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

GRAND LAKE HEALTH SYSTEM

Saint Marys, OH · CCN 360032 · Rates published

12,948 distinct procedures filed
64 distinct payers
297,773 rate rows
2026-07-15 last MRF observed
Data quality

272,504 of 297,773 rate rows are consumer-grade (91.5%)

25,269 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 21,983
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,132
percent-of-charges filed in the dollar field — excluded from medians 125
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://grandlakehealth.org/wp-content/uploads/2026/08/34-1623770_grand-lake-health-system_standardcharges.csv
Found on page https://grandlakehealth.org/patients-visitors/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-10-05
Content fingerprint a6961caeedce419c… · 21,434,893 bytes · first seen 2026-10-05

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 $309,918.80 $728,623.38 $348,447.15 nat. median
$168,055
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $201,473.34 $472,847.26 $260,261.20 nat. median
$186,516
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $152,836.03 $358,132.80 $198,017.83 nat. median
$145,435
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $153,732.41 $360,246.99 $185,827.33 nat. median
$131,925
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $100,084.50 $233,714.67 $130,554.72 nat. median
$97,418
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 24 $86,967.80 $202,778.03 $121,054.02 nat. median
$72,715
1.7× median
7
MS_DRG 		Lung Transplant 24 $93,637.39 $218,508.72 $120,749.09 nat. median
$70,649
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 24 $78,785.15 $183,478.69 $100,653.66 nat. median
$74,509
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 24 $74,753.21 $173,969.07 $98,394.45 nat. median
$69,922
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 24 $72,224.30 $168,004.46 $97,891.79 nat. median
$73,023
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $79,837.49 $213,844.34 $96,851.35 nat. median
$2,736
outlier · 35.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $70,978.09 $165,065.18 $89,170.95 nat. median
$69,822
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 $82,059.50 $191,201.46 $86,892.33 nat. median
$65,418
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $81,966.50 $190,982.11 $85,245.16 nat. median
$2,110
outlier · 40.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 24 $62,942.09 $146,111.74 $85,113.61 nat. median
$2,633
outlier · 32.3×
3060
EAPG 		Ventricular Assist Device Procedures 7 $79,767.55 $79,767.55 $79,767.55 nat. median
$24,294
outlier · 3.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 24 $61,299.56 $142,237.70 $78,295.32 nat. median
$60,505
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $61,109.98 $141,790.57 $78,250.96 nat. median
$59,651
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 $65,446.68 $174,813.27 $77,062.68 nat. median
$2,596
outlier · 29.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 $57,285.49 $132,770.26 $74,480.07 nat. median
$56,428
1.3× median
10
MS_DRG 		Pancreas Transplant 24 $52,327.12 $121,075.59 $73,667.86 nat. median
$23,080
outlier · 3.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 $52,033.09 $120,382.11 $73,243.74 nat. median
$45,605
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 $55,685.88 $128,997.46 $72,219.01 nat. median
$55,935
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 $55,922.67 $129,555.96 $71,490.89 nat. median
$55,923
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 $55,504.89 $128,570.57 $68,965.56 nat. median
$52,327
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $52,634.02 $140,062.50 $65,592.91 nat. median
$9,905
outlier · 6.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 $52,003.05 $120,311.24 $65,295.38 nat. median
$51,518
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $50,439.20 $116,622.80 $64,278.96 nat. median
$48,611
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 24 $49,146.49 $113,573.85 $63,090.68 nat. median
$47,340
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 $48,792.37 $129,643.08 $61,947.68 nat. median
$2,958
outlier · 20.9×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 $52,305.66 $121,024.97 $61,710.21 nat. median
$37,013
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 $50,196.68 $116,050.81 $61,605.79 nat. median
$49,569
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 24 $47,026.07 $108,572.69 $59,762.39 nat. median
$47,121
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $48,031.91 $110,945.04 $59,667.22 nat. median
$47,458
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 24 $44,784.03 $103,284.69 $58,433.66 nat. median
$41,943
1.4× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 $43,963.48 $101,349.36 $57,233.37 nat. median
$43,533
