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

SAINT FRANCIS MEDICAL CENTER

Cape Girardeau, MO · CCN 260183 · Rates published

9,833 distinct procedures filed
8 distinct payers
56,351 rate rows
2026-04-01 last MRF observed
Data quality

41,475 of 56,351 rate rows are consumer-grade (73.6%)

14,876 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 14,863
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sfmc.net/wp-content/uploads/237246265_saint-francis-medical-center_standardcharges.json
Found on page https://www.sfmc.net/financial-information/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-07-06
Content fingerprint 1cb29a1b1ad9a2c1… · 24,121,990 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $523,957.65 $1,074,816.41 $608,571.78 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $502,044.92 $1,029,865.91 $588,494.81 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $479,664.72 $983,956.46 $562,260.84 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $477,549.24 $979,616.89 $559,781.08 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $453,720.48 $930,735.96 $531,849.12 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $417,413.81 $856,258.55 $489,290.60 nat. median
$513,770
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $276,416.27 $478,725.80 $319,150.53 nat. median
$168,055
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $179,909.25 $311,585.13 $207,723.42 nat. median
$186,516
1.1× median
2038
OTHER 		Gen, Neuro, Clo Loop, Rechg 1 $161,358.76 $161,358.76 $161,358.76 nat. median
$46,261
outlier · 3.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $137,423.98 $238,004.82 $158,669.88 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $54,490.35 $413,582.43 $150,886.78 nat. median
$145,435
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $89,682.01 $234,435.94 $101,294.80 nat. median
$97,418
1.0× median
7
MS_DRG 		Lung Transplant 3 $83,944.65 $145,383.87 $96,922.58 nat. median
$70,649
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $78,009.29 $135,104.42 $90,069.61 nat. median
$72,715
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $73,641.33 $127,539.54 $85,026.36 nat. median
$65,418
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 3 $73,558.57 $127,396.20 $84,930.80 nat. median
$2,110
outlier · 40.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $71,663.94 $124,114.89 $82,743.26 nat. median
$2,736
outlier · 30.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $63,779.84 $110,460.40 $81,887.50 nat. median
$69,822
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $70,727.45 $122,492.99 $81,661.99 nat. median
$74,509
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $55,166.79 $159,820.27 $78,479.00 nat. median
$60,505
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $67,139.37 $116,278.78 $77,519.19 nat. median
$69,922
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 3 $64,888.86 $211,571.05 $74,920.75 nat. median
$73,023
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $43,359.74 $100,141.00 $71,840.69 nat. median
$45,446
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $43,359.74 $100,141.00 $71,840.69 nat. median
$47,458
1.5× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $70,014.00 $79,210.00 $71,443.00 nat. median
$2,024
outlier · 35.3×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $70,014.00 $79,210.00 $71,443.00 nat. median
$2,024
outlier · 35.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $50,381.83 $186,716.80 $68,932.54 nat. median
$55,923
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $58,857.37 $101,935.17 $67,956.78 nat. median
$2,596
outlier · 26.2×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $65,358.00 $79,210.00 $66,691.00 nat. median
$2,024
outlier · 33.0×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $65,358.00 $79,210.00 $66,691.00 nat. median
$2,024
outlier · 33.0×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $40,095.71 $120,420.81 $66,432.68 nat. median
$43,803
1.5× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 1 $65,692.20 $65,692.20 $65,692.20 nat. median
$16,222
outlier · 4.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $56,628.51 $98,075.01 $65,383.34 nat. median
$2,633
outlier · 24.8×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $54,839.23 $112,494.02 $64,282.30 nat. median
$66,211
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $54,998.09 $95,251.28 $63,500.85 nat. median
$59,651
1.1× median
5471
OTHER 		Implantation Of Drug Infusion Device 2 $16,608.06 $109,696.43 $63,152.24 nat. median
$17,567
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $51,594.62 $89,356.82 $59,571.21 nat. median
$56,428
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $46,893.70 $81,215.28 $57,908.89 nat. median
$51,518
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $2,000.00 $213,094.61 $56,922.81 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $24,895.62 $86,612.48 $56,485.77 nat. median
$52,327
1.1× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $48,003.25 $98,471.09 $56,269.19 nat. median
$63,499
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $44,036.48 $76,266.86 $55,434.72 nat. median
$2,958
outlier · 18.7×
10
