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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

SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY

Jefferson City, MO · CCN 260011 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $6,379 across 18 payers · range $2,378-$11,481

Source: https://hospitalpricedisclosure.com/download.aspx?pi=u3eEjNYEVJu53n9qmm*_**__*Hw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-* · observed 2026-04-01

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

13,298 distinct procedures filed
19 distinct payers
190,797 rate rows
2026-04-01 last MRF observed
Data quality

166,459 of 190,797 rate rows are consumer-grade (87.2%)

24,338 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 24,215
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 97
placeholder amount (≤ $0.02) — excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=u3eEjNYEVJu53n9qmm*_**__*Hw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-03
Content fingerprint 0f6e8a5f8f2ff930… · 39,332,886 bytes · first seen 2026-05-09

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,932,600.00 $3,932,600.00 $3,932,600.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,664,997.70 $3,932,600.00 $3,744,230.94 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,298,222.04 $4,643,047.62 $3,372,842.45 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,230,579.26 $4,547,824.00 $3,303,669.29 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,929,538.43 $4,124,036.00 $2,995,817.58 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,441,607.50 $4,419,199.09 $2,547,666.28 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,319,174.00 $4,197,600.00 $2,448,600.00 nat. median
$2,405,851
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $588,471.71 $1,065,107.16 $601,785.55 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $562,756.67 $1,018,564.10 $584,397.44 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $547,475.13 $1,012,568.73 $572,101.33 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $554,252.69 $1,003,172.28 $566,792.34 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $518,888.18 $959,814.31 $542,295.08 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $486,613.43 $880,748.29 $513,769.84 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $313,032.37 $574,258.09 $324,455.82 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $206,396.06 $373,567.54 $217,914.40 nat. median
$261,939
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $109,749.94 $375,374.22 $198,642.42 nat. median
$111,503
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $157,582.70 $285,217.56 $166,376.91 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $156,666.18 $283,558.70 $165,409.24 nat. median
$199,832
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $98,755.25 $202,033.43 $108,462.69 nat. median
$132,706
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $102,366.89 $102,366.89 $102,366.89 nat. median
$83,623
1.2× median
7
MS_DRG 		Lung Transplant 15 $96,137.73 $174,004.94 $101,502.88 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $89,318.31 $161,662.10 $94,302.89 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $84,299.76 $152,578.75 $89,004.27 nat. median
$108,240
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $80,951.86 $146,519.21 $85,469.54 nat. median
$100,978
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $18,440.34 $163,554.66 $85,244.62 nat. median
$96,835
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $84,204.66 $152,406.63 $84,670.35 nat. median
$96,134
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $76,829.34 $139,057.63 $81,116.95 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 15 $74,243.62 $134,377.60 $78,386.93 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $72,969.42 $132,071.35 $77,041.62 nat. median
$92,900
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $70,649.38 $70,649.38 $70,649.38 nat. median
$57,648
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 $3,500.00 $121,834.85 $69,033.51 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $64,752.91 $117,199.84 $68,366.57 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $63,073.48 $114,160.14 $66,593.42 nat. median
$79,040
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $62,993.90 $114,016.11 $66,509.40 nat. median
$69,291
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $62,879.64 $113,809.30 $66,388.76 nat. median
$80,459
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $2,277.00 $113,404.81 $64,010.71 nat. median
$13,835
outlier · 4.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $58,969.25 $106,731.67 $62,260.14 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $57,575.81 $104,209.61 $60,788.94 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $57,333.69 $103,771.39 $60,533.31 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $57,148.63 $103,436.44 $60,337.92 nat. median
$71,485
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,512.01 $102,284.19 $59,665.78 nat. median
$63,643
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $54,968.33 $99,490.18 $58,035.94 nat. median
$65,655
0.9× median
10
MS_DRG 		Pancreas Transplant 15 $53,899.48 $97,555.63 $56,907.45 nat. median
$67,750
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $53,598.85 $97,011.49 $56,590.03 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $53,568.13 $96,955.88 $56,557.60 nat. median
$68,581
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $53,877.53 $97,515.90 $55,438.23 nat. median
$62,911
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $2,398.98 $98,123.58 $55,385.31 nat. median
$66,640