1.3× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 $48,827.42 $112,821.31 $57,159.44 nat. median
$2,633
outlier · 21.7×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 $47,860.93 $110,541.77 $56,898.87 nat. median
$43,299
1.3× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 24 $44,364.10 $102,294.25 $56,441.49 nat. median
$43,803
1.3× median
28
MS_DRG 		Spinal Procedures With Mcc 24 $43,975.64 $101,378.05 $56,171.67 nat. median
$41,895
1.3× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 24 $39,854.98 $91,659.20 $55,768.80 nat. median
$29,295
1.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 24 $43,413.34 $100,051.83 $55,768.80 nat. median
$38,932
1.4× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 $40,503.84 $107,162.77 $55,352.07 nat. median
$38,844
1.4× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 $44,834.82 $103,404.49 $55,352.07 nat. median
$44,036
1.3× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $48,031.91 $110,945.04 $54,970.46 nat. median
$45,446
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 $43,512.07 $100,284.68 $54,932.57 nat. median
$40,584
1.4× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 24 $42,976.24 $99,020.89 $54,367.08 nat. median
$43,023
1.3× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 $42,949.05 $98,956.77 $53,795.11 nat. median
$40,726
1.3× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $43,652.28 $100,615.39 $53,029.11 nat. median
$42,674
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 $41,986.85 $96,687.35 $52,712.17 nat. median
$40,301
1.3× median

Other procedures at this hospital

Browse this hospital's 12,948 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 24 — — $309,918.80 $728,623.38 $348,447.15 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 24 — — $201,473.34 $472,847.26 $260,261.20 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 24 — — $152,836.03 $358,132.80 $198,017.83 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 24 — — $153,732.41 $360,246.99 $185,827.33 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 24 — — $100,084.50 $233,714.67 $130,554.72 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 26 24 — — $86,967.80 $202,778.03 $121,054.02 2026-07-15
7 MS_DRG Lung Transplant 26 24 — — $93,637.39 $218,508.72 $120,749.09 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 24 — — $78,785.15 $183,478.69 $100,653.66 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 24 — — $74,753.21 $173,969.07 $98,394.45 2026-07-15
215 MS_DRG Other Heart Assist System Implant 26 24 — — $72,224.30 $168,004.46 $97,891.79 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $79,837.49 $213,844.34 $96,851.35 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 24 — — $70,978.09 $165,065.18 $89,170.95 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 24 — — $82,059.50 $191,201.46 $86,892.33 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 14 14 — — $81,966.50 $190,982.11 $85,245.16 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 26 24 — — $62,942.09 $146,111.74 $85,113.61 2026-07-15
3060 EAPG Ventricular Assist Device Procedures 7 7 — — $79,767.55 $79,767.55 $79,767.55 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 24 — — $61,299.56 $142,237.70 $78,295.32 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 24 — — $61,109.98 $141,790.57 $78,250.96 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 24 — — $65,446.68 $174,813.27 $77,062.68 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 24 — — $57,285.49 $132,770.26 $74,480.07 2026-07-15
10 MS_DRG Pancreas Transplant 26 24 — — $52,327.12 $121,075.59 $73,667.86 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 24 — — $52,033.09 $120,382.11 $73,243.74 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 24 — — $55,685.88 $128,997.46 $72,219.01 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 24 — — $55,922.67 $129,555.96 $71,490.89 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 24 — — $55,504.89 $128,570.57 $68,965.56 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $52,634.02 $140,062.50 $65,592.91 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 24 — — $52,003.05 $120,311.24 $65,295.38 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 24 — — $50,439.20 $116,622.80 $64,278.96 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 24 — — $49,146.49 $113,573.85 $63,090.68 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 24 — — $48,792.37 $129,643.08 $61,947.68 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 26 24 — — $52,305.66 $121,024.97 $61,710.21 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 24 — — $50,196.68 $116,050.81 $61,605.79 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 24 — — $47,026.07 $108,572.69 $59,762.39 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 24 — — $48,031.91 $110,945.04 $59,667.22 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 