MS_DRG 		Pancreas Transplant 3 $47,182.11 $81,714.76 $54,476.51 nat. median
$23,080
outlier · 2.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 $47,163.00 $81,681.67 $54,454.45 nat. median
$37,013
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $46,920.45 $81,261.60 $54,174.40 nat. median
$45,605
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $47,455.22 $82,187.77 $52,408.40 nat. median
$9,905
outlier · 5.3×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $51,151.00 $63,196.00 $52,194.00 nat. median
$2,024
outlier · 25.8×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $51,151.00 $63,196.00 $52,194.00 nat. median
$2,024
outlier · 25.8×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $44,351.62 $76,812.64 $51,208.43 nat. median
$47,340
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $42,987.00 $176,520.23 $51,150.24 nat. median
$49,569
1.0× median

Other procedures at this hospital

Browse this hospital's 9,833 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 3 — — $523,957.65 $1,074,816.41 $608,571.78 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 3 — — $502,044.92 $1,029,865.91 $588,494.81 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 3 — — $479,664.72 $983,956.46 $562,260.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $477,549.24 $979,616.89 $559,781.08 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 3 — — $453,720.48 $930,735.96 $531,849.12 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 3 — — $417,413.81 $856,258.55 $489,290.60 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 3 — — $276,416.27 $478,725.80 $319,150.53 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 3 — — $179,909.25 $311,585.13 $207,723.42 2026-04-01
2038 OTHER Gen, Neuro, Clo Loop, Rechg 1 1 — — $161,358.76 $161,358.76 $161,358.76 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 3 — — $137,423.98 $238,004.82 $158,669.88 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 3 — — $54,490.35 $413,582.43 $150,886.78 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 3 — — $89,682.01 $234,435.94 $101,294.80 2026-04-01
7 MS_DRG Lung Transplant 5 3 — — $83,944.65 $145,383.87 $96,922.58 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 5 3 — — $78,009.29 $135,104.42 $90,069.61 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 3 — — $73,641.33 $127,539.54 $85,026.36 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 5 3 — — $73,558.57 $127,396.20 $84,930.80 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 3 — — $71,663.94 $124,114.89 $82,743.26 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 4 — — $63,779.84 $110,460.40 $81,887.50 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 3 — — $70,727.45 $122,492.99 $81,661.99 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 4 — — $55,166.79 $159,820.27 $78,479.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 3 — — $67,139.37 $116,278.78 $77,519.19 2026-04-01
215 MS_DRG Other Heart Assist System Implant 7 3 — — $64,888.86 $211,571.05 $74,920.75 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 4 — — $43,359.74 $100,141.00 $71,840.69 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 4 — — $43,359.74 $100,141.00 $71,840.69 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $70,014.00 $79,210.00 $71,443.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $70,014.00 $79,210.00 $71,443.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $50,381.83 $186,716.80 $68,932.54 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 3 — — $58,857.37 $101,935.17 $67,956.78 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $65,358.00 $79,210.00 $66,691.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $65,358.00 $79,210.00 $66,691.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 4 — — $40,095.71 $120,420.81 $66,432.68 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $65,692.20 $65,692.20 $65,692.20 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 5 3 — — $56,628.51 $98,075.01 $65,383.34 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 3 — — $54,839.23 $112,494.02 $64,282.30 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 — — $54,998.09 $95,251.28 $63,500.85 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 2 — — $16,608.06 $109,696.43 $63,152.24 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 3 — — $51,594.62 $89,356.82 $59,571.21 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $46,893.70 $81,215.28 $57,908.89 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 4 — — $2,000.00 $213,094.61 $56,922.81 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 3 — — $24,895.62 $86,612.48 $56,485.77 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $48,003.25 $98,471.09 $56,269.19 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 3 — — $44,036.48 $76,266.86 $55,434.72 2026-04-01
