59,387.82 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $54,467.05 $146,841.01 $59,196.63 nat. median
$72,138
0.8× median

Other procedures at this hospital

Browse this hospital's 15,002 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 4 — — $4,505,000.00 $4,662,675.00 $4,572,124.50 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 5 — — $3,570,000.00 $4,422,320.00 $3,722,119.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 5 — — $3,264,000.00 $3,979,755.11 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 22 5 — — $3,162,000.00 $3,898,134.86 $3,280,930.17 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 28 5 — — $2,856,000.00 $4,897,200.00 $2,989,631.53 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 28 5 — — $2,368,485.25 $3,965,706.94 $2,491,691.75 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 20 5 — — $2,332,000.00 $3,847,800.00 $2,392,632.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 16 5 — — $770,620.00 $924,744.00 $782,949.92 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 5 — — $591,726.20 $1,639,174.88 $710,071.44 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 30 5 — — $565,868.94 $1,632,764.82 $679,042.73 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 5 — — $562,538.19 $1,600,559.03 $675,045.82 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 30 5 — — $557,317.93 $1,631,105.06 $668,781.52 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 28 5 — — $533,230.17 $1,325,558.46 $613,214.70 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 30 5 — — $489,304.61 $1,426,492.91 $587,165.53 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 62 14 — — $308,670.65 $762,176.42 $327,288.10 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 5 — — $278,250.00 $333,900.00 $282,423.75 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 66 14 — — $200,314.84 $510,384.85 $213,382.51 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 66 14 — — $152,613.37 $376,836.33 $162,953.96 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 74 14 — — $139,916.32 $374,624.78 $161,688.52 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 4 — — $71,963.43 $183,527.59 $109,641.71 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 70 14 — — $42.50 $244,477.21 $106,076.88 2026-04-01
7 MS_DRG Lung Transplant 66 14 — — $92,568.03 $228,571.03 $99,475.84 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 2 — — $93,943.97 $157,251.39 $95,255.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 66 14 — — $85,903.95 $230,939.55 $92,430.78 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 2 — — $85,718.16 $143,482.33 $88,196.74 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 66 14 — — $80,999.71 $259,393.68 $87,246.16 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 60 13 — — $80,906.78 $199,776.82 $86,967.97 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 14 — — $78,779.54 $194,524.18 $84,723.76 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 62 14 — — $77,728.07 $191,927.87 $83,622.70 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 2 — — $78,716.12 $131,761.72 $79,633.60 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 66 14 — — $73,699.45 $198,168.21 $79,528.56 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 4 — — $53,860.91 $123,386.26 $77,975.95 2026-04-01
215 MS_DRG Other Heart Assist System Implant 72 14 — — $64,201.54 $249,023.88 $76,703.60 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 14 — — $69,927.45 $189,788.89 $75,540.91 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 38 5 — — $63,342.28 $196,241.40 $74,848.64 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 2 — — $64,925.85 $122,833.57 $73,382.33 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 4 — — $49,670.47 $122,458.66 $73,158.36 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 62 14 — — $64,400.62 $159,019.44 $69,561.05 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 16 1 — — $61,878.30 $121,968.17 $69,280.46 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 62 14 — — $61,898.11 $152,840.18 $66,920.67 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 40 6 — — $55,272.32 $170,409.67 $66,171.51 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 2 — — $62,922.85 $110,527.41 $66,030.47 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 66 14 — — $60,256.93 $162,308.74 $65,317.52 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 14 — — $60,067.50 $176,344.49 $65,117.27 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 36 5 — — $56,824.55 $123,789.02 $63,005.77 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 2 — — $61,381.30 $102,745.23 $62,462.53 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 66 14 — — $56,246.18 $201,468.92 $61,077.48 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 68 14 — — $48,540.66 $148,640.17 $59,579.30 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 66 14 — — $54,647.89 $147,598.55 $59,387.82 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 66 14 — — $54,467.05 $146,841.01 $59,196.63 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 4 — — $37,402.08 $96,625.00 $57,298.27 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 66 14 — — $51,270.46 $126,598.16 $55,817.30 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 76 14 — — $3,657.24 $127,408.29 $55,777.57 2026-04-01
