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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 ST CLARE HEALTH CENTER

Fenton, MO · CCN 260081 · Rates published

14,969 distinct procedures filed
19 distinct payers
484,807 rate rows
2026-04-01 last MRF observed
Data quality

448,406 of 484,807 rate rows are consumer-grade (92.5%)

36,401 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 35,650
placeholder amount (≤ $0.02) — excluded from medians 652
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 99
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=Z5XkiXJtDaa7TXO9crU8FQ*-*&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 · 2026-10-02
Content fingerprint 485b6fd460c841bc… · 85,895,664 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $0.01 $6,121,500.00 $3,306,484.86 nat. median
$3,685,267
0.9× median
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $0.01 $5,406,000.00 $2,986,323.55 nat. median
$4,505,000
0.7× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $0.01 $5,480,939.49 $2,982,322.25 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $0.01 $5,268,450.00 $2,896,687.03 nat. median
$3,248,446
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $0.01 $4,897,200.00 $2,644,185.94 nat. median
$2,968,000
0.9× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 2 $0.01 $6,121,500.00 $2,623,500.01 nat. median
$3,508,750
0.7× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $0.01 $3,965,706.94 $2,181,846.52 nat. median
$2,455,111
0.9× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $0.01 $3,847,800.00 $2,039,134.12 nat. median
$2,332,000
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $591,726.20 $1,639,174.88 $896,336.55 nat. median
$621,313
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $0.01 $1,632,764.82 $691,317.74 nat. median
$599,737
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $0.01 $1,631,105.06 $681,244.66 nat. median
$574,037
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $0.01 $1,600,559.03 $674,898.75 nat. median
$579,571
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $0.01 $1,426,492.91 $603,402.31 nat. median
$513,770
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $0.01 $1,325,558.46 $581,674.37 nat. median
$562,501
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $0.01 $924,744.00 $538,907.41 nat. median
$813,967
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $308,272.54 $762,176.42 $380,841.58 nat. median
$168,055
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $200,314.84 $510,384.85 $258,439.58 nat. median
$186,516
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $152,613.37 $376,836.33 $196,240.03 nat. median
$131,925
1.5× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $0.01 $333,900.00 $184,449.40 nat. median
$286,598
0.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 14 $71,963.43 $183,527.59 $122,660.77 nat. median
$2,106
outlier · 58.3×
7
MS_DRG 		Lung Transplant 17 $92,568.03 $228,571.03 $118,253.33 nat. median
$70,649
1.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 14 $93,943.97 $157,251.39 $115,483.71 nat. median
$2,024
outlier · 57.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $99,009.81 $244,477.21 $113,581.35 nat. median
$97,418
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $85,903.95 $230,939.55 $112,074.63 nat. median
$72,715
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $78,779.54 $194,524.18 $111,475.36 nat. median
$2,736
outlier · 40.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $80,999.71 $259,393.68 $107,216.71 nat. median
$65,418
1.6× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 14 $85,718.16 $143,482.33 $105,799.08 nat. median
$2,024
outlier · 52.3×
209
MS_DRG 		Complex Aortic Arch Procedures 17 $80,906.78 $199,776.82 $99,442.95 nat. median
$2,110
outlier · 47.1×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $196,241.40 $98,185.88 nat. median
$66,211
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $151,717.73 $374,624.78 $97,808.98 nat. median
$145,435
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $77,728.07 $191,927.87 $96,845.96 nat. median
$74,509
1.3× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 14 $78,716.12 $131,761.72 $96,703.81 nat. median
$2,024
outlier · 47.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $73,699.45 $198,168.21 $95,999.47 nat. median
$69,922
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 14 $53,860.91 $123,386.26 $88,084.70 nat. median
$2,106
outlier · 41.8×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 14 $64,925.85 $122,833.57 $87,047.25 nat. median
$2,024
outlier · 43.0×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $55,272.32 $170,409.67 $86,136.29 nat. median
$63,499
1.4× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 14 $49,670.47 $122,458.66 $83,540.40 nat. median
$2,106
outlier · 39.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $64,400.62 $159,019.44 $80,053.34 nat. median
$2,596
outlier · 30.8×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 14 $62,922.85 $110,527.41 $79,826.91 nat. median
