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

ALLIANCEHEALTH WOODWARD

Woodward, OK · CCN 370002 · Rates published

15,557 distinct procedures filed
28 distinct payers
80,584 rate rows
2026-04-01 last MRF observed
Data quality

58,624 of 80,584 rate rows are consumer-grade (72.7%)

21,960 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 19,481
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
template filing: same amount across many unrelated codes — excluded 625
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 49
placeholder amount (≤ $0.02) — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/932826081_integris-health-woodward-hospital_standardcharges.csv
Found on page https://integrishealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-09-21
Content fingerprint a374c8adee57074e… · 26,346,736 bytes · first seen 2026-05-11

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
H2000
HCPCS 		Comp Multidisipln Evaluation 1 $4,165,959.00 $4,165,959.00 $4,165,959.00 nat. median
$95
outlier · 43746.3×
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $42.45 $4,864,551.99 $3,905,146.00 nat. median
$2,968,000
1.3× median
H2010
HCPCS 		Comprehensive Medication Services, Per 15 Minutes 1 $3,807,119.13 $3,807,119.13 $3,807,119.13 nat. median
$23
outlier · 167493.1×
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,408,903.61 $3,408,903.61 $3,408,903.61 nat. median
$3,508,750
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $38.88 $3,998,166.53 $3,226,638.56 nat. median
$2,455,111
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $141.40 $3,847,800.00 $3,089,900.00 nat. median
$2,332,000
1.3× median
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $79.40 $4,505,000.00 $2,252,539.70 nat. median
$4,505,000
0.5× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $13.04 $3,685,266.67 $1,842,639.85 nat. median
$3,685,267
0.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,334.25 $3,316,462.59 $1,659,898.42 nat. median
$3,325,455
outlier · 0.5×
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $89.91 $3,248,445.72 $1,624,267.81 nat. median
$3,248,446
0.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $770,620.00 $1,271,523.00 $1,271,523.00 nat. median
$813,967
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $565,868.94 $912,729.35 $912,729.35 nat. median
$599,737
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $870,577.06 $870,577.06 nat. median
$574,037
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,538.19 $852,129.78 $852,129.78 nat. median
$579,571
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $533,230.17 $829,687.20 $829,687.20 nat. median
$562,501
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $807,508.61 $807,508.61 nat. median
$513,770
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $1,284.99 $954,972.35 $773,349.27 nat. median
$621,313
1.2× median
M1107
HCPCS 		Docu Dx Degen Neuro 1 $578,544.93 $578,544.93 $578,544.93 —
M1106
HCPCS 		Start Eoc Doc Med Rec 1 $552,546.94 $552,546.94 $552,546.94 —
M1070
HCPCS 		Pt Not Scrn Fut Fall No Rsn 1 $540,429.11 $540,429.11 $540,429.11 —
M1058
HCPCS 		Pt Prm Nurs Hm Res In Pp 1 $523,694.85 $523,694.85 $523,694.85 —
M1069
HCPCS 		Pt Scr Ft Fall Rsk 1 $512,361.60 $512,361.60 $512,361.60 —
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $301,673.49 $1,018,662.39 $491,286.97 nat. median
$168,055
outlier · 2.9×
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$377,029
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $195,773.96 $661,070.91 $334,926.40 nat. median
$186,516
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $148,278.49 $500,692.70 $231,956.04 nat. median
$145,435
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $149,153.83 $503,648.47 $222,918.39 nat. median
$131,925
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $79,163.55 $310,854.77 $170,523.14 nat. median
$65,418
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $83,956.62 $283,496.73 $151,922.90 nat. median
$72,715
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 7 $69,559.24 $262,734.29 $146,578.74 nat. median
$73,023
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $96,765.38 $326,748.15 $145,643.58 nat. median
$97,418
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $79,072.73 $267,005.29 $145,384.29 nat. median
$2,110
outlier · 68.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $75,966.07 $256,515.02 $139,012.68 nat. median
$74,509
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $76,993.71 $259,985.04 $137,948.34 nat. median
$2,736
outlier · 50.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $72,028.78 $243,219.95 $133,253.10 nat. median
$69,922
1.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $490.71 $130,327.56 $130,327.56 nat. median
$92,809
1.4× median
7
MS_DRG 		Lung Transplant 7 $90,469.63 $305,489.26 $128,873.82 nat. median
$70,649
1.8× median
J3403
