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 ST JOSEPH HOSPITAL WEST

Lake Saint Louis, MO · CCN 260200 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $6,798 across 9 payers · range $3,054-$11,900

Source: https://hospitalpricedisclosure.com/download.aspx?pi=O5oUAG4tejFgDnF2IIIqVQ*-*&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.

14,763 distinct procedures filed
25 distinct payers
414,521 rate rows
2026-04-01 last MRF observed
Data quality

376,808 of 414,521 rate rows are consumer-grade (90.9%)

37,713 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 30,673
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,298
placeholder amount (≤ $0.02) — excluded from medians 638
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 99
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=I9EbX*__*v9zUT24F6pmGjdHg*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint cbfdc681e48d95f2… · 5,617,693 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
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,264,000.00 $3,264,000.00 $3,264,000.00 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,162,000.00 $3,162,000.00 $3,162,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,856,000.00 $4,897,200.00 $2,856,000.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,368,485.25 $3,965,706.94 $2,368,485.25 nat. median
$2,460,273
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $933,279.34 $1,639,174.88 $1,336,211.97 nat. median
$691,418
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $909,675.26 $1,632,764.82 $1,330,986.66 nat. median
$631,793
outlier · 2.1×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $871,715.51 $1,631,105.06 $1,329,633.66 nat. median
$610,161
outlier · 2.2×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $852,201.85 $1,600,559.03 $1,304,733.35 nat. median
$624,417
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $805,284.99 $1,426,492.91 $1,162,839.26 nat. median
$577,541
outlier · 2.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $807,703.30 $1,325,558.46 $965,528.96 nat. median
$588,565
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $308,670.65 $762,176.42 $459,767.27 nat. median
$370,165
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $37,041.64 $510,384.85 $298,804.83 nat. median
$261,939
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $152,613.37 $376,836.33 $227,318.77 nat. median
$205,166
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $107,993.41 $374,624.78 $220,147.77 nat. median
$199,832
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $94,350.12 $244,477.21 $143,666.72 nat. median
$132,706
1.1× median
7
MS_DRG 		Lung Transplant 8 $92,568.03 $228,571.03 $137,880.78 nat. median
$122,690
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $85,903.95 $230,939.55 $128,327.14 nat. median
$114,305
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $80,999.71 $259,393.68 $121,000.96 nat. median
$108,240
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $80,906.78 $199,776.82 $118,954.92 nat. median
$96,134
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $78,779.54 $194,524.18 $117,342.72 nat. median
$96,835
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $77,728.07 $191,927.87 $115,776.54 nat. median
$100,978
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $73,699.45 $198,168.21 $110,095.52 nat. median
$99,646
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $94,347.33 $183,527.59 $109,641.71 nat. median
$83,623
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 9 $5,682.50 $249,023.88 $104,643.09 nat. median
$98,002
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $73,897.17 $196,241.40 $104,613.37 nat. median
$69,291
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $34,793.23 $189,788.89 $104,309.11 nat. median
$92,900
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $64,400.62 $159,019.44 $95,925.21 nat. median
$81,124
1.2× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $93,943.97 $157,251.39 $95,255.76 nat. median
$58,534
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $60,067.50 $176,344.49 $94,025.64 nat. median
$80,459
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $65,177.06 $170,409.67 $92,565.95 nat. median
$65,655
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $61,898.11 $152,840.18 $92,197.70 nat. median
$81,364
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $60,256.93 $162,308.74 $90,014.47 nat. median
$79,040
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $85,718.16 $143,482.33 $88,196.74 nat. median
$51,048
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $56,246.18 $201,468.92 $84,023.05 nat. median
$77,385
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $48,540.66 $148,640.17 $81,869.88 nat. median
$74,472
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $54,647.89 $147,598.55 $81,635.45 nat. median
$73,475
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $27,899.04 $146,841.01 $81,247.18 nat. median
$71,485
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $78,716.12 $131,761.72 $79,633.60 nat. median
$46,826
1.7× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $70,614.10 $123,386.26 $77,975.95 nat. median
$62,767
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $63,005.77 $123,789.02 $77,827.42 nat. median
$63,643
1.2× median
10
MS_DRG 		Pancreas Transplant 8 $51,291.90 $126,651.11 $76,399.68 nat. median
$67,750
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $51,270.46 $126,598.16 $76,367.74 nat. median
$62,911
1.2× median
J9226
HCPCS 		Supprelin La Implant 3 $53,077.85 $140,472.31 $76,344.93 nat. median
$55,200
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $50,998.12 $125,925.69 $75,962.09 nat. median