24 — — $44,784.03 $103,284.69 $58,433.66 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 24 — — $43,963.48 $101,349.36 $57,233.37 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 24 — — $48,827.42 $112,821.31 $57,159.44 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 24 — — $47,860.93 $110,541.77 $56,898.87 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 24 — — $44,364.10 $102,294.25 $56,441.49 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 26 24 — — $43,975.64 $101,378.05 $56,171.67 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 26 24 — — $43,413.34 $100,051.83 $55,768.80 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 26 24 — — $39,854.98 $91,659.20 $55,768.80 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 24 — — $44,834.82 $103,404.49 $55,352.07 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 24 — — $40,503.84 $107,162.77 $55,352.07 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 24 — — $48,031.91 $110,945.04 $54,970.46 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 24 — — $43,512.07 $100,284.68 $54,932.57 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 24 — — $42,976.24 $99,020.89 $54,367.08 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 24 — — $42,949.05 $98,956.77 $53,795.11 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 24 — — $43,652.28 $100,615.39 $53,029.11 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 24 — — $41,986.85 $96,687.35 $52,712.17 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 26 24 — — $38,167.38 $87,678.86 $51,506.33 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 26 24 — — $40,267.05 $92,631.08 $51,069.27 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $41,212.08 $109,083.67 $50,868.76 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 24 — — $42,250.11 $111,899.04 $50,544.44 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 24 — — $41,087.60 $94,566.42 $50,273.70 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 24 — — $40,128.26 $92,303.75 $50,159.12 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 24 — — $41,766.51 $96,167.66 $49,903.17 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 24 — — $40,010.94 $92,027.03 $49,856.05 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 24 — — $36,055.54 $82,697.95 $49,849.58 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 24 — — $38,864.17 $89,322.29 $49,346.91 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 24 — — $40,072.46 $92,172.14 $49,156.57 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 24 — — $39,143.17 $89,980.33 $48,938.50 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 24 — — $39,120.28 $103,410.23 $47,583.90 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 24 — — $38,738.97 $89,027.01 $47,427.74 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 24 — — $38,231.76 $101,000.38 $47,071.99 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 24 — — $36,672.21 $84,152.40 $46,927.85 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 24 — — $36,202.20 $83,043.84 $46,537.91 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 24 — — $35,362.33 $81,062.95 $46,263.48 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 24 — — $40,812.89 $93,918.49 $46,227.45 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 24 — — $14,049.75 $83,329.00 $46,214.51 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 24 — — $36,386.05 $83,477.48 $46,042.64 2026-07-15
245 MS_DRG Aicd Generator Procedures 26 24 — — $33,631.80 $76,981.38 $45,151.90 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 26 24 — — $35,536.88 $93,691.27 $44,879.31 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 26 24 — — $34,165.48 $78,240.10 $44,804.47 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 24 — — $34,457.36 $78,928.52 $44,123.47 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 26 24 — — $33,392.14 $76,416.13 $43,932.20 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 24 — — $12,453.47 $79,164.74 $43,930.35 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 14 — — $41,819.45 $96,292.52 $43,492.23 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 24 — — $35,051.13 $80,328.98 $43,469.27 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 24 — — $33,792.04 $77,359.33 $43,236.42 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 24 — — $34,033.13 $77,927.95 $42,986.93 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 26 24 — — $33,055.19 $75,621.41 $42,586.84 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 24 — — $34,626.19 $79,326.72 $42,569.28 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 24 — — $37,049.93 $85,043.29 $42,433.45 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 24 — — $33,875.74 $77,556.74 $42,427.90 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 24 — — $33,533.79 $76,750.22 $41,685.00 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 24 — — $31,703.82 $83,295.14 $41,436.44 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 24 — — $33,519.48 $76,716.47 $41,321.86 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 26 24 — — $31,014.89 $70,809.23 $40,935.62 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 24 — — $32,919.98 $75,302.51 $40,587.27 2026-07-15