$2,024
outlier · 39.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $60,067.50 $176,344.49 $78,970.41 nat. median
$59,651
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $60,256.93 $162,308.74 $78,503.32 nat. median
$60,505
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $61,898.11 $152,840.18 $77,442.23 nat. median
$2,633
outlier · 29.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $56,246.18 $201,468.92 $75,785.65 nat. median
$56,428
1.3× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 14 $61,381.30 $102,745.23 $75,529.69 nat. median
$2,024
outlier · 37.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $61,878.30 $121,968.17 $75,064.57 nat. median
$92,809
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $123,789.02 $72,551.73 nat. median
$65,477
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $54,884.49 $148,640.17 $71,593.03 nat. median
$55,923
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $54,647.89 $147,598.55 $71,309.36 nat. median
$55,935
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $54,467.05 $146,841.01 $70,938.96 nat. median
$52,327
1.4× median
J9226
HCPCS 		Supprelin La Implant 6 $45,020.65 $140,472.31 $70,545.99 nat. median
$57,036
1.2× median

Other procedures at this hospital

Browse this hospital's 14,969 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 5 — — $0.01 $6,121,500.00 $3,306,484.86 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 11 5 — — $0.01 $5,406,000.00 $2,986,323.55 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 5 — — $0.01 $5,480,939.49 $2,982,322.25 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 5 — — $0.01 $5,268,450.00 $2,896,687.03 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 18 5 — — $0.01 $4,897,200.00 $2,644,185.94 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 7 2 — — $0.01 $6,121,500.00 $2,623,500.01 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 5 — — $0.01 $3,965,706.94 $2,181,846.52 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 14 5 — — $0.01 $3,847,800.00 $2,039,134.12 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 5 — — $591,726.20 $1,639,174.88 $896,336.55 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 19 5 — — $0.01 $1,632,764.82 $691,317.74 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 19 5 — — $0.01 $1,631,105.06 $681,244.66 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 19 5 — — $0.01 $1,600,559.03 $674,898.75 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 19 5 — — $0.01 $1,426,492.91 $603,402.31 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 18 5 — — $0.01 $1,325,558.46 $581,674.37 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 5 — — $0.01 $924,744.00 $538,907.41 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 69 17 — — $308,272.54 $762,176.42 $380,841.58 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 71 17 — — $200,314.84 $510,384.85 $258,439.58 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 71 17 — — $152,613.37 $376,836.33 $196,240.03 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 5 — — $0.01 $333,900.00 $184,449.40 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 44 14 — — $71,963.43 $183,527.59 $122,660.77 2026-04-01
7 MS_DRG Lung Transplant 71 17 — — $92,568.03 $228,571.03 $118,253.33 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 41 14 — — $93,943.97 $157,251.39 $115,483.71 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 71 17 — — $99,009.81 $244,477.21 $113,581.35 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 71 17 — — $85,903.95 $230,939.55 $112,074.63 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 69 17 — — $78,779.54 $194,524.18 $111,475.36 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 71 17 — — $80,999.71 $259,393.68 $107,216.71 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 41 14 — — $85,718.16 $143,482.33 $105,799.08 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 68 17 — — $80,906.78 $199,776.82 $99,442.95 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 19 5 — — $63,342.28 $196,241.40 $98,185.88 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 71 17 — — $151,717.73 $374,624.78 $97,808.98 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 69 17 — — $77,728.07 $191,927.87 $96,845.96 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 41 14 — — $78,716.12 $131,761.72 $96,703.81 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 71 17 — — $73,699.45 $198,168.21 $95,999.47 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 44 14 — — $53,860.91 $123,386.26 $88,084.70 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 41 14 — — $64,925.85 $122,833.57 $87,047.25 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 6 — — $55,272.32 $170,409.67 $86,136.29 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 44 14 — — $49,670.47 $122,458.66 $83,540.40 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 69 17 — — $64,400.62 $159,019.44 $80,053.34 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 