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 →

Export CSV
Hospital

SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST

Midwest City, OK · CCN 370094 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $12,718 across 9 payers · range $1,946-$27,042

Source: https://hospitalpricedisclosure.com/download.aspx?pi=g9rprfWFGjfTVv*_*4sDkddQ*-*&f=p22CpYLrWLxCnt4HoK7iZA*-* · 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.

17,413 distinct procedures filed
19 distinct payers
183,246 rate rows
2026-04-01 last MRF observed
Data quality

157,987 of 183,246 rate rows are consumer-grade (86.2%)

25,259 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 25,188
placeholder amount (≤ $0.02) — excluded from medians 44
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=g9rprfWFGjfTVv*_*4sDkddQ*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint f20d6d07cea50a51… · 38,437,763 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,229,400.00 $4,229,400.00 $4,229,400.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $4,975,110.00 $3,998,514.33 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,316,462.59 $4,477,224.49 $3,601,788.02 nat. median
$3,324,572
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $4,385,401.72 $3,545,969.54 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $3,976,749.00 $3,197,537.70 nat. median
$2,997,086
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,990,480.00 $2,863,113.00 nat. median
$2,405,851
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.60 $4,787,465.68 $2,762,369.60 nat. median
$2,460,273
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,687,657.80 $1,027,043.80 nat. median
$809,151
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $1,295,880.38 $788,623.09 nat. median
$691,418
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $1,231,958.63 $759,426.55 nat. median
$624,417
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.94 $1,239,252.99 $754,161.84 nat. median
$631,793
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $1,220,526.28 $752,379.21 nat. median
$610,161
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $1,167,774.07 $719,860.73 nat. median
$588,565
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,071,577.09 $660,561.22 nat. median
$577,541
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $309,942.43 $737,173.09 $400,314.16 nat. median
$370,165
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $201,430.96 $502,555.00 $271,529.53 nat. median
$261,939
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $153,660.98 $334,487.67 $214,113.27 nat. median
$205,166
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $148,633.43 $348,048.63 $205,344.18 nat. median
$199,832
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $111,492.17 $244,167.85 $150,257.18 nat. median
$111,503
1.3× 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
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $103,781.68 $192,367.24 $137,232.62 nat. median
$83,623
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $96,569.26 $218,537.29 $131,492.34 nat. median
$132,706
1.0× median
7
MS_DRG 		Lung Transplant 14 $93,529.38 $193,374.39 $125,740.64 nat. median
$122,690
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $86,855.73 $229,773.90 $124,747.65 nat. median
$114,305
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $81,944.44 $301,081.96 $112,543.99 nat. median
$108,240
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $78,668.10 $212,699.78 $109,877.99 nat. median
$100,978
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $74,633.70 $206,149.37 $106,520.08 nat. median
$99,646
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 14 $72,103.25 $254,474.31 $105,975.90 nat. median
$98,002
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $69,520.12 $192,367.24 $105,702.57 nat. median
$96,835
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $70,856.28 $187,598.10 $100,599.63 nat. median
$92,900
1.1× median
90288
HCPCS 		Botulism Ig IV 1 $94,115.25 $94,115.25 $94,115.25 nat. median
$52,716
1.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $150,675.74 $92,882.31 nat. median
$70,178
1.3× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $69,216.91 $128,298.81 $91,526.92 nat. median
$57,648
1.6× median
5231
OTHER 		Level 1 Icd And Similar Procedures 1 $90,932.59 $90,932.59 $90,932.59 nat. median
$23,228
outlier · 3.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $65,321.51 $192,367.24 $87,561.77 nat. median
$81,124
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $138,719.60 $85,512.08 nat. median
$69,291
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $60,982.17 $181,768.49 $85,303.00 nat. median
$80,459
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $64,329.92 $119,240.40 $85,064.75 nat. median
$62,767
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $61,171.86 $160,201.70 $84,505.23 nat. median
$79,040
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $81,851.38 $159,610.19 $82,547.12 nat. median
$96,134
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $69,113.10 $95,028.69 $82,070.90 nat. median
$75,807
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $57,155.36 $197,462.23 $80,630.80 nat. median
$77,385
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $55,791.71 $150,232.91 $77,986.20 nat. median
$74,472
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $55,554.77 $145,021.41 $76,618.83 nat. median
$73,475
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $55,373.66 $144,225.57 $76,279.51 nat. median
$71,485
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $124,445.76 $75,732.92 nat. median
$63,643
1.2× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 9 $55,272.32 $121,046.39 $74,617.64 nat. median
$65,655
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $51,899.76 $131,559.20 $73,464.76 nat. median
$69,153
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $51,869.69 $138,942.98 $71,844.05 nat. median
$68,581
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $54,103.14 $100,284.29 $71,541.68 nat. median
$46,399
1.5× median