$69,153
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $28,750.23 $127,408.29 $75,863.88 nat. median
$66,640
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $48,646.46 $126,345.89 $74,936.94 nat. median
$68,581
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $49,163.23 $129,549.00 $73,442.22 nat. median
$65,792
1.1× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $64,925.85 $122,833.57 $73,382.33 nat. median
$40,712
1.8× median

Other procedures at this hospital

Browse this hospital's 14,763 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
             
J3392 HCPCS Inj, Exagamglogene Autotem 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 1 — — $3,264,000.00 $3,264,000.00 $3,264,000.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 1 — — $3,162,000.00 $3,162,000.00 $3,162,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 2 — — $2,856,000.00 $4,897,200.00 $2,856,000.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 2 — — $2,368,485.25 $3,965,706.94 $2,368,485.25 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 2 — — $933,279.34 $1,639,174.88 $1,336,211.97 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 2 — — $909,675.26 $1,632,764.82 $1,330,986.66 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 2 — — $871,715.51 $1,631,105.06 $1,329,633.66 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 2 — — $852,201.85 $1,600,559.03 $1,304,733.35 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 2 — — $805,284.99 $1,426,492.91 $1,162,839.26 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 2 — — $807,703.30 $1,325,558.46 $965,528.96 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 8 — — $308,670.65 $762,176.42 $459,767.27 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 8 — — $37,041.64 $510,384.85 $298,804.83 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 8 — — $152,613.37 $376,836.33 $227,318.77 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 8 — — $107,993.41 $374,624.78 $220,147.77 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 9 — — $94,350.12 $244,477.21 $143,666.72 2026-04-01
7 MS_DRG Lung Transplant 17 8 — — $92,568.03 $228,571.03 $137,880.78 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 8 — — $85,903.95 $230,939.55 $128,327.14 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 8 — — $80,999.71 $259,393.68 $121,000.96 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 7 — — $80,906.78 $199,776.82 $118,954.92 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 8 — — $78,779.54 $194,524.18 $117,342.72 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 8 — — $77,728.07 $191,927.87 $115,776.54 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 8 — — $73,699.45 $198,168.21 $110,095.52 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $94,347.33 $183,527.59 $109,641.71 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 9 — — $5,682.50 $249,023.88 $104,643.09 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 2 — — $73,897.17 $196,241.40 $104,613.37 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 8 — — $34,793.23 $189,788.89 $104,309.11 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 8 — — $64,400.62 $159,019.44 $95,925.21 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $93,943.97 $157,251.39 $95,255.76 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 9 — — $60,067.50 $176,344.49 $94,025.64 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 3 — — $65,177.06 $170,409.67 $92,565.95 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 8 — — $61,898.11 $152,840.18 $92,197.70 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 8 — — $60,256.93 $162,308.74 $90,014.47 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $85,718.16 $143,482.33 $88,196.74 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 8 — — $56,246.18 $201,468.92 $84,023.05 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 8 — — $48,540.66 $148,640.17 $81,869.88 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 8 — — $54,647.89 $147,598.55 $81,635.45 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 8 — — $27,899.04 $146,841.01 $81,247.18 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 2 — — $78,716.12 $131,761.72 $79,633.60 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 4 — — $70,614.10 $123,386.26 $77,975.95 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 2 — — $63,005.77 $123,789.02 $77,827.42 2026-04-01
10 MS_DRG Pancreas Transplant 17 8 — — $51,291.90 $126,651.11 $76,399.68 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 8 — — $51,270.46 $126,598.16 $76,367.74 2026-04-01
J9226 HCPCS Supprelin La Implant 12 3 — — $53,077.85 $140,472.31 $76,344.93 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 8 — — $50,998.12 $125,925.69 $75,962.09 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 8 — — $28,750.23 $127,408.29 $75,863.88 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 9 — — $48,646.46 $126,345.89 $74,936.94 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 8 — — $49,163.23 $129,549.00 $73,442.22 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $64,925.85 $122,833.57 $73,382.33 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 8 — — $48,113.90 $118,803.92 $71,666.02 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 8 — — $47,795.10 $118,016.73 $71,191.17 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 8 — — $47,760.08 $117,930.24 $71,139.