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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

SAINT FRANCIS HOSPITAL, INC

Tulsa, OK · CCN 370091 · Rates published

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You selected 470 (MS_DRG)

Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc

This hospital’s price: $21,715 across 12 payers · range $180-$52,875

Source: https://www.saintfrancis.com/finance/sfh-cms-hpt · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,147 distinct procedures filed
20 distinct payers
58,271 rate rows
2026-04-01 last MRF observed
Data quality

34,681 of 58,271 rate rows are consumer-grade (59.5%)

23,590 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 23,576
placeholder amount (≤ $0.02) — excluded from medians 13
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.saintfrancis.com/finance/sfh-cms-hpt
Found on page https://www.saintfrancis.com/patients-and-guests/billing-and-insurance/standard-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-05
Content fingerprint 5d9bd000bedffa21… · 34,889,316 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,505,000.00 $4,990,350.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $3,717,944.70 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,945,740.00 $3,363,782.80 $3,034,112.20 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,455,110.60 $2,795,411.78 $2,528,763.92 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,658,480.00 $2,401,960.00 nat. median
$2,405,851
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $317,303.10 $844,482.84 $433,118.73 nat. median
$370,165
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $33,000.00 $898,819.08 $308,262.90 nat. median
$261,939
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $157,417.02 $417,530.38 $234,855.50 nat. median
$205,166
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $4,555.79 $737,889.25 $234,749.12 nat. median
$199,832
1.2× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $146,886.05 $200,432.87 $149,730.45 nat. median
$83,623
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $2,568.53 $359,111.64 $143,066.85 nat. median
$132,706
1.1× median
7
MS_DRG 		Lung Transplant 8 $95,898.49 $253,254.11 $142,452.20 nat. median
$122,690
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $139,825.05 $139,825.05 $139,825.05 nat. median
$97,404
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $89,070.91 $239,407.93 $132,196.90 nat. median
$114,305
1.2× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $127,948.33 $174,591.48 $130,426.01 nat. median
$58,534
outlier · 2.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $84,046.35 $395,913.32 $123,209.00 nat. median
$108,240
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $69,113.10 $169,820.76 $119,466.93 nat. median
$75,807
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $78,181.44 $221,617.92 $117,504.08 nat. median
$100,978
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $76,566.99 $214,792.86 $113,415.50 nat. median
$99,646
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $110,696.45 $151,050.47 $112,840.05 nat. median
$51,048
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 9 $73,978.17 $294,808.80 $110,247.13 nat. median
$98,002
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $83,951.14 $221,350.45 $109,136.48 nat. median
$96,134
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $2,004.81 $195,463.77 $108,332.23 nat. median
$92,900
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $2,382.98 $215,530.59 $106,303.22 nat. median
$96,835
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $102,496.49 $139,861.24 $104,481.30 nat. median
$46,826
outlier · 2.2×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $152,021.48 $104,133.98 nat. median
$69,291
1.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $97,965.25 $133,678.16 $99,862.31 nat. median
$57,648
1.7× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $97,138.92 $132,550.59 $99,019.98 nat. median
$40,712
outlier · 2.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $91,048.51 $124,239.95 $92,811.64 nat. median
$62,767
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $62,794.65 $166,918.68 $92,728.90 nat. median
$79,040
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $1,540.45 $189,389.73 $92,437.40 nat. median
$80,459
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $67,040.01 $176,191.74 $91,509.61 nat. median
$81,124
1.1× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $85,365.23 $116,484.85 $87,018.31 nat. median
$45,104
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $2,291.55 $156,531.92 $85,935.60 nat. median
$74,472
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $2,583.20 $151,101.91 $84,834.60 nat. median
$73,475
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $34,700.99 $169,345.18 $83,818.93 nat. median
$81,364
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $81,500.49 $111,211.22 $83,078.72 nat. median
$38,383
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $1,956.83 $150,272.70 $82,566.29 nat. median
$71,485
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $144.04 $205,741.48 $80,105.72 nat. median
$77,385
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $2,426.57 $355,975.83 $79,916.90 nat. median
$68,581
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $53,587.71 $140,269.32 $78,899.70 nat. median
$62,911
1.3× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $76,574.18 $104,489.04 $78,057.01 nat. median
$46,399