Other procedures at this hospital

Browse this hospital's 17,413 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,229,400.00 $4,229,400.00 $4,229,400.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 5 — — $3,685,266.67 $4,975,110.00 $3,998,514.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 5 — — $3,316,462.59 $4,477,224.49 $3,601,788.02 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 5 — — $3,248,445.72 $4,385,401.72 $3,545,969.54 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 5 — — $2,945,740.00 $3,976,749.00 $3,197,537.70 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 8 7 — — $2,332,000.00 $4,990,480.00 $2,863,113.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 6 — — $2,455,110.60 $4,787,465.68 $2,762,369.60 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 10 7 — — $770,620.00 $1,687,657.80 $1,027,043.80 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 8 — — $591,726.20 $1,295,880.38 $788,623.09 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 9 — — $562,538.19 $1,231,958.63 $759,426.55 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 8 — — $565,868.94 $1,239,252.99 $754,161.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 9 — — $557,317.93 $1,220,526.28 $752,379.21 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 9 — — $533,230.17 $1,167,774.07 $719,860.73 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 9 — — $489,304.61 $1,071,577.09 $660,561.22 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 14 — — $309,942.43 $737,173.09 $400,314.16 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 14 — — $201,430.96 $502,555.00 $271,529.53 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 14 — — $153,660.98 $334,487.67 $214,113.27 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 14 — — $148,633.43 $348,048.63 $205,344.18 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 8 — — $111,492.17 $244,167.85 $150,257.18 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
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 1 — — $103,781.68 $192,367.24 $137,232.62 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 14 — — $96,569.26 $218,537.29 $131,492.34 2026-04-01
7 MS_DRG Lung Transplant 22 14 — — $93,529.38 $193,374.39 $125,740.64 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 14 — — $86,855.73 $229,773.90 $124,747.65 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 14 — — $81,944.44 $301,081.96 $112,543.99 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 14 — — $78,668.10 $212,699.78 $109,877.99 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 14 — — $74,633.70 $206,149.37 $106,520.08 2026-04-01
215 MS_DRG Other Heart Assist System Implant 24 14 — — $72,103.25 $254,474.31 $105,975.90 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $69,520.12 $192,367.24 $105,702.57 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 14 — — $70,856.28 $187,598.10 $100,599.63 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $94,115.25 $94,115.25 $94,115.25 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 9 7 — — $68,801.71 $150,675.74 $92,882.31 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 1 — — $69,216.91 $128,298.81 $91,526.92 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $90,932.59 $90,932.59 $90,932.59 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 14 — — $65,321.51 $192,367.24 $87,561.77 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 13 9 — — $63,342.28 $138,719.60 $85,512.08 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 14 — — $60,982.17 $181,768.49 $85,303.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 1 — — $64,329.92 $119,240.40 $85,064.75 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 14 — — $61,171.86 $160,201.70 $84,505.23 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 8 — — $81,851.38 $159,610.19 $82,547.12 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $69,113.10 $95,028.69 $82,070.90 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 14 — — $57,155.36 $197,462.23 $80,630.80 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $55,791.71 $150,232.91 $77,986.20 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 14 — — $55,554.77 $145,021.41 $76,618.83 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 14 — — $55,373.66 $144,225.57 $76,279.51 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 8 — — $56,824.55 $124,445.76 $75,732.92 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 9 — — $55,272.32 $121,046.39 $74,617.64 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 14 — — $51,899.76 $131,559.20 $73,464.76 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 14 — — $51,869.69 $138,942.98 $71,844.05 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 1 — — $54,103.14 $100,284.29 $71,541.68 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 15 — — $34,474.47 $192,367.24 $70,876.42 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 10 8 — — $50,007.15 $109,515.66 $70,524.79 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $49,600.83 $108,625.82 $69,951.76 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 22 14 — — $52,172.49 $112,630.74 $68,721.80 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 14 — — $50,062.23 $128,891.25 $68,542.79 2026-04-01
