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Hospital

KNOX COMMUNITY HOSPITAL

Mount Vernon, OH · CCN 360040 · Rates published

2,008 distinct procedures filed
20 distinct payers
97,520 rate rows
2026-04-01 last MRF observed
Data quality

22,526 of 97,520 rate rows are consumer-grade (23.1%)

74,994 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 74,972
placeholder amount (≤ $0.02) — excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=WJKzY1WfxL9tY*__*rvbuKxvw*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=WJKzY1WfxL9tY*__*rvbuKxvw*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 25c62c8d8ff33aa2… · 21,765,323 bytes · first seen 2026-05-06

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 1 $1,340,878.80 $1,895,725.20 $1,618,302.00 nat. median
$824,563
2.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,006,284.77 $1,422,678.46 $1,214,481.61 nat. median
$754,974
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $962,879.16 $1,361,311.92 $1,162,095.54 nat. median
$675,122
1.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $942,446.04 $1,332,423.72 $1,137,434.88 nat. median
$674,188
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $941,793.18 $1,331,500.70 $1,136,646.94 nat. median
$625,184
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $927,553.07 $1,311,368.13 $1,119,460.60 nat. median
$634,511
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $852,112.80 $1,204,711.20 $1,028,412.00 nat. median
$620,080
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $260,878.09 $322,261.17 $308,449.97 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $169,299.39 $209,134.54 $200,171.63 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $128,983.71 $159,332.82 $152,504.27 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $128,226.74 $158,397.74 $151,609.27 nat. median
$202,986
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 1 $110,370.03 $156,040.39 $133,205.21 nat. median
$69,774
1.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $97,345.99 $137,627.09 $117,486.54 nat. median
$66,682
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $83,679.77 $103,369.13 $98,939.02 nat. median
$133,176
0.7× median
J9226
HCPCS 		Supprelin La Implant 1 $79,275.08 $112,078.56 $95,676.82 nat. median
$60,368
1.6× median
7
MS_DRG 		Lung Transplant 8 $78,235.39 $96,643.72 $92,501.85 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $72,603.14 $89,686.23 $85,842.54 nat. median
$117,303
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $68,458.24 $84,566.06 $80,941.80 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $68,379.70 $84,469.05 $80,848.95 nat. median
$98,017
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $66,581.83 $82,248.14 $78,723.22 nat. median
$98,905
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $65,693.16 $81,150.37 $77,672.50 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $62,288.31 $76,944.38 $73,646.76 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 8 $8,712.64 $74,306.31 $70,767.91 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $59,100.34 $73,006.30 $69,877.46 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $54,429.25 $67,236.13 $64,354.58 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $52,314.20 $64,623.43 $61,853.85 nat. median
$83,442
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $50,927.14 $62,909.99 $60,213.85 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $50,767.04 $62,712.23 $60,024.56 nat. median
$81,118
0.7× median
J9266
HCPCS 		Pegaspargase Injection 1 $49,457.86 $69,923.19 $59,690.53 nat. median
$34,109
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $47,537.39 $58,722.66 $56,205.97 nat. median
$77,576
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $46,386.53 $57,301.01 $54,845.25 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $46,186.57 $57,054.00 $54,608.82 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $46,033.72 $56,865.19 $54,428.10 nat. median
$72,138
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $43,609.37 $53,870.40 $51,561.67 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 8 $43,350.20 $53,550.24 $51,255.23 nat. median
$68,882
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $43,332.07 $53,527.86 $51,233.81 nat. median
$64,027
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $43,076.53 $56,627.52 $51,185.05 nat. median
$68,887
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $43,101.90 $53,243.53 $50,961.66 nat. median
$71,240
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $9,635.56 $57,786.50 $49,615.85 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $41,551.11 $54,498.88 $49,372.50 nat. median
$65,950
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $40,664.26 $50,232.32 $48,079.50 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $40,394.82 $49,899.49 $47,760.93 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $40,365.22 $49,862.91 $47,725.93 nat. median
$63,738
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $39,723.03 $49,069.63 $46,966.65 nat. median
$64,510
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $39,723.03 $49,069.63 $46,966.65 nat. median
$61,920
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 $39,578.64 $48,891.27 $46,795.93 nat. median
$59,793
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $38,873.63 $72,311.49 $46,191.02 nat. median
$62,134
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 $37,023.20 $45,734.54 $43,774.49 nat. median
$60,726
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 8 $36,980.30 $45,681.55 $43,723.77 nat. median
$60,185
