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

ST. PATRICK HOSPITAL

Missoula, MT · CCN 270014 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $569 across 5 payers · range $265-$1,642

Source: https://pricetransparency.providence.org/wamt/live/810231793_st-patrick-hospital_standardcharges.json · 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.

11,099 distinct procedures filed
10 distinct payers
108,108 rate rows
2026-04-01 last MRF observed
Data quality

60,109 of 108,108 rate rows are consumer-grade (55.6%)

47,999 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 43,529
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
placeholder amount (≤ $0.02) — excluded from medians 14
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/810231793_st-patrick-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-21
Content fingerprint 06b75d02d97f578b… · 182,407,616 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
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $778,326.20 $2,378,903.94 $1,051,896.30 nat. median
$813,967
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $620,322.62 $1,785,287.98 $807,879.01 nat. median
$739,258
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $594,379.76 $1,708,280.45 $773,446.83 nat. median
$646,415
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $567,883.44 $1,672,029.27 $749,954.64 nat. median
$640,950
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $565,378.89 $1,670,871.00 $748,358.64 nat. median
$622,450
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $537,167.61 $1,645,607.08 $727,017.30 nat. median
$608,239
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $494,183.51 $1,511,765.64 $668,246.66 nat. median
$591,721
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $349,107.70 $1,221,129.44 $356,020.73 nat. median
$359,454
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $309,285.76 $309,285.76 $309,285.76 nat. median
$70,732
outlier · 4.4×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $258,670.57 $258,670.57 $258,670.57 nat. median
$47,543
outlier · 5.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $171,766.69 $683,690.19 $249,615.04 nat. median
$190,559
1.3× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $239,501.53 $239,501.53 $239,501.53 nat. median
$39,452
outlier · 6.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $226,676.53 $950,887.84 $231,165.18 nat. median
$249,036
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $224,089.27 $224,089.27 $224,089.27 nat. median
$52,712
outlier · 4.3×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $216,248.01 $216,248.01 $216,248.01 nat. median
$38,225
outlier · 5.7×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $205,774.97 $205,774.97 $205,774.97 nat. median
$49,540
outlier · 4.2×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $179,467.84 $179,467.84 $179,467.84 nat. median
$22,425
outlier · 8.0×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $176,308.56 $176,308.56 $176,308.56 nat. median
$32,619
outlier · 5.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $172,778.68 $641,294.64 $176,200.04 nat. median
$198,418
0.9× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $170,869.34 $170,869.34 $170,869.34 nat. median
$34,024
outlier · 5.0×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $169,619.33 $169,619.33 $169,619.33 nat. median
$31,634
outlier · 5.4×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $161,757.79 $161,757.79 $161,757.79 nat. median
$38,810
outlier · 4.2×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $127,230.54 $127,230.54 $127,230.54 nat. median
$31,588
outlier · 4.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $110,858.64 $463,911.75 $113,878.55 nat. median
$126,695
0.9× median
7
MS_DRG 		Lung Transplant 5 $104,933.48 $412,411.42 $107,011.37 nat. median
$117,974
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $54,795.19 $229,423.77 $106,503.77 nat. median
$62,655
1.7× median
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 $101,683.08 $101,683.08 $101,683.08 nat. median
$18,381
outlier · 5.5×
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 $101,196.59 $101,196.59 $101,196.59 nat. median
$20,454
outlier · 4.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $97,403.73 $378,144.31 $99,332.52 nat. median
$110,307
0.9× median
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $95,797.36 $95,797.36 $95,797.36 nat. median
$22,408
outlier · 4.3×
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 1 $95,797.36 $95,797.36 $95,797.36 nat. median
$28,039
outlier · 3.4×
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $95,797.36 $95,797.36 $95,797.36 nat. median
$39,035
outlier · 2.5×
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $95,797.36 $95,797.36 $95,797.36 nat. median
$22,408
outlier · 4.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $91,862.44 $455,175.21 $93,681.50 nat. median