10 MS_DRG Pancreas Transplant 22 14 — — $46,581.42 $101,778.22 $67,410.99 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $66,993.22 $66,993.22 $66,993.22 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 14 — — $47,896.14 $124,074.71 $66,938.02 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 14 — — $49,011.40 $119,084.39 $65,795.17 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 15 — — $32,243.65 $120,257.42 $65,137.49 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 14 — — $48,692.14 $145,021.41 $65,109.86 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 14 — — $48,657.06 $119,240.40 $64,329.92 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 22 14 — — $14,667.36 $122,490.03 $64,291.56 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 16 — — $22,700.24 $239,350.89 $62,637.29 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 13 9 — — $365.47 $132,487.10 $62,311.28 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 14 — — $47,896.14 $112,247.63 $62,140.39 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 14 — — $44,697.11 $153,096.37 $61,393.71 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 14 — — $44,226.09 $115,336.22 $60,964.42 2026-04-01
J9226 HCPCS Supprelin La Implant 13 9 — — $45,020.65 $98,595.22 $60,777.88 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 22 14 — — $43,274.76 $127,258.09 $60,668.70 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 14 — — $44,646.28 $107,508.11 $60,434.04 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 14 — — $42,837.39 $114,115.79 $59,582.78 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 14 — — $40,928.32 $122,639.03 $59,350.91 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 22 14 — — $43,837.40 $109,771.23 $59,200.90 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 14 — — $43,292.53 $93,063.87 $58,125.32 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 14 — — $42,810.19 $106,986.76 $57,756.43 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — — $39,331.92 $134,408.84 $57,655.85 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 14 — — $41,847.40 $108,513.29 $57,518.32 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 14 — — $42,110.83 $192,367.24 $56,936.07 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 14 — — $40,363.49 $96,617.09 $56,646.29 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 1 — — $42,774.74 $79,286.25 $56,561.91 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 22 14 — — $40,126.55 $108,493.54 $55,892.73 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 14 — — $27,070.84 $109,206.44 $55,759.84 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 22 14 — — $39,714.24 $89,418.94 $55,723.19 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 14 — — $38,722.82 $148,826.85 $55,290.69 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 14 — — $39,987.68 $104,415.58 $55,157.67 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 14 — — $41,626.93 $99,077.69 $55,155.68 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 22 14 — — $40,947.61 $99,964.38 $54,604.91 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 14 — — $39,931.85 $99,857.74 $53,890.51 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $39,001.99 $101,510.64 $53,708.73 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 9 7 — — $39,525.62 $86,561.11 $53,359.59 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 13 — — $43,373.54 $84,578.40 $53,161.80 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 14 — — $39,870.29 $97,142.39 $53,116.49 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 15 — — $18,948.57 $192,367.24 $52,750.83 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 14 — — $34,638.07 $119,240.40 $52,621.76 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 14 — — $40,672.73 $88,083.98 $52,513.39 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 14 — — $38,090.03 $99,589.16 $52,263.28 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 14 — — $35,912.48 $89,515.71 $50,087.89 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 14 — — $35,218.85 $112,636.67 $50,084.03 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 14 — — $34,328.82 $97,576.84 $50,060.92 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 9 — — $6,271.67 $92,774.03 $49,680.71 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 14 — — $35,864.32 $130,265.71 $48,928.31 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 14 — — $33,487.26 $107,674.00 $48,880.64 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 15 — — $24,213.34 $106,552.53 $48,558.18 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 14 — — $32,654.46 $97,134.49 $48,493.96 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 15 — — $16,865.05 $91,741.31 $48,469.85 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 14 — — $36,907.48 $90,520.88 $48,407.76 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 14 — — $34,907.46 $120,593.14 $48,082.81 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 14 — — $34,313.33 $102,983.85 $48,050.79 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 16 — — $24,068.97 $101,265.77 $47,924.37 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 22 14 — — $33,247.46 $96,309.02 $47,560.21 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 14 — — $34,482.26 $89,124.70 $47,288.13 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 22 14 — — $34,021.27 $88,901.55 $47,212.17 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 9 7 — — $34,970.13 $76,584.58 $47,209.68 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 17 — — $21,328.14 $97,027.85 $46,933.79 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 14 — — $33,293.61 $94,442.84 $45,749.93 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 14 — — $29,805.65 $85,109.93 $45,736.15 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 14 — — $33,647.61 $85,165.22 $45,685.35 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 14 — — $33,374.88 $85,042.79 $45,468.24 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 14 — — $31,587.05 $87,904.27 $45,075.41 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 27 16 — — $11,250.19 $97,598.57 $44,162.48 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 14 — — $32,775.01 $80,980.62 $43,967.56 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 13 9 — — $918.29 $92,774.03 $43,633.45 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 9 — — $863.68 $92,774.03 $43,633.45 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 14 — — $32,901.00 $80,457.30 $43,543.94 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 22 14 — — $30,868.77 $82,035.17 $43,353.98 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 14 — — $30,696.97 $105,961.84 $43,225.17 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 14 — — $20,684.56 $81,756.72 $42,936.84 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 14 — — $31,558.11 $76,286.52 $42,786.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 14 — — $30,685.11 $97,168.24 $42,649.78 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 14 — — $31,360.54 $78,608.89 $42,373.02 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 14 — — $30,992.60 $84,043.54 $42,339.54 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 14 — — $31,185.16 $119,240.40 $42,332.44 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $41,679.90 $81,275.81 $42,034.18 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 14 — — $8,391.18 $75,162.86 $41,955.19 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 10 8 — — $29,717.20 $65,080.67 $41,909.99 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 10 8 — — $29,576.84 $64,773.28 $41,712.04 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 14 — — $30,812.93 $76,697.28 $41,487.74 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 14 — — $31,007.64 $69,584.05 $41,085.12 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 14 — — $30,556.67 $74,785.68 $40,799.10 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 14 — — $27,654.73 $70,680.07 $40,113.57 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 14 — — $28,704.11 $64,293.56 $40,104.50 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 13 9 — — $1,359.86 $66,113.61 $39,713.45 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 11 8 — — $4,386.82 $66,113.61 $39,713.45 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 14 — — $28,535.89 $78,830.07 $39,529.36 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 14 — — $26,415.61 $77,564.22 $39,385.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 14 — — $28,830.81 $75,662.49 $39,274.45 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 14 — — $18,190.11 $69,595.90 $38,847.71 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 14 — — $25,792.12 $79,841.16 $38,661.37 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 37 17 — — $13,056.68 $192,367.24 $38,490.66 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 14 — — $26,976.90 $75,196.43 $38,431.64 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 9 — — $28,424.06 $62,248.69 $38,372.48 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 14 — — $28,494.37 $69,303.63 $38,059.46 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 14 — — $26,475.02 $69,933.59 $37,936.04 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 14 — — $27,583.84 $70,046.16 $37,513.96 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 15 — — $19,784.76 $82,390.63 $37,487.18 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 14 — — $29,347.63 $64,258.02 $37,481.76 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 14 — — $27,438.89 $70,624.77 $37,473.14 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 13 — — $30,675.49 $59,817.21 $37,455.59 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $37,262.35 $37,262.35 $37,262.35 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 14 — — $26,306.09 $71,319.90 $37,175.96 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 14 — — $24,764.52 $77,147.54 $37,053.49 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 22 14 — — $27,121.41 $64,198.77 $36,804.52 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 14 — — $27,355.49 $72,941.21 $36,562.76 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 14 — — $26,330.42 $70,042.21 $36,522.93 2026-04-01
791 MS_DRG Prematurity With Major Problems 16 13 — — $29,883.79 $58,273.39 $36,476.88 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 14 — — $26,021.19 $266,217.94 $36,363.17 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 14 — — $26,682.61 $67,224.17 $36,144.40 2026-04-01
332 MS_DRG Rectal Resection With Mcc 22 14 — — $26,746.32 $75,464.22 $36,132.28 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 14 — — $26,351.90 $77,943.38 $36,035.96 2026-04-01
