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

9,545 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 · 2026-10-12
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
$739,658
outlier · 2.1×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $1,245,102.37 $1,708,280.45 $1,476,691.41 nat. median
$646,415
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $1,218,680.23 $1,672,029.27 $1,445,354.75 nat. median
$640,950
outlier · 2.3×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $1,217,836.01 $1,670,871.00 $1,444,353.50 nat. median
$623,527
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $1,199,422.07 $1,645,607.08 $1,422,514.58 nat. median
$608,239
outlier · 2.3×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $1,101,870.00 $1,511,765.64 $1,306,817.82 nat. median
$592,235
outlier · 2.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $1,221,129.44 $1,221,129.44 $1,221,129.44 nat. median
$359,244
outlier · 3.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $950,887.84 $950,887.84 $950,887.84 nat. median
$248,541
outlier · 3.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $683,690.19 $683,690.19 $683,690.19 nat. median
$190,359
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $641,294.64 $641,294.64 $641,294.64 nat. median
$198,115
outlier · 3.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $463,911.75 $463,911.75 $463,911.75 nat. median
$126,461
outlier · 3.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $455,175.21 $455,175.21 $455,175.21 nat. median
$103,938
outlier · 4.4×
7
MS_DRG 		Lung Transplant 1 $412,411.42 $412,411.42 $412,411.42 nat. median
$117,977
outlier · 3.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $385,374.09 $385,374.09 $385,374.09 nat. median
$94,943
outlier · 4.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $378,144.31 $378,144.31 $378,144.31 nat. median
$110,084
outlier · 3.4×
215
MS_DRG 		Other Heart Assist System Implant 1 $348,083.31 $348,083.31 $348,083.31 nat. median
$93,787
outlier · 3.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $329,120.35 $329,120.35 $329,120.35 nat. median
$90,512
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $314,302.69 $314,302.69 $314,302.69 nat. median
$74,298
outlier · 4.2×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $309,285.76 $309,285.76 $309,285.76 nat. median
$70,795
outlier · 4.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $285,447.77 $285,447.77 $285,447.77 nat. median
$77,487
outlier · 3.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $283,555.87 $283,555.87 $283,555.87 nat. median
$76,979
outlier · 3.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $274,606.49 $274,606.49 $274,606.49 nat. median
$72,247
outlier · 3.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $261,653.70 $261,653.70 $261,653.70 nat. median
$71,737
outlier · 3.6×
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×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $250,356.33 $250,356.33 $250,356.33 nat. median
$67,908
outlier · 3.7×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 1 $244,852.92 $244,852.92 $244,852.92 nat. median
$58,234
outlier · 4.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $241,035.33 $241,035.33 $241,035.33 nat. median
$66,623
outlier · 3.6×
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
$39,601
outlier · 6.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $233,812.31 $233,812.31 $233,812.31 nat. median
$63,829
outlier · 3.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $229,423.77 $229,423.77 $229,423.77 nat. median
$62,577
outlier · 3.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 $229,366.33 $229,366.33 $229,366.33 nat. median
$51,462
outlier · 4.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $227,569.02 $227,569.02 $227,569.02 nat. median
$61,660
outlier · 3.7×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $224,089.27 $224,089.27 $224,089.27 nat. median
$52,917
outlier · 4.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $222,998.05 $222,998.05 $222,998.05 nat. median
$58,220
outlier · 3.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $221,822.37 $221,822.37 $221,822.37 nat. median
$59,324
outlier · 3.7×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 $216,731.12 $216,731.12 $216,731.12 nat. median
$53,342
outlier · 4.1×
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×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $214,487.86 $214,487.86 $214,487.86 nat. median
$61,995
outlier · 3.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 $209,166.88 $209,166.88 $209,166.88 nat. median
$61,263
outlier · 3.4×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $205,774.97 $205,774.97 $205,774.97 nat. median
$49,522
outlier · 4.2×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 1 $205,555.37 $205,555.37 $205,555.37 nat. median
$53,841
outlier · 3.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $203,947.25 $203,947.25 $203,947.25 nat. median
$55,110
outlier · 3.7×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 1 $202,366.16 $202,366.16 $202,366.16 nat. median
$55,425
outlier · 3.7×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $200,633.04 $200,633.04 $200,633.04 nat. median
$59,493
outlier · 3.4×
28
MS_DRG 		Spinal Procedures With Mcc 1 $198,565.46 $198,565.46 $198,565.46 nat. median
$54,377
outlier · 3.7×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $198,328.97 $198,328.97 $198,328.97 nat. median
$58,052
outlier · 3.4×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $197,899.92 $197,899.92 $197,899.92 nat. median
$57,798
outlier · 3.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 $193,629.62 $193,629.62 $193,629.62 nat. median
$53,419
outlier · 3.6×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 1 $190,845.82 $190,845.82 $190,845.82 nat. median
$46,626
outlier · 4.1×

Other procedures at this hospital

Browse this hospital's 9,545 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 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 $1,422,514.58 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 1 1 — — $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 1 1 — — $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… 1 1 — — $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 1 1 — — $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… 1 1 — — $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 1 1 — — $455,175.21 $455,175.21 $455,175.21 2026-04-01