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 1 — — $61,878.30 $121,968.17 $69,280.46 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 8 — — $28,939.72 $116,054.05 $69,103.11 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 8 — — $32,322.57 $115,632.21 $68,851.94 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 4 — — $42,491.76 $122,458.66 $68,514.79 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 10 — — $44,266.35 $122,961.11 $67,248.88 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $62,922.85 $110,527.41 $66,030.47 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 8 — — $43,805.80 $138,975.74 $65,439.06 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 8 — — $43,755.05 $108,194.88 $65,173.48 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 9 — — $19,444.27 $113,572.46 $64,746.33 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 8 — — $43,335.46 $119,049.73 $64,736.44 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 8 — — $42,947.33 $106,046.50 $63,970.37 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 10 — — $9,335.15 $121,993.27 $63,758.47 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 8 — — $42,624.24 $126,474.40 $63,673.98 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 8 — — $42,385.50 $126,373.91 $63,317.34 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 10 — — $12,623.99 $106,016.49 $63,126.36 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 8 — — $41,948.75 $112,276.32 $62,664.91 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 8 — — $41,921.59 $105,199.50 $62,624.33 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $61,381.30 $102,745.23 $62,462.53 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 8 — — $41,223.23 $101,789.32 $61,402.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 8 — — $40,960.18 $105,516.43 $61,188.14 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 8 — — $40,186.06 $99,228.30 $60,031.72 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 7 — — $40,792.92 $100,726.79 $59,976.67 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 8 — — $40,061.68 $101,436.93 $59,845.92 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 8 — — $37,503.19 $100,596.18 $59,247.79 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 8 — — $39,478.40 $97,480.95 $58,803.38 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 8 — — $39,241.81 $106,438.24 $58,621.15 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 8 — — $39,103.13 $103,951.11 $58,414.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 8 — — $39,047.38 $99,469.64 $58,330.71 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 8 — — $38,985.91 $96,264.87 $58,069.80 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 8 — — $38,830.08 $95,880.10 $57,837.70 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 9 — — $12,269.10 $106,022.75 $57,702.47 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 8 — — $38,118.85 $100,592.42 $56,943.64 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $33,638.96 $98,243.43 $56,928.31 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 8 — — $38,095.98 $94,067.44 $56,744.25 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 8 — — $37,840.08 $152,775.72 $56,527.20 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 9 — — $25,490.51 $106,074.93 $55,326.07 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 8 — — $32,615.18 $98,812.59 $54,706.15 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 5 — — $7,669.98 $96,625.00 $54,148.04 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 8 — — $36,027.35 $89,038.01 $53,663.01 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 12 — — $1,828.62 $97,817.35 $53,555.93 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 4 1 — — $53,040.00 $53,040.00 $53,040.00 2026-04-01
43844 HCPCS Description Not Available 3 1 — — $31,535.00 $62,631.00 $52,455.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 9 — — $15,787.09 $222,431.48 $52,401.34 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 8 — — $35,033.78 $94,319.53 $52,335.01 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 9 — — $29,634.51 $101,570.27 $51,729.31 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 8 — — $26,432.22 $96,831.78 $51,411.17 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 8 — — $34,341.14 $103,854.48 $51,300.32 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 8 — — $34,030.20 $113,014.53 $50,835.82 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 8 — — $33,605.61 $82,979.71 $50,055.81 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 8 — — $33,436.91 $95,618.17 $49,949.55 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 8 — — $33,145.28 $94,025.79 $49,513.89 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 8 — — $1,412.65 $87,437.90 $48,814.37 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $48,705.00 $48,705.00 $48,705.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 9 — — $31,628.26 $96,858.83 $48,575.87 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 8 — — $32,499.81 $82,662.69 $48,549.66 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 9 — — $29,224.48 $81,516.53 $48,538.12 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 17 8 — — $32,372.58 $90,858.42 $48,359.59 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 8 — — $32,026.61 $80,834.54 $47,842.78 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 8 — — $30,313.24 $74,850.12 $47,450.31 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 10 — — $10,591.15 $86,736.40 $47,179.12 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 10 — — $12,736.92 $181,508.74 $46,346.51 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 9 — — $297.50 $127,085.07 $46,179.03 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 8 — — $30,685.65 $75,769.69 $45,706.51 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 8 — — $30,488.36 $75,282.55 $45,412.65 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 