10 MS_DRG Pancreas Transplant 66 14 — — $51,291.90 $126,651.11 $55,730.16 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 14 — — $50,998.12 $125,925.69 $55,420.19 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 74 14 — — $10,543.40 $126,063.46 $55,377.60 2026-04-01
J9226 HCPCS Supprelin La Implant 40 6 — — $45,020.65 $140,472.31 $53,893.02 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 74 14 — — $49,148.41 $121,993.27 $53,739.88 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 66 14 — — $49,163.23 $129,549.00 $53,589.59 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 8 1 — — $53,040.00 $53,040.00 $53,040.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 66 14 — — $48,113.90 $118,803.92 $52,480.28 2026-04-01
43844 HCPCS Description Not Available 6 1 — — $31,535.00 $62,631.00 $52,455.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 62 14 — — $47,795.10 $118,016.73 $52,040.71 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 66 14 — — $47,760.08 $117,930.24 $51,993.51 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 14 — — $47,000.24 $122,961.11 $51,302.95 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 66 14 — — $47,000.24 $116,054.05 $51,302.95 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 66 14 — — $46,829.41 $115,632.21 $51,122.35 2026-04-01
5432 OTHER Level 2 Nerve Procedures 14 4 — — $11,649.55 $55,580.60 $50,142.86 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 76 14 — — $4,154.44 $113,572.46 $50,136.75 2026-04-01
90288 HCPCS Botulism Ig IV 8 1 — — $48,705.00 $48,705.00 $48,705.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 68 14 — — $43,755.05 $108,194.88 $48,295.88 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 66 14 — — $43,805.80 $138,975.74 $47,925.89 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 66 14 — — $43,335.46 $119,049.73 $47,428.66 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 66 14 — — $42,947.33 $106,046.50 $47,018.33 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 74 15 — — $32,728.52 $106,016.49 $46,913.05 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 66 14 — — $42,624.24 $126,474.40 $46,676.77 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 14 — — $42,484.14 $106,022.75 $46,528.67 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 66 14 — — $42,385.50 $126,373.91 $46,424.38 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 66 14 — — $41,948.75 $112,276.32 $45,962.67 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 66 14 — — $41,921.59 $105,199.50 $45,933.95 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 62 14 — — $41,223.23 $101,789.32 $45,106.79 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 14 — — $40,740.03 $100,596.18 $45,080.29 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 66 14 — — $40,960.18 $105,516.43 $44,917.58 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 60 13 — — $40,792.92 $100,726.79 $44,648.37 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 5 — — $29,705.81 $78,024.69 $44,256.93 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 66 14 — — $40,186.06 $99,228.30 $44,003.81 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 66 14 — — $40,061.68 $101,436.93 $43,967.72 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 14 — — $34,866.90 $98,243.43 $43,587.35 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 66 14 — — $39,478.40 $97,480.95 $43,351.09 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 68 14 — — $39,103.13 $103,951.11 $43,334.50 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 68 14 — — $8,754.55 $106,438.24 $43,058.59 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 66 14 — — $39,047.38 $99,469.64 $42,895.42 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 66 14 — — $38,985.91 $96,264.87 $42,830.44 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 66 14 — — $38,830.08 $95,880.10 $42,665.70 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 14 — — $38,118.85 $100,592.42 $41,913.81 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 64 14 — — $23,140.06 $94,067.44 $41,803.14 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 66 14 — — $37,840.08 $152,775.72 $41,619.11 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 94 15 — — $1,828.62 $97,817.35 $41,486.87 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 66 14 — — $37,208.20 $98,812.59 $40,951.