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 4 — — $24,635.51 $54,874.09 $40,366.91 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 24 — — $28,851.55 $65,706.84 $39,979.27 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 24 — — $30,843.20 $70,404.28 $39,896.11 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 24 — — $32,418.49 $74,119.71 $39,412.85 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 24 — — $31,950.63 $73,016.22 $39,355.56 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 26 24 — — $31,506.37 $71,968.41 $39,076.51 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 24 — — $33,045.89 $75,599.48 $38,718.92 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 24 — — $12,471.67 $70,893.60 $38,716.14 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 26 24 — — $30,821.74 $70,353.66 $38,536.89 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 24 — — $31,205.19 $71,258.05 $38,442.64 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 26 24 — — $30,959.09 $70,677.62 $37,993.57 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 24 — — $31,138.66 $71,101.13 $37,972.31 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 24 — — $31,153.68 $71,136.57 $37,915.95 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 24 — — $31,331.10 $82,284.24 $37,729.30 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 24 — — $30,702.98 $70,073.57 $37,580.53 2026-07-15
791 MS_DRG Prematurity With Major Problems 26 24 — — $30,030.52 $68,487.51 $37,515.85 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 24 — — $28,458.80 $64,780.51 $36,808.06 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 24 — — $26,623.82 $60,452.58 $36,782.19 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 24 — — $27,653.98 $62,882.30 $36,464.33 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 24 — — $26,564.44 $60,312.54 $36,381.16 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 24 — — $28,641.94 $65,212.46 $36,308.17 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 24 — — $29,755.09 $78,009.76 $36,306.32 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 24 — — $30,506.25 $69,609.56 $36,128.91 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 24 — — $28,683.43 $65,310.32 $35,930.25 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 24 — — $11,292.67 $58,842.90 $35,712.18 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 26 24 — — $27,269.82 $61,976.22 $35,675.22 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 26 24 — — $27,731.96 $63,066.21 $35,583.74 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 24 — — $27,912.96 $63,493.10 $35,317.62 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 24 — — $28,978.17 $66,005.49 $35,125.43 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 24 — — $28,615.47 $65,150.03 $34,851.92 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 24 — — $24,663.90 $60,054.38 $34,595.05 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 24 — — $26,170.26 $59,382.84 $33,711.69 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 24 — — $26,538.69 $60,251.80 $33,485.31 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 24 — — $26,831.28 $60,941.90 $33,124.02 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 24 — — $29,494.69 $67,223.72 $33,122.17 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 24 — — $27,729.10 $63,059.46 $33,114.78 2026-07-15
265 MS_DRG Aicd Lead Procedures 26 24 — — $26,877.07 $61,049.89 $32,958.62 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 24 — — $27,259.09 $71,240.05 $32,811.70 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 24 — — $25,366.88 $57,488.00 $32,610.27 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 24 — — $26,930.72 $61,176.44 $32,528.03 2026-07-15
1364170 CDM Or-str Ex Fix Ankle 30 30 $32,421.00 $29,179.00 $29,178.90 $32,421.00 $32,421.00 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 24 — — $26,479.31 $60,111.75 $32,373.72 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 24 — — $25,519.26 $57,847.39 $32,368.18 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 24 — — $26,500.77 $60,162.37 $32,350.62 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 26 24 — — $24,891.14 $56,365.94 $32,293.33 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 24 — — $27,503.75 $62,527.96 $32,083.58 2026-07-15
332 MS_DRG Rectal Resection With Mcc 26 24 — — $26,894.95 $61,092.07 $32,049.39 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 24 — — $25,826.88 $58,572.93 $32,014.28 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 24 — — $26,434.24 $60,005.45 $31,826.70 2026-07-15
