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

PROVIDENCE ST JOSEPH MEDICAL CENTER

Polson, MT · CCN 271343 · Rates published

9,428 distinct procedures filed
10 distinct payers
28,719 rate rows
2026-04-01 last MRF observed
Data quality

12,948 of 28,719 rate rows are consumer-grade (45.1%)

15,771 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 13,089
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
placeholder amount (≤ $0.02) — excluded from medians 9
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/810463482_providence-st-joseph-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-11
Content fingerprint bf8c2b4fee3de4b4… · 10,689,259 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
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $1,733,895.00 $2,378,903.94 $2,056,399.47 nat. median
$813,967
outlier · 2.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $1,301,230.30 $1,785,287.98 $1,543,259.14 nat. median
$621,313
outlier · 2.5×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $1,245,102.37 $1,708,280.45 $1,476,691.41 nat. median
$599,737
outlier · 2.5×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $1,218,680.23 $1,672,029.27 $1,445,354.75 nat. median
$579,571
outlier · 2.5×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $1,217,836.01 $1,670,871.00 $1,444,353.50 nat. median
$574,037
outlier · 2.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $1,199,422.07 $1,645,607.08 $1,422,514.57 nat. median
$562,501
outlier · 2.5×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $1,101,870.00 $1,511,765.64 $1,306,817.82 nat. median
$513,770
outlier · 2.5×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $1,221,129.44 $1,221,129.44 $1,221,129.44 nat. median
$168,055
outlier · 7.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $950,887.84 $950,887.84 $950,887.84 nat. median
$186,516
outlier · 5.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $683,690.19 $683,690.19 $683,690.19 nat. median
$145,435
outlier · 4.7×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $641,294.64 $641,294.64 $641,294.64 nat. median
$131,925
outlier · 4.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $463,911.75 $463,911.75 $463,911.75 nat. median
$97,418
outlier · 4.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $455,175.21 $455,175.21 $455,175.21 nat. median
$65,418
outlier · 7.0×
7
MS_DRG 		Lung Transplant 7 $412,411.42 $412,411.42 $412,411.42 nat. median
$70,649
outlier · 5.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $385,374.09 $385,374.09 $385,374.09 nat. median
$69,922
outlier · 5.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $378,144.31 $378,144.31 $378,144.31 nat. median
$72,715
outlier · 5.2×
215
MS_DRG 		Other Heart Assist System Implant 7 $348,083.31 $348,083.31 $348,083.31 nat. median
$73,023
outlier · 4.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $329,120.35 $329,120.35 $329,120.35 nat. median
$69,822
outlier · 4.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $314,302.69 $314,302.69 $314,302.69 nat. median
$56,428
outlier · 5.6×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $309,285.76 $309,285.76 $309,285.76 nat. median
$2,106
outlier · 146.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $285,447.77 $285,447.77 $285,447.77 nat. median
$59,651
outlier · 4.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $283,555.87 $283,555.87 $283,555.87 nat. median
$60,505
outlier · 4.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $274,606.49 $274,606.49 $274,606.49 nat. median
$55,923
outlier · 4.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $261,653.70 $261,653.70 $261,653.70 nat. median
$55,935
outlier · 4.7×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $258,670.57 $258,670.57 $258,670.57 nat. median
$2,024
outlier · 127.8×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $250,356.33 $250,356.33 $250,356.33 nat. median
$52,327
outlier · 4.8×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $244,852.92 $244,852.92 $244,852.92 nat. median
$41,943
outlier · 5.8×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $241,035.33 $241,035.33 $241,035.33 nat. median
$45,605
outlier · 5.3×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $239,501.53 $239,501.53 $239,501.53 nat. median
$2,024
outlier · 118.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $233,812.31 $233,812.31 $233,812.31 nat. median
$49,569
outlier · 4.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $229,423.77 $229,423.77 $229,423.77 nat. median
$48,611
outlier · 4.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 $229,366.33 $229,366.33 $229,366.33 nat. median
$38,173
outlier · 6.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $227,569.02 $227,569.02 $227,569.02 nat. median
$47,340
outlier · 4.8×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $224,089.27 $224,089.27 $224,089.27 nat. median
$2,106
outlier · 106.4×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $222,998.05 $222,998.05 $222,998.05 nat. median
$44,036
outlier · 5.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $221,822.37 $221,822.37 $221,822.37 nat. median
$47,121
outlier · 4.7×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 $216,731.12 $216,731.12 $216,731.12 nat. median
$38,844
outlier · 5.6×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 7 $216,248.01 $216,248.01 $216,248.01 nat. median
$2,024
outlier · 106.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $214,487.86 $214,487.86 $214,487.86 nat. median
$47,458
outlier · 4.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $209,166.88 $209,166.88 $209,166.88 nat. median