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $51,721.19 $93,613.01 $54,607.59 nat. median
$65,792
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $50,285.33 $91,014.17 $54,371.58 nat. median
$62,262
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $50,647.40 $91,669.50 $53,473.88 nat. median
$64,357
0.8× median

Other procedures at this hospital

Browse this hospital's 13,298 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,932,600.00 $3,932,600.00 $3,932,600.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 5 — — $3,664,997.70 $3,932,600.00 $3,744,230.94 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,298,222.04 $4,643,047.62 $3,372,842.45 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,230,579.26 $4,547,824.00 $3,303,669.29 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,929,538.43 $4,124,036.00 $2,995,817.58 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 8 — — $2,441,607.50 $4,419,199.09 $2,547,666.28 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 8 — — $2,319,174.00 $4,197,600.00 $2,448,600.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 8 — — $588,471.71 $1,065,107.16 $601,785.55 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 8 — — $562,756.67 $1,018,564.10 $584,397.44 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 8 — — $547,475.13 $1,012,568.73 $572,101.33 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 8 — — $554,252.69 $1,003,172.28 $566,792.34 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 8 — — $518,888.18 $959,814.31 $542,295.08 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 8 — — $486,613.43 $880,748.29 $513,769.84 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 21 15 — — $313,032.37 $574,258.09 $324,455.82 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 15 — — $206,396.06 $373,567.54 $217,914.40 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 21 8 — — $109,749.94 $375,374.22 $198,642.42 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 15 — — $157,582.70 $285,217.56 $166,376.91 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 15 — — $156,666.18 $283,558.70 $165,409.24 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 15 — — $98,755.25 $202,033.43 $108,462.69 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $102,366.89 $102,366.89 $102,366.89 2026-04-01
7 MS_DRG Lung Transplant 21 15 — — $96,137.73 $174,004.94 $101,502.88 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 21 15 — — $89,318.31 $161,662.10 $94,302.89 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 15 — — $84,299.76 $152,578.75 $89,004.27 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 15 — — $80,951.86 $146,519.21 $85,469.54 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 15 — — $18,440.34 $163,554.66 $85,244.62 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 12 — — $84,204.66 $152,406.63 $84,670.35 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 15 — — $76,829.34 $139,057.63 $81,116.95 2026-04-01
215 MS_DRG Other Heart Assist System Implant 21 15 — — $74,243.62 $134,377.60 $78,386.93 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 15 — — $72,969.42 $132,071.35 $77,041.62 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $70,649.38 $70,649.38 $70,649.38 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 16 — — $3,500.00 $121,834.85 $69,033.51 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 21 15 — — $64,752.91 $117,199.84 $68,366.57 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 15 — — $63,073.48 $114,160.14 $66,593.42 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 9 8 — — $62,993.90 $114,016.11 $66,509.40 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 15 — — $62,879.64 $113,809.30 $66,388.76 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 9 — — $2,277.00 $113,404.81 $64,010.71 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 15 — — $58,969.25 $106,731.67 $62,260.14 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 15 — — $57,575.81 $104,209.61 $60,788.94 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 15 — — $57,333.69 $103,771.39 $60,533.31 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 15 — — $57,148.63 $103,436.44 $60,337.92 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 9 8 — — $56,512.01 $102,284.19 $59,665.78 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 8 — — $54,968.33 $99,490.18 $58,035.94 2026-04-01
10 MS_DRG Pancreas Transplant 21 15 — — $53,899.48 $97,555.63 $56,907.45 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 15 — — $53,598.85 $97,011.49 $56,590.03 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 15 — — $53,568.13 $96,955.88 $56,557.60 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 21 15 — — $53,877.53 $97,515.90 $55,438.23 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 15 — — $2,398.98 $98,123.58 $55,385.31 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 15 — — $51,721.19 $93,613.01 $54,607.59 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 15 — — $50,285.33 $91,014.17 $54,371.58 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 15 — — $50,647.40 $91,669.50 $53,473.88 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 16 — — $35,288.74 $115,866.00 $53,144.93 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 15 — — $49,507.78 $89,606.84 $52,270.66 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 15 — — $49,332.97 $89,290.44 $51,600.99 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 15 — — $50,321.17 $91,079.05 $51,459.66 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 15 — — $46,708.47 $87,745.43 $51,184.83 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 15 — — $49,383.48 $89,606.84 $50,627.87 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 15 — — $46,238.88 $83,690.28 $48,819.33 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 15 — — $46,186.95 $83,596.28 $48,764.50 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 15 — — $45,757.58 $82,819.15 $48,311.17 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 4 — — $38,231.09 $53,203.89 $48,091.68 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 21 15 — — $45,360.40 $82,100.27 $47,891.82 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 15 — — $45,029.78 $81,501.86 $47,542.75 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 21 15 — — $44,785.47 $81,059.67 $47,284.81 2026-04-01