HCPCS 		Revakinagene, Per Implant 2 $61.30 $257,500.00 $128,780.65 nat. median
$264,195
outlier · 0.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $68,342.29 $230,771.75 $123,848.70 nat. median
$69,822
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $60,494.96 $204,273.62 $114,746.99 nat. median
$2,633
outlier · 43.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $54,971.15 $203,871.65 $114,661.26 nat. median
$56,428
outlier · 2.0×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $58,705.85 $198,232.34 $113,047.47 nat. median
$59,651
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $62,940.74 $212,532.32 $109,762.74 nat. median
$2,596
outlier · 42.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $58,890.98 $198,857.46 $106,251.92 nat. median
$60,505
1.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $422.01 $205,640.00 $103,031.00 nat. median
$207,733
outlier · 0.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $53,640.33 $181,127.56 $98,172.04 nat. median
$55,923
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $53,409.09 $180,346.75 $96,274.49 nat. median
$55,935
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $53,232.35 $179,749.94 $95,853.90 nat. median
$52,327
1.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $93,760.51 $93,760.51 nat. median
$65,477
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $50,428.88 $170,283.45 $91,954.15 nat. median
$9,905
outlier · 9.3×

Other procedures at this hospital

Browse this hospital's 15,557 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
             
H2000 HCPCS Comp Multidisipln Evaluation 1 1 — — $4,165,959.00 $4,165,959.00 $4,165,959.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 4 3 — — $42.45 $4,864,551.99 $3,905,146.00 2026-04-01
H2010 HCPCS Comprehensive Medication Services, Per 15 Minutes 1 1 — — $3,807,119.13 $3,807,119.13 $3,807,119.13 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $3,408,903.61 $3,408,903.61 $3,408,903.61 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 3 — — $38.88 $3,998,166.53 $3,226,638.56 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 3 — — $141.40 $3,847,800.00 $3,089,900.00 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $79.40 $4,505,000.00 $2,252,539.70 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $13.04 $3,685,266.67 $1,842,639.85 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,334.25 $3,316,462.59 $1,659,898.42 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $89.91 $3,248,445.72 $1,624,267.81 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 2 — — $770,620.00 $1,271,523.00 $1,271,523.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 2 — — $565,868.94 $912,729.35 $912,729.35 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $557,317.93 $870,577.06 $870,577.06 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 2 — — $562,538.19 $852,129.78 $852,129.78 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $533,230.17 $829,687.20 $829,687.20 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 2 — — $489,304.61 $807,508.61 $807,508.61 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $1,284.99 $954,972.35 $773,349.27 2026-04-01
M1107 HCPCS Docu Dx Degen Neuro 1 1 — — $578,544.93 $578,544.93 $578,544.93 2026-04-01
M1106 HCPCS Start Eoc Doc Med Rec 1 1 — — $552,546.94 $552,546.94 $552,546.94 2026-04-01
M1070 HCPCS Pt Not Scrn Fut Fall No Rsn 1 1 — — $540,429.11 $540,429.11 $540,429.11 2026-04-01
M1058 HCPCS Pt Prm Nurs Hm Res In Pp 1 1 — — $523,694.85 $523,694.85 $523,694.85 2026-04-01
M1069 HCPCS Pt Scr Ft Fall Rsk 1 1 — — $512,361.60 $512,361.60 $512,361.60 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 7 — — $301,673.49 $1,018,662.39 $491,286.97 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 7 — — $195,773.96 $661,070.91 $334,926.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 7 — — $148,278.49 $500,692.70 $231,956.04 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 7 — — $149,153.83 $503,648.47 $222,918.39 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 7 — — $79,163.55 $310,854.77 $170,523.14 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 7 — — $83,956.62 $283,496.73 $151,922.90 2026-04-01
215 MS_DRG Other Heart Assist System Implant 14 7 — — $69,559.24 $262,734.29 $146,578.74 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 7 — — $96,765.38 $326,748.15 $145,643.58 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 7 — — $79,072.73 $267,005.29 $145,384.29 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 7 — — $75,966.07 $256,515.02 $139,012.68 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 7 — — $76,993.71 $259,985.04 $137,948.34 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 7 — — $72,028.78 $243,219.95 $133,253.10 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $490.71 $130,327.56 $130,327.56 2026-04-01