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $1,157.63 $283,624.31 $76,772.68 nat. median
$65,958
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $50,353.71 $172,536.56 $75,530.56 nat. median
$64,357
1.2× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $108,049.56 $74,572.37 nat. median
$55,200
1.4× median
1580
OTHER 		New Technology - Level 43 ($40,001-$50,000) 2 $43,065.71 $104,986.52 $74,026.12 nat. median
$45,997
1.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $1,521.26 $141,166.94 $73,606.05 nat. median
$66,640
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $53,308.69 $139,524.24 $72,766.36 nat. median
$69,153
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $49,212.72 $128,586.57 $72,328.30 nat. median
$60,895
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $1,315.73 $130,761.19 $71,538.72 nat. median
$59,832
1.2× median

Other procedures at this hospital

Browse this hospital's 4,147 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,505,000.00 $4,990,350.00 $4,640,150.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 3 — — $3,248,445.72 $3,717,944.70 $3,345,899.09 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 3 — — $2,945,740.00 $3,363,782.80 $3,034,112.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,455,110.60 $2,795,411.78 $2,528,763.92 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 3 3 — — $2,332,000.00 $2,658,480.00 $2,401,960.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 8 — — $317,303.10 $844,482.84 $433,118.73 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 9 — — $33,000.00 $898,819.08 $308,262.90 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 8 — — $157,417.02 $417,530.38 $234,855.50 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 14 — — $4,555.79 $737,889.25 $234,749.12 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 1 — — $146,886.05 $200,432.87 $149,730.45 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 11 — — $2,568.53 $359,111.64 $143,066.85 2026-04-01
7 MS_DRG Lung Transplant 19 8 — — $95,898.49 $253,254.11 $142,452.20 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $139,825.05 $139,825.05 $139,825.05 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 8 — — $89,070.91 $239,407.93 $132,196.90 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $127,948.33 $174,591.48 $130,426.01 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 8 — — $84,046.35 $395,913.32 $123,209.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $69,113.10 $169,820.76 $119,466.93 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 9 — — $78,181.44 $221,617.92 $117,504.08 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 8 — — $76,566.99 $214,792.86 $113,415.50 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $110,696.45 $151,050.47 $112,840.05 2026-04-01
215 MS_DRG Other Heart Assist System Implant 22 9 — — $73,978.17 $294,808.80 $110,247.13 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 7 — — $83,951.14 $221,350.45 $109,136.48 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 9 — — $2,004.81 $195,463.77 $108,332.23 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 8 — — $2,382.98 $215,530.59 $106,303.22 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $102,496.49 $139,861.24 $104,481.30 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 4 — — $63,342.28 $152,021.48 $104,133.98 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 1 — — $97,965.25 $133,678.16 $99,862.31 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $97,138.92 $132,550.59 $99,019.98 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 1 — — $91,048.51 $124,239.95 $92,811.64 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 8 — — $62,794.65 $166,918.68 $92,728.90 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 11 — — $1,540.45 $189,389.73 $92,437.40 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 8 — — $67,040.01 $176,191.74 $91,509.61 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $85,365.23 $116,484.85 $87,018.31 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 10 — — $2,291.55 $156,531.92 $85,935.60 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 13 — — $2,583.20 $151,101.91 $84,834.60 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 21 10 — — $34,700.99 $169,345.18 $83,818.93 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $81,500.49 $111,211.22 $83,078.72 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 13 — — $1,956.83 $150,272.70 $82,566.29 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 11 — — $144.04 $205,741.48 $80,105.72 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 10 — — $2,426.57 $355,975.83 $79,916.90 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 8 — — $53,587.71 $140,269.32 $78,899.70 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 1 — — $76,574.18 $104,489.04 $78,057.01 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 14 — — $1,157.63 $283,624.31 $76,772.68 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 8 — — $50,353.71 $172,536.56 $75,530.56 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $45,020.65 $108,049.56 $74,572.37 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 2 2 — — $43,065.71 $104,986.52 $74,026.12 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 10 — — $1,521.26 $141,166.94 $73,606.05 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 8 — — $53,308.69 $139,524.24 $72,766.36 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 8 — — $49,212.72 $128,586.57 $72,328.30 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 10 — — $1,315.73 $130,761.19 $71,538.72 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 8 — — $1,317.84 $129,276.95 $71,351.24 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 4 2 — — $42,362.57 $101,670.17 $70,533.68 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 9 — — $2,409.02 $134,504.21 $70,200.29 2026-04-01