$104,013
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $91,757.44 $181,697.90 $93,120.17 nat. median
$92,678
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $56,831.88 $172,705.21 $92,514.71 nat. median
$65,720
1.4× median
5232
OTHER 		Level 2 Icd And Similar Procedures 5 $32,014.35 $148,960.99 $92,111.31 nat. median
$32,779
outlier · 2.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $89,353.87 $176,938.36 $90,680.91 nat. median
$93,276
1.0× median
338
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Mcc 1 $89,747.20 $89,747.20 $89,747.20 nat. median
$17,928
outlier · 5.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $85,576.56 $205,974.00 $89,038.74 nat. median
$97,323
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $64,925.12 $195,811.66 $87,021.78 nat. median
$68,423
1.3× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,392.79 $153,674.96 $86,089.20 nat. median
$63,528
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $83,613.88 $385,374.09 $85,269.60 nat. median
$95,038
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 5 $80,758.83 $348,083.31 $82,508.18 nat. median
$93,901
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $59,042.30 $274,606.49 $81,455.18 nat. median
$72,398
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $75,751.42 $329,120.35 $80,530.39 nat. median
$90,551
0.9× median
341
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis With Mcc 1 $76,318.06 $76,318.06 $76,318.06 nat. median
$14,666
outlier · 5.2×
J9226
HCPCS 		Supprelin La Implant 5 $41,585.16 $140,644.93 $74,634.80 nat. median
$55,159
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $73,107.14 $144,766.62 $74,192.89 nat. median
$78,049
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 5 $48,867.07 $198,565.46 $73,300.61 nat. median
$54,460
1.3× median

Other procedures at this hospital

Browse this hospital's 11,099 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
             
Q2057 HCPCS Afamitresgene Autoleucel 6 5 — — $778,326.20 $2,378,903.94 $1,051,896.30 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $620,322.62 $1,785,287.98 $807,879.01 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 5 — — $594,379.76 $1,708,280.45 $773,446.83 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 5 — — $567,883.44 $1,672,029.27 $749,954.64 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 5 — — $565,378.89 $1,670,871.00 $748,358.64 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $537,167.61 $1,645,607.08 $727,017.30 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 5 — — $494,183.51 $1,511,765.64 $668,246.66 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 5 — — $349,107.70 $1,221,129.44 $356,020.73 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $309,285.76 $309,285.76 $309,285.76 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $258,670.57 $258,670.57 $258,670.57 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 5 — — $171,766.69 $683,690.19 $249,615.04 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $239,501.53 $239,501.53 $239,501.53 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 5 — — $226,676.53 $950,887.84 $231,165.18 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $224,089.27 $224,089.27 $224,089.27 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $216,248.01 $216,248.01 $216,248.01 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $205,774.97 $205,774.97 $205,774.97 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 1 1 — — $179,467.84 $179,467.84 $179,467.84 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $176,308.56 $176,308.56 $176,308.56 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 5 — — $172,778.68 $641,294.64 $176,200.04 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $170,869.34 $170,869.34 $170,869.34 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $169,619.33 $169,619.33 $169,619.33 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $161,757.79 $161,757.79 $161,757.79 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $127,230.54 $127,230.54 $127,230.54 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 5 — — $110,858.64 $463,911.75 $113,878.55 2026-04-01