10 MS_DRG Pancreas Transplant 5 3 — — $47,182.11 $81,714.76 $54,476.51 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 3 — — $47,163.00 $81,681.67 $54,454.45 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 3 — — $46,920.45 $81,261.60 $54,174.40 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 3 — — $47,455.22 $82,187.77 $52,408.40 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $51,151.00 $63,196.00 $52,194.00 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $51,151.00 $63,196.00 $52,194.00 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 3 — — $44,351.62 $76,812.64 $51,208.43 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 4 — — $42,987.00 $176,520.23 $51,150.24 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 3 — — $44,067.68 $76,320.88 $50,880.59 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 3 — — $43,207.58 $74,831.28 $49,887.52 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 3 — — $16,193.43 $281,185.54 $49,716.12 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 3 — — $42,464.63 $73,544.56 $49,029.71 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 3 — — $39,739.19 $68,824.37 $47,161.92 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 3 — — $40,469.41 $70,089.04 $46,726.03 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 5 — — $21,298.64 $178,526.04 $46,028.87 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 5 3 — — $39,750.01 $68,843.12 $45,895.41 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 4 — — $35,826.54 $306,820.21 $45,760.79 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 — — $39,462.25 $68,344.74 $45,563.16 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 5 3 — — $39,249.62 $67,976.48 $45,317.65 2026-04-01
791 MS_DRG Prematurity With Major Problems 10 4 — — $9,503.07 $132,680.59 $45,298.46 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 3 — — $38,836.44 $67,260.90 $44,840.60 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 3 — — $22,706.03 $120,473.86 $44,745.57 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 3 — — $38,214.45 $66,183.66 $44,122.44 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 — — $15,375.28 $65,438.31 $43,506.83 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 3 — — $37,179.91 $64,391.96 $42,927.97 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $37,980.17 $65,777.91 $42,898.16 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 3 — — $37,831.20 $65,519.91 $42,873.10 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 3 — — $36,935.45 $63,968.56 $42,645.71 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 3 — — $36,660.42 $63,492.24 $42,328.16 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 6 — — $29,218.87 $310,053.29 $42,119.40 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 5 3 — — $36,449.69 $63,127.27 $42,084.85 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 3 — — $36,326.18 $62,913.38 $41,942.25 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 5 3 — — $36,082.99 $62,492.19 $41,661.46 2026-04-01
J9226 HCPCS Supprelin La Implant 5 3 — — $35,125.05 $72,053.50 $41,173.43 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 3 — — $17,032.58 $62,732.55 $40,912.08 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 3 — — $35,429.16 $61,359.82 $40,906.55 2026-04-01
5331 OTHER Complex Gi Procedures 1 1 — — $40,770.93 $40,770.93 $40,770.93 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 3 — — $35,201.25 $60,965.10 $40,643.40 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 5 — — $22,173.83 $181,886.24 $40,062.93 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $35,449.53 $102,332.38 $40,039.84 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 5 3 — — $34,581.16 $59,891.18 $39,927.45 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 5 — — $23,682.01 $60,772.14 $39,633.57 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $34,638.47 $59,990.42 $39,123.75 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 3 — — $32,024.78 $230,418.58 $38,779.29 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 5 — — $7,186.27 $211,665.61 $38,539.87 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 7 3 — — $30,408.21 $216,087.44 $38,511.70 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 3 — — $32,701.81 $56,636.32 $37,757.55 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 3 — — $21,132.47 $57,586.76 $37,735.44 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 3 — — $32,995.94 $57,145.73 $37,446.68 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 3 — — $32,084.92 $55,567.92 $37,045.28 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 7 3 — — $32,240.25 $55,836.94 $36,589.75 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 3 — — $31,429.82 $54,433.35 $36,288.90 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 3 — — $32,832.33 $56,862.36 $36,259.23 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $26,403.58 $145,981.11 $36,125.43 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 3 — — $31,279.57 $54,173.14 $36,115.43 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 5 3 — — $31,019.82 $53,723.28 $35,815.52 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 4 — — $31,807.98 $197,128.33 $35,293.06 2026-04-01