7 MS_DRG Lung Transplant 14 7 — — $90,469.63 $305,489.26 $128,873.82 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 2 2 — — $61.30 $257,500.00 $128,780.65 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 7 — — $68,342.29 $230,771.75 $123,848.70 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 7 — — $60,494.96 $204,273.62 $114,746.99 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 7 — — $54,971.15 $203,871.65 $114,661.26 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 7 — — $58,705.85 $198,232.34 $113,047.47 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 7 — — $62,940.74 $212,532.32 $109,762.74 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 7 — — $58,890.98 $198,857.46 $106,251.92 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 2 2 — — $422.01 $205,640.00 $103,031.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 7 — — $53,640.33 $181,127.56 $98,172.04 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 7 — — $53,409.09 $180,346.75 $96,274.49 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 7 — — $53,232.35 $179,749.94 $95,853.90 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $56,824.55 $93,760.51 $93,760.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 7 — — $50,428.88 $170,283.45 $91,954.15 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 7 — — $49,812.72 $168,202.86 $90,982.89 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 7 — — $42,812.78 $158,065.72 $89,077.07 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 7 — — $46,677.42 $157,615.87 $85,965.95 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 7 — — $48,048.76 $162,246.50 $85,899.21 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 7 — — $49,842.06 $168,301.93 $85,344.59 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 3 — — $938.10 $104,338.76 $83,840.52 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 7 — — $45,934.81 $155,108.30 $82,591.26 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 7 — — $36,982.30 $153,657.62 $82,302.32 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 7 — — $41,658.00 $140,666.79 $81,971.65 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 7 — — $46,711.65 $157,731.46 $81,413.95 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 7 — — $48,285.59 $163,046.18 $80,145.23 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 7 — — $41,424.67 $139,878.90 $79,445.64 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 7 — — $47,023.22 $158,783.55 $79,363.46 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 7 — — $41,961.89 $141,692.93 $78,450.47 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 7 — — $42,353.11 $143,013.95 $76,453.33 2026-04-01
M0236 HCPCS Intrav Inf, Mon Anti, Sec Do 2 2 — — $425.42 $149,999.94 $75,212.68 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 7 — — $50,108.23 $169,200.69 $75,062.45 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 7 — — $45,934.81 $155,108.30 $74,807.12 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 7 — — $40,997.83 $138,437.57 $74,805.08 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $1,732.50 $94,078.22 $74,675.27 2026-04-01
A5083 HCPCS Stoma Absorptive Cover 1 1 — — $74,643.30 $74,643.30 $74,643.30 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 3 2 — — $1,373.18 $74,614.73 $74,614.73 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 7 — — $34,562.36 $134,494.00 $74,066.74 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 7 — — $39,868.20 $134,623.15 $73,302.17 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 14 7 — — $41,973.77 $141,733.03 $73,156.73 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 7 — — $44,952.58 $151,791.61 $72,181.51 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 7 — — $40,031.67 $135,175.14 $72,101.21 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 7 — — $40,288.75 $136,043.24 $71,991.99 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 7 — — $42,763.18 $144,398.65 $71,648.49 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 7 — — $39,275.09 $132,620.39 $71,466.43 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 7 — — $40,971.28 $138,347.93 $71,301.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 7 — — $41,521.08 $140,204.43 $71,228.64 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 14 7 — — $38,352.24 $129,504.22 $70,540.33 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 7 — — $33,258.78 $124,507.47 $69,735.55 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 7 — — $38,216.72 $129,046.58 $69,097.97 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 14 7 — — $36,301.86 $122,580.69 $68,873.14 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 7 — — $33,562.67 $116,292.74 $67,446.76 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 7 — — $37,232.39 $125,722.81 $67,308.51 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 7 — — $37,254.75 $125,798.30 $67,269.04 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 7 — — $39,153.53 $132,209.94 $66,620.99 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 7 — — $38,162.23 $128,862.58 $66,549.92 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 7 — — $39,816.50 $134,448.58 $66,030.05 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 7 — — $36,364.74 $122,792.99 $65,824.82 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 7 — — $36,860.04 $124,465.49 $65,029.82 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 7 — — $38,102.15 $128,659.71 $64,740.28 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 7 — — $38,583.48 $130,285.03 $64,390.19 2026-04-01