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 66 14 — — $37,143.87 $106,074.93 $40,883.09 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 4 1 — — $30,344.88 $50,793.83 $40,569.36 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 14 — — $36,027.35 $89,038.01 $39,702.74 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 72 14 — — $35,649.94 $101,570.27 $39,265.10 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 74 14 — — $35,364.02 $127,085.07 $38,924.78 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 70 14 — — $31,595.09 $91,007.22 $38,730.96 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 108 16 — — $4,840.31 $97,728.46 $38,667.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 66 14 — — $35,033.78 $94,319.53 $38,652.37 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 68 14 — — $34,276.84 $96,831.78 $38,067.04 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 66 14 — — $34,341.14 $103,854.48 $37,920.13 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 66 14 — — $34,030.20 $113,014.53 $37,591.41 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 4 1 — — $28,065.90 $46,979.08 $37,522.49 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 2 — — $36,627.67 $61,310.50 $37,444.92 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 2 — — $37,265.77 $62,589.81 $37,391.95 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 62 14 — — $33,605.61 $82,979.71 $37,069.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 84 14 — — $7,231.44 $84,459.91 $37,033.56 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 66 14 — — $33,436.91 $95,618.17 $36,964.22 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 66 14 — — $33,145.28 $94,025.79 $36,655.90 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 70 14 — — $29,224.48 $81,516.53 $36,437.11 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 80 14 — — $16,091.84 $96,483.93 $36,274.80 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 68 14 — — $14,339.21 $87,437.90 $36,225.79 2026-04-01
245 MS_DRG Aicd Generator Procedures 68 14 — — $32,612.04 $96,858.83 $36,056.69 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 74 14 — — $30,657.99 $82,662.69 $35,973.54 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 76 14 — — $2,529.67 $153,483.02 $35,914.34 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 70 14 — — $32,372.58 $90,858.42 $35,768.55 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 92 15 — — $22,331.77 $95,065.47 $35,670.99 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 66 14 — — $32,026.61 $80,834.54 $35,473.29 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 70 14 — — $31,456.11 $78,770.19 $35,097.05 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 78 14 — — $2,995.52 $77,532.92 $34,735.26 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 72 14 — — $23,177.05 $76,378.61 $34,161.15 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 70 14 — — $30,685.65 $75,769.69 $34,055.66 2026-04-01
J9266 HCPCS Pegaspargase Injection 40 6 — — $28,424.06 $83,850.97 $33,824.63 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 62 14 — — $30,488.36 $75,282.55 $33,780.53 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 74 14 — — $30,313.24 $84,010.46 $33,661.96 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 66 14 — — $30,135.97 $74,412.40 $33,474.56 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 78 14 — — $30,187.43 $80,216.14 $33,463.03 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 66 14 — — $30,120.96 $80,774.64 $33,458.68 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 68 14 — — $29,997.30 $86,284.19 $33,295.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 78 15 — — $23,632.60 $82,673.32 $33,293.56 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 66 14 — — $29,941.54 $75,875.75 $33,269.01 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 14 — — $29,825.74 $98,967.19 $33,265.78 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 66 14 — — $29,804.30 $74,379.99 $33,123.92 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 2 — — $33,049.52 $55,362.26 $33,074.12 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 66 14 — — $29,685.64 $76,256.45 $32,998.49 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 72 14 — — $4,705.68 $73,834.79 $32,758.43 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 4 1 — — $24,228.34 $40,555.45 $32,391.89 2026-04-01
