Price Transparencybeta Hospital negotiated rates

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

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Hospital

SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL

Saint Louis, MO · CCN 260105 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $407 across 6 payers · range $190-$657

Source: https://hospitalpricedisclosure.com/download.aspx?pi=Oj8ea*_*I2NcxLEEhEW69AuQ*-*&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.

17,360 distinct procedures filed
22 distinct payers
524,571 rate rows
2026-04-01 last MRF observed
Data quality

487,432 of 524,571 rate rows are consumer-grade (92.9%)

37,139 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 36,448
template filing: same amount across many unrelated codes — excluded 426
placeholder amount (≤ $0.02) — excluded from medians 183
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 82
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=Oj8ea*_*I2NcxLEEhEW69AuQ*-*&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 27a44107b6c922ad… · 94,075,945 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 5 $4,414,900.00 $4,640,150.00 $4,565,817.50 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,611,561.33 $4,422,320.00 $3,716,059.67 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,250,133.34 $3,979,755.11 $3,335,704.36 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,183,476.80 $3,898,134.86 $3,264,687.95 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,886,825.20 $3,534,888.00 $2,971,598.70 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,403,458.75 $2,946,132.73 $2,467,386.16 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,285,360.00 $2,798,400.00 $2,343,660.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $755,207.60 $1,429,500.10 $786,032.40 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $565,623.84 $1,097,652.10 $599,714.51 nat. median
$738,272
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $551,318.34 $1,049,686.89 $573,508.18 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $516,485.97 $1,043,508.33 $570,132.45 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $528,312.43 $1,033,824.77 $564,841.72 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $489,517.15 $989,141.97 $540,428.77 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $479,518.52 $907,660.05 $495,910.22 nat. median
$591,650
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 $6,058.00 $1,659,414.41 $431,194.72 nat. median
$359,358
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $272,685.00 $333,900.00 $282,980.25 nat. median
$319,951
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $49,628.37 $532,482.12 $280,805.02 nat. median
$249,124
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $192,496.11 $405,680.85 $214,598.99 nat. median
$198,433
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $86,855.31 $523,741.90 $213,355.90 nat. median
$190,557
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $141,517.30 $246,174.28 $210,630.40 nat. median
$75,037
outlier · 2.8×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $201,527.20 $381,462.20 $209,752.80 nat. median
$209,753
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $111,776.15 $384,537.53 $188,577.38 nat. median
$97,020
1.9× median
9449
OTHER 		Injection, Blinatumomab 1 $169,823.70 $169,823.70 $169,823.70 nat. median
$164
outlier · 1033.9×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $77,296.90 $354,560.53 $151,828.36 nat. median
$111,503
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $15,130.85 $378,257.40 $140,201.28 nat. median
$126,722
1.1× median
7
MS_DRG 		Lung Transplant 16 $116,759.00 $246,066.75 $131,260.58 nat. median
$117,894
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $108,353.39 $345,087.00 $122,011.34 nat. median
$110,192
1.1× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $60,661.87 $278,255.71 $119,153.45 nat. median
$70,178
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $102,167.51 $215,315.53 $115,204.62 nat. median
$103,967
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 16 $2,175.48 $215,068.52 $115,075.65 nat. median
$92,655
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $55,101.78 $209,413.82 $112,123.20 nat. median
$93,270
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $63,015.15 $206,618.77 $110,663.83 nat. median
$97,414
1.1× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $16,015.74 $550,981.10 $107,627.77 nat. median
$16,786
outlier · 6.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $92,959.47 $478,898.09 $107,173.87 nat. median
$94,964
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 17 $23,184.43 $226,877.00 $101,565.39 nat. median
$93,917
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $44,604.27 $231,342.00 $99,837.17 nat. median
$90,581
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $81,230.55 $171,191.41 $92,251.06 nat. median
$78,037