245 MS_DRG Aicd Generator Procedures 5 3 — — $30,544.90 $52,900.76 $35,267.17 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 3 — — $30,687.50 $53,147.73 $35,130.40 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 5 3 — — $30,331.62 $52,531.38 $35,020.92 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 3 — — $27,459.99 $53,519.31 $34,903.51 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 3 — — $30,023.49 $51,997.73 $34,665.15 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 5 — — $22,387.03 $378,221.74 $34,642.84 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 3 — — $29,911.44 $51,803.67 $34,535.78 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 5 — — $18,663.37 $57,048.69 $34,483.78 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 3 — — $28,355.17 $107,232.84 $34,020.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 3 — — $18,056.01 $328,163.45 $33,972.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 3 — — $3,809.64 $52,749.69 $33,636.72 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 11 4 — — $30,031.77 $120,983.96 $33,542.36 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 3 — — $29,048.79 $50,309.66 $33,539.77 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 3 — — $28,829.16 $49,929.27 $33,286.18 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 5 3 — — $28,653.45 $49,624.95 $33,083.30 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 3 — — $28,339.59 $49,081.38 $32,720.92 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 4 — — $25,192.50 $52,727.64 $32,661.03 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 5 3 — — $28,216.07 $48,867.46 $32,578.31 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 3 — — $28,063.29 $48,602.85 $32,401.90 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 3 — — $27,938.51 $48,386.74 $32,257.83 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 9 4 — — $4,335.60 $144,963.08 $32,039.34 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 3 — — $22,505.59 $49,058.22 $31,994.14 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 6 — — $4,837.18 $185,784.85 $31,813.65 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $31,030.00 $38,334.00 $31,664.00 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $31,030.00 $38,334.00 $31,664.00 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 3 2 — — $3,014.89 $39,787.81 $31,358.36 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 4 — — $25,828.48 $186,467.54 $31,283.87 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 3 — — $26,863.23 $46,524.46 $31,016.31 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 11 6 — — $505.79 $165,146.70 $30,647.58 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 4 — — $24,179.81 $41,877.04 $30,449.27 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 3 — — $26,290.89 $45,533.24 $30,355.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 3 — — $26,141.28 $45,274.12 $30,182.75 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 3 — — $24,533.77 $42,490.08 $30,161.28 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 3 — — $26,104.36 $45,210.18 $30,140.12 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 3 — — $26,080.80 $45,169.38 $30,112.92 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 4 — — $23,648.00 $49,160.76 $29,982.12 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 3 — — $11,827.05 $48,922.60 $29,582.18 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 4 3 — — $26,821.07 $55,019.20 $29,460.42 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 4 3 — — $26,821.07 $55,019.20 $29,460.42 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 4 3 — — $26,821.07 $55,019.20 $29,460.42 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 3 — — $26,821.07 $55,019.20 $29,460.42 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 3 — — $26,821.07 $55,019.20 $29,460.42 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 3 — — $26,821.07 $55,019.20 $29,460.42 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 3 — — $26,821.07 $55,019.20 $29,460.42 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 3 — — $25,455.62 $44,086.64 $29,391.09 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 3 — — $25,941.38 $44,927.91 $29,300.49 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 3 — — $25,351.21 $43,905.81 $29,270.54 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 12 7 — — $10,986.63 $177,883.13 $29,234.83 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 3 — — $24,053.24 $151,233.56 $29,202.18 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $21,328.31 $119,294.04 $29,181.44 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 3 — — $25,225.16 $43,687.50 $29,125.00 2026-04-01
5674 OTHER Level 4 Pathology 1 1 — — $29,119.58 $29,119.58 $29,119.58 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 3 — — $25,091.47 $43,455.96 $28,970.64 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 4 3 — — $26,367.20 $54,088.16 $28,961.89 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 5 3 — — $24,883.29 $43,095.40 $28,730.27 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 3 — — $24,248.56 $49,742.10 $28,424.06 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 3 — — $24,599.35 $42,603.66 $28,402.44 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 3 — — $24,581.52 $42,572.77 $28,381.85 2026-04-01