7 MS_DRG Lung Transplant 5 5 — — $104,933.48 $412,411.42 $107,011.37 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 6 — — $54,795.19 $229,423.77 $106,503.77 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $101,683.08 $101,683.08 $101,683.08 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $101,196.59 $101,196.59 $101,196.59 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 5 5 — — $97,403.73 $378,144.31 $99,332.52 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 5 — — $91,862.44 $455,175.21 $93,681.50 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 4 — — $91,757.44 $181,697.90 $93,120.17 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 5 — — $56,831.88 $172,705.21 $92,514.71 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 6 5 — — $32,014.35 $148,960.99 $92,111.31 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $89,353.87 $176,938.36 $90,680.91 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $89,747.20 $89,747.20 $89,747.20 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 5 — — $85,576.56 $205,974.00 $89,038.74 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 5 — — $64,925.12 $195,811.66 $87,021.78 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 4 — — $57,392.79 $153,674.96 $86,089.20 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 5 — — $83,613.88 $385,374.09 $85,269.60 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 5 — — $80,758.83 $348,083.31 $82,508.18 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 6 — — $59,042.30 $274,606.49 $81,455.18 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 5 — — $75,751.42 $329,120.35 $80,530.39 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $76,318.06 $76,318.06 $76,318.06 2026-04-01
J9226 HCPCS Supprelin La Implant 8 5 — — $41,585.16 $140,644.93 $74,634.80 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $73,107.14 $144,766.62 $74,192.89 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 6 5 — — $48,867.07 $198,565.46 $73,300.61 2026-04-01
0775T OTHER Arthrd Si Jt Prq Iartic Impl 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
0809T OTHER Arthrd Si Jt Prq Tfx&implt 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $70,279.55 $139,167.42 $71,323.30 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $68,425.18 $283,555.87 $69,780.13 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $68,211.15 $285,447.77 $69,561.86 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 4 — — $31,624.61 $72,733.76 $67,301.25 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 5 5 — — $64,906.16 $137,808.51 $66,191.43 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 10 7 — — $24,522.49 $110,675.04 $65,631.11 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 5 — — $63,893.44 $314,302.69 $65,158.65 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $64,510.55 $64,510.55 $64,510.55 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $41,756.75 $183,619.42 $63,562.63 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 5 — — $59,473.81 $261,653.70 $63,009.63 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 5 — — $58,935.52 $250,356.33 $62,802.25 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 5 — — $48,502.02 $203,947.25 $61,878.92 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $61,375.39 $61,375.39 $61,375.39 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $58,642.08 $165,040.36 $59,803.31 2026-04-01
10 MS_DRG Pancreas Transplant 5 5 — — $58,295.60 $140,095.49 $59,449.97 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 5 — — $58,271.37 $209,166.88 $59,425.26 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 5 — — $57,963.66 $241,035.33 $59,111.45 2026-04-01
0618T OTHER Insj Iris Prosth Sec Io Lens 1 1 — — $59,028.01 $59,028.01 $59,028.01 2026-04-01
0616T OTHER Insertion Of Iris Prosthesis 1 1 — — $59,028.01 $59,028.01 $59,028.01 2026-04-01
0617T OTHER Insj Iris Prosth W/rmvl&insj 1 1 — — $59,028.01 $59,028.01 $59,028.01 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 4 — — $53,883.65 $114,712.36 $58,216.52 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 5 4 — — $22,106.66 $65,713.80 $56,588.10 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 5 — — $51,343.05 $233,812.31 $56,443.79 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 1 1 — — $56,050.90 $56,050.90 $56,050.90 2026-04-01
37229 HCPCS Hc Tib/per Revasc W/ather 1 1 — — $56,050.90 $56,050.90 $56,050.90 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $56,050.90 $56,050.90 $56,050.90 2026-04-01
37230 HCPCS Hc Tib/per Revasc W/stent 1 1 — — $56,050.90 $56,050.90 $56,050.90 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 5 — — $51,863.59 $227,569.02 $55,517.23 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 4 — — $50,783.74 $108,798.38 $55,151.68 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $54,304.99 $107,534.64 $55,111.50 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $55,013.87 $55,013.87 $55,013.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $53,253.43 $198,328.97 $54,307.96 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 5 — — $350.00 $200,633.04 $54,240.22 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $49,342.04 $214,487.86 $53,975.64 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 5 4 — — $21,194.41 $60,054.69 $53,575.13 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $52,844.93 $52,844.93 $52,844.93 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 5 — — $27,235.17 $221,822.37 $52,828.83 2026-04-01
509 MS_DRG Arthroscopy 1 1 — — $51,280.73 $51,280.73 $51,280.73 2026-04-01