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $22,182.00 $199,793.00 $88,693.04 nat. median
$78,262
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $76,003.98 $215,377.00 $86,415.21 nat. median
$77,043
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $33,678.26 $159,673.00 $86,152.30 nat. median
$77,696
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $39,139.97 $154,250.91 $80,848.60 nat. median
$74,460
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $47,795.94 $168,082.00 $78,958.67 nat. median
$72,473
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $48,179.70 $233,108.55 $78,771.18 nat. median
$68,004
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $53,166.13 $222,375.67 $78,630.29 nat. median
$71,758
1.1× median
2046
OTHER 		Pmkr, Dual, Leadless 1 $78,089.07 $78,089.07 $78,089.07 nat. median
$5,033
outlier · 15.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $8,610.61 $167,871.00 $74,770.03 nat. median
$63,648
1.2× median
10
MS_DRG 		Pancreas Transplant 17 $64,696.11 $283,635.00 $73,972.43 nat. median
$64,903
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 $64,669.06 $136,288.47 $73,942.67 nat. median
$61,329
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $64,325.55 $135,564.53 $73,564.68 nat. median
$66,660
1.1× median

Other procedures at this hospital

Browse this hospital's 17,360 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 6 5 — — $4,414,900.00 $4,640,150.00 $4,565,817.50 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 7 — — $3,611,561.33 $4,422,320.00 $3,716,059.67 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 7 — — $3,250,133.34 $3,979,755.11 $3,335,704.36 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 7 — — $3,183,476.80 $3,898,134.86 $3,264,687.95 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 10 7 — — $2,886,825.20 $3,534,888.00 $2,971,598.70 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 7 — — $2,403,458.75 $2,946,132.73 $2,467,386.16 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 7 — — $2,285,360.00 $2,798,400.00 $2,343,660.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $755,207.60 $1,429,500.10 $786,032.40 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 8 — — $565,623.84 $1,097,652.10 $599,714.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 8 — — $551,318.34 $1,049,686.89 $573,508.18 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 8 — — $516,485.97 $1,043,508.33 $570,132.45 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 8 — — $528,312.43 $1,033,824.77 $564,841.72 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 8 — — $489,517.15 $989,141.97 $540,428.77 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 8 — — $479,518.52 $907,660.05 $495,910.22 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 30 16 — — $6,058.00 $1,659,414.41 $431,194.72 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 6 — — $272,685.00 $333,900.00 $282,980.25 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 41 16 — — $49,628.37 $532,482.12 $280,805.02 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 16 — — $192,496.11 $405,680.85 $214,598.99 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 49 18 — — $86,855.31 $523,741.90 $213,355.90 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $141,517.30 $246,174.28 $210,630.40 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 7 — — $201,527.20 $381,462.20 $209,752.80 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 19 1 — — $111,776.15 $384,537.53 $188,577.38 2026-04-01
9449 OTHER Injection, Blinatumomab 1 1 — — $169,823.70 $169,823.70 $169,823.70 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 45 6 — — $77,296.90 $354,560.53 $151,828.36 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 41 17 — — $15,130.85 $378,257.40 $140,201.28 2026-04-01
7 MS_DRG Lung Transplant 26 16 — — $116,759.00 $246,066.75 $131,260.58 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 31 17 — — $108,353.39 $345,087.00 $122,011.34 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 45 6 — — $60,661.87 $278,255.71 $119,153.45 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 16 — — $102,167.51 $215,315.53 $115,204.62 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 16 — — $2,175.48 $215,068.52 $115,075.65 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 17 — — $55,101.78 $209,413.82 $112,123.20 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 17 — — $63,015.15 $206,618.77 $110,663.83 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 38 1 — — $16,015.74 $550,981.10 $107,627.77 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 17 — — $92,959.47 $478,898.09 $107,173.87 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 17 — — $23,184.43 $226,877.00 $101,565.39 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 17 — — $44,604.27 $231,342.00 $99,837.17 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 17 — — $81,230.55 $171,191.41 $92,251.06 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 