7 MS_DRG Lung Transplant 1 1 — — $412,411.42 $412,411.42 $412,411.42 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $385,374.09 $385,374.09 $385,374.09 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — — $378,144.31 $378,144.31 $378,144.31 2026-04-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $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… 1 1 — — $329,120.35 $329,120.35 $329,120.35 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $314,302.69 $314,302.69 $314,302.69 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $285,447.77 $285,447.77 $285,447.77 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $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… 1 1 — — $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 1 1 — — $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… 1 1 — — $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 1 1 — — $250,356.33 $250,356.33 $250,356.33 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 1 1 — — $244,852.92 $244,852.92 $244,852.92 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $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… 1 1 — — $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 1 1 — — $233,812.31 $233,812.31 $233,812.31 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $229,423.77 $229,423.77 $229,423.77 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $229,366.33 $229,366.33 $229,366.33 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $227,569.02 $227,569.02 $227,569.02 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $222,998.05 $222,998.05 $222,998.05 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $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 1 1 — — $216,731.12 $216,731.12 $216,731.12 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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $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 1 1 — — $209,166.88 $209,166.88 $209,166.88 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 1 1 — — $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… 1 1 — — $203,947.25 $203,947.25 $203,947.25 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $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… 1 1 — — $200,633.04 $200,633.04 $200,633.04 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 1 1 — — $198,565.46 $198,565.46 $198,565.46 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $198,328.97 $198,328.97 $198,328.97 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $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… 1 1 — — $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 1 1 — — $190,845.82 $190,845.82 $190,845.82 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — — $188,889.72 $188,889.72 $188,889.72 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $187,727.55 $187,727.55 $187,727.55 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $187,227.55 $187,227.55 $187,227.55 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $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… 1 1 — — $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… 1 1 — — $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 1 1 — — $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 1 1 — — $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 … 1 1 — — $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… 1 1 — — $176,308.56 $176,308.56 $176,308.56 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 1 1 — — $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 1 1 — — $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 1 1 — — $174,501.12 $174,501.12 $174,501.12 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $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. … 1 1 — — $173,713.95 $173,713.95 $173,713.95 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 1 1 — — $172,933.54 $172,933.54 $172,933.54 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 1 1 — — $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… 1 1 — — $170,869.34 $170,869.34 $170,869.34 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 1 1 — — $170,170.01 $170,170.01 $170,170.01 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
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 1 1 — — $166,497.69 $166,497.69 $166,497.69 2026-04-01
245 MS_DRG Aicd Generator Procedures 1 1 — — $164,730.78 $164,730.78 $164,730.78 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 1 1 — — $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… 1 1 — — $162,605.77 $162,605.77 $162,605.77 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 1 1 — — $162,477.39 $162,477.39 $162,477.39 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $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 1 1 — — $157,098.98 $157,098.98 $157,098.98 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — — $156,889.52 $156,889.52 $156,889.52 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 1 1 — — $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 1 1 — — $154,744.23 $154,744.23 $154,744.23 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 1 1 — — $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 1 1 — — $149,078.66 $149,078.66 $149,078.66 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 1 1 — — $148,602.30 $148,602.30 $148,602.30 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 1 1 — — $147,639.46 $147,639.46 $147,639.46 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $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 1 1 — — $146,163.10 $146,163.10 $146,163.10 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $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 1 1 — — $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 1 1 — — $144,095.52 $144,095.52 $144,095.52 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 1 1 — — $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 1 1 — — $140,896.17 $140,896.17 $140,896.17 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 1 1 — — $140,416.44 $140,416.44 $140,416.44 2026-04-01
10 MS_DRG Pancreas Transplant 1 1 — — $140,095.49 $140,095.49 $140,095.49 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 1 1 — — $139,223.86 $139,223.86 $139,223.86 2026-04-01
791 MS_DRG Prematurity With Major Problems 1 1 — — $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 1 1 — — $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 1 1 — — $137,784.67 $137,784.67 $137,784.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 1 1 — — $137,173.18 $137,173.18 $137,173.18 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $135,575.19 $135,575.19 $135,575.19 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 1 1 — — $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… 1 1 — — $133,406.26 $133,406.26 $133,406.26 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $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 1 1 — — $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… 1 1 — — $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 1 1 — — $131,358.95 $131,358.95 $131,358.95 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 1 1 — — $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 1 1 — — $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 1 1 — — $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 1 1 — — $127,987.31 $127,987.31 $127,987.31 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