245 MS_DRG Aicd Generator Procedures 14 7 — — $31,872.76 $111,168.98 $64,279.58 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 7 — — $32,678.94 $110,347.15 $63,510.46 2026-04-01
M1060 HCPCS Pt Died In Pp 1 1 — — $63,217.07 $63,217.07 $63,217.07 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 14 7 — — $33,733.13 $113,906.81 $62,596.35 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 7 — — $34,500.88 $116,499.30 $62,361.79 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 7 — — $29,149.63 $109,401.26 $61,206.49 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 7 — — $34,382.82 $116,100.64 $61,140.74 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 7 — — $32,110.98 $108,429.32 $61,060.90 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 14 7 — — $31,309.69 $105,723.60 $60,503.76 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 14 7 — — $31,638.73 $106,834.67 $60,391.68 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 7 — — $32,264.68 $108,948.29 $60,367.82 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 7 — — $35,210.66 $118,896.00 $60,327.39 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 7 — — $34,841.80 $117,650.47 $59,853.60 2026-04-01
J9226 HCPCS Supprelin La Implant 4 3 — — $1,296.38 $74,599.87 $59,810.26 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 7 — — $34,239.61 $115,617.05 $59,657.49 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 7 — — $37,949.85 $128,145.46 $59,593.01 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 7 — — $32,843.81 $110,903.86 $59,185.82 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 7 — — $38,885.27 $131,304.10 $58,703.32 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 14 7 — — $32,393.92 $109,384.70 $58,697.24 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 7 — — $31,777.06 $107,301.74 $57,804.57 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 7 — — $45,767.85 $154,544.51 $57,562.04 2026-04-01
10 MS_DRG Pancreas Transplant 14 7 — — $39,694.00 $169,271.46 $57,542.53 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 7 — — $32,029.25 $108,153.32 $56,758.12 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 7 — — $32,776.75 $110,677.40 $56,721.28 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 7 — — $31,763.08 $107,254.56 $56,676.53 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 7 — — $22,197.20 $116,565.95 $54,842.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 7 — — $29,438.15 $99,403.96 $54,392.88 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 7 — — $30,231.06 $102,081.38 $54,387.63 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 7 — — $31,177.66 $105,277.76 $53,969.31 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 7 — — $29,503.12 $99,623.35 $53,813.65 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 14 7 — — $29,317.30 $98,995.86 $53,632.08 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 7 — — $31,300.61 $105,692.93 $53,620.54 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 7 — — $29,626.08 $100,038.52 $53,465.78 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 7 — — $29,797.23 $100,616.46 $52,388.68 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 7 — — $26,821.21 $90,567.32 $51,436.91 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 7 — — $29,262.81 $98,811.87 $51,114.69 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $28,087.07 $94,841.75 $51,058.83 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 7 — — $29,990.05 $101,267.54 $50,840.94 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 7 — — $27,040.57 $91,308.03 $50,489.69 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 7 — — $30,687.94 $103,624.13 $50,092.08 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 7 — — $29,012.71 $97,967.36 $49,840.71 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 7 — — $27,328.39 $92,279.92 $49,732.92 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 7 — — $22,002.29 $93,467.25 $49,606.40 2026-04-01