16 — — $22,182.00 $199,793.00 $88,693.04 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 17 — — $76,003.98 $215,377.00 $86,415.21 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 18 — — $33,678.26 $159,673.00 $86,152.30 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 17 — — $39,139.97 $154,250.91 $80,848.60 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 18 — — $47,795.94 $168,082.00 $78,958.67 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 17 — — $48,179.70 $233,108.55 $78,771.18 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 18 — — $53,166.13 $222,375.67 $78,630.29 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 1 1 — — $78,089.07 $78,089.07 $78,089.07 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 17 — — $8,610.61 $167,871.00 $74,770.03 2026-04-01
10 MS_DRG Pancreas Transplant 28 17 — — $64,696.11 $283,635.00 $73,972.43 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 26 16 — — $64,669.06 $136,288.47 $73,942.67 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 16 — — $64,325.55 $135,564.53 $73,564.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 17 — — $50,815.64 $209,958.00 $73,523.02 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 48 18 — — $7,352.09 $198,077.13 $71,354.31 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 17 — — $18,771.15 $130,686.98 $71,017.99 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 39 17 — — $58,344.80 $246,941.97 $69,952.30 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 16 — — $60,285.48 $127,050.19 $69,119.14 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 37 18 — — $27,167.72 $126,957.08 $69,070.52 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 17 — — $59,282.90 $231,342.00 $68,015.93 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 17 — — $18,438.38 $231,342.00 $68,015.93 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 16 — — $59,067.42 $124,483.15 $67,778.82 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 45 6 — — $34,387.96 $157,737.42 $67,545.62 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 41 17 — — $13,594.97 $155,522.52 $66,621.06 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 45 6 — — $33,066.62 $151,676.43 $64,950.22 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 8 — — $62,075.44 $237,232.13 $64,925.84 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 16 — — $53,143.40 $189,642.31 $63,582.29 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 16 — — $16,338.38 $314,033.50 $63,511.85 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 17 — — $54,660.40 $215,377.00 $62,929.50 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 39 18 — — $24,836.75 $115,400.49 $62,390.79 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 17 — — $33,460.87 $146,366.00 $62,373.93 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 18 — — $32,418.79 $129,045.79 $61,942.37 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 36 17 — — $13,982.17 $427,626.65 $61,919.07 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 16 — — $53,586.60 $112,932.44 $61,747.92 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 51 18 — — $23,393.86 $148,866.00 $61,004.84 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 16 — — $52,877.04 $111,437.06 $60,967.15 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 45 6 — — $30,987.17 $142,137.97 $60,865.71 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 45 6 — — $30,832.85 $141,430.17 $60,562.61 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 17 — — $23,386.34 $167,871.00 $59,997.87 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 45 17 — — $32,906.45 $249,243.85 $59,632.79 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 16 — — $42,432.41 $108,436.81 $59,400.64 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 18 — — $3,571.18 $108,296.20 $59,327.22 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 18 — — $27,017.56 $231,874.04 $58,851.14 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 17 — — $50,531.07 $303,001.00 $58,385.73 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 16 — — $8,225.38 $105,763.37 $58,004.77 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 18 7 — — $55,688.06 $249,849.39 $57,591.68 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 17 — — $49,795.37 $104,942.52 $57,576.19 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 38 16 — — $9,081.50 $346,098.93 $57,534.05 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 18 — — $3,341.98 $129,636.28 $57,055.34 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 17 — — $38,860.57 $137,141.20 $56,977.96 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 16 — — $21,120.25 $103,633.35 $56,892.64 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 17 — — $48,977.62 $315,626.00 $56,676.36 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 8 — — $54,166.88 $209,237.93 $56,654.13 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 17 — — $48,051.67 $101,267.73 $55,935.77 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 17 — — $34,668.95 $168,082.00 $55,689.23 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 16 — — $47,728.90 $100,587.49 $55,302.32 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 18 — — $15,431.14 $119,313.00 $55,128.70 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 17 — — $46,931.89 $98,907.81 $54,425.31 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 30 16 — — $33,264.58 $98,736.80 $54,336.03 2026-04-01