41 14 — — $62,922.85 $110,527.41 $79,826.91 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 71 17 — — $60,067.50 $176,344.49 $78,970.41 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 71 17 — — $60,256.93 $162,308.74 $78,503.32 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 69 17 — — $61,898.11 $152,840.18 $77,442.23 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 71 17 — — $56,246.18 $201,468.92 $75,785.65 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 41 14 — — $61,381.30 $102,745.23 $75,529.69 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 1 — — $61,878.30 $121,968.17 $75,064.57 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 18 5 — — $56,824.55 $123,789.02 $72,551.73 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 71 17 — — $54,884.49 $148,640.17 $71,593.03 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 71 17 — — $54,647.89 $147,598.55 $71,309.36 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 71 17 — — $54,467.05 $146,841.01 $70,938.96 2026-04-01
J9226 HCPCS Supprelin La Implant 20 6 — — $45,020.65 $140,472.31 $70,545.99 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 71 17 — — $51,270.46 $126,598.16 $65,478.49 2026-04-01
10 MS_DRG Pancreas Transplant 71 17 — — $51,291.90 $126,651.11 $64,716.40 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 44 14 — — $37,402.08 $96,625.00 $64,081.21 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 69 17 — — $50,998.12 $125,925.69 $64,030.68 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 69 17 — — $51,598.55 $127,408.29 $63,296.06 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 71 17 — — $48,113.90 $118,803.92 $62,233.58 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 71 17 — — $47,000.24 $122,961.11 $61,104.90 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 71 17 — — $46,829.41 $115,632.21 $59,762.51 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 69 17 — — $40,186.06 $99,228.30 $59,748.44 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 69 17 — — $47,760.08 $117,930.24 $59,709.06 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 69 17 — — $47,795.10 $118,016.73 $59,542.53 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 71 17 — — $49,405.55 $121,993.27 $59,473.81 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 69 17 — — $42,935.18 $106,016.49 $59,332.93 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 71 17 — — $43,805.80 $138,975.74 $58,153.69 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 71 17 — — $43,755.05 $108,194.88 $56,733.03 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 71 17 — — $43,335.46 $119,049.73 $56,710.85 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 71 17 — — $45,995.24 $113,572.46 $56,138.69 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 71 17 — — $42,385.50 $126,373.91 $55,982.13 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 71 17 — — $42,947.33 $106,046.50 $55,533.57 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 71 17 — — $41,948.75 $112,276.32 $54,757.12 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 71 17 — — $41,921.59 $105,199.50 $54,361.04 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 71 17 — — $40,960.18 $105,516.43 $53,263.67 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 4 1 — — $53,040.00 $53,040.00 $53,040.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 71 17 — — $32,772.15 $87,437.90 $52,901.75 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 71 17 — — $40,740.03 $100,596.18 $52,597.36 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 69 17 — — $33,013.04 $81,516.53 $52,162.88 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 71 17 — — $37,840.08 $152,775.72 $52,016.70 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 71 17 — — $40,061.68 $101,436.93 $51,968.09 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 69 17 — — $41,223.23 $101,789.32 $51,479.90 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 71 17 — — $39,241.81 $106,438.24 $51,331.42 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 71 17 — — $39,103.13 $103,951.11 $51,019.77 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 71 17 — — $39,478.40 $97,480.95 $50,865.15 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 71 17 — — $39,047.38 $99,469.64 $50,699.97 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 71 17 — — $38,985.91 $96,264.87 $50,440.54 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 68 17 — — $40,792.92 $100,726.79 $50,401.36 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 71 17 — — $38,830.08 $95,880.10 $50,011.59 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 71 17 — — $37,714.99 $97,817.35 $49,990.57 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 69 17 — — $50,968.10 $125,851.56 $49,847.47 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 71 17 — — $38,118.85 $100,592.42 $49,713.45 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 71 17 — — $37,143.87 $106,074.93 $48,999.98 2026-04-01