332 MS_DRG Rectal Resection With Mcc 5 3 — — $24,549.69 $42,517.65 $28,345.10 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 3 — — $24,493.03 $42,419.52 $28,279.68 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 3 — — $24,308.40 $42,099.76 $28,066.51 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 11 5 — — $1,886.00 $55,765.48 $28,044.19 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 3 — — $24,255.56 $42,008.25 $28,005.50 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 3 — — $24,198.90 $41,910.12 $27,940.08 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 3 — — $9,882.29 $43,078.88 $27,938.26 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 3 — — $24,158.16 $41,839.56 $27,893.04 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 4 — — $19,186.00 $48,083.54 $27,763.43 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 3 — — $24,232.65 $41,968.56 $27,370.50 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 6 — — $16,866.04 $137,132.52 $27,274.37 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 3 — — $23,599.19 $40,871.48 $27,247.65 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 3 — — $14,161.86 $43,807.68 $27,099.96 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 3 — — $23,390.38 $40,509.84 $27,006.56 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $13,145.42 $41,400.72 $27,000.17 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 8 3 — — $19,426.24 $41,057.82 $26,776.54 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 3 — — $23,189.84 $40,162.52 $26,775.01 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 3 — — $12,702.60 $176,463.78 $26,770.06 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 3 — — $17,565.44 $41,480.12 $26,450.49 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 4 — — $7,063.14 $42,359.98 $26,406.58 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 3 — — $2,031.00 $40,212.14 $26,225.01 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 3 — — $22,529.01 $39,018.03 $26,012.02 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 3 — — $23,439.82 $40,686.24 $25,944.26 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 5 3 — — $22,457.70 $38,894.53 $25,929.69 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 11 3 — — $16,223.83 $138,179.15 $25,810.16 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 3 — — $22,116.47 $38,303.55 $25,535.70 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 3 — — $22,093.55 $38,263.86 $25,509.24 2026-04-01
652 MS_DRG Kidney Transplant 5 3 — — $22,059.17 $38,204.31 $25,469.54 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 5 3 — — $22,043.89 $38,177.85 $25,451.90 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 5 3 — — $22,003.78 $38,108.38 $25,405.59 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 3 — — $22,766.48 $39,429.30 $25,402.69 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 5 3 — — $21,937.58 $37,993.73 $25,329.15 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 5 3 — — $21,768.23 $37,700.43 $25,133.62 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 5 3 — — $21,727.49 $37,629.87 $25,086.58 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 5 3 — — $21,647.27 $37,490.94 $24,993.96 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 3 — — $21,825.53 $50,228.84 $24,991.27 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 5 3 — — $21,616.71 $37,438.02 $24,958.68 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 3 — — $22,207.51 $38,461.22 $24,929.61 2026-04-01
5376 OTHER Level 6 Urology And Related Services 4 3 — — $8,848.02 $51,301.74 $24,921.47 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 3 — — $21,502.75 $37,240.65 $24,827.10 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 3 — — $13,635.29 $73,499.39 $24,826.97 2026-04-01
665 MS_DRG Prostatectomy With Mcc 5 3 — — $21,369.69 $37,010.20 $24,673.47 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 1 — — $24,146.00 $29,831.00 $24,637.00 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 1 — — $24,146.00 $29,831.00 $24,637.00 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 3 — — $8,917.03 $40,397.37 $24,633.10 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 3 — — $21,787.97 $37,734.62 $24,609.26 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 4 3 — — $22,334.21 $45,815.10 $24,532.03 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 4 3 — — $22,334.21 $45,815.10 $24,532.03 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 4 3 — — $22,334.21 $45,815.10 $24,532.03 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 10 6 — — $17,534.57 $231,548.38 $24,375.60 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 4 — — $6,913.81 $125,521.01 $24,367.95 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 3 — — $21,559.41 $37,338.78 $24,351.11 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 5 3 — — $20,989.62 $36,351.96 $24,234.64 2026-04-01
263 MS_DRG Vein Ligation And Stripping 5 3 — — $20,963.52 $36,306.75 $24,204.50 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $21,293.30 $36,877.90 $24,050.54 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 5 3 — — $20,728.61 $35,899.90 $23,933.27 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 5 3 — — $20,726.06 $35,895.50 $23,930.33 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 3 — — $20,705.05 $35,859.10 $23,906.07 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 4 — — $16,288.70 $43,032.00 $23,797.30 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 4 — — $16,410.25 $98,944.87 $23,702.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 5 3 — — $20,447.84 $35,413.65 $23,609.10 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 3 — — $20,809.46 $36,039.93 $23,504.04 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 3 — — $17,155.16 $158,600.39 $23,471.74 2026-04-01