5166 OTHER Cochlear Implant Procedure 5 4 — — $31,452.10 $68,352.67 $51,125.72 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 6 — — $44,853.99 $222,998.05 $50,823.94 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 5 — — $49,779.72 $244,852.92 $50,765.46 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $49,305.63 $197,899.92 $50,281.98 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 4 — — $48,786.31 $113,841.95 $49,337.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 — — $48,343.72 $203,416.84 $49,301.02 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 5 5 — — $48,232.26 $205,555.37 $49,187.35 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $49,094.91 $49,094.91 $49,094.91 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 11 6 — — $11,600.00 $202,366.16 $48,684.10 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 5 — — $18,135.21 $179,649.80 $48,416.63 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $46,919.01 $92,908.94 $47,615.83 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 6 — — $38,121.27 $173,713.95 $47,287.63 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 4 — — $46,432.81 $91,946.16 $47,122.40 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 5 — — $40,462.09 $177,082.21 $47,061.76 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 6 — — $529.41 $193,629.62 $46,852.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 5 5 — — $45,606.58 $188,889.72 $46,509.68 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $45,747.11 $90,588.34 $46,426.53 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $45,450.50 $90,001.00 $46,350.52 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 5 5 — — $45,450.50 $95,797.36 $46,350.52 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 5 — — $30,473.59 $283,164.22 $46,099.30 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $45,296.45 $89,695.94 $45,969.17 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 5 — — $44,947.55 $216,731.12 $45,837.60 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 5 — — $30,525.30 $125,936.62 $45,787.95 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 5 — — $44,523.53 $187,227.55 $45,405.18 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 5 — — $22,422.59 $186,825.52 $45,343.77 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 9 6 — — $41,929.66 $175,213.96 $45,340.93 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 5 5 — — $44,215.00 $147,639.46 $45,090.55 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 5 — — $40,438.99 $174,501.12 $45,050.34 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 5 — — $29,623.96 $125,487.29 $44,435.93 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 5 5 — — $13,565.41 $83,108.96 $44,175.13 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $43,385.54 $85,911.96 $44,029.88 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 5 — — $43,096.40 $229,366.33 $43,949.79 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 5 — — $40,382.83 $174,325.48 $43,593.01 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 6 — — $40,759.87 $177,200.46 $43,221.69 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 5 5 — — $42,309.75 $187,727.55 $43,147.57 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 6 — — $40,314.77 $159,852.37 $41,861.03 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 5 — — $40,463.68 $172,933.54 $41,426.15 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 5 — — $40,298.70 $166,497.69 $41,096.69 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 6 — — $26,583.71 $165,575.38 $41,024.21 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 1 1 — — $40,789.41 $40,789.41 $40,789.41 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $39,925.56 $190,845.82 $40,716.17 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 5 — — $39,916.29 $157,098.98 $40,686.54 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 1 1 — — $40,537.42 $40,537.42 $40,537.42 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 5 — — $23,864.61 $170,170.01 $39,924.27 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 5 — — $19,822.00 $181,832.24 $39,724.28 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 7 7 — — $6,527.45 $73,775.83 $39,669.59 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 6 — — $37,105.68 $174,345.71 $39,367.73 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 5 5 — — $38,311.88 $156,889.52 $39,070.53 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 6 — — $17,747.62 $82,953.23 $39,013.76 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 1 1 — — $39,003.63 $39,003.63 $39,003.63 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 1 1 — — $39,001.55 $39,001.55 $39,001.55 2026-04-01