J9226 HCPCS Supprelin La Implant 9 8 — — $44,773.04 $81,037.17 $47,271.68 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 15 — — $44,893.41 $82,077.77 $47,126.32 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 15 — — $44,338.55 $80,250.77 $46,812.95 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 15 — — $44,310.75 $80,200.46 $46,783.60 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 15 — — $2,455.20 $81,242.37 $45,856.81 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 15 — — $43,326.93 $78,419.79 $45,744.88 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 15 — — $2,414.25 $93,250.57 $44,908.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 15 — — $43,101.65 $78,012.04 $44,831.21 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 9 — — $2,277.00 $79,411.66 $44,823.47 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 9 — — $2,277.00 $79,411.66 $44,823.47 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 15 — — $42,407.49 $76,755.64 $44,774.12 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 15 — — $2,398.98 $78,907.00 $44,538.61 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 15 — — $41,810.62 $75,675.33 $44,143.94 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 15 — — $41,426.59 $74,980.26 $43,738.48 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 15 — — $41,369.55 $74,877.01 $43,678.26 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 15 — — $41,306.64 $74,763.14 $43,611.83 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 21 15 — — $41,147.18 $74,474.53 $43,443.48 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 12 — — $43,155.77 $78,109.99 $43,394.44 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 22 15 — — $31,659.92 $75,237.10 $43,198.63 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 15 — — $41,529.07 $76,247.24 $43,079.69 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 15 — — $40,419.37 $73,157.24 $42,675.06 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 15 — — $40,395.97 $73,114.88 $42,650.35 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 15 — — $40,134.10 $72,640.91 $42,373.86 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 15 — — $35,702.54 $95,098.71 $42,238.72 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 15 — — $39,250.71 $97,292.05 $41,691.17 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 21 15 — — $39,421.66 $71,351.42 $41,621.66 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 21 8 — — $22,847.58 $78,144.82 $41,353.09 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 15 — — $37,412.33 $67,714.63 $40,654.10 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 15 — — $37,600.32 $88,372.31 $40,530.87 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 15 — — $37,370.47 $68,584.45 $39,378.90 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 15 — — $37,262.38 $67,443.23 $39,341.88 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 15 — — $38,120.68 $69,283.48 $39,145.16 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 15 — — $36,553.60 $66,160.37 $38,593.55 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 15 — — $36,235.41 $65,584.46 $38,257.60 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 18 — — $4,400.00 $67,938.37 $38,026.62 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 15 — — $35,800.93 $64,798.06 $37,798.87 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 15 — — $35,628.30 $64,485.61 $37,616.61 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 15 — — $2,414.25 $66,483.40 $37,563.12 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 21 15 — — $35,329.86 $63,945.45 $37,301.51 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 15 — — $35,194.55 $63,700.54 $37,158.65 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 15 — — $34,948.04 $63,254.38 $36,898.39 2026-04-01
245 MS_DRG Aicd Generator Procedures 21 15 — — $34,784.20 $62,957.83 $36,725.40 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 15 — — $34,669.35 $62,749.96 $36,604.14 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 15 — — $2,961.65 $64,670.96 $36,503.16 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 21 15 — — $34,539.15 $62,514.31 $36,466.68 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 16 — — $19,408.00 $63,409.27 $36,271.78 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 15 — — $34,056.39 $61,640.53 $35,956.98 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 21 8 — — $19,807.61 $67,747.33 $35,850.87 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 22 15 — — $31,984.16 $61,890.75 $35,535.60 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 15 — — $32,013.89 $62,776.44 $35,468.69 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 15 — — $33,543.64 $60,712.47 $35,411.35 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 15 — — $34,185.13 $61,873.54 $34,958.55 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 9 8 — — $28,126.13 $61,764.82 $34,897.12 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 21 15 — — $32,611.03 $59,024.48 $34,430.95 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 15 — — $32,905.32 $59,846.63 $34,361.94 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 15 — — $8,643.46 $65,610.25 $34,105.82 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 16 — — $23,518.58 $59,389.88 $34,099.69 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 16 — — $30,590.87 $62,253.30 $34,068.19 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 15 — — $32,250.41 $58,371.79 $34,050.21 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 15 — — $32,235.06 $58,343.99 $34,034.