5613 OTHER Level 3 Therapeutic Radiation Treatment Preparation 7 4 — — $2,503.43 $61,256.27 $23,426.66 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 5 3 — — $20,242.21 $35,057.52 $23,371.68 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 7 3 — — $14,737.22 $25,523.42 $23,311.39 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 5 3 — — $20,088.78 $34,791.80 $23,194.53 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 5 3 — — $19,974.19 $34,593.33 $23,062.22 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 5 3 — — $19,881.24 $34,432.35 $22,954.90 2026-04-01
570 MS_DRG Skin Debridement With Mcc 6 3 — — $11,317.31 $35,024.44 $22,841.78 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 3 — — $19,962.73 $34,573.48 $22,547.68 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 6 — — $10,334.43 $417,370.71 $22,506.54 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 3 — — $19,872.33 $34,416.92 $22,445.57 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 6 3 — — $19,845.59 $34,370.61 $22,415.37 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 8 3 — — $13,968.07 $31,034.16 $22,204.38 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 3 — — $19,646.32 $34,025.49 $22,173.83 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 3 — — $19,530.68 $34,706.90 $22,131.43 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 3 — — $19,145.93 $33,158.86 $22,105.91 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 10 4 — — $17,752.33 $30,745.29 $22,072.43 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 3 — — $19,051.71 $32,995.68 $21,997.12 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 11 5 — — $13,438.71 $53,903.84 $21,885.81 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 3 — — $19,771.74 $34,242.70 $21,835.43 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 6 3 — — $19,320.36 $33,460.97 $21,822.12 2026-04-01
503 MS_DRG Foot Procedures With Mcc 6 3 — — $17,921.72 $33,370.56 $21,763.17 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 11 4 — — $14,678.75 $98,240.36 $21,730.29 2026-04-01
849 MS_DRG Radiotherapy 5 3 — — $18,748.67 $32,470.84 $21,647.23 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 5 3 — — $18,671.63 $32,337.44 $21,558.29 2026-04-01
800 MS_DRG Splenic Procedures With Cc 7 3 — — $5,835.82 $33,572.32 $21,407.95 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 3 — — $18,903.37 $32,738.78 $21,351.14 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 5 3 — — $18,433.53 $31,925.06 $21,283.37 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 5 3 — — $18,374.32 $31,822.52 $21,215.01 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $21,174.15 $21,174.15 $21,174.15 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 3 — — $17,359.49 $32,434.46 $21,152.67 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 5 3 — — $18,289.65 $31,675.88 $21,117.25 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 4 3 — — $19,006.63 $38,989.10 $20,877.00 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 5 3 — — $18,003.80 $31,180.82 $20,787.21 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 5 3 — — $17,919.12 $31,034.16 $20,689.44 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 5 3 — — $17,845.28 $30,906.27 $20,604.18 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 14 5 — — $10,690.89 $35,430.36 $20,385.06 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 4 — — $14,825.08 $31,686.27 $20,283.71 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 5 3 — — $17,560.70 $30,413.40 $20,275.60 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 4 — — $12,252.70 $31,073.86 $20,265.34 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 10 4 — — $8,895.72 $121,816.63 $20,264.96 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 6 3 — — $16,745.81 $29,002.10 $20,166.32 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 5 3 — — $17,363.35 $30,071.61 $20,047.74 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 5 3 — — $17,298.41 $29,959.14 $19,972.76 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 5 3 — — $17,129.06 $29,665.84 $19,777.23 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 5 3 — — $13,826.09 $21,338.36 $19,708.15 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 5 3 — — $16,919.61 $29,303.10 $19,535.40 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 3 — — $17,186.31 $30,611.88 $19,520.18 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 5 3 — — $16,869.32 $29,216.00 $19,477.33 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
53444 HCPCS Insert Tandem Cuff 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 4 3 — — $17,710.00 $36,329.28 $19,452.77 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 5 3 — — $16,812.01 $29,116.75 $19,411.17 2026-04-01
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