43844 HCPCS Description Not Available 3 1 — — $31,535.00 $62,631.00 $48,873.67 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $48,705.00 $48,705.00 $48,705.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 46 14 — — $29,705.81 $78,024.69 $48,072.37 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 71 17 — — $69,927.45 $189,788.89 $47,718.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 69 17 — — $39,787.20 $98,243.43 $47,678.36 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 71 17 — — $36,027.35 $89,038.01 $46,564.19 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 71 17 — — $10,717.71 $31,124.85 $46,224.98 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 71 17 — — $35,033.78 $94,319.53 $46,018.16 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 41 14 — — $37,265.77 $62,589.81 $45,749.18 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 71 17 — — $34,341.14 $103,854.48 $45,563.58 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 71 17 — — $34,030.20 $113,014.53 $45,547.40 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 71 17 — — $34,515.55 $96,831.78 $45,361.01 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 41 14 — — $36,627.67 $61,310.50 $45,127.70 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 71 17 — — $49,163.23 $129,549.00 $44,391.18 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 71 17 — — $33,436.91 $95,618.17 $44,072.61 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 71 17 — — $33,145.28 $94,025.79 $43,699.18 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 71 17 — — $32,514.11 $86,736.40 $43,602.43 2026-04-01
245 MS_DRG Aicd Generator Procedures 71 17 — — $32,612.04 $96,858.83 $43,257.84 2026-04-01
215 MS_DRG Other Heart Assist System Implant 71 17 — — $71,172.64 $249,023.88 $43,238.39 2026-04-01
J9266 HCPCS Pegaspargase Injection 20 6 — — $28,424.06 $83,850.97 $43,030.92 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 71 17 — — $32,372.58 $90,858.42 $42,651.48 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 71 17 — — $35,649.94 $101,570.27 $42,454.97 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 69 17 — — $33,605.61 $82,979.71 $42,120.94 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 71 17 — — $32,026.61 $80,834.54 $41,569.05 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 69 17 — — $30,932.26 $76,378.61 $41,046.17 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 71 17 — — $37,208.20 $98,812.59 $40,958.66 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 71 17 — — $47,000.24 $116,054.05 $40,794.99 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 40 14 — — $30,344.88 $50,793.83 $40,569.36 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 41 14 — — $33,049.52 $55,362.26 $40,495.30 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 71 17 — — $29,825.74 $98,967.19 $40,048.73 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 69 17 — — $31,900.81 $78,770.19 $40,017.87 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 71 17 — — $33,536.99 $84,459.91 $39,993.43 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 71 17 — — $29,997.30 $86,284.19 $39,667.87 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 71 17 — — $30,187.43 $80,216.14 $39,483.74 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 71 17 — — $30,120.96 $80,774.64 $39,417.70 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 71 17 — — $13,789.21 $34,048.62 $39,279.60 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 71 17 — — $35,301.11 $97,728.46 $39,124.50 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 71 17 — — $30,135.97 $74,412.40 $39,089.62 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 71 17 — — $29,941.54 $75,875.75 $38,982.03 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 71 17 — — $42,624.24 $126,474.40 $38,815.28 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 71 17 — — $35,364.02 $127,085.07 $38,803.53 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 69 17 — — $30,488.36 $75,282.55 $38,281.16 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 71 17 — — $29,489.07 $72,815.08 $38,146.94 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 69 17 — — $30,313.24 $74,850.12 $38,015.45 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 71 17 — — $32,855.78 $96,483.93 $37,704.37 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 40 14 — — $28,065.90 $46,979.08 $37,522.49 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 71 17 — — $32,035.91 $95,065.47 $37,373.26 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 71 17 — — $27,962.26 $75,742.41 $36,658.75 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 71 17 — — $27,667.76 $69,566.14 $36,065.30 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 71 17 — — $27,626.31 $68,215.49 $35,755.50 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 71 17 — — $27,835.74 $68,732.63 $35,725.43 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 71 17 — — $26,897.92 $73,121.94 $35,356.81 