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 6 — — $30,593.52 $49,867.44 $31,817.26 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 24 — — $25,706.69 $67,029.60 $31,774.96 2026-07-15
665 MS_DRG Prostatectomy With Mcc 26 24 — — $23,321.57 $52,664.01 $31,725.06 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 26 24 — — $25,947.78 $58,858.09 $31,695.49 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 24 — — $26,221.77 $68,426.62 $31,646.52 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 24 — — $24,263.03 $54,884.49 $31,479.27 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 24 — — $23,833.80 $53,872.11 $31,342.52 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 24 — — $25,399.07 $57,563.93 $31,014.50 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 26 24 — — $24,544.18 $55,547.60 $30,683.70 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 24 — — $27,795.63 $63,216.38 $30,508.14 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 24 — — $22,692.03 $58,853.18 $30,201.36 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 24 — — $24,160.73 $54,643.21 $30,114.51 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 24 — — $23,769.41 $53,720.26 $30,101.57 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 24 — — $24,079.17 $62,615.42 $29,786.48 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 24 — — $26,792.65 $60,850.79 $29,607.22 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg Powder For Injection 40 40 $29,555.47 $26,600.00 $26,599.93 $29,555.47 $29,555.47 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 26 24 — — $23,534.76 $53,166.82 $29,522.22 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 24 — — $24,134.97 $54,582.47 $29,470.47 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 26 24 — — $24,034.10 $54,344.56 $29,385.46 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 24 — — $26,950.76 $61,223.68 $29,326.32 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 26 24 — — $23,633.49 $53,399.67 $29,277.35 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 24 — — $24,541.32 $55,540.85 $28,836.60 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 26 24 — — $22,894.49 $51,656.69 $28,823.66 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 24 — — $23,524.03 $53,141.51 $28,700.77 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 24 — — $23,791.59 $53,772.56 $28,572.33 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 24 — — $24,102.78 $62,679.45 $28,513.19 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 24 — — $23,599.15 $53,318.68 $28,492.86 2026-07-15
652 MS_DRG Kidney Transplant 26 24 — — $24,096.34 $54,491.35 $28,378.29 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 26 24 — — $22,285.69 $50,220.80 $28,352.41 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 24 — — $23,235.73 $52,461.53 $28,260.01 2026-07-15
J2323 HCPCS Nf Natalizumab 300 Mg/15 Ml Conc 40 40 $28,042.46 $25,238.00 $25,238.22 $28,042.46 $28,042.46 2026-07-15
570 MS_DRG Skin Debridement With Mcc 26 24 — — $22,033.16 $49,625.18 $27,816.49 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 26 24 — — $21,638.97 $48,695.48 $27,591.03 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 24 — — $22,191.73 $52,554.33 $27,245.45 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 24 — — $21,827.12 $56,507.36 $27,175.22 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 26 24 — — $21,753.44 $48,965.45 $27,099.45 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 26 24 — — $21,882.21 $49,269.16 $26,945.14 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 24 — — $21,005.02 $48,428.88 $26,931.28 2026-07-15
800 MS_DRG Splenic Procedures With Cc 26 24 — — $21,090.98 $47,403.01 $26,922.04 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 24 — — $21,385.01 $48,096.49 $26,907.26 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Cc 26 24 — — $22,068.92 $57,163.18 $26,768.66 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 14 — — $25,592.23 $58,019.50 $26,615.92 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 26 24 — — $22,598.31 $50,958.15 $26,490.53 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 26 24 — — $20,022.19 $51,611.98 $26,460.04 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 24 — — $23,959.70 $54,169.08 $26,445.25 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 24 — — $22,601.18 $50,964.90 $26,408.29 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 24 — — $20,457.15 $45,908.06 $26,303.88 2026-07-15
J1162 HCPCS Digoxin Immune Fab 40 Mg Powder For Injection 40 40 $26,130.13 $23,517.00 $23,517.12 $26,130.13 $26,130.13 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 26 24 — — $21,018.73 $47,232.59 $26,074.72 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 24 — — $21,740.56 $48,935.07 $25,948.13 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 24 — — $23,471.09 $53,016.65 $25,922.26 2026-07-15