E0194 HCPCS Air Fluidized Bed 57 1 — — $4,331.33 $149,008.41 $53,656.69 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 17 — — $43,399.79 $168,082.00 $52,786.38 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 17 — — $10,283.76 $94,765.59 $52,262.56 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 17 — — $20,842.50 $158,513.00 $51,865.73 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 49 17 — — $16,743.95 $144,289.76 $51,778.42 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 16 — — $40,068.48 $224,133.75 $51,610.76 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 16 — — $44,189.22 $93,127.70 $51,407.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 17 — — $3,341.98 $91,750.13 $50,688.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 16 — — $11,481.32 $200,781.01 $50,446.05 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 39 17 — — $28,009.58 $106,252.37 $50,014.49 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 17 — — $42,387.82 $145,899.92 $49,425.19 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 18 — — $5,849.56 $270,615.83 $49,329.95 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 16 — — $24,095.52 $207,122.76 $49,191.05 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 31 18 — — $41,807.19 $462,027.00 $48,808.64 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 17 — — $37,810.93 $188,670.00 $48,602.75 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 16 10 — — $304.03 $272,450.65 $48,483.93 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 17 — — $17,824.68 $202,275.00 $48,384.49 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 17 — — $41,336.56 $102,914.65 $48,268.41 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 17 — — $30,079.00 $86,690.16 $48,046.18 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 41 17 — — $1,412.23 $86,429.85 $47,910.27 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 48 18 — — $4,277.73 $210,193.84 $47,890.43 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 28 16 — — $2,759.87 $86,053.63 $47,713.84 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 43 18 — — $3,613.46 $85,158.68 $47,246.56 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 16 — — $170.32 $85,133.98 $47,233.66 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 16 — — $40,237.51 $84,799.56 $47,059.06 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 16 — — $10,836.01 $83,467.59 $46,363.60 2026-04-01
J9226 HCPCS Supprelin La Implant 16 8 — — $44,120.24 $170,395.86 $46,146.16 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 17 — — $20,568.41 $82,224.93 $45,714.78 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 17 — — $14,734.24 $254,853.03 $45,372.51 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 39 17 — — $18,721.95 $103,869.18 $45,098.69 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 18 — — $20,277.41 $92,731.54 $44,855.63 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 37 17 — — $21,526.53 $80,245.02 $44,681.02 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 17 — — $37,620.16 $132,288.24 $44,620.81 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 16 — — $37,856.23 $80,108.22 $44,609.59 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 46 18 — — $8,993.41 $88,430.06 $44,588.76 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 16 — — $9,251.26 $79,834.60 $44,466.73 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 17 — — $20,636.14 $79,739.60 $44,417.13 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 48 18 — — $26,177.72 $105,563.00 $44,339.74 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 26 16 — — $37,593.11 $79,226.57 $44,149.26 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 37 16 — — $37,443.45 $254,113.42 $43,984.57 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 17 — — $16,060.64 $78,388.63 $43,711.75 2026-04-01