10 MS_DRG Pancreas Transplant 19 8 — — $53,609.68 $140,327.99 $69,692.58 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 8 — — $45,458.03 $120,172.07 $68,187.04 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 8 — — $1,324.00 $159,515.44 $68,161.13 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 9 — — $45,887.91 $119,708.14 $68,083.08 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 10 — — $22,657.08 $127,781.08 $66,787.85 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 13 — — $580.54 $176,743.40 $66,344.07 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 12 — — $400.00 $177,709.29 $65,305.27 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 8 — — $44,484.75 $132,593.80 $65,226.70 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 9 — — $1,430.27 $131,375.50 $64,988.56 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 13 — — $466.54 $182,187.00 $64,536.70 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 10 — — $2,045.70 $315,725.13 $64,198.37 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 13 — — $0.70 $169,643.07 $63,757.72 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $49,037.70 $128,119.18 $63,749.01 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 12 — — $1,100.31 $125,836.99 $62,637.98 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 1 — — $60,540.68 $82,610.58 $61,713.03 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 8 — — $42,103.93 $109,603.56 $61,650.60 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 26 9 — — $1,101.40 $117,498.31 $61,507.40 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $20,713.47 $222,880.77 $61,116.42 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 10 — — $1,916.33 $136,382.67 $60,843.40 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 9 — — $26,559.30 $108,852.61 $60,517.34 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 10 — — $2,233.37 $114,692.03 $60,072.93 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 8 — — $41,506.34 $108,007.79 $60,053.54 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 8 — — $40,842.11 $106,234.06 $59,755.30 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 9 — — $32,312.90 $108,793.54 $59,489.88 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 12 — — $2,155.86 $137,476.61 $59,313.81 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 11 — — $865.48 $113,042.49 $59,007.43 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 8 — — $2,204.74 $155,066.91 $58,986.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 12 — — $750.00 $298,771.74 $58,794.40 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 12 — — $654.00 $134,649.55 $58,660.80 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 16 9 — — $211.50 $112,667.66 $58,043.85 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 8 — — $782.64 $103,764.77 $57,259.40 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 8 — — $37,970.61 $98,566.15 $56,415.02 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 10 — — $28,423.15 $112,781.41 $56,282.16 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 10 — — $29,592.25 $113,785.28 $55,933.78 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 7 — — $42,853.11 $111,604.14 $55,709.04 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 9 — — $36,952.67 $95,847.87 $54,671.10 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 16 — — $909.13 $133,161.31 $53,960.46 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 8 — — $982.80 $135,727.53 $53,873.77 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 11 — — $19,840.71 $122,791.63 $53,597.85 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 1 1 — — $53,576.44 $53,576.44 $53,576.44 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 12 — — $1,565.45 $101,207.17 $52,599.38 2026-04-01
5166 OTHER Cochlear Implant Procedure 13 7 — — $211.50 $105,375.90 $52,471.71 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 8 — — $35,316.62 $287,535.73 $52,215.37 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 10 — — $6,539.58 $104,991.51 $52,117.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 13 — — $864.15 $99,378.61 $51,768.26 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 8 — — $35,489.46 $92,861.55 $51,715.40 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 8 — — $1,060.19 $98,402.66 $51,563.51 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 8 — — $35,017.83 $92,629.04 $51,007.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 40 16 — — $1,896.72 $148,788.45 $50,554.56 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 14 — — $1,029.21 $265,154.01 $50,483.64 2026-04-01