97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 7 7 — — $25,536.40 $25,536.40 $25,536.40 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 24 — — $23,723.62 $53,612.27 $25,519.39 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 24 — — $20,352.70 $45,661.71 $25,237.57 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 26 24 — — $21,648.99 $48,719.10 $25,192.29 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 26 24 — — $24,624.30 $55,736.58 $25,156.04 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 24 — — $20,550.15 $46,127.41 $25,101.74 2026-07-15
5155 OTHER Level 5 Airway Endoscopy 7 7 — — $1,101.29 $48,355.97 $25,070.30 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 24 — — $20,716.84 $46,520.55 $24,977.92 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 24 — — $19,469.91 $43,579.58 $24,896.61 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 24 — — $20,656.74 $46,378.82 $24,801.43 2026-07-15
263 MS_DRG Vein Ligation And Stripping 26 24 — — $22,865.16 $51,587.51 $24,781.10 2026-07-15
849 MS_DRG Radiotherapy 26 24 — — $20,376.31 $45,717.39 $24,679.46 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 26 24 — — $19,955.66 $44,725.26 $24,602.77 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 24 — — $19,860.51 $44,500.85 $24,515.91 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 26 24 — — $21,608.93 $48,624.61 $24,484.50 2026-07-15
503 MS_DRG Foot Procedures With Mcc 26 24 — — $20,960.07 $47,094.23 $24,454.00 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 26 24 — — $22,054.62 $49,675.80 $24,428.13 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 26 24 — — $20,651.73 $53,319.44 $24,238.71 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 24 — — $20,289.75 $45,513.23 $24,174.95 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 26 24 — — $19,361.17 $43,323.11 $23,917.15 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 24 — — $19,170.16 $42,872.61 $23,878.34 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 24 — — $19,539.30 $43,743.25 $23,595.60 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 26 24 — — $19,561.48 $43,795.56 $23,589.13 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 24 — — $20,822.71 $53,783.18 $23,544.78 2026-07-15
J1303 HCPCS Nf Ravulizumab 100 mg/mL Soln 40 40 $23,481.33 $21,133.00 $21,133.20 $23,481.33 $23,481.33 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 26 24 — — $18,746.65 $41,873.72 $23,347.04 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 24 — — $22,574.71 $50,902.47 $23,328.56 2026-07-15
J9332 HCPCS Efgartigimod Alfa 400 Mg/20 Ml Soln 40 40 $23,266.42 $20,940.00 $20,939.78 $23,266.42 $23,266.42 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 26 24 — — $19,049.26 $42,587.45 $23,255.56 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 27 24 — — $170.74 $39,197.67 $23,137.29 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 26 24 — — $19,256.72 $43,076.77 $23,118.81 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 26 24 — — $18,125.69 $40,409.15 $22,893.35 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 26 24 — — $19,041.39 $42,568.89 $22,800.94 2026-07-15
792 MS_DRG Prematurity Without Major Problems 27 25 — — $1,774.89 $41,325.35 $22,636.47 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 24 — — $18,580.68 $41,482.27 $22,624.46 2026-07-15
5462 OTHER Level 2 Neurostimulator And Related Procedures 3 3 — — $6,160.86 $38,190.31 $22,559.06 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 24 — — $18,478.38 $41,240.99 $22,435.96 2026-07-15
224 EAPG Level Ii Neurostimulator And Related Device Implantation 7 7 — — $22,427.72 $22,427.72 $22,427.72 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 24 — — $18,819.62 $42,045.83 $22,359.27 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 26 24 — — $16,516.77 $36,614.41 $22,277.03 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 25 — — $10,235.18 $49,207.95 $22,185.55 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 24 — — $19,444.15 $43,518.84 $22,148.59 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 26 24 — — $19,444.15 $43,518.84 $22,148.59 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 27 25 — — $9,317.87 $40,265.73 $21,959.17 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 26 24 — — $18,457.63 $47,368.54 $21,873.24 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 26 24 — — $17,415.30 $38,733.66 $21,867.69 2026-07-15