0425T OTHER Insj/rplc Nstim Apnea Sen Ld 1 1 — — $39,001.55 $39,001.55 $39,001.55 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 1 1 — — $39,001.55 $39,001.55 $39,001.55 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 5 — — $35,633.99 $154,744.23 $38,612.90 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 5 5 — — $37,791.75 $162,477.39 $38,540.10 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 5 — — $37,189.23 $164,730.78 $38,488.79 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 11 6 — — $9,448.66 $156,193.57 $38,206.52 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 4 — — $37,085.04 $74,539.26 $38,015.02 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 5 — — $35,463.64 $146,163.10 $37,925.15 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 5 5 — — $36,918.67 $175,936.94 $37,649.73 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 6 — — $34,898.64 $153,396.25 $37,612.86 2026-04-01
J9266 HCPCS Pegaspargase Injection 8 5 — — $28,708.30 $87,745.07 $37,564.70 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 5 — — $35,428.83 $149,078.66 $37,262.14 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 5 — — $36,527.77 $139,223.86 $37,251.09 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 5 — — $36,385.62 $145,494.17 $37,106.13 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 9 6 — — $35,230.47 $163,639.56 $37,073.02 2026-04-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 1 1 — — $36,915.78 $36,915.78 $36,915.78 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 5 — — $33,908.51 $142,652.94 $36,351.43 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 7 5 — — $18,043.03 $79,389.02 $35,728.78 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 5 — — $35,012.61 $138,409.67 $35,705.93 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 5 — — $25,901.49 $108,260.83 $35,677.97 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 4 — — $31,191.30 $69,883.66 $35,640.67 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 5 — — $17,470.77 $140,416.44 $35,134.16 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $34,591.82 $68,498.66 $35,105.57 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 5 — — $32,435.39 $132,078.55 $34,902.29 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 5 — — $22,674.75 $144,470.52 $34,790.76 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 5 — — $31,930.88 $148,602.30 $34,743.28 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $34,041.01 $162,605.77 $34,715.09 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 5 — — $31,365.13 $140,896.17 $34,714.90 2026-04-01
69930 HCPCS Implant Cochlear Device 5 5 — — $34,023.14 $108,779.48 $34,696.87 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 5 — — $32,082.04 $137,784.67 $34,679.35 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 1 1 — — $34,638.00 $34,638.00 $34,638.00 2026-04-01
37228 HCPCS Hc Tib/per Revasc W/tla 1 1 — — $34,638.00 $34,638.00 $34,638.00 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 1 1 — — $34,638.00 $34,638.00 $34,638.00 2026-04-01
37221 HCPCS Hc Iliac Revasc W/stent 1 1 — — $34,638.00 $34,638.00 $34,638.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 5 — — $31,379.91 $118,041.30 $34,614.59 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 5 — — $30,913.52 $135,575.19 $34,364.93 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 5 — — $29,880.52 $132,835.31 $34,218.17 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 8 6 — — $3,802.01 $142,703.62 $34,185.18 2026-04-01
0795 OTHER Inj, Lidocaine In D5w, 1 Mg 1 1 — — $34,042.16 $34,042.16 $34,042.16 2026-04-01
78 MS_DRG Hypertensive Encephalopathy With Cc 1 1 — — $33,540.76 $33,540.76 $33,540.76 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 6 — — $21,686.56 $111,789.72 $33,497.32 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $32,812.57 $64,975.38 $33,462.32 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 6 — — $4,680.51 $138,923.19 $33,451.47 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 5 — — $32,518.59 $128,784.61 $33,162.52 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 5 5 — — $32,389.42 $104,665.75 $33,030.79 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 5 — — $32,389.42 $104,665.75 $33,030.79 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 5 5 — — $32,389.42 $104,665.75 $33,030.79 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 5 — — $32,389.42 $104,665.75 $33,030.79 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 5 — — $32,389.42 $104,665.75 $33,030.79 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 5 — — $32,389.42 $104,665.75 $33,030.79 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 4 4 — — $32,389.42 $64,137.46 $32,870.44 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 5 5 — — $31,841.32 $95,797.36 $32,471.84 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 5 — — $31,841.32 $70,205.09 $32,471.84 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 5 — — $31,841.32 $95,797.36 $32,471.84 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 5 — — $31,841.32 $95,797.36 $32,471.84 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 5 5 — — $31,792.51 $102,466.87 $32,422.