245 MS_DRG Aicd Generator Procedures 23 9 — — $25,941.37 $112,188.58 $50,186.40 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 10 — — $200.00 $89,660.35 $49,980.82 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 14 — — $1,832.22 $154,253.18 $49,772.03 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 10 — — $784.04 $173,698.21 $49,471.74 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 2 — — $29,678.00 $71,227.21 $49,413.88 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $48,408.11 $66,055.13 $49,345.52 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 2 — — $29,510.19 $70,824.46 $49,134.47 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 8 — — $33,742.83 $87,276.47 $49,091.90 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 11 — — $86.79 $129,850.84 $49,036.89 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 14 — — $289.82 $97,533.59 $48,859.12 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 13 — — $469.59 $104,685.02 $48,320.80 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 9 — — $25,109.69 $83,412.21 $47,680.95 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 8 — — $883.27 $85,184.64 $47,217.32 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 9 — — $30,367.20 $99,976.87 $47,209.98 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 12 — — $733.03 $91,589.95 $46,916.66 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $45,954.76 $62,707.42 $46,844.66 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 22 11 — — $17,774.89 $100,347.09 $46,718.72 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 14 — — $23,488.15 $112,220.30 $46,352.90 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 13 — — $883.51 $214,239.50 $46,034.96 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 10 — — $1,580.91 $84,071.70 $45,729.28 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 8 — — $1,842.57 $82,448.10 $45,666.61 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 4 — — $28,424.06 $68,217.74 $45,302.54 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 10 — — $31,616.86 $110,404.64 $45,212.11 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 11 — — $1,628.31 $80,678.28 $44,561.97 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 10 — — $17,497.52 $83,951.95 $44,359.58 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 8 — — $29,363.45 $75,581.98 $44,045.18 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 12 — — $1,819.26 $87,620.66 $44,033.24 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 8 5 — — $1,417.90 $67,015.01 $43,938.84 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 11 — — $1,068.58 $80,605.60 $43,922.38 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 13 — — $600.00 $135,491.51 $43,763.97 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 3 — — $29,717.20 $71,321.28 $43,701.77 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 11 — — $307.29 $85,505.63 $43,662.83 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 9 — — $1,980.37 $85,474.76 $43,396.93 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 9 — — $1,866.07 $166,221.21 $43,379.61 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 9 — — $16,430.41 $77,913.06 $43,238.05 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 14 — — $1,106.16 $278,751.76 $42,925.80 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 8 — — $29,578.03 $76,154.98 $42,836.20 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 10 — — $590.65 $78,349.29 $42,583.07 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 1 — — $41,676.85 $56,870.01 $42,483.91 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 10 — — $1,881.88 $113,980.69 $42,314.09 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 13 — — $1,151.51 $124,898.40 $41,921.77 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 11 — — $1,575.40 $82,933.08 $41,751.20 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 8 — — $1,378.55 $70,904.19 $41,417.55 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 11 — — $2,225.17 $196,377.34 $41,114.70 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 8 — — $27,236.75 $80,816.36 $40,855.12 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 8 — — $28,198.31 $75,999.51 $40,763.80 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 9 — — $1,858.10 $144,674.48 $40,543.50 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 10 — — $1,736.19 $73,086.64 $40,055.28 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 21 10 — — $17,007.07 $71,831.14 $39,981.13 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 6 4 — — $24,228.42 $58,148.21 $39,855.75 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 8 — — $27,556.78 $70,757.52 $39,800.20 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 8 — — $746.99 $71,647.69 $39,713.78 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 8 — — $26,465.80 $78,628.30 $39,630.04 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 3 1 — — $38,771.12 $52,905.01 $39,521.92 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 8 — — $27,297.53 $72,865.79 $39,410.80 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 8 — — $27,149.60 $72,978.96 $39,188.60 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 8 — — $680.22 $142,333.92 $39,151.20 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 11 — — $1,062.45 $130,333.22 $39,139.75 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 11 — — $952.57 $83,188.77 $39,129.86 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 12 — — $100.00 $69,620.95 $39,119.30 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 8 — — $16,543.16 $81,211.41 $39,038.47 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 10 — — $571.32 $70,227.95 $38,371.52 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 3 1 — — $37,516.55 $51,193.09 $38,243.05 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 8 — — $26,481.71 $67,886.70 $38,185.40 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 10 — — $663.48 $67,558.16 $37,846.75 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 11 — — $783.33 $94,539.11 $37,748.55 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 10 — — $21,369.86 $70,632.36 $37,551.02 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 9 — — $17,010.39 $70,526.76 $37,497.04 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 8 — — $26,010.81 $83,503.58 $37,478.10 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 10 — — $20,078.04 $190,607.38 $37,046.23 2026-04-01