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $36,625.68 $45,243.49 $43,304.49 nat. median
$59,899
0.7× median

Other procedures at this hospital

Browse this hospital's 2,008 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 4 1 — — $1,340,878.80 $1,895,725.20 $1,618,302.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 1 — — $1,006,284.77 $1,422,678.46 $1,214,481.61 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 1 — — $962,879.16 $1,361,311.92 $1,162,095.54 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 1 — — $942,446.04 $1,332,423.72 $1,137,434.88 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 1 — — $941,793.18 $1,331,500.70 $1,136,646.94 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 1 — — $927,553.07 $1,311,368.13 $1,119,460.60 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 1 — — $852,112.80 $1,204,711.20 $1,028,412.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 8 — — $260,878.09 $322,261.17 $308,449.97 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 8 — — $169,299.39 $209,134.54 $200,171.63 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 8 — — $128,983.71 $159,332.82 $152,504.27 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 8 — — $128,226.74 $158,397.74 $151,609.27 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 1 — — $110,370.03 $156,040.39 $133,205.21 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 1 — — $97,345.99 $137,627.09 $117,486.54 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 9 — — $31,875.45 $136,225.03 $37,875.54 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 8 — — $21,484.50 $122,024.49 $25,528.64 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 9 — — $10,900.30 $121,875.81 $25,760.12 2026-04-01
J9226 HCPCS Supprelin La Implant 4 1 — — $79,275.08 $112,078.56 $95,676.82 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 22 8 — — $15,423.31 $106,407.79 $18,326.52 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 8 — — $83,679.77 $103,369.13 $98,939.02 2026-04-01
7 MS_DRG Lung Transplant 16 8 — — $78,235.39 $96,643.72 $92,501.85 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 8 — — $72,603.14 $89,686.23 $85,842.54 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 32 10 — — $9,886.56 $87,930.25 $19,627.75 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 8 — — $68,458.24 $84,566.06 $80,941.80 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 16 8 — — $68,379.70 $84,469.05 $80,848.95 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 8 — — $66,581.83 $82,248.14 $78,723.22 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 8 — — $65,693.16 $81,150.37 $77,672.50 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 9 — — $18,738.74 $80,847.46 $26,487.68 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 32 9 — — $14,314.45 $77,225.90 $18,632.33 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 8 — — $62,288.31 $76,944.38 $73,646.76 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 8 — — $8,712.64 $74,306.31 $70,767.91 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 8 — — $59,100.34 $73,006.30 $69,877.46 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 8 — — $38,873.63 $72,311.49 $46,191.02 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 52 12 — — $3,964.86 $71,899.82 $14,946.20 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 8 — — $30,130.13 $71,101.48 $35,801.68 2026-04-01
J9266 HCPCS Pegaspargase Injection 4 1 — — $49,457.86 $69,923.19 $59,690.53 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 8 — — $54,429.25 $67,236.13 $64,354.58 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 8 — — $25,513.40 $66,351.48 $30,616.09 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 8 — — $52,314.20 $64,623.43 $61,853.85 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 26 8 — — $6,036.52 $64,412.69 $15,884.42 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 8 — — $50,927.14 $62,909.99 $60,213.85 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 8 — — $50,767.04 $62,712.23 $60,024.56 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 8 — — $20,935.40 $60,238.62 $33,622.53 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 9 — — $10,904.64 $60,081.83 $19,731.34 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 8 — — $47,537.39 $58,722.66 $56,205.97 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 9 — — $9,635.56 $57,786.50 $49,615.85 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 8 — — $46,386.53 $57,301.01 $54,845.25 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 8 — — $46,186.57 $57,054.00 $54,608.82 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 8 — — $46,033.72 $56,865.19 $54,428.10 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 8 — — $43,076.53 $56,627.52 $51,185.05 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 28 8 — — $12,653.40 $54,511.84 $15,407.38 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 8 — — $41,551.11 $54,498.88 $49,372.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 8 — — $43,609.37 $53,870.40 $51,561.67 2026-04-01