90695 HCPCS H5n8 Vacc Drv Cll Cul Adj IM 1 1 — — $49,500.90 $49,500.90 $49,500.90 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 7 — — $26,974.20 $91,083.93 $49,254.36 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 7 — — $26,288.18 $88,767.44 $49,250.15 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 7 — — $24,946.18 $84,235.89 $49,202.40 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 15 7 — — $16,881.93 $98,358.95 $48,444.65 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 7 — — $24,362.85 $82,432.73 $48,338.32 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 7 — — $24,909.15 $84,110.86 $48,230.75 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 7 — — $24,971.33 $84,320.81 $48,165.76 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 7 — — $23,801.88 $82,744.68 $47,916.93 2026-04-01
332 MS_DRG Rectal Resection With Mcc 14 7 — — $25,294.08 $85,410.65 $47,786.37 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 7 — — $25,888.59 $87,418.12 $47,521.32 2026-04-01
791 MS_DRG Prematurity With Major Problems 15 7 — — $9,884.44 $95,749.94 $47,161.09 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 7 — — $28,820.60 $97,318.65 $47,104.54 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 7 — — $26,035.29 $87,913.50 $46,909.01 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 7 — — $26,111.44 $88,170.62 $46,682.07 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 7 — — $29,352.23 $99,113.81 $46,381.99 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 7 — — $29,452.82 $99,453.50 $46,374.10 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 7 — — $27,000.05 $91,171.21 $46,187.21 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 7 — — $24,864.44 $83,959.89 $46,049.57 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 7 — — $25,348.57 $85,594.65 $45,672.56 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 7 — — $24,888.20 $84,040.10 $45,658.81 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 7 — — $25,029.31 $84,516.60 $45,389.22 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 7 — — $24,636.70 $83,190.87 $44,986.12 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 7 — — $25,231.91 $85,200.70 $44,801.36 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 7 — — $24,844.18 $83,891.48 $44,531.56 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 7 — — $24,586.40 $83,021.03 $44,526.87 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 7 — — $22,304.79 $75,551.44 $44,280.74 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 7 — — $24,021.94 $81,114.99 $44,167.05 2026-04-01
265 MS_DRG Aicd Lead Procedures 14 7 — — $25,276.62 $85,351.67 $43,928.79 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 7 — — $22,723.94 $76,732.06 $43,915.96 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 7 — — $25,649.67 $86,611.36 $43,441.83 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 7 — — $23,833.32 $80,478.07 $42,940.57 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 7 — — $27,204.74 $91,862.39 $42,848.27 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 7 — — $27,832.78 $93,983.09 $42,824.58 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 14 7 — — $25,660.14 $86,646.74 $42,785.10 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 7 — — $23,950.68 $80,874.38 $42,591.63 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 14 7 — — $24,369.14 $82,287.39 $42,554.77 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 7 — — $24,133.71 $81,492.42 $42,552.15 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 7 — — $23,076.74 $77,923.33 $42,398.15 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 7 — — $23,337.31 $78,803.22 $42,124.32 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 7 — — $25,194.18 $85,073.32 $42,123.10 2026-04-01
652 MS_DRG Kidney Transplant 14 7 — — $22,561.17 $76,182.42 $42,056.53 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 7 — — $22,544.40 $76,125.80 $41,618.07 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 14 7 — — $22,998.49 $77,659.12 $41,499.50 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 7 — — $22,241.91 $75,104.38 $41,346.22 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 7 — — $22,567.46 $76,203.65 $40,570.36 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 7 — — $22,598.90 $76,309.80 $40,526.67 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 5 4 — — $32.25 $42,494.87 $40,432.88 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 3 2 — — $6,741.00 $41,207.16 $40,432.88 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 4 — — $4,504.00 $42,494.87 $40,432.88 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 7 — — $22,075.65 $74,542.95 $40,402.44 2026-04-01