8 — — $30,120.96 $80,774.64 $44,996.02 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 9 — — $2,995.52 $77,532.92 $44,927.36 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 3 — — $33,114.03 $83,850.97 $44,891.96 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 8 — — $30,135.97 $74,412.40 $44,887.75 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 8 — — $29,997.30 $86,284.19 $44,811.29 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 8 — — $29,941.54 $75,875.75 $44,728.01 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 8 — — $27,767.59 $98,967.19 $44,555.02 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 8 — — $15,215.15 $76,256.45 $44,281.36 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 9 — — $28,869.50 $76,378.61 $43,633.17 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 8 — — $26,700.49 $72,815.08 $43,356.94 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 — — $29,662.40 $78,770.19 $43,328.07 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 10 — — $29,349.00 $80,216.14 $43,192.78 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 6 — — $26,473.54 $78,024.69 $43,005.93 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 9 — — $27,444.04 $70,319.37 $41,870.90 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 39 11 — — $15,425.34 $95,065.47 $41,833.12 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 8 — — $27,962.26 $75,742.41 $41,771.27 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 8 — — $26,497.79 $70,961.83 $41,700.63 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 8 — — $27,835.74 $68,732.63 $41,461.55 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 10 — — $16,019.13 $82,673.32 $41,299.93 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 9 — — $27,321.46 $69,566.14 $41,211.34 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 10 — — $16,977.58 $84,459.91 $41,194.68 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 8 — — $27,626.31 $68,215.49 $41,149.59 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 9 — — $24,384.56 $75,912.47 $40,579.29 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 2 1 — — $30,344.88 $50,793.83 $40,569.36 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 8 — — $26,780.70 $66,127.49 $39,890.05 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 8 — — $26,714.22 $65,963.35 $39,791.03 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 8 — — $15,150.32 $71,019.38 $39,737.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 8 — — $26,489.06 $65,407.37 $39,455.65 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 8 — — $26,255.32 $64,830.22 $39,107.50 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 10 — — $21,222.32 $73,121.94 $39,029.84 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 8 — — $25,880.76 $65,670.22 $38,661.83 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 9 — — $21,318.74 $66,908.95 $38,602.83 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 10 — — $22,623.10 $65,521.41 $38,586.68 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 8 — — $25,862.89 $63,861.23 $38,522.98 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 8 — — $25,817.15 $68,389.24 $38,454.83 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 9 — — $7,612.93 $81,476.13 $38,442.81 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 8 — — $25,609.85 $69,525.55 $38,257.14 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 8 — — $24,359.37 $64,043.03 $38,242.61 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 8 — — $18,917.52 $67,598.85 $38,227.32 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 8 — — $25,550.53 $77,891.35 $38,168.51 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 8 — — $25,465.46 $69,129.39 $38,041.44 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 9 — — $24,015.78 $78,198.61 $38,018.21 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 8 — — $23,735.52 $73,396.35 $37,949.97 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 8 — — $25,156.67 $71,075.42 $37,580.15 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 8 — — $19,320.32 $67,065.48 $37,547.71 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 9 — — $20,786.39 $78,498.15 $37,528.37 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 2 1 — — $28,065.90 $46,979.08 $37,522.49 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $36,627.67 $61,310.50 $37,444.92 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $37,265.77 $62,589.81 $37,391.95 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 14 — — $425.00 $97,728.46 $36,725.19 2026-04-01
791 MS_DRG Prematurity With Major Problems 27 9 — — $2,613.78 $72,410.78 $36,433.58 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 8 — — $21,048.88 $60,983.90 $36,429.06 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 8 — — $24,353.95 $67,977.62 $36,381.01 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 9 — — $19,883.18 $61,270.21 $36,216.24 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 9 — — $22,734.86 $60,973.69 $35,831.11 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 26 9 — — $7,206.70 $91,542.73 $35,676.59 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 9 — — $18,316.27 $79,912.74 $35,667.38 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 7 — — $21,481.38 $60,691.29 $35,168.28 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 8 — — $23,531.93 $62,029.39 $35,153.04 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 9 — — $18,748.52 $84,612.63 $35,063.96 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 8 — — $22,440.32 $77,263.28 $34,716.04 2026-04-01