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $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… 1 1 — — $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… 1 1 — — $125,487.29 $125,487.29 $125,487.29 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 1 1 — — $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… 1 1 — — $123,970.39 $123,970.39 $123,970.39 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 1 1 — — $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 1 1 — — $123,135.92 $123,135.92 $123,135.92 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 1 1 — — $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… 1 1 — — $122,335.24 $122,335.24 $122,335.24 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $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 1 1 — — $119,997.39 $119,997.39 $119,997.39 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $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 1 1 — — $119,416.30 $119,416.30 $119,416.30 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $118,196.70 $118,196.70 $118,196.70 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $118,041.30 $118,041.30 $118,041.30 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 1 1 — — $117,696.70 $117,696.70 $117,696.70 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $117,348.72 $117,348.72 $117,348.72 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $115,460.20 $115,460.20 $115,460.20 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $114,960.20 $114,960.20 $114,960.20 2026-04-01
265 MS_DRG Aicd Lead Procedures 1 1 — — $114,260.87 $114,260.87 $114,260.87 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 1 1 — — $114,129.11 $114,129.11 $114,129.11 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 1 1 — — $113,953.43 $113,953.43 $113,953.43 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $113,497.35 $113,497.35 $113,497.35 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 1 1 — — $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 1 1 — — $112,108.83 $112,108.83 $112,108.83 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 1 1 — — $111,814.90 $111,814.90 $111,814.90 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $111,666.26 $111,666.26 $111,666.26 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 1 1 — — $111,517.61 $111,517.61 $111,517.61 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $110,176.38 $110,176.38 $110,176.38 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $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… 1 1 — — $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 1 1 — — $108,260.83 $108,260.83 $108,260.83 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $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 1 1 — — $107,183.12 $107,183.12 $107,183.12 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 1 1 — — $106,916.22 $106,916.22 $106,916.22 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $106,477.03 $106,477.03 $106,477.03 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 1 1 — — $105,737.16 $105,737.16 $105,737.16 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $105,331.76 $105,331.76 $105,331.76 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $104,966.89 $104,966.89 $104,966.89 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 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
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 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
33231 HCPCS Insrt Pulse Gen W/mult Leads 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
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 1 1 — — $104,632.43 $104,632.43 $104,632.43 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $104,338.51 $104,338.51 $104,338.51 2026-04-01
652 MS_DRG Kidney Transplant 1 1 — — $104,227.02 $104,227.02 $104,227.02 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 1 1 — — $103,750.66 $103,750.66 $103,750.66 2026-04-01
665 MS_DRG Prostatectomy With Mcc 1 1 — — $103,389.18 $103,389.18 $103,389.18 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 — — $2,970.15 $203,416.84 $103,193.49 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $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 1 1 — — $102,466.87 $102,466.87 $102,466.87 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 1 1 — — $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 1 1 — — $102,000.65 $102,000.65 $102,000.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 — — $38,044.45 $165,575.38 $101,809.92 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
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $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 1 1 — — $100,865.51 $100,865.51 $100,865.51 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 1 1 — — $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 1 1 — — $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… 1 1 — — $99,074.96 $99,074.96 $99,074.96 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 1 1 — — $98,976.98 $98,976.98 $98,976.98 2026-04-01
570 MS_DRG Skin Debridement With Mcc 1 1 — — $98,551.31 $98,551.31 $98,551.31 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 1 1 — — $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 1 1 — — $97,571.57 $97,571.57 $97,571.57 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $97,203.32 $97,203.32 $97,203.32 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $97,061.43 $97,061.43 $97,061.43 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $96,885.76 $96,885.76 $96,885.76 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $96,328.32 $96,328.32 $96,328.32 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 1 1 — — $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
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
63685 HCPCS Insrt/redo Spine N Generator 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
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
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 1 1 — — $95,551.29 $95,551.29 $95,551.29 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 1 1 — — $95,368.85 $95,368.85 $95,368.85 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 1 1 — — $94,233.71 $94,233.71 $94,233.71 2026-04-01
263 MS_DRG Vein Ligation And Stripping 1 1 — — $94,122.22 $94,122.22 $94,122.22 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $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 1 1 — — $91,696.53 $91,696.53 $91,696.53 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 1 1 — — $91,098.56 $91,098.56 $91,098.56 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 1 1 — — $90,338.42 $90,338.42 $90,338.42 2026-04-01