665 MS_DRG Prostatectomy With Mcc 14 7 — — $21,804.59 $73,627.67 $40,103.59 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 14 7 — — $21,189.83 $71,551.79 $40,030.28 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $24,228.42 $39,976.89 $39,976.89 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 7 — — $21,950.60 $74,120.69 $39,971.29 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 6 — — $20,171.27 $68,112.44 $39,768.53 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 7 — — $25,329.01 $85,528.60 $39,642.24 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 14 7 — — $21,387.53 $72,219.38 $39,221.90 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 7 — — $21,720.76 $73,344.60 $39,221.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 14 7 — — $22,012.77 $74,330.64 $39,069.75 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 7 — — $26,173.61 $88,380.57 $39,006.57 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 7 — — $24,251.08 $81,888.73 $38,948.66 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 7 — — $22,109.18 $74,656.18 $38,946.03 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 7 — — $20,793.02 $70,211.91 $38,859.46 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 7 — — $22,263.57 $75,177.51 $38,423.54 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 7 — — $17,750.64 $69,585.62 $38,199.60 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 7 — — $20,051.11 $67,706.70 $38,098.96 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 7 — — $20,345.22 $68,699.82 $38,093.45 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 7 — — $26,108.64 $88,161.19 $38,074.78 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 14 7 — — $18,582.66 $66,549.70 $38,019.69 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 14 7 — — $20,273.27 $68,456.85 $37,963.15 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 7 — — $21,759.18 $73,474.34 $37,427.25 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 14 7 — — $20,581.35 $69,497.14 $37,249.76 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 14 7 — — $20,260.69 $68,414.38 $36,585.81 2026-04-01
J9266 HCPCS Pegaspargase Injection 4 3 — — $144.18 $44,666.37 $36,545.22 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 7 — — $22,995.70 $77,649.69 $36,434.91 2026-04-01
L3671 HCPCS So Cap Design Without Jnts Cf 2 2 — — $1,013.18 $71,816.34 $36,414.76 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 14 7 — — $20,161.49 $68,079.41 $36,350.26 2026-04-01
L3674 HCPCS So Airplane W/wo Joint Cf 2 2 — — $1,329.12 $71,232.81 $36,280.97 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 14 7 — — $19,007.41 $64,182.42 $35,929.15 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 14 7 — — $19,555.81 $66,034.20 $35,785.30 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 14 7 — — $19,197.43 $64,824.06 $35,737.05 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 7 — — $19,261.00 $65,038.72 $35,673.71 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 14 7 — — $20,567.38 $69,449.96 $35,463.63 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 7 — — $21,098.31 $71,242.77 $35,380.71 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 4 3 — — $6,741.00 $41,207.16 $35,358.01 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 3 — — $6,741.00 $41,207.16 $35,358.01 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 3 — — $6,741.00 $41,207.16 $35,358.01 2026-04-01
800 MS_DRG Splenic Procedures With Cc 14 7 — — $19,626.37 $66,272.45 $35,304.08 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 3 — — $4,504.00 $41,207.16 $35,101.78 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 14 7 — — $19,913.49 $67,241.98 $35,099.07 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 7 — — $22,624.04 $76,394.73 $35,016.16 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 7 — — $22,427.74 $75,731.86 $34,801.63 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 14 7 — — $18,905.42 $63,838.01 $34,771.82 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 7 — — $19,098.23 $64,489.08 $34,761.49 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 14 7 — — $20,399.02 $68,881.46 $34,679.24 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 14 7 — — $22,500.39 $75,977.19 $34,676.60 2026-04-01
3141F OTHER Upper Gi Endo Not Barrtts 1 1 — — $34,595.10 $34,595.10 $34,595.10 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 7 — — $18,043.35 $60,927.06 $34,259.49 2026-04-01
570 MS_DRG Skin Debridement With Mcc 14 7 — — $20,546.42 $69,379.20 $34,150.16 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 14 7 — — $18,424.78 $62,215.05 $33,442.49 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 7 — — $18,843.94 $63,630.43 $33,103.86 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 14 7 — — $17,937.16 $60,568.50 $33,040.11 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 14 7 — — $18,132.77 $61,229.01 $32,952.54 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 14 7 — — $17,632.57 $59,540.00 $32,761.30 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 7 — — $21,101.10 $71,252.21 $32,743.25 2026-04-01