791 MS_DRG Prematurity With Major Problems 66 14 — — $29,013.73 $72,410.78 $32,288.16 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 1 — — $32,259.28 $32,259.28 $32,259.28 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 70 14 — — $23,903.25 $70,961.83 $31,928.01 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 66 14 — — $28,478.35 $70,319.37 $31,722.16 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 14 5 — — $30,907.52 $37,089.02 $31,371.13 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 66 14 — — $27,962.26 $75,742.41 $31,176.57 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 66 14 — — $27,835.74 $68,732.63 $31,042.83 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 66 14 — — $27,626.31 $68,215.49 $30,821.42 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 70 14 — — $27,667.76 $69,566.14 $30,804.54 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 70 14 — — $8,806.33 $75,912.47 $30,732.90 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 78 14 — — $9,078.55 $81,476.13 $30,561.71 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 38 10 — — $1,845.82 $46,771.11 $30,502.57 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 68 14 — — $26,897.92 $73,121.94 $30,021.85 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 68 14 — — $26,714.22 $65,963.35 $29,879.67 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 62 14 — — $26,780.70 $66,127.49 $29,868.61 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 82 14 — — $17,729.70 $67,598.85 $29,801.49 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 70 14 — — $26,639.17 $71,019.38 $29,777.84 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 62 14 — — $26,489.06 $65,407.37 $29,560.90 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 68 15 — — $7,607.06 $64,830.22 $29,343.17 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 70 14 — — $12,950.12 $65,521.41 $29,302.97 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 4 — — $29,047.74 $30,804.94 $29,286.75 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 66 14 — — $25,936.52 $64,043.03 $29,031.63 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 66 14 — — $25,916.50 $66,908.95 $29,009.23 2026-04-01
332 MS_DRG Rectal Resection With Mcc 66 14 — — $25,880.76 $65,670.22 $28,969.22 2026-04-01
265 MS_DRG Aicd Lead Procedures 66 14 — — $25,862.89 $63,861.23 $28,949.22 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 68 14 — — $25,817.15 $68,389.24 $28,874.99 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 70 15 — — $4,808.04 $63,652.96 $28,669.32 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 66 14 — — $25,609.85 $69,525.55 $28,665.98 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 66 14 — — $25,550.53 $77,891.35 $28,599.57 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 66 14 — — $25,524.79 $78,498.15 $28,570.77 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 66 14 — — $25,486.91 $78,198.61 $28,528.37 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 70 14 — — $119.00 $69,129.39 $28,480.92 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 70 14 — — $13,261.27 $73,396.35 $28,477.16 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 88 15 — — $6,438.23 $67,517.69 $28,293.34 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 70 14 — — $25,208.14 $67,065.48 $28,265.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 66 14 — — $25,156.67 $71,075.42 $28,158.72 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 2 — — $26,374.55 $44,147.96 $28,104.22 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 82 14 — — $24,934.37 $100,133.63 $27,915.06 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 68 14 — — $24,927.94 $79,912.74 $27,911.03 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 70 14 — — $23,948.22 $61,270.21 $27,793.11 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 66 14 — — $24,693.48 $60,973.69 $27,666.40 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 20 5 — — $2,224.00 $32,613.40 $27,514.83 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 20 5 — — $1,944.00 $32,613.40 $27,514.83 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 68 13 — — $127.50 $60,691.29 $27,461.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 76 14 — — $10,392.81 $64,402.50 $27,447.01 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 68 14 — — $24,386.12 $60,983.90 $27,369.05 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 66 14 — — $24,353.95 $67,977.62 $27,308.17 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 5 — — $5,773.00 $32,353.13 $26,960.94 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 26 8 — — $16,641.75 $54,347.10 $26,795.66 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 76 14 — — $15,420.97 $61,039.95 $26,701.36 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 68 14 — — $22,440.32 $77,263.28 $26,522.72 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 68 14 — — $23,531.93 $62,029.39 $26,438.26 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 76 14 — — $21,689.53 $58,098.51 $26,384.76 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 72 14 — — $23,251.01 $69,946.84 $26,141.90 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 70 14 — — $12,223.74 $57,159.53 $26,036.63 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 70 14 — — $23,123.07 $63,635.29 $26,009.48 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 72 14 — — $10.62 $70,932.25 $25,972.97 2026-04-01