10 MS_DRG Pancreas Transplant 16 8 — — $43,350.20 $53,550.24 $51,255.23 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 8 — — $43,332.07 $53,527.86 $51,233.81 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 8 — — $43,101.90 $53,243.53 $50,961.66 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 8 — — $19,495.72 $50,485.81 $23,165.50 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 8 — — $40,664.26 $50,232.32 $48,079.50 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 8 3 — — $843.71 $50,009.59 $21,530.37 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 8 — — $40,394.82 $49,899.49 $47,760.93 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 8 — — $40,365.22 $49,862.91 $47,725.93 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 8 — — $39,723.03 $49,069.63 $46,966.65 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 8 — — $39,723.03 $49,069.63 $46,966.65 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 8 — — $39,578.64 $48,891.27 $46,795.93 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 8 — — $15,321.22 $47,711.19 $18,205.21 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 28 9 — — $13,013.49 $45,789.82 $17,208.13 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 8 — — $37,023.20 $45,734.54 $43,774.49 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 8 — — $36,980.30 $45,681.55 $43,723.77 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 8 — — $36,625.68 $45,243.49 $43,304.49 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 8 — — $36,297.64 $44,838.27 $42,916.62 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 8 — — $36,287.38 $44,825.58 $42,904.49 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 8 — — $18,816.68 $44,508.39 $22,358.64 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 8 — — $36,024.58 $44,500.95 $42,593.77 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 8 — — $1,791.27 $44,354.68 $39,074.36 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 8 — — $35,822.80 $44,251.69 $42,355.19 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 8 — — $35,453.68 $43,795.72 $41,918.76 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 8 — — $35,430.72 $43,767.36 $41,891.61 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 8 — — $34,840.50 $43,038.26 $41,193.76 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 8 — — $34,618.18 $42,763.63 $40,930.90 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 8 — — $34,476.81 $42,589.00 $40,763.75 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 8 — — $34,432.11 $42,533.78 $40,710.90 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 22 8 — — $21,073.69 $42,522.66 $25,040.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 8 — — $24,974.31 $42,159.71 $33,513.01 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 8 — — $15,457.80 $42,031.03 $39,758.75 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 8 — — $33,963.91 $41,955.42 $40,157.33 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 8 — — $33,858.79 $41,825.56 $40,033.04 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 8 — — $33,365.82 $41,216.61 $39,450.18 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 16 8 — — $33,165.86 $40,969.59 $39,213.76 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 8 — — $33,048.65 $40,824.81 $39,075.18 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 8 — — $33,001.54 $40,766.61 $39,019.46 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 8 — — $32,949.58 $40,702.42 $38,958.03 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 8 — — $32,817.88 $40,539.73 $38,802.32 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 8 — — $32,216.78 $39,797.19 $38,091.60 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 8 — — $32,197.45 $39,773.32 $38,068.74 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 8 — — $29,835.31 $39,739.49 $35,451.37 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 8 — — $31,981.17 $39,506.16 $37,813.04 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 8 — — $31,447.13 $38,846.45 $37,181.60 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 16 8 — — $31,392.75 $38,779.28 $37,117.32 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 8 — — $27,075.67 $38,050.91 $32,172.27 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 8 — — $30,449.11 $37,613.60 $36,001.59 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 4 2 — — $697.49 $37,290.60 $18,994.05 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 8 — — $29,888.48 $36,921.07 $35,338.74 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 8 — — $29,733.22 $36,729.27 $35,155.16 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 8 — — $29,609.38 $36,576.29 $35,008.74 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 8 — — $25,352.71 $36,575.65 $30,124.99 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 26 8 — — $9,645.19 $36,142.61 $15,640.36 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 8 — — $29,171.39 $36,035.24 $34,490.88 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 8 — — $29,023.98 $35,853.15 $34,316.59 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 8 — — $26,538.00 $35,590.02 $31,533.39 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 8 — — $28,761.19 $35,528.52 $34,005.88 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 8 — — $28,402.33 $35,085.24 $33,581.59 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 28 8 — — $152.82 $34,911.84 $15,277.01 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 8 — — $28,259.76 $34,909.12 $33,413.01 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 9 — — $17,220.58 $34,738.71 $20,462.11 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 8 — — $28,013.28 $34,604.64 $33,121.59 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 8 — — $27,901.51 $34,466.58 $32,825.31 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 8 — — $25,382.91 $34,355.19 $30,160.87 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 8 — — $27,697.92 $34,215.08 $32,748.72 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 8 — — $27,562.60 $34,047.92 $32,588.72 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 8 — — $27,479.84 $33,945.68 $32,490.86 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 8 — — $27,467.75 $33,930.75 $32,476.58 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 16 8 — — $27,360.22 $33,797.91 $32,349.43 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 8 — — $27,067.82 $33,436.72 $32,003.72 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 8 — — $26,961.50 $33,305.38 $31,878.