503 MS_DRG Foot Procedures With Mcc 14 7 — — $19,498.52 $65,840.77 $32,737.99 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 3 — — $9,523.00 $60,947.18 $32,400.06 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 4 3 — — $9,523.00 $90,001.00 $32,400.06 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 14 7 — — $17,835.17 $60,224.10 $32,159.01 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 7 — — $18,517.70 $62,528.79 $32,145.74 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 3 2 — — $5,128.00 $32,706.80 $32,093.31 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 5 4 — — $3,695.00 $32,832.88 $32,093.31 2026-04-01
33968 HCPCS Remove Aortic Assist Device 3 2 — — $2,990.00 $32,706.80 $32,093.31 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 3 2 — — $5,128.00 $32,706.80 $32,093.31 2026-04-01
33967 HCPCS Insert I-aort Percut Device 3 2 — — $4,504.00 $32,706.80 $32,093.31 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 7 — — $21,075.26 $71,164.92 $31,968.07 2026-04-01
0662T OTHER Scalp Cool 1st Meas&calbrj 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0742T OTHER Aqmbf Spect Xers/strs & Rest 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
0896T OTHER Connj Lvr Algrft Prfu Dev Ea 1 1 — — $31,961.30 $31,961.30 $31,961.30 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 7 — — $19,364.39 $65,387.85 $31,937.80 2026-04-01
69930 HCPCS Implant Cochlear Device 5 4 — — $6.53 $41,207.16 $31,810.63 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 7 — — $17,408.32 $58,782.77 $31,808.03 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 7 — — $17,174.99 $57,994.88 $31,740.04 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 14 7 — — $20,132.15 $67,980.34 $31,702.22 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 14 7 — — $16,036.98 $54,152.15 $31,616.53 2026-04-01
B5200 HCPCS Parenteral Sol Hepatic Fream 1 1 — — $31,500.90 $31,500.90 $31,500.90 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 7 — — $18,111.11 $61,155.88 $31,328.44 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 7 — — $16,746.75 $56,548.85 $31,248.35 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 14 7 — — $17,624.89 $59,514.05 $31,145.50 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 7 — — $16,921.40 $57,138.58 $31,111.92 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 14 7 — — $17,337.07 $58,542.16 $31,104.71 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 7 — — $16,866.21 $56,952.23 $31,010.53 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 14 7 — — $18,018.20 $60,842.14 $30,946.78 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 4 3 — — $6,026.00 $41,207.16 $30,946.44 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 4 3 — — $4,504.00 $41,207.16 $30,946.44 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 4 3 — — $4,504.00 $41,207.16 $30,946.44 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 3 — — $6,741.00 $41,207.16 $30,946.44 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 3 — — $6,741.00 $41,207.16 $30,946.44 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 4 3 — — $3,695.00 $32,706.80 $30,932.00 2026-04-01
A7523 HCPCS Tracheostomy Shower Protect 1 1 — — $30,918.62 $30,918.62 $30,918.62 2026-04-01
263 MS_DRG Vein Ligation And Stripping 14 7 — — $21,358.89 $72,122.66 $30,755.94 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 7 — — $16,671.30 $56,294.08 $30,682.66 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 14 7 — — $16,803.34 $56,739.92 $30,527.65 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 14 7 — — $14,886.39 $53,190.82 $30,419.34 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 4 — — $4,504.00 $41,207.16 $30,283.14 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 5 4 — — $4,504.00 $41,207.16 $30,283.14 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 4 — — $4,504.00 $41,207.16 $30,283.14 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 4 — — $341.75 $41,207.16 $30,283.14 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 14 7 — — $17,054.83 $57,589.14 $30,159.75 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 14 7 — — $15,246.87 $51,484.17 $30,096.39 2026-04-01
C1724 HCPCS Cath, Trans Atherec,rotation 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1725 HCPCS Cath, Translumin Non-laser 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1722 HCPCS Aicd, Single Chamber 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1714 HCPCS Cath, Trans Atherectomy, Dir 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4178 HCPCS Parenteral Sol Amino Acid > 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
C1715 HCPCS Brachytherapy Needle 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
B4164 HCPCS Parenteral 50% Dextrose Solu 1 1 — — $30,073.16 $30,073.16 $30,073.16 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 14 7 — — $16,325.50 $55,126.40 $30,054.53 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 7 — — $16,145.96 $54,520.14 $30,049.29 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 14 7 — — $16,337.38 $55,166.50 $29,897.11 2026-04-01
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