$37,013
outlier · 5.7×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 7 $205,774.97 $205,774.97 $205,774.97 nat. median
$2,106
outlier · 97.7×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 7 $205,555.37 $205,555.37 $205,555.37 nat. median
$38,932
outlier · 5.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $203,947.25 $203,947.25 $203,947.25 nat. median
$42,674
outlier · 4.8×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $202,366.16 $202,366.16 $202,366.16 nat. median
$43,023
outlier · 4.7×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $200,633.04 $200,633.04 $200,633.04 nat. median
$45,446
outlier · 4.4×
28
MS_DRG 		Spinal Procedures With Mcc 7 $198,565.46 $198,565.46 $198,565.46 nat. median
$41,895
outlier · 4.7×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $198,328.97 $198,328.97 $198,328.97 nat. median
$43,299
outlier · 4.6×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $197,899.92 $197,899.92 $197,899.92 nat. median
$43,803
outlier · 4.5×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $193,629.62 $193,629.62 $193,629.62 nat. median
$40,301
outlier · 4.8×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 $190,845.82 $190,845.82 $190,845.82 nat. median
$33,583
outlier · 5.7×

Other procedures at this hospital

Browse this hospital's 9,428 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
             
Q2057 HCPCS Afamitresgene Autoleucel 2 2 — — $1,733,895.00 $2,378,903.94 $2,056,399.47 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $1,301,230.30 $1,785,287.98 $1,543,259.14 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 2 — — $1,245,102.37 $1,708,280.45 $1,476,691.41 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $1,218,680.23 $1,672,029.27 $1,445,354.75 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $1,217,836.01 $1,670,871.00 $1,444,353.50 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 2 — — $1,199,422.07 $1,645,607.08 $1,422,514.57 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $1,101,870.00 $1,511,765.64 $1,306,817.82 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 7 — — $1,221,129.44 $1,221,129.44 $1,221,129.44 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 7 — — $950,887.84 $950,887.84 $950,887.84 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 7 — — $683,690.19 $683,690.19 $683,690.19 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 7 — — $641,294.64 $641,294.64 $641,294.64 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 7 — — $463,911.75 $463,911.75 $463,911.75 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 7 — — $455,175.21 $455,175.21 $455,175.21 2026-04-01
7 MS_DRG Lung Transplant 12 7 — — $412,411.42 $412,411.42 $412,411.42 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 7 — — $385,374.09 $385,374.09 $385,374.09 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 7 — — $378,144.31 $378,144.31 $378,144.31 2026-04-01
215 MS_DRG Other Heart Assist System Implant 12 7 — — $348,083.31 $348,083.31 $348,083.31 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 7 — — $329,120.35 $329,120.35 $329,120.35 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 7 — — $314,302.69 $314,302.69 $314,302.69 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 7 — — $309,285.76 $309,285.76 $309,285.76 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 7 — — $285,447.77 $285,447.77 $285,447.77 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 7 — — $283,555.87 $283,555.87 $283,555.87 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 7 — — $274,606.49 $274,606.49 $274,606.49 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 7 — — $261,653.70 $261,653.70 $261,653.70 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 7 — — $258,670.57 $258,670.57 $258,670.57 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 7 — — $250,356.33 $250,356.33 $250,356.33 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 7 — — $244,852.92 $244,852.92 $244,852.92 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 7 — — $241,035.33 $241,035.33 $241,035.33 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 7 — — $239,501.53 $239,501.53 $239,501.53 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 7 — — $233,812.31 $233,812.31 $233,812.31 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 7 — — $229,423.77 $229,423.77 $229,423.77 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 7 — — $229,366.33 $229,366.33 $229,366.33 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 7 — — $227,569.02 $227,569.02 $227,569.02 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 7 — — $224,089.27 $224,089.27 $224,089.27 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 7 — — $222,998.05 $222,998.05 $222,998.05 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 7 — — $221,822.37 $221,822.37 $221,822.37 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 7 — — $216,731.12 $216,731.12 $216,731.12 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 12 7 — — $216,248.01 $216,248.01 $216,248.01 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 7 — — $214,487.86 $214,487.86 $214,487.86 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 7 — — $209,166.88 $209,166.88 $209,166.88 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 7 — — $205,774.97 $205,774.97 $205,774.97 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 7 — — $205,555.37 $205,555.37 $205,555.37 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 7 — — $203,947.25 $203,947.25 $203,947.25 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 7 — — $202,366.16 $202,366.16 $202,366.16 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 7 — — $200,633.04 $200,633.04 $200,633.04 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 7 — — $198,565.46 $198,565.46 $198,565.46 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 7 — — $198,328.97 $198,328.97 $198,328.97 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 7 — — $197,899.92 $197,899.92 $197,899.92 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 7 — — $193,629.62 $193,629.62 $193,629.62 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 7 — — $190,845.82 $190,845.82 $190,845.82 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 7 — — $188,889.72 $188,889.72 $188,889.72 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 7 — — $187,727.55 $187,727.55 $187,727.55 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 7 — — $187,227.55 $187,227.55 $187,227.55 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 7 — — $186,825.52 $186,825.52 $186,825.52 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 7 — — $183,619.42 $183,619.42 $183,619.42 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 7 — — $181,832.24 $181,832.24 $181,832.24 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 7 — — $179,649.80 $179,649.80 $179,649.80 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 1 1 — — $179,467.84 $179,467.84 $179,467.84 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 7 — — $177,200.46 $177,200.46 $177,200.46 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 7 — — $177,082.21 $177,082.21 $177,082.21 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 12 7 — — $176,308.56 $176,308.56 $176,308.56 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 12 7 — — $175,936.94 $175,936.94 $175,936.94 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 7 — — $175,213.96 $175,213.96 $175,213.96 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 7 — — $174,501.12 $174,501.12 $174,501.12 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 7 — — $174,345.71 $174,345.71 $174,345.71 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 7 — — $173,713.95 $173,713.95 $173,713.95 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 7 — — $172,933.54 $172,933.54 $172,933.54 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 7 — — $172,724.08 $172,724.08 $172,724.08 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 12 7 — — $170,869.34 $170,869.34 $170,869.34 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 7 — — $170,170.01 $170,170.01 $170,170.01 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 12 7 — — $169,619.33 $169,619.33 $169,619.33 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 2 2 — — $142,719.87 $195,811.66 $169,265.77 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 7 — — $166,497.69 $166,497.69 $166,497.69 2026-04-01
245 MS_DRG Aicd Generator Procedures 12 7 — — $164,730.78 $164,730.78 $164,730.78 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 12 7 — — $163,639.56 $163,639.56 $163,639.56 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 7 — — $162,605.77 $162,605.77 $162,605.77 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 7 — — $162,477.39 $162,477.39 $162,477.39 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 12 7 — — $161,757.79 $161,757.79 $161,757.79 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 7 — — $159,852.37 $159,852.37 $159,852.37 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 7 — — $157,098.98 $157,098.98 $157,098.98 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 7 — — $156,889.52 $156,889.52 $156,889.52 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 7 — — $156,193.57 $156,193.57 $156,193.57 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 7 — — $154,744.23 $154,744.23 $154,744.23 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 7 — — $153,396.25 $153,396.25 $153,396.25 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 2 — — $125,878.43 $172,705.21 $149,291.82 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 7 — — $149,078.66 $149,078.66 $149,078.66 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 7 — — $148,602.30 $148,602.30 $148,602.30 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 7 — — $147,639.46 $147,639.46 $147,639.46 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 7 — — $147,247.56 $147,247.56 $147,247.56 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 7 — — $146,163.10 $146,163.10 $146,163.10 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 7 — — $145,494.17 $145,494.17 $145,494.17 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 7 — — $144,470.52 $144,470.52 $144,470.52 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 7 — — $144,095.52 $144,095.52 $144,095.52 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 7 — — $142,652.94 $142,652.94 $142,652.94 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 7 — — $140,896.17 $140,896.17 $140,896.17 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 7 — — $140,416.44 $140,416.44 $140,416.44 2026-04-01
10 MS_DRG Pancreas Transplant 12 7 — — $140,095.49 $140,095.49 $140,095.49 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 7 — — $139,223.86 $139,223.86 $139,223.86 2026-04-01