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 8 — — $25,089.31 $32,914.46 $29,812.01 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 8 — — $26,142.91 $32,294.18 $30,910.14 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 8 — — $25,934.49 $32,036.72 $30,663.72 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 8 — — $25,767.74 $31,830.74 $30,466.57 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 8 — — $25,619.73 $31,647.90 $30,291.57 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 8 — — $25,469.91 $31,462.83 $30,114.42 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 8 — — $25,457.22 $31,447.15 $30,099.42 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 8 — — $22,580.38 $31,399.38 $26,830.80 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 8 — — $25,305.59 $31,259.84 $29,920.14 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 8 — — $25,207.72 $31,138.95 $29,804.42 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 30 11 — — $2,098.72 $31,116.56 $25,189.60 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 8 — — $24,923.17 $30,787.45 $29,467.99 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 8 — — $19,288.51 $30,689.41 $23,032.74 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 9 — — $6,314.07 $30,585.93 $25,422.97 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 8 — — $5,446.08 $30,291.19 $28,848.75 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 8 — — $24,288.84 $30,003.87 $28,717.99 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 8 — — $24,068.95 $29,732.23 $28,457.99 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 8 — — $21,572.70 $29,669.93 $25,633.45 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 8 — — $23,632.76 $29,193.41 $27,942.26 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 8 — — $22,181.06 $29,069.59 $26,356.31 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 8 — — $23,525.83 $29,061.32 $27,815.83 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 8 — — $23,383.87 $28,885.95 $27,647.98 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 8 — — $23,348.83 $28,842.67 $27,606.56 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 8 — — $23,326.47 $28,815.06 $27,580.12 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 8 — — $23,194.17 $28,651.62 $27,423.69 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 8 — — $22,733.22 $28,082.22 $26,878.69 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 8 — — $22,634.15 $27,959.83 $26,761.55 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 8 — — $22,577.96 $27,890.43 $26,695.12 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 8 — — $17,339.59 $27,848.42 $20,603.52 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 8 — — $22,387.67 $27,655.35 $26,470.12 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 16 8 — — $22,190.12 $27,411.32 $26,236.55 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 8 — — $21,920.68 $27,078.48 $25,917.97 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 8 — — $21,903.76 $27,057.59 $25,897.97 2026-04-01
332 MS_DRG Rectal Resection With Mcc 16 8 — — $21,873.55 $27,020.27 $25,862.26 2026-04-01
265 MS_DRG Aicd Lead Procedures 16 8 — — $21,858.45 $27,001.61 $25,844.40 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 8 — — $21,819.79 $26,953.86 $25,798.69 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 8 — — $21,644.59 $26,737.43 $25,591.54 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 8 — — $21,594.45 $26,675.49 $25,532.25 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 8 — — $21,540.68 $26,609.08 $25,468.69 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 8 — — $21,522.56 $26,586.69 $25,447.26 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 8 — — $21,305.07 $26,318.03 $25,190.11 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 8 — — $21,261.58 $26,264.30 $25,138.69 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 8 — — $8,910.54 $26,025.49 $24,786.18 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 8 — — $20,971.60 $25,906.09 $24,795.83 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 8 — — $20,870.10 $25,780.71 $24,675.83 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 8 — — $20,773.44 $25,661.31 $24,561.53 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 8 — — $20,711.82 $25,585.19 $24,488.68 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 8 — — $20,610.33 $25,459.82 $24,368.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 8 — — $20,583.14 $25,426.23 $24,336.53 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 8 — — $19,026.92 $25,203.73 $22,608.46 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 8 — — $20,181.40 $24,929.96 $23,861.53 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 8 — — $19,035.98 $24,815.26 $22,619.22 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 8 — — $18,470.52 $24,766.93 $21,947.32 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 8 — — $19,956.06 $24,651.61 $23,595.11 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 8 — — $19,888.40 $24,568.03 $23,515.11 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 8 — — $19,885.98 $24,565.03 $23,512.25 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 8 — — $16,512.13 $24,279.20 $20,905.73 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 8 — — $19,650.98 $24,274.74 $23,234.40 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 8 — — $19,564.59 $24,168.02 $23,132.25 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 8 — — $19,542.84 $24,141.16 $23,106.54 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 8 — — $19,515.65 $24,107.57 $23,074.39 2026-04-01