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 45 16 — — — — $35,067.32 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 71 17 — — $30,033.04 $74,158.24 $34,386.59 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 71 17 — — $26,255.32 $64,830.22 $34,135.41 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 71 17 — — $25,550.53 $77,891.35 $34,133.56 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 71 17 — — $25,486.91 $78,198.61 $33,913.28 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 45 16 — — — — $33,913.14 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 71 17 — — $25,916.50 $66,908.95 $33,851.48 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 71 17 — — $25,817.15 $68,389.24 $33,837.03 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 71 17 — — $25,609.85 $69,525.55 $33,810.90 2026-04-01
332 MS_DRG Rectal Resection With Mcc 71 17 — — $25,880.76 $65,670.22 $33,732.27 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 71 17 — — $25,936.52 $64,043.03 $33,571.35 2026-04-01
265 MS_DRG Aicd Lead Procedures 71 17 — — $25,862.89 $63,861.23 $33,486.17 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 71 17 — — $25,465.46 $69,129.39 $33,451.38 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 71 17 — — $25,156.67 $71,075.42 $33,256.97 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 69 17 — — $26,489.06 $65,407.37 $33,245.77 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 71 17 — — $26,717.08 $67,598.85 $32,986.13 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 41 14 — — $26,374.55 $44,147.96 $32,875.58 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 40 14 — — $24,228.34 $40,555.45 $32,391.90 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 5 — — $30,907.52 $37,089.02 $32,195.92 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 71 17 — — $24,506.20 $64,402.50 $32,172.43 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 71 17 — — $24,353.95 $67,977.62 $32,169.92 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 71 17 — — $25,441.16 $73,396.35 $32,135.04 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 71 17 — — $22,712.06 $99,668.69 $31,879.59 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 71 17 — — $27,443.32 $81,476.13 $31,844.22 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 71 17 — — $32,499.81 $82,662.69 $31,651.75 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 71 17 — — $23,611.99 $77,263.28 $31,495.89 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 71 17 — — $18,461.85 $57,727.64 $31,176.55 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 71 17 — — $23,531.93 $62,029.39 $30,889.78 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 71 17 — — $24,934.37 $62,995.64 $30,798.92 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 71 17 — — $25,524.79 $78,498.15 $30,657.92 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 71 17 — — $23,529.07 $58,098.51 $30,594.68 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 68 17 — — $24,579.11 $60,691.29 $30,579.01 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 45 16 — — — — $30,563.32 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 71 17 — — $23,067.31 $63,851.73 $30,425.00 2026-04-01
652 MS_DRG Kidney Transplant 71 17 — — $23,084.47 $64,054.65 $30,396.43 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 45 16 — — — — $30,347.58 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 71 17 — — $23,022.28 $57,437.77 $30,048.11 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 71 17 — — $22,224.56 $58,278.40 $29,830.37 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 71 17 — — $22,621.99 $59,289.10 $29,688.43 2026-04-01
665 MS_DRG Prostatectomy With Mcc 71 17 — — $22,310.34 $61,430.31 $29,545.56 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 71 17 — — $22,459.73 $57,758.56 $29,297.11 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 41 14 — — $23,756.09 $40,139.96 $29,292.06 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 71 17 — — $21,883.60 $61,428.38 $28,952.81 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 18 5 — — $23,789.46 $43,217.52 $28,713.25 2026-04-01
5166 OTHER Cochlear Implant Procedure 45 16 — — — — $28,541.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 71 17 — — $24,927.94 $79,912.74 $28,173.82 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 71 17 — — $21,587.67 $53,787.27 $28,158.84 2026-04-01
263 MS_DRG Vein Ligation And Stripping 71 17 — — $21,854.30 $53,963.11 $28,019.56 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 71 17 — — $42,484.14 $106,022.75 $28,013.70 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 41 14 — — $22,601.56 $38,458.68 $28,011.98 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 71 17 — — $29,685.64 $76,256.45 $27,924.18 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 71 17 — — $16,520.46 $43,514.10 $27,849.18 2026-04-01