9449 OTHER Injection, Blinatumomab 2 2 — — $10,559.06 $63,047.38 $36,803.22 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 11 — — $1,070.13 $71,559.21 $36,699.33 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 8 — — $635.33 $66,207.40 $36,499.05 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 9 — — $24,692.61 $85,338.99 $36,268.51 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 10 — — $500.29 $103,826.41 $36,202.95 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 8 — — $25,250.65 $67,867.88 $36,108.43 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 8 — — $23,870.55 $65,203.29 $36,102.12 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 13 — — $636.72 $67,045.79 $36,065.87 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 10 — — $682.49 $63,332.11 $36,047.50 2026-04-01
652 MS_DRG Kidney Transplant 19 8 — — $24,710.18 $68,306.15 $35,524.50 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 10 — — $953.21 $71,182.26 $35,439.69 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 8 — — $24,646.47 $62,985.96 $35,428.80 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 29 12 — — $870.09 $84,234.03 $35,373.49 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 8 — — $24,570.31 $62,782.58 $35,314.40 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 3 1 — — $34,567.10 $47,168.42 $35,236.48 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 9 — — $1,302.14 $66,966.65 $35,021.80 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 11 — — $21,400.56 $62,323.02 $34,972.67 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 8 — — $24,328.64 $117,635.05 $34,951.40 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 10 — — $736.16 $75,110.32 $34,812.80 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 8 — — $776.16 $94,324.50 $34,571.13 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 8 — — $19,277.05 $63,402.89 $34,491.68 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 10 — — $1,086.60 $76,244.37 $34,326.79 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 8 — — $23,917.06 $64,265.02 $34,267.30 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 33 12 — — $934.92 $70,606.18 $34,201.20 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 12 — — $13,812.56 $64,419.34 $34,153.11 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 10 — — $574.51 $65,863.78 $34,137.05 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 12 — — $701.70 $60,911.07 $34,133.33 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 17 8 — — $16,799.58 $67,245.26 $34,113.95 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 3 — — $16,739.39 $78,198.12 $34,106.76 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 10 — — $533.35 $73,816.40 $33,962.32 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 12 — — $1,210.18 $84,158.15 $33,856.90 2026-04-01
L5858 HCPCS Stance Phase Only 5 3 — — $23,006.91 $55,216.58 $33,833.69 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 12 — — $829.69 $432,355.03 $33,783.38 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 8 — — $23,479.86 $62,666.27 $33,759.57 2026-04-01
263 MS_DRG Vein Ligation And Stripping 21 8 — — $22,881.31 $310,491.98 $33,631.40 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 9 — — $255.00 $60,844.98 $33,221.10 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 9 — — $15,095.45 $58,996.54 $33,108.07 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 9 — — $13,609.30 $59,068.90 $32,934.17 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 8 — — $22,856.64 $63,271.20 $32,740.40 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 1 — — $31,901.13 $43,530.59 $32,518.89 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 35 12 — — $350.00 $58,711.56 $32,407.10 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 8 — — $22,620.09 $57,574.82 $32,385.10 2026-04-01
570 MS_DRG Skin Debridement With Mcc 21 8 — — $2,897.19 $57,516.15 $32,315.31 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 8 — — $21,662.40 $57,103.52 $32,094.35 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 10 — — $1,372.98 $62,137.46 $32,013.71 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 9 — — $17,643.30 $61,931.70 $31,905.85 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 10 — — $539.75 $57,526.38 $31,887.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 27 11 — — $505.42 $157,058.53 $31,875.93 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 7 — — $22,204.86 $64,133.33 $31,757.18 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 11 — — $17,925.15 $364,767.04 $31,742.14 2026-04-01
791 MS_DRG Prematurity With Major Problems 35 14 — — $0.70 $274,590.79 $31,708.47 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 8 — — $22,163.85 $56,356.48 $31,699.80 2026-04-01
800 MS_DRG Splenic Procedures With Cc 22 8 — — $1,821.25 $55,285.65 $31,693.26 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 22 12 — — $225.00 $78,067.50 $31,611.60 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 8 — — $1,140.84 $63,032.52 $31,572.20 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 10 — — $6,417.26 $57,707.10 $31,355.50 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 5 3 — — $21,297.95 $51,115.08 $31,320.51 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 11 — — $822.00 $143,412.25 $31,290.95 2026-04-01