652 MS_DRG Kidney Transplant 16 8 — — $19,510.22 $24,100.86 $23,067.97 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 16 8 — — $19,457.66 $24,035.93 $23,005.82 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 8 — — $19,394.83 $23,958.32 $22,931.53 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 8 — — $19,252.86 $23,782.94 $22,763.67 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 8 — — $19,234.13 $23,759.81 $22,741.53 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 8 — — $19,195.46 $23,712.04 $22,695.82 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 8 — — $19,119.35 $23,618.02 $22,605.81 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 8 — — $19,090.35 $23,582.20 $22,571.54 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 8 — — $18,982.21 $23,448.61 $22,443.67 2026-04-01
1489 OTHER Inj Vedolizumab IV 1 Mg 2 1 — — $23,315.27 $23,315.27 $23,315.27 2026-04-01
665 MS_DRG Prostatectomy With Mcc 16 8 — — $18,855.95 $23,292.64 $22,294.39 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 8 — — $18,783.45 $23,203.09 $22,208.67 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 16 8 — — $18,495.29 $22,847.12 $21,867.96 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 18 8 — — $15,248.12 $22,846.90 $18,118.35 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 8 — — $18,324.32 $22,635.92 $21,665.81 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 8 — — $18,247.60 $22,541.15 $21,467.76 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 8 — — $18,245.18 $22,538.17 $21,572.24 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 8 — — $18,225.24 $22,513.53 $21,548.67 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 8 — — $17,981.18 $22,212.05 $21,260.10 2026-04-01
570 MS_DRG Skin Debridement With Mcc 18 8 — — $17,767.92 $22,079.85 $21,112.47 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 8 — — $17,798.12 $21,985.92 $21,043.67 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 16 8 — — $17,786.05 $21,971.00 $21,029.38 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 18 8 — — $16,601.36 $21,870.86 $19,726.32 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 16 8 — — $17,640.45 $21,791.14 $20,857.24 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 8 — — $17,531.71 $21,656.82 $20,728.67 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 8 — — $17,520.84 $21,643.39 $20,715.82 2026-04-01
9161 OTHER Inj Cefazolin Sodium, Baxter 2 1 — — $21,588.46 $21,588.46 $21,588.46 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 8 — — $17,443.50 $21,547.86 $20,624.38 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 16 8 — — $17,435.05 $21,537.41 $20,614.38 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 16 8 — — $17,409.67 $21,506.07 $20,584.38 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 8 — — $15,350.21 $21,334.50 $18,239.66 2026-04-01
800 MS_DRG Splenic Procedures With Cc 16 8 — — $16,972.29 $20,965.77 $20,067.24 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 16 8 — — $16,911.27 $20,890.39 $19,995.09 2026-04-01
503 MS_DRG Foot Procedures With Mcc 16 8 — — $16,861.73 $20,829.20 $19,936.51 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 8 — — $16,745.74 $20,685.91 $19,799.38 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 8 — — $16,656.33 $20,575.46 $19,693.66 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 8 — — $14,852.42 $20,445.39 $17,648.16 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 8 — — $16,515.57 $20,401.58 $19,527.23 2026-04-01
849 MS_DRG Radiotherapy 16 8 — — $16,368.76 $20,220.24 $19,353.65 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 8 — — $16,348.83 $20,195.62 $19,330.09 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 8 — — $16,295.66 $20,129.94 $19,267.22 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 8 — — $16,069.73 $19,850.84 $19,000.09 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 8 — — $16,013.54 $19,781.43 $18,933.65 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 8 — — $15,933.19 $19,682.18 $18,838.65 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 8 — — $15,661.94 $19,347.10 $18,517.94 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 8 — — $15,603.34 $19,274.71 $18,448.65 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 20 8 — — $12,873.30 $19,267.00 $15,296.51 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 16 8 — — $15,581.59 $19,247.84 $18,422.93 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 8 — — $15,581.59 $19,247.84 $18,422.93 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 16 8 — — $15,511.51 $19,161.28 $18,340.08 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 18 8 — — $15,054.19 $19,160.82 $17,887.92 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 8 — — $15,241.47 $18,827.70 $18,020.79 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 16 8 — — $14,992.57 $18,520.24 $17,726.51 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 8 — — $14,048.93 $18,420.14 $16,693.43 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 8 — — $14,856.64 $18,352.32 $17,565.79 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 16 8 — — $14,831.87 $18,321.72 $17,536.50 2026-04-01