791 MS_DRG Prematurity With Major Problems 26 16 — — $36,595.94 $77,125.06 $43,052.01 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 44 18 — — $18,304.14 $167,871.00 $42,670.06 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 16 — — $33,903.81 $201,573.58 $42,308.94 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 17 — — $24,161.15 $115,227.68 $41,592.65 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 57 1 — — $3,351.68 $115,305.94 $41,520.70 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 16 — — $35,110.11 $73,993.69 $41,417.05 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 16 — — $34,898.23 $73,547.17 $41,183.91 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 17 — — $3,180.45 $73,436.96 $41,126.37 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 40 16 — — $9,709.29 $73,366.66 $41,089.66 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 18 — — $33,927.21 $255,780.37 $40,917.74 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 45 17 — — $8,717.46 $122,959.76 $40,872.39 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 45 6 — — $20,598.01 $94,482.96 $40,459.08 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 45 6 — — $20,505.46 $94,058.44 $40,277.30 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 16 — — $31,553.78 $71,189.15 $39,952.73 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 42 18 — — $2,925.44 $98,888.91 $39,864.43 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 17 — — $14,602.03 $71,012.44 $39,860.46 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 16 — — $33,600.83 $70,812.93 $39,756.29 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 16 — — $7,836.42 $70,413.91 $39,547.95 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 29 16 — — $139.30 $146,495.25 $39,223.54 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 18 — — $892.07 $69,764.07 $39,208.66 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 16 — — $5,073.23 $68,945.13 $38,781.07 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 16 — — $4,510.77 $68,891.93 $38,753.29 2026-04-01
332 MS_DRG Rectal Resection With Mcc 26 16 — — $32,644.23 $68,796.92 $38,703.69 2026-04-01
265 MS_DRG Aicd Lead Procedures 30 17 — — $17,657.03 $68,749.42 $38,678.89 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 16 — — $32,563.99 $68,627.81 $38,615.39 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 16 — — $32,515.30 $68,525.21 $38,561.82 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 16 — — $32,302.52 $68,076.78 $38,327.69 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 16 — — $32,227.69 $67,919.07 $38,245.34 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 18 — — $17,186.58 $67,850.67 $38,209.63 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 16 — — $20,267.07 $89,900.00 $38,157.05 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 16 — — $32,120.40 $96,155.23 $38,127.28 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 16 — — $24,130.70 $67,628.36 $38,093.55 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 42 18 — — $13,098.47 $71,153.00 $38,064.78 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 29 17 — — $31,795.83 $73,467.00 $37,770.13 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 17 — — $23,165.87 $66,872.12 $37,698.70 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 44 17 — — $11,230.09 $69,999.68 $37,390.16 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 16 — — $19,311.72 $66,264.09 $37,381.23 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 16 — — $31,298.14 $65,960.07 $37,222.50 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 16 — — $75.00 $66,045.02 $37,055.83 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 16 — — $31,002.42 $65,336.84 $36,897.09 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 17 — — $7,214.23 $65,143.03 $36,795.90 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 44 17 — — $5,041.12 $88,331.07 $36,629.23 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 31 16 — — $30,718.41 $176,921.94 $36,584.59 2026-04-01
L8614 HCPCS Cochlear Device 38 1 — — $16,269.26 $74,627.01 $36,115.01 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 33 16 — — $30,118.85 $97,165.34 $35,924.85 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 16 — — $29,782.55 $62,766.00 $35,554.80 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 31 17 — — $20,889.85 $62,553.19 $35,443.68 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 43 18 — — $1,299.89 $65,582.71 $35,439.72 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 17 — — $17,393.00 $61,806.45 $35,053.79 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 37 17 — — $7,129.56 $164,239.71 $34,911.93 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 41 16 — — $6,978.43 $101,920.87 $34,876.21 2026-04-01
652 MS_DRG Kidney Transplant 36 18 — — $29,117.17 $147,494.00 $34,857.10 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 42 17 — — $8,610.61 $71,604.00 $34,831.57 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 16 — — $29,095.53 $61,318.13 $34,798.83 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 26 16 — — $29,038.73 $61,198.42 $34,736.33 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 17 — — $28,944.97 $78,365.00 $34,633.15 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 17 — — $28,786.28 $99,770.00 $34,458.54 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 33 17 — — $7,514.68 $60,554.29 $34,400.01 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 16 — — $13,942.89 $60,495.38 $34,369.25 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 16 — — $12,628.10 $60,373.78 $34,305.76 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 16 — — $6,934.01 $65,051.27 $34,180.76 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 16 — — $9,007.39 $60,043.16 $34,133.14 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 33 17 — — $24,752.65 $78,365.00 $34,043.85 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 37 18 — — $9,644.80 $158,513.00 $34,028.97 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 17 — — $20,447.00 $59,703.04 $33,955.55 2026-04-01