800 MS_DRG Splenic Procedures With Cc 1 1 — — $89,814.76 $89,814.76 $89,814.76 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
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 1 1 — — $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 1 1 — — $88,470.16 $88,470.16 $88,470.16 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 1 1 — — $87,841.78 $87,841.78 $87,841.78 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 1 1 — — $87,716.78 $87,716.78 $87,716.78 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 1 1 — — $87,253.94 $87,253.94 $87,253.94 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $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 1 1 — — $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 1 1 — — $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… 1 1 — — $86,591.77 $86,591.77 $86,591.77 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $86,530.96 $86,530.96 $86,530.96 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $86,378.93 $86,378.93 $86,378.93 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $85,750.55 $85,750.55 $85,750.55 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $85,645.82 $85,645.82 $85,645.82 2026-04-01
503 MS_DRG Foot Procedures With Mcc 1 1 — — $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 1 1 — — $85,345.14 $85,345.14 $85,345.14 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 1 1 — — $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 1 1 — — $84,737.03 $84,737.03 $84,737.03 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 1 1 — — $84,304.59 $84,304.59 $84,304.59 2026-04-01
792 MS_DRG Prematurity Without Major Problems 1 1 — — $83,824.86 $83,824.86 $83,824.86 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 1 1 — — $83,493.78 $83,493.78 $83,493.78 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 1 1 — — $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. … 1 1 — — $82,253.90 $82,253.90 $82,253.90 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $81,747.14 $81,747.14 $81,747.14 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 1 1 — — $81,487.01 $81,487.01 $81,487.01 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 1 1 — — $81,385.66 $81,385.66 $81,385.66 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $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 1 1 — — $80,264.03 $80,264.03 $80,264.03 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $80,084.97 $80,084.97 $80,084.97 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $80,020.78 $80,020.78 $80,020.78 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $79,649.16 $79,649.16 $79,649.16 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 1 1 — — $79,628.89 $79,628.89 $79,628.89 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 1 1 — — $79,389.02 $79,389.02 $79,389.02 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $79,355.24 $79,355.24 $79,355.24 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 1 1 — — $79,189.70 $79,189.70 $79,189.70 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 1 1 — — $79,095.10 $79,095.10 $79,095.10 2026-04-01
849 MS_DRG Radiotherapy 1 1 — — $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… 1 1 — — $78,990.37 $78,990.37 $78,990.37 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 1 1 — — $78,909.29 $78,909.29 $78,909.29 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 — — $40,013.02 $117,767.65 $78,890.33 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $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 1 1 — — $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 1 1 — — $77,172.79 $77,172.79 $77,172.79 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 1 1 — — $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 1 1 — — $76,662.65 $76,662.65 $76,662.65 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 1 1 — — $76,619.96 $76,619.96 $76,619.96 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
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 1 1 — — $76,530.90 $76,530.90 $76,530.90 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
357 MS_DRG Other Digestive System O.r. Procedures With Cc 1 1 — — $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 1 1 — — $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 1 1 — — $75,446.43 $75,446.43 $75,446.43 2026-04-01
333 MS_DRG Rectal Resection With Cc 1 1 — — $75,443.05 $75,443.05 $75,443.05 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 1 1 — — $75,426.16 $75,426.16 $75,426.16 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 1 1 — — $75,365.35 $75,365.35 $75,365.35 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 1 1 — — $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… 1 1 — — $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 1 1 — — $75,041.02 $75,041.02 $75,041.02 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
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 1 1 — — $74,456.69 $74,456.69 $74,456.69 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
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
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 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
0409T OTHER Insj/rplc Car Modulj Pls Gn 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 1 1 — — $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 1 1 — — $73,824.80 $73,824.80 $73,824.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 — — $26,169.72 $120,727.12 $73,448.42 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 1 1 — — $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 1 1 — — $73,054.52 $73,054.52 $73,054.52 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 1 1 — — $72,929.52 $72,929.52 $72,929.52 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 1 1 — — $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… 1 1 — — $72,331.54 $72,331.54 $72,331.54 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 2 2 — — $1,813.75 $142,703.62 $72,258.68 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 1 1 — — $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… 1 1 — — $72,007.22 $72,007.22 $72,007.22 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $71,858.57 $71,858.57 $71,858.57 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $71,655.86 $71,655.86 $71,655.86 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
23616 HCPCS Hc Pr 23616 Open Prox Humeral Fracture Prosthetic Rplcmt Rhc 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
22633 HCPCS Lumbar Spine Fusion Combined 1 1 — — $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
22856 HCPCS Cerv Artific Diskectomy 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
22867 HCPCS Insj Stablj Dev W/dcmprn 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
25442 HCPCS Reconstruct Wrist Joint 1 1 — — $71,452.46 $71,452.46 $71,452.46 2026-04-01
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