652 MS_DRG Kidney Transplant 66 14 — — $23,084.47 $64,054.65 $25,968.74 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 66 14 — — $23,067.31 $63,851.73 $25,950.65 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 66 14 — — $23,022.28 $57,437.77 $25,903.13 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 64 14 — — $21,543.64 $56,663.56 $25,758.54 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 72 14 — — $22,822.13 $72,215.59 $25,689.43 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 70 14 — — $21,894.94 $59,559.65 $25,642.41 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 30 6 — — $2,624.00 $41,176.55 $25,626.03 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 68 14 — — $22,757.80 $64,305.87 $25,621.57 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 66 14 — — $22,712.06 $99,668.69 $25,575.82 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 70 14 — — $22,621.99 $59,289.10 $25,531.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 74 14 — — $21,348.05 $60,094.95 $25,439.57 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 84 14 — — $22,405.74 $89,830.33 $25,362.91 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 66 14 — — $22,459.73 $57,758.56 $25,309.59 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 78 14 — — $15,214.71 $55,615.15 $25,251.71 2026-04-01
665 MS_DRG Prostatectomy With Mcc 66 14 — — $22,310.34 $61,430.31 $25,151.97 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 74 14 — — $22,164.82 $56,892.80 $25,098.00 2026-04-01
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/Mcc 4 1 — — $18,751.39 $31,387.67 $25,069.53 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 66 14 — — $22,224.56 $58,278.40 $25,061.47 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 36 5 — — $23,789.46 $43,217.52 $24,858.35 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 66 14 — — $21,883.60 $61,428.38 $24,701.73 2026-04-01
263 MS_DRG Vein Ligation And Stripping 68 14 — — $21,854.30 $53,963.11 $24,668.37 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 66 14 — — $21,681.31 $61,341.42 $24,488.30 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 66 14 — — $21,590.53 $53,311.83 $24,392.51 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 66 14 — — $21,587.67 $53,787.27 $24,389.50 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 66 14 — — $21,564.09 $53,246.52 $24,364.61 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 64 14 — — $21,275.31 $52,533.46 $24,057.56 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 2 — — $23,756.09 $40,139.96 $23,980.12 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 78 14 — — $19,460.69 $58,283.70 $23,831.41 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 66 14 — — $21,044.43 $51,963.37 $23,816.33 2026-04-01
570 MS_DRG Skin Debridement With Mcc 68 14 — — $17,327.09 $58,645.58 $23,791.35 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 68 14 — — $20,872.16 $54,392.15 $23,632.23 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 74 14 — — $12,604.94 $58,562.48 $23,622.95 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 42 9 — — $10,678.50 $38,443.85 $23,595.97 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 4 1 — — $17,647.69 $29,540.20 $23,593.94 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 68 14 — — $20,743.50 $57,316.02 $23,521.97 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 66 14 — — $20,730.63 $54,740.00 $23,485.23 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 66 14 — — $20,639.14 $56,442.53 $23,388.71 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 66 14 — — $20,629.13 $52,621.98 $23,378.14 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 66 14 — — $20,599.11 $50,863.77 $23,346.47 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 70 14 — — $16,229.07 $50,659.03 $23,144.40 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 72 14 — — $20,375.37 $53,045.19 $23,108.14 2026-04-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 4 1 — — $17,215.90 $28,817.44 $23,016.67 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 2 — — $22,601.56 $38,458.68 $22,975.70 2026-04-01
800 MS_DRG Splenic Procedures With Cc 66 14 — — $20,081.59 $50,762.91 $22,800.44 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 66 14 — — $20,009.40 $55,526.52 $22,724.27 2026-04-01