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 15 — — $32,145.08 $58,181.15 $33,939.00 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 21 15 — — $32,108.51 $58,114.94 $33,900.38 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 15 — — $32,051.45 $58,011.68 $33,840.15 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 15 — — $31,932.96 $57,797.21 $33,715.04 2026-04-01
69930 HCPCS Implant Cochlear Device 11 10 — — $2,277.00 $59,445.64 $33,520.74 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 35 16 — — $2,573.45 $64,279.41 $32,540.39 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 16 — — $377.50 $57,537.72 $32,508.81 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 15 — — $31,588.44 $57,173.65 $32,456.91 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 15 — — $29,495.00 $53,384.62 $32,104.03 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 28 16 — — $1,636.80 $57,757.50 $32,087.50 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 21 8 — — $17,706.89 $60,562.32 $32,048.68 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 8 — — $9,337.00 $56,591.17 $31,974.01 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 8 — — $30,737.53 $55,633.53 $31,942.92 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 9 — — $2,277.00 $56,591.17 $31,942.57 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 9 — — $2,277.00 $56,591.17 $31,942.57 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 9 — — $2,277.00 $56,591.17 $31,942.57 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 9 — — $2,277.00 $56,591.17 $31,942.57 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 16 — — $2,496.00 $56,293.24 $31,743.13 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 15 — — $29,896.57 $54,111.44 $31,565.01 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 15 — — $30,026.03 $54,345.76 $31,555.42 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 9 8 — — $3,233.00 $55,633.53 $31,432.95 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 8 — — $3,233.00 $55,633.53 $31,432.95 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 9 8 — — $3,233.00 $55,633.53 $31,432.95 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 9 — — $2,277.00 $55,633.53 $31,402.04 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 9 — — $2,277.00 $55,633.53 $31,402.04 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 9 — — $2,277.00 $55,633.53 $31,402.04 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 15 — — $29,724.68 $53,800.33 $31,383.52 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 11 10 — — $1,778.00 $55,633.53 $31,371.13 2026-04-01
61886 HCPCS Implant Neurostim Arrays 11 10 — — $2,034.00 $55,633.53 $31,371.13 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 11 10 — — $1,778.00 $55,633.53 $31,371.13 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 15 — — $29,655.18 $53,674.54 $31,309.71 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 15 — — $29,755.76 $55,301.63 $31,245.42 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 15 — — $26,879.94 $53,723.54 $30,846.26 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 15 — — $28,936.89 $52,374.46 $30,551.77 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $30,456.05 $30,456.05 $30,456.05 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 15 — — $26,628.43 $52,039.51 $29,879.35 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 15 — — $12,071.23 $51,184.26 $29,857.48 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 15 — — $27,547.34 $51,895.21 $29,796.50 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 15 — — $28,748.91 $52,034.22 $29,749.12 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 15 — — $28,268.33 $51,164.41 $29,476.85 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 15 — — $27,407.41 $52,157.34 $29,468.90 2026-04-01
265 MS_DRG Aicd Lead Procedures 21 15 — — $27,877.73 $50,457.44 $29,433.51 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 15 — — $27,830.92 $50,372.71 $29,384.08 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 15 — — $27,932.59 $50,556.73 $29,222.01 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 10 9 — — $2,277.00 $51,713.39 $29,189.34 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 15 — — $28,518.49 $51,617.18 $29,163.71 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 15 — — $27,618.80 $49,988.77 $29,160.12 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 15 — — $27,558.08 $49,878.88 $29,096.01 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 15 — — $27,492.98 $49,761.05 $29,027.28 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 15 — — $27,471.04 $49,721.35 $29,004.12 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 7 5 — — $14,134.20 $35,675.08 $28,939.02 2026-04-01
J9266 HCPCS Pegaspargase Injection 9 8 — — $28,267.73 $51,163.31 $28,907.27 2026-04-01