246 EAPG Class IV Therapeutic Radiopharmaceuticals 7 7 — — $21,844.37 $21,844.37 $21,844.37 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 29 25 — — $13,860.30 $40,447.96 $21,840.90 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 24 — — $17,526.90 $38,996.88 $21,803.93 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 26 24 — — $18,585.68 $47,715.86 $21,607.12 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 26 24 — — $17,343.76 $38,564.93 $21,438.03 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 26 24 — — $18,200.09 $40,584.63 $21,387.20 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 26 24 — — $16,606.20 $36,825.32 $21,369.65 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 26 24 — — $17,722.92 $39,459.20 $21,328.99 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 26 24 — — $16,140.48 $35,726.89 $21,195.93 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 24 — — $16,787.91 $37,253.90 $21,163.59 2026-07-15
466 EAPG Class Xiv Combined Chemotherapy And Pharmacotherapy 7 7 — — $21,147.50 $21,147.50 $21,147.50 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 26 24 — — $16,644.83 $36,916.44 $21,096.14 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 26 24 — — $16,672.73 $36,982.24 $21,056.41 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 26 24 — — $18,094.21 $40,334.91 $21,017.60 2026-07-15
1341090 CDM Urol/ Class Vii 30 30 $20,960.00 $18,864.00 $18,864.00 $20,960.00 $20,960.00 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 26 24 — — $17,245.76 $38,333.77 $20,937.21 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 26 24 — — $16,722.09 $37,098.67 $20,869.76 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 26 24 — — $16,998.23 $37,749.96 $20,866.06 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 26 24 — — $16,237.05 $35,954.68 $20,815.24 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 26 24 — — $17,629.21 $39,238.16 $20,807.85 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 26 24 — — $16,579.73 $36,762.89 $20,791.22 2026-07-15
709 MS_DRG Penis Procedures With Cc/Mcc 26 24 — — $17,640.65 $39,265.16 $20,762.57 2026-07-15
J0517 HCPCS Nf Benralizumab 30 mg/mL Soln 40 40 $20,751.06 $18,676.00 $18,675.95 $20,751.06 $20,751.06 2026-07-15
113 MS_DRG Orbital Procedures With Cc/Mcc 26 24 — — $17,812.35 $39,670.11 $20,670.17 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 26 24 — — $17,007.53 $37,771.90 $20,625.82 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/Mcc 26 24 — — $16,697.05 $37,039.61 $20,561.14 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 26 24 — — $16,822.96 $37,336.57 $20,451.18 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 26 24 — — $17,200.69 $38,227.47 $20,321.82 2026-07-15
935 MS_DRG Non-extensive Burns 26 24 — — $15,729.84 $34,758.38 $20,294.10 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 24 — — $17,315.15 $38,497.44 $20,196.15 2026-07-15
5432 OTHER Level 2 Nerve Procedures 3 3 — — $4,480.61 $58,723.47 $20,194.45 2026-04-01
906 MS_DRG Hand Procedures For Injuries 26 24 — — $15,045.21 $33,143.63 $20,165.66 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 27 25 — — $16,312.89 $36,133.53 $20,133.32 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 26 24 — — $17,410.30 $38,721.85 $20,042.77 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 24 — — $17,272.94 $44,155.41 $19,931.88 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 26 24 — — $15,910.12 $35,183.58 $19,897.70 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 26 24 — — $16,596.18 $36,801.70 $19,850.57 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 26 24 — — $16,807.22 $37,299.45 $19,826.55 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 24 — — $15,967.35 $35,318.56 $19,812.69 2026-07-15
1020 EAPG Durable Medical Equipment - Level 20 7 7 — — $19,793.86 $19,793.86 $19,793.86 2026-07-15
835 MS_DRG Acute Leukemia With Cc 26 24 — — $15,914.41 $35,193.70 $19,735.07 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 26 24 — — $16,871.61 $37,451.31 $19,733.22 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 26 24 — — $16,237.77 $35,956.36 $19,732.30 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 26 24 — — $16,033.88 $35,475.48 $19,695.34 2026-07-15
333 MS_DRG Rectal Resection With Cc 26 24 — — $17,748.68 $39,519.94 $19,636.20 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 26 24 — — $15,952.33 $40,573.61 $19,595.54 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 26 24 — — $16,164.08 $35,782.57 $19,542.87 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 27 24 — — $14,844.49 $35,580.10 $19,518.85 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 26 24 — — $16,292.85 $36,086.29 $19,510.53 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 26 24 — — $17,710.76 $39,430.51 $19,508.69 2026-07-15
1361190 CDM Ent/class Vii 30 30 $19,497.00 $17,547.00 $17,547.30 $19,497.00 $19,497.00 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 29 24 — — $16,142.62 $35,731.95 $19,480.04 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 26 24 — — $16,230.62 $35,939.49 $19,429.22 2026-07-15
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