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $30,189.81 $133,406.26 $32,409.75 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 4 — — $31,841.32 $63,052.12 $32,314.21 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 4 4 — — $31,841.32 $63,052.12 $32,314.21 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 4 4 — — $31,841.32 $63,052.12 $32,314.21 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $31,841.32 $63,052.12 $32,314.21 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 4 — — $31,841.32 $63,052.12 $32,314.21 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $31,841.32 $63,052.12 $32,314.21 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 4 4 — — $31,841.32 $63,052.12 $32,314.21 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 4 4 — — $31,841.32 $63,052.12 $32,314.21 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 5 — — $31,602.71 $135,115.73 $32,228.50 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 5 — — $31,555.86 $107,983.80 $32,180.73 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 6 — — $466.94 $127,987.31 $31,994.19 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 5 — — $21,279.30 $81,385.66 $31,918.94 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 5 — — $21,200.95 $182,278.51 $31,801.43 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 5 — — $17,307.18 $130,598.81 $31,659.49 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 8 7 — — $4,053.90 $46,090.68 $31,210.75 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 5 — — $30,001.92 $123,845.39 $31,133.06 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 5 — — $8,618.50 $107,183.12 $30,903.38 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 5 — — $17,546.56 $123,135.92 $30,892.58 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 5 5 — — $30,270.88 $119,804.82 $30,870.31 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 7 6 — — $11,340.57 $55,342.17 $30,816.82 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 5 5 — — $30,006.79 $119,997.39 $30,600.98 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 5 — — $1,719.69 $117,767.65 $30,291.64 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 5 — — $29,646.57 $104,632.43 $30,233.63 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 5 — — $29,597.67 $89,097.36 $30,183.76 2026-04-01
332 MS_DRG Rectal Resection With Mcc 5 5 — — $29,583.58 $137,173.18 $30,169.39 2026-04-01
265 MS_DRG Aicd Lead Procedures 5 5 — — $29,563.39 $114,260.87 $30,148.80 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 5 — — $28,402.13 $131,358.95 $29,949.99 2026-04-01
295 MS_DRG Deep Vein Thrombophlebitis Without Cc/Mcc 1 1 — — $29,922.49 $29,922.49 $29,922.49 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $29,468.08 $58,352.64 $29,905.73 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 5 — — $29,277.48 $131,835.30 $29,857.23 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 5 — — $29,210.44 $144,095.52 $29,788.87 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 5 — — $29,138.56 $123,970.39 $29,715.56 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 5 — — $29,086.87 $122,335.24 $29,696.78 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 5 5 — — $29,114.33 $119,416.30 $29,690.85 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 1 1 — — $29,652.07 $29,652.07 $29,652.07 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 5 — — $26,430.28 $124,453.50 $29,614.75 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 6 — — $25,126.63 $117,696.70 $29,495.08 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 5 — — $18,394.81 $120,727.12 $29,288.48 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 5 — — $25,181.70 $122,497.41 $29,251.65 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 3 2 — — $28,821.13 $89,168.28 $29,113.93 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 5 5 — — $28,377.75 $121,777.81 $28,939.68 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 6 5 — — $26,197.03 $112,950.05 $28,937.72 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 5 — — $27,480.88 $127,179.87 $28,930.35 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 5 — — $17,555.52 $114,960.20 $28,661.50 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 5 5 — — $27,998.95 $71,452.46 $28,553.38 2026-04-01