652 MS_DRG Kidney Transplant 17 8 — — $23,084.47 $64,054.65 $34,484.60 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 8 — — $23,067.31 $63,851.73 $34,408.95 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 17 8 — — $23,022.28 $57,437.77 $34,314.05 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 9 — — $22,429.09 $58,098.51 $34,262.99 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 8 — — $6,699.96 $63,635.29 $33,997.18 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 8 — — $22,712.06 $99,668.69 $33,928.28 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 8 — — $22,347.85 $64,305.87 $33,897.92 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 9 — — $22,621.99 $59,289.10 $33,744.68 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 8 — — $19,615.68 $56,663.56 $33,739.70 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 8 — — $8,653.40 $69,946.84 $33,738.04 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 8 — — $21,348.05 $60,094.95 $33,693.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 11 — — $16,008.34 $63,652.96 $33,662.14 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 10 — — $18,751.88 $61,074.48 $33,505.71 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 9 — — $19,250.02 $57,758.56 $33,453.94 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 10 — — $15,596.79 $67,517.69 $33,289.15 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 8 — — $22,310.34 $61,430.31 $33,279.79 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 8 — — $22,224.56 $58,278.40 $33,200.04 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 9 — — $17,522.48 $57,159.53 $33,121.76 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 2 — — $33,049.52 $55,362.26 $33,074.12 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 18 8 — — $21,527.97 $61,428.38 $32,643.25 2026-04-01
263 MS_DRG Vein Ligation And Stripping 17 8 — — $21,854.30 $53,963.11 $32,552.14 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 2 1 — — $24,228.34 $40,555.45 $32,391.89 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 8 — — $19,707.75 $55,031.80 $32,258.07 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 10 — — $2,054.34 $89,830.33 $32,211.51 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 8 — — $21,587.67 $53,787.27 $32,155.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 8 — — $19,255.25 $53,311.83 $31,852.41 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 8 — — $21,275.31 $52,533.46 $31,689.73 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 10 — — $212.50 $61,341.42 $31,460.35 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 9 — — $8,190.37 $56,892.80 $31,405.52 2026-04-01
570 MS_DRG Skin Debridement With Mcc 18 8 — — $19,536.71 $58,645.58 $31,359.48 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 17 8 — — $21,044.43 $51,963.37 $31,345.83 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 9 — — $16,504.06 $53,246.52 $31,290.25 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 9 — — $20,067.74 $54,392.15 $31,089.24 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 10 — — $13,110.91 $72,215.59 $30,997.30 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 8 — — $20,730.63 $54,740.00 $30,968.34 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 8 — — $20,179.80 $57,316.02 $30,942.58 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 9 — — $15,087.07 $59,559.65 $30,940.01 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 8 — — $20,639.14 $56,442.53 $30,831.66 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 15 7 — — $3,171.00 $61,105.15 $30,804.94 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 8 — — $20,629.13 $52,621.98 $30,727.24 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 17 8 — — $20,599.11 $50,863.77 $30,682.52 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 11 — — $14,681.22 $55,615.15 $30,591.48 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 29 10 — — $15,848.94 $56,946.91 $30,556.95 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 8 — — $16,849.59 $189,760.84 $30,437.64 2026-04-01
2038 OTHER Gen, Neuro, Clo Loop, Rechg 1 1 — — $30,201.78 $30,201.78 $30,201.78 2026-04-01
800 MS_DRG Splenic Procedures With Cc 17 8 — — $20,081.59 $50,762.91 $29,998.77 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 32 9 — — $1,545.98 $74,379.99 $29,864.76 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 22 9 — — $14,033.22 $55,526.52 $29,847.54 2026-04-01
503 MS_DRG Foot Procedures With Mcc 21 8 — — $15,924.80 $49,514.52 $28,949.29 2026-04-01
5742 OTHER Level 2 Electronic Analysis Of Devices 1 1 — — $28,864.58 $28,864.58 $28,864.58 2026-04-01
849 MS_DRG Radiotherapy 17 8 — — $19,367.51 $47,822.68 $28,848.05 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 8 — — $19,281.02 $49,091.30 $28,761.03 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 18 9 — — $14,796.19 $46,771.11 $28,615.26 2025-12-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 10 — — $6,191.32 $61,039.95 $28,504.38 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 21 9 — — $18,141.48 $53,943.81 $28,502.26 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 8 — — $19,013.68 $61,725.98 $28,403.48 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 10 — — $3,035.50 $54,013.38 $28,354.97 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 8 — — $18,947.20 $48,490.29 $28,263.08 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 17 8 — — $18,852.14 $53,872.30 $28,162.16 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 3 2 — — $26,374.55 $44,147.96 $28,104.22 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 8 — — $5,593.42 $52,063.48 $28,068.71 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 17 8 — — $18,531.19 $54,455.92 $27,682.72 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 