503 MS_DRG Foot Procedures With Mcc 68 14 — — $19,950.78 $49,514.52 $22,660.19 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 72 14 — — $17,540.28 $48,924.04 $22,458.65 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 66 14 — — $19,707.75 $55,031.80 $22,401.59 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 66 14 — — $19,642.70 $53,943.81 $22,332.98 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 88 15 — — $5,705.29 $48,514.56 $22,277.39 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 66 14 — — $19,541.20 $54,013.38 $22,225.91 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 78 6 — — $2,666.00 $55,918.78 $22,099.58 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 90 14 — — $5,410.43 $48,022.12 $22,095.62 2026-04-01
849 MS_DRG Radiotherapy 66 14 — — $19,367.51 $47,822.68 $22,042.67 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 74 14 — — $19,343.92 $52,063.48 $21,977.05 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 66 14 — — $19,281.02 $49,091.30 $21,951.43 2026-04-01
92992 HCPCS Revision Of Heart Chamber 8 2 — — $14,864.00 $43,282.00 $21,726.50 2026-04-01
92993 HCPCS Revision Of Heart Chamber 8 2 — — $14,864.00 $43,282.00 $21,726.50 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 66 14 — — $19,013.68 $61,725.98 $21,669.43 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 14 6 — — $17,223.04 $24,442.70 $21,643.51 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 68 14 — — $18,947.20 $48,490.29 $21,601.44 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 66 14 — — $18,852.14 $53,872.30 $21,499.01 2026-04-01
509 MS_DRG Arthroscopy 8 3 — — $19,283.61 $32,278.55 $21,251.89 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 66 14 — — $18,531.19 $54,455.92 $21,160.46 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 66 14 — — $18,461.85 $57,727.64 $21,087.32 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 96 15 — — $13,773.35 $50,134.85 $21,083.63 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 68 14 — — $18,436.12 $93,439.70 $21,062.25 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 66 14 — — $18,436.12 $45,522.88 $21,060.17 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 66 14 — — $18,353.20 $50,283.65 $20,972.71 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 72 14 — — $18,248.84 $50,594.78 $20,864.67 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 70 14 — — $18,162.35 $52,701.21 $20,673.13 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 70 14 — — $1,705.40 $44,762.17 $20,637.11 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 70 15 — — $5,705.29 $46,490.15 $20,635.65 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 94 15 — — $7,559.24 $49,643.99 $20,546.30 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 66 14 — — $17,812.10 $47,278.61 $20,401.90 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 66 14 — — $17,739.19 $47,908.61 $20,324.99 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 6 2 — — $20,095.23 $33,637.10 $20,258.92 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 70 14 — — $17,578.36 $44,045.54 $20,155.34 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 66 14 — — $17,549.05 $43,332.52 $20,124.42 2026-04-01
792 MS_DRG Prematurity Without Major Problems 66 14 — — $17,506.88 $43,689.96 $20,079.93 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 78 15 — — $12,167.36 $47,402.29 $20,054.75 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 68 14 — — $17,450.41 $45,856.29 $19,973.01 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 74 15 — — $9,658.31 $48,009.10 $19,947.43 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 24 8 — — $15,987.42 $37,744.50 $19,840.65 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 62 13 — — $17,313.89 $42,751.83 $19,782.32 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 70 14 — — $2,053.05 $42,612.40 $19,723.04 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 14 5 — — $19,431.44 $23,317.72 $19,722.91 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 64 14 — — $17,193.08 $42,453.55 $19,655.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 88 15 — — $4,869.49 $48,762.77 $19,594.72 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 64 14 — — $17,118.75 $42,269.99 $19,577.46 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 80 14 — — $746.36 $46,832.21 $19,560.03 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 78 14 — — $15,526.01 $42,907.30 $19,544.43 2026-04-01
81416 HCPCS Exome Sequence Analysis 74 7 — — $12,000.00 $69,074.40 $19,407.60 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 66 14 — — $16,805.66 $44,499.68 $19,340.23 2026-04-01
333 MS_DRG Rectal Resection With Cc 66 14 — — $16,742.05 $41,339.83 $19,273.12 2026-04-01
2038 OTHER Gen, Neuro, Clo Loop, Rechg 4 2 — — $11,369.93 $27,110.47 $19,240.20 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 66 14 — — $16,704.16 $42,022.21 $19,233.16 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 66 14 — — $16,634.11 $41,073.32 $19,159.26 2026-04-01
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