22630 HCPCS Lumbar Spine Fusion 5 5 — — $27,998.95 $71,452.46 $28,553.38 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 5 5 — — $27,998.95 $71,452.46 $28,553.38 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 5 5 — — $27,998.95 $71,452.46 $28,553.38 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 5 5 — — $27,998.95 $71,452.46 $28,553.38 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 4 — — $28,112.84 $55,669.00 $28,530.36 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 5 — — $22,385.45 $112,108.83 $28,446.76 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 5 5 — — $27,858.43 $110,176.38 $28,410.08 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 5 5 — — $27,775.50 $89,734.74 $28,325.52 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 5 — — $24,968.85 $115,460.20 $28,309.06 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 6 — — $25,625.37 $104,966.89 $28,261.10 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 9 6 — — $15,060.63 $63,811.22 $28,137.78 2026-04-01
5378 OTHER Level 8 Urology And Related Services 2 2 — — $19,737.62 $36,187.99 $27,962.81 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 6 — — $18,639.09 $77,375.50 $27,958.63 2026-04-01
C9769 HCPCS Cysto W/temp Pros Implant 1 1 — — $27,923.42 $27,923.42 $27,923.42 2026-04-01
0421T OTHER Waterjet Prostate Abltj Cmpl 1 1 — — $27,923.42 $27,923.42 $27,923.42 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 7 5 — — $530.55 $111,814.90 $27,862.35 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 11 6 — — $11,345.95 $57,730.10 $27,589.88 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 5 5 — — $27,020.09 $114,129.11 $27,555.14 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 5 5 — — $26,971.03 $76,619.96 $27,505.11 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 5 — — $26,971.03 $76,619.96 $27,505.11 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 5 — — $26,971.03 $76,619.96 $27,505.11 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 6 5 — — $26,555.97 $113,953.43 $27,329.57 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 6 — — $24,665.35 $113,497.35 $27,326.29 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 5 — — $26,127.63 $117,348.72 $27,161.02 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 5 5 — — $26,496.72 $106,477.03 $27,021.41 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 8 7 — — $12,841.24 $48,609.09 $26,961.71 2026-04-01
652 MS_DRG Kidney Transplant 5 5 — — $26,424.04 $104,227.02 $26,947.29 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 6 — — $700.00 $118,196.70 $26,875.71 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 5 5 — — $26,353.78 $99,284.42 $26,875.64 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 5 — — $23,957.57 $109,831.78 $26,796.80 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 7 6 — — $6,684.07 $67,492.91 $26,785.72 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $24,673.12 $52,339.22 $26,693.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $26,269.78 $52,019.36 $26,659.92 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 5 5 — — $26,079.98 $105,331.76 $26,596.41 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 8 7 — — $1,135.40 $46,717.76 $26,558.48 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 5 — — $25,860.50 $111,666.26 $26,441.90 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 5 — — $1,530.83 $147,247.56 $26,260.72 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 5 — — $22,900.04 $106,916.22 $26,246.83 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 5 5 — — $25,718.16 $96,328.32 $26,227.43 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 5 — — $24,969.63 $111,517.61 $26,160.75 2026-04-01
665 MS_DRG Prostatectomy With Mcc 5 5 — — $25,549.35 $103,389.18 $26,055.28 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 4 — — $25,300.13 $51,069.38 $26,045.38 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 5 — — $24,456.59 $102,145.92 $25,830.44 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 5 — — $14,300.13 $100,919.56 $25,749.30 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 5 5 — — $25,067.18 $102,659.44 $25,563.56 2026-04-01
263 MS_DRG Vein Ligation And Stripping 5 5 — — $25,034.07 $94,122.22 $25,529.80 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 5 — — $24,706.17 $86,591.77 $25,195.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 5 — — $16,363.82 $97,571.57 $25,103.42 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 5 — — $1,071.12 $97,203.32 $25,100.14 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 6 — — $9,487.74 $109,169.62 $25,084.54 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 4 — — $24,379.87 $48,276.98 $24,741.95 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 10 6 — — $11,976.27 $70,998.90 $24,717.92 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 8 5 — — $21,770.99 $103,750.66 $24,493.60 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 6 5 — — $21,239.23 $86,780.96 $24,477.21 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 8 6 — — $19,842.86 $88,195.82 $24,454.81 2026-04-01
570 MS_DRG Skin Debridement With Mcc 8 5 — — $18,780.14 $101,696.60 $24,452.62 2026-04-01
906 MS_DRG Hand Procedures For Injuries 6 5 — — $16,205.62 $80,077.80 $24,308.43 2026-04-01
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