792 MS_DRG Prematurity Without Major Problems 26 9 — — $1,050.85 $18,277.70 $17,407.33 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 8 — — $14,766.02 $18,240.38 $17,458.65 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 8 — — $14,748.50 $18,218.74 $17,437.93 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 16 8 — — $14,633.12 $18,076.20 $17,301.51 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 16 8 — — $14,585.39 $18,017.24 $17,245.07 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 8 — — $14,531.02 $17,950.09 $17,180.79 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 16 8 — — $14,468.19 $17,872.47 $17,106.51 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 8 — — $14,441.61 $17,839.64 $17,075.08 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 8 — — $14,416.84 $17,809.04 $17,045.79 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 4 1 — — $12,595.86 $17,807.94 $15,201.90 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 16 8 — — $14,203.58 $17,545.60 $16,793.65 2026-04-01
333 MS_DRG Rectal Resection With Cc 16 8 — — $14,149.81 $17,479.18 $16,730.08 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 8 — — $14,128.07 $17,452.32 $16,787.47 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 8 — — $14,117.79 $17,439.63 $16,692.21 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 16 8 — — $14,058.59 $17,366.50 $16,622.22 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 8 — — $14,034.43 $17,336.64 $16,593.65 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 8 — — $13,962.53 $17,247.84 $16,508.64 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 16 8 — — $13,868.29 $17,131.42 $16,397.22 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 8 — — $13,864.06 $17,126.19 $16,392.22 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 8 — — $13,807.88 $17,056.80 $16,325.80 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 8 — — $13,783.72 $17,026.95 $16,297.22 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 8 — — $13,748.07 $16,982.91 $16,255.07 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 8 — — $13,725.12 $16,954.56 $16,227.94 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 8 — — $13,687.06 $16,907.54 $16,182.93 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 8 — — $13,523.94 $16,706.05 $15,990.08 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 16 8 — — $13,516.09 $16,696.34 $15,980.78 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 16 8 — — $13,409.16 $16,564.25 $15,854.35 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 8 — — $13,354.78 $16,497.09 $15,790.07 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 8 — — $13,338.47 $16,476.94 $15,770.78 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 8 — — $13,282.90 $16,408.29 $15,705.08 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 16 8 — — $13,261.75 $16,382.16 $15,680.07 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 16 8 — — $13,241.22 $16,356.80 $15,655.79 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 8 — — $13,217.65 $16,327.69 $15,627.93 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 22 8 — — $9,886.13 $16,287.39 $15,511.80 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 16 8 — — $13,176.57 $16,276.94 $15,579.36 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 8 — — $13,153.61 $16,248.58 $15,552.22 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 16 8 — — $13,109.52 $16,194.11 $15,500.08 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 8 — — $12,937.34 $15,981.42 $15,296.50 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 16 8 — — $12,932.50 $15,975.45 $15,290.78 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 16 8 — — $12,920.42 $15,960.53 $15,276.50 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 16 8 — — $12,873.90 $15,903.06 $15,221.50 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 16 8 — — $12,867.86 $15,895.59 $15,214.35 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 18 8 — — $12,847.93 $15,870.97 $15,127.10 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 16 8 — — $12,811.68 $15,826.19 $15,147.92 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 16 8 — — $12,791.74 $15,801.57 $15,124.35 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 16 8 — — $12,786.91 $15,795.59 $15,118.64 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 8 — — $12,739.19 $15,736.64 $15,062.22 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 8 — — $12,701.73 $15,690.37 $15,017.92 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 16 8 — — $12,645.54 $15,620.97 $14,951.49 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 16 8 — — $12,632.86 $15,605.30 $14,936.50 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 16 8 — — $12,610.51 $15,577.68 $14,910.07 2026-04-01
835 MS_DRG Acute Leukemia With Cc 16 8 — — $12,600.84 $15,565.75 $14,898.65 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 16 8 — — $12,597.21 $15,561.26 $14,894.35 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 16 8 — — $12,588.76 $15,550.82 $14,884.35 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 16 8 — — $12,562.18 $15,517.98 $14,852.92 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 18 8 — — $12,554.32 $15,508.28 $14,769.79 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 16 8 — — $12,537.41 $15,487.38 $14,823.64 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 16 8 — — $12,485.45 $15,423.21 $14,762.22 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 8 — — $12,448.60 $15,377.68 $14,718.64 2026-04-01
935 MS_DRG Non-extensive Burns 16 8 — — $12,444.98 $15,373.21 $14,714.35 2026-04-01
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