9 — — $16,742.13 $48,924.04 $27,603.81 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 8 — — $1,894.31 $57,727.64 $27,539.10 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 8 — — $18,436.12 $50,757.36 $27,487.49 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 17 8 — — $18,436.12 $45,522.88 $27,460.74 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 20 8 — — $12,099.84 $50,283.65 $27,377.04 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 11 2 — — $23,789.46 $43,217.52 $27,171.30 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 17 8 — — $18,033.69 $46,490.15 $26,939.53 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 27 10 — — $11,935.46 $50,134.85 $26,921.56 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 20 9 — — $17,523.95 $50,594.78 $26,830.76 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 31 9 — — $7,094.11 $44,762.17 $26,786.48 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 17 8 — — $17,812.10 $47,278.61 $26,608.51 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 20 8 — — $17,450.41 $45,856.29 $26,425.50 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 21 8 — — $6,895.48 $47,908.61 $26,422.66 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 6 4 — — $21,541.85 $46,830.64 $26,342.85 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 33 11 — — $14,121.54 $49,643.99 $26,178.93 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 30 9 — — $12,167.36 $48,107.70 $25,837.61 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 17 8 — — $17,549.05 $43,332.52 $25,464.30 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 7 — — $17,313.89 $42,751.83 $25,456.11 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 11 — — $9,658.31 $48,009.10 $25,351.24 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 8 — — $17,193.08 $42,453.55 $25,278.50 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 24 10 — — $14,766.06 $42,907.30 $25,122.96 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 17 8 — — $16,805.66 $44,499.68 $25,105.05 2026-04-01
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/Mcc 2 1 — — $18,751.39 $31,387.67 $25,069.53 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 12 5 — — $15,306.09 $51,910.73 $24,972.78 2025-12-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 18 8 — — $12,747.13 $42,022.21 $24,917.19 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 21 9 — — $9,095.04 $44,681.33 $24,899.07 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 17 9 — — $16,840.41 $42,269.99 $24,839.90 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 17 8 — — $16,634.11 $41,073.32 $24,776.63 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 8 — — $16,520.46 $43,514.10 $24,643.17 2026-04-01
333 MS_DRG Rectal Resection With Cc 18 8 — — $14,882.10 $41,339.83 $24,615.35 2026-04-01
81416 HCPCS Exome Sequence Analysis 30 4 — — $12,000.00 $69,074.40 $24,615.00 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 40 10 — — $4,869.49 $48,762.77 $24,517.36 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 17 8 — — $16,408.95 $46,594.51 $24,512.42 2026-04-01
5432 OTHER Level 2 Nerve Procedures 15 7 — — $2,659.61 $55,284.33 $24,382.52 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 8 — — $2,534.84 $48,925.10 $24,362.92 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 19 8 — — $806.90 $42,612.40 $24,343.39 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 19 9 — — $12,387.18 $41,714.95 $24,334.78 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 8 — — $7,625.52 $41,055.96 $24,311.27 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 18 9 — — $14,644.19 $41,525.56 $24,264.65 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 33 10 — — $9,622.89 $52,701.21 $24,134.27 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 23 8 — — $9,902.86 $41,291.73 $24,120.09 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 20 8 — — $1,808.89 $41,185.59 $24,118.25 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 2 — — $23,756.09 $40,139.96 $23,980.12 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 24 10 — — $12,121.40 $44,045.54 $23,875.14 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 18 8 — — $16,001.51 $46,269.85 $23,869.07 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 19 9 — — $15,590.83 $42,706.32 $23,820.53 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 17 8 — — $15,865.70 $39,175.94 $23,632.08 2026-04-01
132 MS_DRG Cranial/Facial Procedures Without Cc/Mcc 2 1 — — $17,647.69 $29,540.20 $23,593.94 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 17 8 — — $15,801.37 $39,017.09 $23,536.26 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 21 10 — — $13,960.90 $42,406.78 $23,498.80 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 10 — — $13,130.91 $58,562.48 $23,476.05 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 18 9 — — $15,459.00 $42,045.40 $23,406.32 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 18 8 — — $15,666.99 $45,676.57 $23,370.07 2026-04-01
835 MS_DRG Acute Leukemia With Cc 18 8 — — $14,909.30 $41,278.20 $23,338.01 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 8 — — $15,639.11 $42,343.01 $23,328.49 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 18 8 — — $15,129.46 $40,141.89 $23,291.16 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 8 — — $15,563.34 $44,886.18 $23,249.21 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 22 9 — — $7,189.14 $42,128.50 $23,235.86 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 15 8 — — $15,590.50 $38,496.42 $23,222.17 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 22 8 — — $7,620.99 $41,533.29 $23,203.92 2026-04-01
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