791 MS_DRG Prematurity With Major Problems 12 7 — — $138,923.19 $138,923.19 $138,923.19 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 7 — — $138,409.67 $138,409.67 $138,409.67 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 1 1 — — $137,808.51 $137,808.51 $137,808.51 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 7 — — $137,784.67 $137,784.67 $137,784.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 12 7 — — $137,173.18 $137,173.18 $137,173.18 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 7 — — $135,575.19 $135,575.19 $135,575.19 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 7 — — $135,115.73 $135,115.73 $135,115.73 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 7 — — $133,406.26 $133,406.26 $133,406.26 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 7 — — $132,835.31 $132,835.31 $132,835.31 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 7 — — $132,078.55 $132,078.55 $132,078.55 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 7 — — $131,835.30 $131,835.30 $131,835.30 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 7 — — $131,358.95 $131,358.95 $131,358.95 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 7 — — $130,598.81 $130,598.81 $130,598.81 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 7 — — $128,784.61 $128,784.61 $128,784.61 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 7 — — $128,521.09 $128,521.09 $128,521.09 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 7 — — $127,987.31 $127,987.31 $127,987.31 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 7 — — $127,230.54 $127,230.54 $127,230.54 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 7 — — $127,179.87 $127,179.87 $127,179.87 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 7 — — $125,936.62 $125,936.62 $125,936.62 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 7 — — $125,487.29 $125,487.29 $125,487.29 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 7 — — $124,453.50 $124,453.50 $124,453.50 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 7 — — $123,970.39 $123,970.39 $123,970.39 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 7 — — $123,845.39 $123,845.39 $123,845.39 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 7 — — $123,135.92 $123,135.92 $123,135.92 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 7 — — $122,497.41 $122,497.41 $122,497.41 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 7 — — $122,335.24 $122,335.24 $122,335.24 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 7 — — $121,777.81 $121,777.81 $121,777.81 2026-04-01
J9226 HCPCS Supprelin La Implant 2 2 — — $102,510.88 $140,644.93 $121,577.90 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 7 — — $119,997.39 $119,997.39 $119,997.39 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 7 — — $119,804.82 $119,804.82 $119,804.82 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 7 — — $119,416.30 $119,416.30 $119,416.30 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 7 — — $118,196.70 $118,196.70 $118,196.70 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 7 — — $118,041.30 $118,041.30 $118,041.30 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 7 — — $117,696.70 $117,696.70 $117,696.70 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 7 — — $117,348.72 $117,348.72 $117,348.72 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 7 — — $115,460.20 $115,460.20 $115,460.20 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 7 — — $114,960.20 $114,960.20 $114,960.20 2026-04-01
265 MS_DRG Aicd Lead Procedures 12 7 — — $114,260.87 $114,260.87 $114,260.87 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 7 — — $114,129.11 $114,129.11 $114,129.11 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 12 7 — — $113,953.43 $113,953.43 $113,953.43 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 7 — — $113,497.35 $113,497.35 $113,497.35 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 12 7 — — $112,950.05 $112,950.05 $112,950.05 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 7 — — $112,108.83 $112,108.83 $112,108.83 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 12 7 — — $111,814.90 $111,814.90 $111,814.90 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 7 — — $111,666.26 $111,666.26 $111,666.26 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 7 — — $111,517.61 $111,517.61 $111,517.61 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 7 — — $110,176.38 $110,176.38 $110,176.38 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 7 — — $109,831.78 $109,831.78 $109,831.78 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 7 — — $109,169.62 $109,169.62 $109,169.62 2026-04-01
69930 HCPCS Implant Cochlear Device 1 1 — — $108,779.48 $108,779.48 $108,779.48 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 12 7 — — $108,260.83 $108,260.83 $108,260.83 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 7 — — $107,983.80 $107,983.80 $107,983.80 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 7 — — $107,183.12 $107,183.12 $107,183.12 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 7 — — $106,916.22 $106,916.22 $106,916.22 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 7 — — $106,477.03 $106,477.03 $106,477.03 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 7 — — $105,331.76 $105,331.76 $105,331.76 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 7 — — $104,966.89 $104,966.89 $104,966.89 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $104,665.75 $104,665.75 $104,665.75 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 1 1 — — $104,665.75 $104,665.75 $104,665.75 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 1 1 — — $104,665.75 $104,665.75 $104,665.75 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 1 1 — — $104,665.75 $104,665.75 $104,665.75 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 1 1 — — $104,665.75 $104,665.75 $104,665.75 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 1 1 — — $104,665.75 $104,665.75 $104,665.75 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 7 — — $104,632.43 $104,632.43 $104,632.43 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 7 — — $104,338.51 $104,338.51 $104,338.51 2026-04-01