570 MS_DRG Skin Debridement With Mcc 71 17 — — $21,022.98 $58,645.58 $27,820.51 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 71 17 — — $26,639.17 $71,019.38 $27,423.30 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 71 17 — — $20,730.63 $54,740.00 $27,230.30 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 71 17 — — $20,639.14 $56,442.53 $27,180.18 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 71 17 — — $21,044.43 $51,963.37 $27,159.79 2026-04-01
81416 HCPCS Exome Sequence Analysis 37 7 — — $12,000.00 $69,074.40 $27,074.18 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 71 17 — — $24,693.48 $60,973.69 $27,049.94 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 69 17 — — $21,275.31 $52,533.46 $26,915.21 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 71 17 — — $20,375.37 $53,045.19 $26,792.55 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 71 17 — — $20,599.11 $50,863.77 $26,550.96 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 71 17 — — $20,009.40 $55,526.52 $26,471.94 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 69 17 — — $23,090.90 $57,016.56 $26,465.37 2026-04-01
800 MS_DRG Splenic Procedures With Cc 71 17 — — $20,081.59 $50,762.91 $26,356.16 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 69 17 — — $28,738.53 $70,961.83 $26,260.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 71 17 — — $19,950.78 $49,514.52 $26,049.65 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 71 17 — — $25,208.14 $67,065.48 $25,902.05 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 71 17 — — $31,399.73 $77,532.92 $25,682.40 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 71 17 — — $19,013.68 $61,725.98 $25,681.10 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 71 17 — — $19,343.92 $52,063.48 $25,645.66 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 71 17 — — $25,420.43 $67,517.69 $25,532.55 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 39 6 — — $2,666.00 $55,918.78 $25,506.83 2026-04-01
92992 HCPCS Revision Of Heart Chamber 4 2 — — $14,864.00 $43,282.00 $25,399.75 2026-04-01
92993 HCPCS Revision Of Heart Chamber 4 2 — — $14,864.00 $43,282.00 $25,399.75 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 71 17 — — $16,408.95 $46,594.51 $25,317.03 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 71 17 — — $19,281.02 $49,091.30 $25,273.38 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 45 16 — — — — $25,241.91 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 71 17 — — $26,714.22 $65,963.35 $25,162.49 2026-04-01
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/Mcc 40 14 — — $18,751.39 $31,387.67 $25,069.53 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 71 17 — — $18,852.14 $53,872.30 $25,042.07 2026-04-01
509 MS_DRG Arthroscopy 43 14 — — $19,283.61 $32,278.55 $25,013.64 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 71 17 — — $28,478.35 $70,319.37 $25,003.72 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 71 17 — — $18,947.20 $48,490.29 $24,890.74 2026-04-01
849 MS_DRG Radiotherapy 71 17 — — $19,367.51 $47,822.68 $24,856.80 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 71 17 — — $22,512.63 $89,830.33 $24,789.06 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 71 17 — — $18,531.19 $54,455.92 $24,676.06 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 41 14 — — $20,095.23 $33,637.10 $24,663.75 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 71 17 — — $16,266.70 $41,525.56 $24,622.06 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 71 17 — — $35,180.31 $91,007.22 $24,616.09 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 71 17 — — $26,244.60 $65,521.41 $24,423.40 2026-04-01
333 MS_DRG Rectal Resection With Cc 71 17 — — $16,742.05 $41,339.83 $24,266.01 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 71 17 — — $18,436.12 $46,010.89 $24,102.57 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 71 17 — — $10,315.28 $25,470.72 $24,062.32 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 71 17 — — $18,436.12 $45,522.88 $23,850.09 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 71 17 — — $15,563.34 $44,886.18 $23,788.14 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 45 16 — — — — $23,758.89 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 71 17 — — $18,033.69 $46,490.15 $23,705.11 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 45 16 — — — — $23,696.46 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 40 14 — — $17,647.69 $29,540.20 $23,593.94 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 71 17 — — $17,812.10 $47,278.61 $23,478.98 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 71 17 — — $18,353.20 $50,283.65 $23,432.57 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 71 17 — — $24,386.12 $60,983.90 $23,418.34 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 71 17 — — $19,813.54 $48,924.04 $23,376.04 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 71 17 — — $22,822.13 $72,215.59 $23,258.53 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 69 17 — — $26,780.70 $66,127.49 $23,053.24 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 69 17 — — $25,778.55 $63,652.96 $23,017.29 2026-04-01