332 MS_DRG Rectal Resection With Mcc 21 15 — — $27,896.02 $50,490.54 $28,792.02 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 15 — — $27,155.05 $49,149.41 $28,670.49 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 15 — — $26,721.07 $49,831.24 $28,611.44 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 15 — — $26,345.71 $50,593.81 $28,585.50 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 15 — — $26,803.95 $48,513.94 $28,530.14 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 15 — — $13,903.36 $49,676.33 $28,522.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 15 — — $26,598.06 $50,301.22 $28,420.19 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 15 — — $26,681.06 $48,291.52 $28,170.05 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 15 — — $19,659.06 $49,244.74 $28,126.68 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 15 — — $25,195.59 $49,637.93 $28,045.43 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 22 15 — — $25,436.41 $48,737.68 $27,983.55 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 15 — — $26,333.62 $47,662.67 $27,803.22 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 10 9 — — $2,277.00 $48,920.09 $27,612.67 2026-04-01
22630 HCPCS Lumbar Spine Fusion 10 9 — — $7,302.00 $48,920.09 $27,612.67 2026-04-01
22558 HCPCS Lumbar Spine Fusion 10 9 — — $7,302.00 $48,920.09 $27,612.67 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 10 9 — — $2,277.00 $48,920.09 $27,612.67 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 11 10 — — $2,277.00 $48,920.09 $27,585.50 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 11 10 — — $2,277.00 $48,920.09 $27,585.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 15 — — $11,288.28 $48,725.77 $27,502.99 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 8 — — $9,337.00 $48,529.69 $27,419.28 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 3 — — $3,711.00 $35,651.72 $27,212.64 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 16 — — $20,583.21 $47,944.66 $27,088.73 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 15 — — $7,196.94 $47,722.23 $26,963.06 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 21 15 — — $25,492.44 $46,140.16 $26,915.09 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 12 — — $26,564.03 $48,079.69 $26,710.94 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 15 — — $25,204.98 $45,619.87 $26,611.59 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 15 — — $23,571.20 $48,194.89 $26,473.35 2026-04-01
Q0479 HCPCS Power Module Combo Vad, Rep 21 8 — — $14,615.70 $50,337.92 $26,453.75 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 15 — — $16,022.04 $46,782.25 $26,431.97 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 15 — — $25,016.99 $45,279.61 $26,413.11 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 21 15 — — $24,970.91 $45,196.22 $26,364.46 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 15 — — $22,714.86 $46,288.44 $26,152.97 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 15 — — $24,700.27 $44,706.37 $26,078.71 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 15 — — $25,489.51 $46,134.86 $26,066.20 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 15 — — $24,653.46 $44,621.64 $26,029.29 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 15 — — $24,561.29 $44,454.82 $25,931.98 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 15 — — $24,460.34 $44,272.12 $25,825.40 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 15 — — $23,064.61 $44,252.26 $25,783.74 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 15 — — $22,907.08 $44,391.28 $25,745.93 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 15 — — $2,353.04 $45,430.54 $25,668.26 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 15 — — $22,579.52 $45,323.30 $25,611.44 2026-04-01
652 MS_DRG Kidney Transplant 21 15 — — $25,034.55 $45,311.40 $25,600.94 2026-04-01
665 MS_DRG Prostatectomy With Mcc 21 15 — — $24,242.37 $43,877.59 $25,595.26 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 15 — — $23,757.46 $45,058.52 $25,458.06 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 9 8 — — $24,095.16 $43,611.16 $25,439.84 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 15 — — $24,154.60 $43,718.72 $25,387.78 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 15 — — $24,434.30 $44,825.51 $25,326.41 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 15 — — $13,562.19 $44,747.41 $25,282.28 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 21 15 — — $23,805.68 $43,087.21 $25,134.21 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 15 — — $23,287.63 $44,154.29 $24,947.17 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 15 — — $14,243.46 $42,712.56 $24,915.66 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 15 — — $21,773.48 $308,402.94 $24,742.22 2026-04-01
81416 HCPCS Exome Sequence Analysis 22 8 — — $10,800.00 $53,726.40 $24,583.80 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 15 — — $23,183.22 $41,960.57 $24,477.00 2026-04-01
263 MS_DRG Vein Ligation And Stripping 21 15 — — $22,262.45 $43,032.94 $24,313.61 2026-04-01
570 MS_DRG Skin Debridement With Mcc 21 15 — — $22,925.01 $41,493.22 $24,204.38 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 15 — — $22,770.67 $41,213.88 $24,041.43 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 15 — — $19,782.11 $42,544.42 $24,013.97 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 15 — — $21,159.64 $42,539.11 $24,010.97 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 15 — — $20,957.53 $42,495.43 $23,986.31 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 15 — — $22,639.01 $40,975.58 $23,902.42 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 15 — — $21,474.12 $40,293.76 $23,838.60 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 15 — — $16,556.28 $40,763.75 $23,778.86 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 15 — — $21,673.67 $41,111.95 $23,561.93 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 21 15 — — $21,945.35 $41,532.95 $23,466.12 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 15 — — $2,398.98 $41,559.43 $23,457.99 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 21 15 — — $22,625.84 $40,951.75 $23,310.87 2026-04-01