1013T CPT Lap Srg Imp/rpl Eso Nea&pg/r 4 2 — — $18,658.44 $44,780.26 $31,066.31 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 24 9 — — $21,084.97 $57,268.12 $30,811.32 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 32 14 — — $1,165.75 $80,026.40 $30,742.71 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 8 — — $20,317.93 $54,582.75 $30,723.28 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 3 1 — — $29,942.37 $40,857.76 $30,522.19 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 13 — — $487.85 $53,753.58 $30,262.42 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 26 10 — — $451.83 $57,962.59 $30,260.54 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 13 — — $2,033.84 $55,866.05 $30,108.10 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 1 — — $29,505.08 $40,261.06 $30,076.44 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 23 9 — — $19,947.79 $50,438.84 $29,921.68 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 9 — — $496.53 $55,721.87 $29,811.77 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 8 — — $475.62 $52,750.35 $29,671.40 2026-04-01
5378 OTHER Level 8 Urology And Related Services 5 3 — — $202.50 $76,729.67 $29,565.42 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 6 — — $211.50 $75,270.34 $29,438.60 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 8 — — $20,539.52 $67,160.06 $29,371.51 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
0981T CPT Tcat Impl Wrls Ivc Snr 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 2 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 23 8 — — $1,659.04 $51,837.09 $29,157.70 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 8 — — $20,374.01 $52,867.97 $29,134.83 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 31 12 — — $225.00 $157,800.41 $28,697.10 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 36 13 — — $1,019.12 $146,450.56 $28,631.28 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 9 — — $489.80 $56,641.61 $28,410.80 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 12 — — $10,686.51 $201,442.14 $28,371.20 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 38 14 — — $0.70 $98,597.90 $28,309.81 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 21 8 — — $468.00 $50,489.39 $28,250.97 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 27 11 — — $555.78 $70,223.83 $28,124.25 2026-04-01
509 MS_DRG Arthroscopy 4 2 — — $23,014.00 $37,697.29 $27,893.72 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 32 12 — — $817.59 $59,869.66 $27,843.83 2026-04-01
849 MS_DRG Radiotherapy 19 8 — — $20,902.03 $52,986.98 $27,666.26 2026-04-01
9031 OTHER Inj, Etelcalcetide, 0.1 Mg 1 1 — — $27,590.13 $27,590.13 $27,590.13 2026-04-01
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 4 2 — — $16,474.62 $39,539.09 $27,430.24 2026-04-01
0888T CPT Histotripsy Mal Renal Tissue 4 2 — — $16,474.62 $39,539.09 $27,430.24 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 27 10 — — $1,570.67 $48,629.32 $27,298.70 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 12 — — $399.88 $50,698.93 $27,288.12 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 31 11 — — $1,541.19 $48,092.12 $27,268.66 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 30 11 — — $1,358.87 $74,299.91 $27,132.81 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 23 8 — — $659.03 $47,742.06 $27,081.20 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 8 — — $18,674.26 $48,306.28 $26,704.19 2026-04-01
333 MS_DRG Rectal Resection With Cc 20 8 — — $18,212.15 $45,804.06 $26,680.79 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 18 10 — — $250.00 $58,983.87 $26,665.89 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 24 8 — — $16,326.17 $48,207.51 $26,623.94 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 29 11 — — $591.19 $72,483.91 $26,549.19 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 36 13 — — $680.00 $64,112.40 $26,494.28 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 24 11 — — $8,702.00 $46,834.66 $26,469.59 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 5 3 — — $17,961.29 $43,107.10 $26,413.67 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 12 — — $200.00 $49,201.33 $26,378.33 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 21 9 — — $4,720.39 $48,011.94 $26,320.39 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 37 14 — — $751.45 $75,999.93 $26,263.69 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 9 — — $12,846.15 $50,631.36 $26,255.95 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 3 1 — — $25,711.20 $35,084.14 $26,209.09 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 29 10 — — $889.62 $47,664.30 $26,005.68 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 24 10 — — $1,350.20 $45,978.11 $25,999.34 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 24 10 — — $500.56 $53,026.41 $25,821.69 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 24 9 — — $1,089.97 $47,014.10 $25,741.67 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 11 — — $1,233.52 $89,958.74 $25,570.97 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 20 8 — — $17,453.45 $48,055.25 $25,569.31 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 31 11 — — $1,175.00 $45,430.54 $25,554.10 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 26 10 — — $1,670.31 $69,760.90 $25,413.07 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 30 10 — — $139.15 $93,480.31 $25,407.65 2026-04-01
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