652 MS_DRG Kidney Transplant 12 7 — — $104,227.02 $104,227.02 $104,227.02 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 12 7 — — $103,750.66 $103,750.66 $103,750.66 2026-04-01
665 MS_DRG Prostatectomy With Mcc 12 7 — — $103,389.18 $103,389.18 $103,389.18 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 12 7 — — $102,659.44 $102,659.44 $102,659.44 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 7 — — $102,466.87 $102,466.87 $102,466.87 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 7 — — $102,145.92 $102,145.92 $102,145.92 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 7 — — $102,000.65 $102,000.65 $102,000.65 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 12 7 — — $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… 12 7 — — $101,196.59 $101,196.59 $101,196.59 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 7 — — $100,919.56 $100,919.56 $100,919.56 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 7 — — $100,865.51 $100,865.51 $100,865.51 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 7 — — $100,203.34 $100,203.34 $100,203.34 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 12 7 — — $99,284.42 $99,284.42 $99,284.42 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 7 — — $99,074.96 $99,074.96 $99,074.96 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 7 — — $98,976.98 $98,976.98 $98,976.98 2026-04-01
570 MS_DRG Skin Debridement With Mcc 12 7 — — $98,551.31 $98,551.31 $98,551.31 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 7 — — $97,693.19 $97,693.19 $97,693.19 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 7 — — $97,571.57 $97,571.57 $97,571.57 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 7 — — $97,203.32 $97,203.32 $97,203.32 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 12 7 — — $97,061.43 $97,061.43 $97,061.43 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 7 — — $96,885.76 $96,885.76 $96,885.76 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 7 — — $96,328.32 $96,328.32 $96,328.32 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 12 7 — — $96,031.02 $96,031.02 $96,031.02 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
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
61886 HCPCS Implant Neurostim Arrays 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 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
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 1 1 — — $95,797.36 $95,797.36 $95,797.36 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 12 7 — — $95,551.29 $95,551.29 $95,551.29 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 12 7 — — $95,368.85 $95,368.85 $95,368.85 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 12 7 — — $94,233.71 $94,233.71 $94,233.71 2026-04-01
263 MS_DRG Vein Ligation And Stripping 12 7 — — $94,122.22 $94,122.22 $94,122.22 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 7 — — $93,689.79 $93,689.79 $93,689.79 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 7 — — $91,696.53 $91,696.53 $91,696.53 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 7 — — $91,098.56 $91,098.56 $91,098.56 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 12 7 — — $90,338.42 $90,338.42 $90,338.42 2026-04-01
800 MS_DRG Splenic Procedures With Cc 12 7 — — $89,814.76 $89,814.76 $89,814.76 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 12 7 — — $89,747.20 $89,747.20 $89,747.20 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $89,734.74 $89,734.74 $89,734.74 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 1 1 — — $89,097.36 $89,097.36 $89,097.36 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 7 — — $88,936.38 $88,936.38 $88,936.38 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 7 — — $88,470.16 $88,470.16 $88,470.16 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 7 — — $87,841.78 $87,841.78 $87,841.78 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 12 7 — — $87,716.78 $87,716.78 $87,716.78 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 12 7 — — $87,253.94 $87,253.94 $87,253.94 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 7 — — $87,057.99 $87,057.99 $87,057.99 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 12 7 — — $86,780.96 $86,780.96 $86,780.96 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 7 — — $86,676.23 $86,676.23 $86,676.23 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 7 — — $86,591.77 $86,591.77 $86,591.77 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 7 — — $86,530.96 $86,530.96 $86,530.96 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 7 — — $86,378.93 $86,378.93 $86,378.93 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 12 7 — — $85,750.55 $85,750.55 $85,750.55 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 12 7 — — $85,645.82 $85,645.82 $85,645.82 2026-04-01
503 MS_DRG Foot Procedures With Mcc 12 7 — — $85,585.01 $85,585.01 $85,585.01 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 12 7 — — $85,345.14 $85,345.14 $85,345.14 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 12 7 — — $84,750.54 $84,750.54 $84,750.54 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 7 — — $84,737.03 $84,737.03 $84,737.03 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 12 7 — — $84,304.59 $84,304.59 $84,304.59 2026-04-01