800 MS_DRG Splenic Procedures With Cc 21 15 — — $21,961.67 $39,749.63 $23,187.29 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 21 15 — — $21,887.79 $39,615.91 $23,109.28 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 15 — — $22,532.22 $40,782.29 $23,042.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 21 15 — — $21,995.99 $40,708.15 $23,000.11 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 15 — — $20,332.60 $40,554.58 $22,913.34 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 9 8 — — $9,337.00 $40,103.08 $22,658.24 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 9 8 — — $9,337.00 $40,103.08 $22,658.24 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 10 9 — — $2,277.00 $40,103.08 $22,635.96 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 10 9 — — $2,277.00 $40,103.08 $22,635.96 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 10 9 — — $2,277.00 $40,103.08 $22,635.96 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 10 9 — — $2,277.00 $40,103.08 $22,635.96 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 15 — — $21,408.69 $38,748.76 $22,550.50 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 15 — — $21,206.81 $38,383.36 $22,390.29 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 22 15 — — $21,512.56 $38,936.75 $22,356.19 2026-04-01
503 MS_DRG Foot Procedures With Mcc 21 15 — — $21,827.81 $39,507.35 $22,321.66 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 15 — — $16,714.79 $38,946.02 $22,280.71 2026-04-01
849 MS_DRG Radiotherapy 21 15 — — $21,230.94 $38,427.05 $22,171.14 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 15 — — $20,650.53 $38,576.65 $22,149.42 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 25 15 — — $12,990.74 $40,225.80 $22,134.43 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 15 — — $14,138.30 $39,057.23 $22,067.33 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 15 — — $20,868.87 $37,771.70 $22,033.49 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 15 — — $20,703.56 $37,472.51 $21,858.96 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 15 — — $21,142.43 $38,266.85 $21,717.91 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 15 — — $19,867.76 $37,648.58 $21,616.56 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 21 15 — — $20,193.00 $36,548.42 $21,319.91 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 21 15 — — $20,375.14 $36,878.08 $21,197.43 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 15 — — $19,951.82 $36,749.65 $21,100.42 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 10 9 — — $1,922.00 $37,367.25 $21,091.74 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 10 9 — — $1,351.00 $37,367.25 $21,091.74 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 11 10 — — $1,325.00 $37,367.25 $21,070.98 2026-04-01
53444 HCPCS Insert Tandem Cuff 11 10 — — $1,778.00 $37,367.25 $21,070.98 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 11 10 — — $1,325.00 $37,367.25 $21,070.98 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 11 10 — — $2,034.00 $37,367.25 $21,070.98 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 11 10 — — $2,034.00 $37,367.25 $21,070.98 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 11 10 — — $2,034.00 $37,367.25 $21,070.98 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 11 10 — — $2,034.00 $37,367.25 $21,070.98 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 22 15 — — $20,086.20 $37,666.41 $20,988.12 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 23 15 — — $12,109.02 $36,919.12 $20,859.30 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 15 — — $10,472.13 $36,194.92 $20,781.92 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 21 15 — — $19,897.50 $36,701.98 $20,736.62 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 21 15 — — $19,897.50 $36,701.98 $20,736.62 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 24 15 — — $18,632.24 $35,971.18 $20,607.84 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 6 3 — — $1,136.45 $35,950.36 $20,527.57 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 21 15 — — $19,866.03 $35,956.62 $20,483.55 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 15 — — $17,882.49 $36,131.38 $20,394.15 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 24 15 — — $119.00 $35,411.17 $20,331.91 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 21 15 — — $19,290.38 $34,914.71 $20,155.66 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 21 15 — — $19,639.29 $35,546.22 $20,086.76 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 8 8 — — $19,324.56 $34,976.58 $20,082.39 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 21 15 — — $19,400.10 $35,113.30 $19,839.02 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 23 15 — — $18,233.81 $35,104.03 $19,833.78 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 9 8 — — $3,233.00 $34,976.58 $19,761.77 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 9 8 — — $6,198.00 $34,976.58 $19,761.77 2026-04-01
64580 HCPCS Implant Neuroelectrodes 11 10 — — $1,325.00 $34,976.58 $19,722.91 2026-04-01
63655 HCPCS Implant Neuroelectrodes 11 10 — — $2,277.00 $34,976.58 $19,722.91 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 11 10 — — $1,778.00 $34,976.58 $19,722.91 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 29 15 — — $2,398.98 $34,876.31 $19,705.12 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 24 15 — — $17,025.29 $34,262.01 $19,672.10 2026-04-01
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