665 MS_DRG Prostatectomy With Mcc 28 16 — — $28,140.74 $59,305.92 $33,748.21 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 18 — — $10,048.25 $137,528.25 $33,683.72 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 43 17 — — $3,341.98 $59,077.91 $33,629.15 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 13 8 — — $2,298.00 $41,176.55 $33,627.51 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 26 16 — — $27,602.48 $58,171.56 $33,155.93 2026-04-01
263 MS_DRG Vein Ligation And Stripping 27 16 — — $17,221.22 $58,093.66 $33,115.25 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 17 — — $27,347.33 $58,129.00 $32,875.17 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 17 — — $20,135.00 $72,955.03 $32,749.17 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 16 — — $27,229.22 $57,384.92 $32,745.20 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 32 16 — — $7,113.58 $75,303.63 $32,712.47 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 16 — — $26,835.22 $56,554.58 $32,311.66 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 47 18 — — $4,540.75 $60,539.66 $32,011.06 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 27 16 — — $26,544.01 $55,940.84 $31,991.22 2026-04-01
570 MS_DRG Skin Debridement With Mcc 27 16 — — $26,516.96 $55,883.84 $31,961.45 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 29 16 — — $19,416.41 $55,482.92 $31,752.12 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 17 — — $11,928.18 $173,970.84 $31,675.73 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 45 6 — — $16,091.55 $73,811.87 $31,607.40 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 16 — — $26,164.43 $67,871.56 $31,573.55 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 17 — — $7,587.16 $55,106.70 $31,555.69 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $30,289.37 $37,089.02 $31,432.95 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 16 — — $26,032.80 $54,863.49 $31,428.70 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 38 16 — — $1,430.01 $161,855.94 $31,414.81 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 27 16 — — $10,025.94 $54,757.08 $31,373.15 2026-04-01
L5858 HCPCS Stance Phase Only 45 6 — — $15,950.55 $73,165.08 $31,330.44 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 16 — — $24,375.32 $54,536.67 $31,258.06 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 31 16 — — $25,700.11 $54,162.35 $31,062.62 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 12 7 — — $4,615.88 $124,272.33 $30,885.99 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 16 — — $18,163.00 $53,381.41 $30,654.87 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 34 16 — — $10,558.23 $53,189.50 $30,554.67 2026-04-01
503 MS_DRG Foot Procedures With Mcc 29 16 — — $9,600.22 $53,033.69 $30,473.32 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 16 10 — — $18,742.90 $83,801.22 $30,340.09 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 17 — — $24,991.45 $60,165.00 $30,282.84 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 31 16 — — $16,973.45 $67,126.27 $30,136.01 2026-04-01
5166 OTHER Cochlear Implant Procedure 13 6 — — $28,367.09 $58,712.92 $30,082.82 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 46 17 — — $2,582.04 $63,388.99 $30,052.68 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 28 17 — — $24,775.97 $73,467.00 $30,045.73 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 47 17 — — $2,935.90 $124,683.85 $29,904.85 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 45 18 — — $18,248.88 $377,817.06 $29,775.88 2026-04-01
849 MS_DRG Radiotherapy 26 16 — — $24,428.85 $51,483.21 $29,663.78 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 45 6 — — $15,087.38 $69,205.72 $29,634.97 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 16 — — $14,784.55 $51,420.51 $29,631.04 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 29 16 — — $3,271.63 $51,253.30 $29,543.73 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 17 — — $23,982.56 $89,893.00 $29,172.69 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 16 — — $23,898.71 $50,365.95 $29,080.43 2026-04-01