130 MS_DRG Major Head & Neck Procedures Without Cc/Mcc 40 14 — — $17,215.90 $28,817.44 $23,016.67 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 15 6 — — $2,624.00 $41,176.55 $22,972.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 71 17 — — $23,251.01 $69,946.84 $22,954.07 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 71 17 — — $19,647.71 $48,514.56 $22,832.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 71 17 — — $22,757.80 $64,305.87 $22,801.23 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 71 17 — — $14,905.01 $39,096.41 $22,618.90 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 71 17 — — $17,087.29 $42,907.30 $22,407.08 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 71 17 — — $21,564.09 $53,246.52 $22,363.96 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 71 17 — — $23,878.61 $61,039.95 $22,348.37 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 71 17 — — $18,248.84 $50,594.78 $22,320.35 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 71 17 — — $16,805.66 $44,499.68 $22,164.36 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 71 17 — — $14,025.81 $37,606.45 $22,164.31 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 71 17 — — $12,560.47 $37,562.00 $22,070.24 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 71 17 — — $17,135.19 $48,762.77 $22,031.51 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 69 17 — — $20,516.19 $50,659.03 $21,968.94 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 71 17 — — $15,072.99 $44,412.72 $21,866.73 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 69 17 — — $17,193.08 $42,453.55 $21,782.92 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 71 17 — — $16,634.11 $41,073.32 $21,716.67 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 68 17 — — $17,313.89 $42,751.83 $21,696.84 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 71 17 — — $16,239.54 $42,128.50 $21,423.89 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 71 17 — — $22,587.68 $60,094.95 $21,420.60 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 71 17 — — $16,001.51 $46,269.85 $21,347.11 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 69 17 — — $22,523.35 $55,615.15 $21,225.59 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 71 17 — — $15,992.22 $42,706.32 $21,174.09 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 71 17 — — $19,642.70 $53,943.81 $21,082.46 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 71 17 — — $15,666.99 $45,676.57 $20,964.16 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 71 17 — — $27,599.86 $75,912.47 $20,927.55 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 71 17 — — $15,865.70 $39,175.94 $20,797.25 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 71 17 — — $15,691.29 $42,045.40 $20,795.19 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 71 17 — — $15,511.16 $44,412.72 $20,779.59 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 71 17 — — $15,639.11 $42,343.01 $20,773.43 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 10 5 — — $2,224.00 $32,613.40 $20,735.83 2026-04-01
334 MS_DRG Rectal Resection Without Cc/Mcc 71 17 — — $11,707.71 $28,908.94 $20,704.72 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 71 17 — — $17,573.36 $47,402.29 $20,648.58 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 71 17 — — $20,743.50 $57,316.02 $20,635.51 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 41 14 — — $16,380.05 $27,418.31 $20,625.87 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 10 5 — — $1,944.00 $32,613.40 $20,616.73 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 71 17 — — $15,801.37 $39,017.09 $20,567.45 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 71 17 — — $18,162.35 $52,701.21 $20,414.44 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 71 17 — — $12,892.85 $33,192.62 $20,404.43 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 71 17 — — $15,232.39 $44,488.08 $20,369.58 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 71 17 — — $15,225.24 $44,561.52 $20,352.82 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 69 17 — — $19,448.28 $48,022.12 $20,272.73 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 71 17 — — $23,148.80 $57,159.53 $20,258.21 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 7 5 — — $19,431.44 $23,317.72 $20,241.45 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 69 17 — — $22,947.94 $56,663.56 $20,237.19 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 71 17 — — $15,028.67 $46,030.22 $20,216.31 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 71 17 — — $22,263.88 $56,892.80 $20,182.72 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 71 17 — — $21,590.53 $53,311.83 $20,061.51 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 71 17 — — $14,920.74 $45,464.00 $20,029.96 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 71 17 — — $17,471.14 $48,009.10 $20,029.53 2026-04-01
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