792 MS_DRG Prematurity Without Major Problems 12 7 — — $83,824.86 $83,824.86 $83,824.86 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 7 — — $83,493.78 $83,493.78 $83,493.78 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 12 7 — — $82,794.45 $82,794.45 $82,794.45 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 7 — — $82,253.90 $82,253.90 $82,253.90 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 12 7 — — $81,747.14 $81,747.14 $81,747.14 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 12 7 — — $81,487.01 $81,487.01 $81,487.01 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 12 7 — — $81,385.66 $81,385.66 $81,385.66 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 7 — — $80,328.22 $80,328.22 $80,328.22 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 7 — — $80,264.03 $80,264.03 $80,264.03 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 7 — — $80,084.97 $80,084.97 $80,084.97 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 12 7 — — $80,020.78 $80,020.78 $80,020.78 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 7 — — $79,649.16 $79,649.16 $79,649.16 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 7 — — $79,628.89 $79,628.89 $79,628.89 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 12 7 — — $79,389.02 $79,389.02 $79,389.02 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 7 — — $79,355.24 $79,355.24 $79,355.24 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 12 7 — — $79,189.70 $79,189.70 $79,189.70 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 12 7 — — $79,095.10 $79,095.10 $79,095.10 2026-04-01
849 MS_DRG Radiotherapy 12 7 — — $79,017.40 $79,017.40 $79,017.40 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 12 7 — — $78,990.37 $78,990.37 $78,990.37 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 12 7 — — $78,909.29 $78,909.29 $78,909.29 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 12 7 — — $77,557.93 $77,557.93 $77,557.93 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 12 7 — — $77,375.50 $77,375.50 $77,375.50 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 12 7 — — $77,172.79 $77,172.79 $77,172.79 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 12 7 — — $77,155.90 $77,155.90 $77,155.90 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 12 7 — — $76,662.65 $76,662.65 $76,662.65 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 1 1 — — $76,619.96 $76,619.96 $76,619.96 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 1 1 — — $76,619.96 $76,619.96 $76,619.96 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 1 1 — — $76,619.96 $76,619.96 $76,619.96 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 12 7 — — $76,530.90 $76,530.90 $76,530.90 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 12 7 — — $76,318.06 $76,318.06 $76,318.06 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 12 7 — — $75,885.62 $75,885.62 $75,885.62 2026-04-01
J9266 HCPCS Pegaspargase Injection 2 2 — — $63,954.13 $87,745.07 $75,849.60 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 7 — — $75,804.54 $75,804.54 $75,804.54 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 12 7 — — $75,446.43 $75,446.43 $75,446.43 2026-04-01
333 MS_DRG Rectal Resection With Cc 12 7 — — $75,443.05 $75,443.05 $75,443.05 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 12 7 — — $75,426.16 $75,426.16 $75,426.16 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 12 7 — — $75,365.35 $75,365.35 $75,365.35 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 12 7 — — $75,193.05 $75,193.05 $75,193.05 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 12 7 — — $75,138.99 $75,138.99 $75,138.99 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 12 7 — — $75,041.02 $75,041.02 $75,041.02 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 1 1 — — $74,456.69 $74,456.69 $74,456.69 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 12 7 — — $74,436.29 $74,436.29 $74,436.29 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 12 7 — — $73,824.80 $73,824.80 $73,824.80 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 7 — — $73,409.25 $73,409.25 $73,409.25 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 12 7 — — $73,054.52 $73,054.52 $73,054.52 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 12 7 — — $72,929.52 $72,929.52 $72,929.52 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 12 7 — — $72,345.06 $72,345.06 $72,345.06 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 7 — — $72,331.54 $72,331.54 $72,331.54 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 12 7 — — $72,155.87 $72,155.87 $72,155.87 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 7 — — $72,007.22 $72,007.22 $72,007.22 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 12 7 — — $71,858.57 $71,858.57 $71,858.57 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 12 7 — — $71,655.86 $71,655.86 $71,655.86 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
24363 HCPCS Replace Elbow Joint 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
22612 HCPCS Lumbar Spine Fusion 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
0775T OTHER Arthrd Si Jt Prq Iartic Impl 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
28705 HCPCS Fusion Of Foot Bones 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
23616 HCPCS Treat Humerus Fracture 2 1 $2,325.00 $1,860.00 20% off $71,452.46 $71,452.46 $71,452.46 2026-04-01
22630 HCPCS Lumbar Spine Fusion 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
25446 HCPCS Wrist Replacement 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
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