J9266 HCPCS Pegaspargase Injection 21 9 — — $3,511.25 $106,305.98 $29,049.39 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 16 — — $23,778.80 $64,256.25 $28,948.48 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 45 6 — — $14,595.54 $66,949.69 $28,668.90 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 48 18 — — $753.13 $53,826.50 $28,533.79 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 36 17 — — $10,779.28 $614,248.34 $28,503.03 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 30 16 — — $4,042.11 $49,075.78 $28,406.80 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 27 16 — — $23,254.07 $54,733.11 $28,371.09 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 33 16 — — $5,686.94 $74,676.46 $28,371.09 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 28 16 — — $23,149.48 $48,786.97 $28,256.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 35 17 — — $19,946.04 $106,908.79 $28,111.16 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 1 1 — — $28,051.46 $28,051.46 $28,051.46 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 35 16 — — $6,210.28 $67,097.24 $27,991.12 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 49 18 — — $4,094.20 $71,588.82 $27,943.50 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 43 17 — — $3,341.98 $47,958.52 $27,823.45 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 44 17 — — $19.50 $56,211.04 $27,812.54 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 27 16 — — $6,741.11 $47,348.59 $27,504.99 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 38 17 — — $5,851.82 $47,154.78 $27,403.80 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 45 6 — — $13,950.50 $63,990.89 $27,401.89 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 37 16 — — $8,744.43 $79,587.44 $27,180.58 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 38 17 — — $374.82 $81,943.40 $27,173.64 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 26 16 — — $22,135.18 $46,649.36 $27,139.90 2026-04-01
792 MS_DRG Prematurity Without Major Problems 26 16 — — $22,081.99 $46,537.25 $27,081.37 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 4 1 — — $18,188.27 $31,639.13 $27,070.91 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 40 17 — — $772.50 $46,442.24 $27,031.77 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 38 18 — — $10,152.40 $54,376.26 $27,003.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 26 16 — — $21,838.56 $46,024.22 $26,813.51 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 26 16 — — $21,767.33 $45,874.11 $26,735.13 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 27 16 — — $20,712.09 $45,703.11 $26,645.84 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 46 17 — — $6,683.96 $45,549.20 $26,565.49 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 26 16 — — $21,592.42 $45,505.49 $26,542.67 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 34 16 — — $17,474.91 $45,421.89 $26,499.02 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 36 17 — — $8,604.95 $45,343.99 $26,458.34 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 31 17 — — $12,651.01 $74,186.07 $26,108.13 2026-04-01
333 MS_DRG Rectal Resection With Cc 26 16 — — $21,117.28 $44,504.14 $26,019.84 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 37 16 — — $21,084.82 $51,851.35 $25,984.12 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 27 16 — — $5,903.02 $44,403.44 $25,967.26 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 28 16 — — $19,780.84 $44,217.23 $25,870.03 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 33 16 — — $10,411.31 $44,186.83 $25,854.16 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 36 16 — — $18,380.84 $44,141.22 $25,830.35 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 34 16 — — $14,300.78 $43,915.11 $25,712.29 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 32 16 — — $5,179.23 $53,471.68 $25,557.52 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 31 16 — — $15,158.67 $96,052.83 $25,550.58 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 57 1 — — $2,058.73 $70,825.56 $25,503.69 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 43 17 — — $7,141.24 $67,935.22 $25,458.31 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 45 6 — — $12,945.62 $59,381.47 $25,428.08 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 28 16 — — $20,570.91 $49,049.09 $25,418.63 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 31 16 — — $9,550.52 $55,968.97 $25,360.10 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 40 16 — — $4,958.65 $233,034.17 $25,322.40 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 32 17 — — $11,057.80 $43,048.67 $25,259.90 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 29 16 — — $20,183.22 $42,535.64 $24,992.03 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 27 16 — — $3.69 $42,510.94 $24,979.14 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 32 16 — — $12,915.92 $42,174.62 $24,803.54 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 48 18 — — $6,417.14 $78,225.53 $24,736.07 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 27 16 — — $19,930.77 $42,003.61 $24,714.25 2026-04-01
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