265 MS_DRG Aicd Lead Procedures 22 14 — — $26,728.42 $65,914.87 $35,822.15 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 11 8 — — $931.61 $66,113.61 $35,701.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 9 — — $498.65 $60,415.06 $35,701.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 9 — — $601.83 $66,113.61 $35,701.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 9 — — $835.39 $66,113.61 $35,701.00 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 11 8 — — $1,242.78 $66,113.61 $35,701.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 9 — — $598.54 $66,113.61 $35,701.00 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 14 — — $24,959.21 $80,844.36 $35,626.28 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 14 — — $26,782.11 $59,482.95 $35,486.29 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 14 — — $23,890.86 $68,679.59 $35,450.36 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 14 — — $25,217.31 $80,143.31 $35,416.58 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 14 — — $26,659.92 $68,764.51 $35,308.93 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 14 — — $24,197.39 $65,184.20 $35,205.30 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 14 — — $14,621.01 $57,130.96 $35,097.62 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 10 7 — — $1,872.00 $64,994.83 $34,804.88 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 10 8 — — $1,189.00 $64,994.83 $34,804.88 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 10 7 — — $1,872.00 $64,994.83 $34,804.88 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 14 — — $25,557.33 $63,849.23 $34,474.46 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 14 — — $25,943.46 $58,529.12 $34,418.24 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 14 — — $15,490.10 $63,908.48 $34,363.85 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 8 — — $4,386.82 $56,695.64 $34,056.22 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 26 14 — — $22,647.07 $63,853.18 $33,993.39 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 14 — — $22,058.57 $63,205.45 $33,750.53 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 14 — — $23,573.06 $112,901.29 $33,722.65 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 16 — — $9,110.74 $66,819.33 $33,544.95 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 14 — — $22,286.76 $64,649.03 $33,455.63 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 26 14 — — $16,486.14 $63,543.14 $33,444.43 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 14 — — $25,677.59 $58,442.23 $33,380.87 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 14 — — $24,394.11 $62,579.44 $33,346.76 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 10 8 — — $23,640.73 $51,773.20 $33,340.39 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 10 8 — — $23,514.53 $51,496.82 $33,162.40 2026-04-01
665 MS_DRG Prostatectomy With Mcc 22 14 — — $23,170.77 $61,678.93 $33,087.24 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 14 — — $23,928.83 $64,248.14 $32,954.01 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 10 8 — — $23,210.23 $50,830.40 $32,733.25 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 14 — — $24,391.25 $54,670.36 $32,730.33 2026-04-01
69930 HCPCS Implant Cochlear Device 15 11 — — $1,845.46 $69,448.38 $32,662.94 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 10 8 — — $23,134.38 $50,664.29 $32,626.29 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 14 — — $23,546.76 $70,845.95 $32,598.11 2026-04-01
L5858 HCPCS Stance Phase Only 10 8 — — $23,006.91 $50,385.13 $32,446.51 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 14 — — $10,664.37 $60,810.02 $32,379.29 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 8 — — $24,228.42 $53,060.24 $32,290.43 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 14 — — $20,687.09 $163,423.71 $32,251.71 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 14 — — $23,513.17 $73,176.21 $32,237.30 2026-04-01
652 MS_DRG Kidney Transplant 22 14 — — $23,946.01 $65,557.44 $32,171.26 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 14 — — $21,918.63 $64,271.84 $31,885.47 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 14 — — $21,103.86 $61,827.04 $31,655.49 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 22 14 — — $23,883.73 $52,032.03 $31,645.94 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 14 — — $23,384.08 $58,623.91 $31,597.99 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 14 — — $22,743.42 $60,144.51 $31,575.72 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 14 — — $21,373.80 $90,528.78 $31,554.01 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $31,536.00 $31,536.00 $31,536.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 14 — — $22,916.50 $58,438.28 $31,527.32 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 14 — — $23,084.87 $59,186.73 $31,523.28 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 15 — — $13,027.64 $52,541.53 $31,228.70 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 22 14 — — $22,134.25 $60,725.10 $30,933.74 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 14 — — $16,965.96 $57,654.29 $30,918.86 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 14 — — $23,320.37 $60,851.49 $30,899.49 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 14 — — $19,529.91 $63,213.35 $30,874.45 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 14 — — $22,985.76 $65,136.80 $30,865.22 2026-04-01
61886 HCPCS Implant Neurostim Arrays 15 11 — — $1,336.29 $64,994.83 $30,568.34 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 13 9 — — $922.33 $64,994.83 $30,568.34 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 13 9 — — $577.85 $64,994.83 $30,568.34 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 9 — — $1,277.75 $64,994.83 $30,568.34 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 14 — — $23,124.24 $56,159.36 $30,517.62 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 14 — — $23,809.28 $52,219.64 $30,393.35 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 15 11 — — $801.75 $64,994.83 $30,182.53 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 15 11 — — $518.39 $64,994.83 $30,182.53 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 10 8 — — $21,297.95 $46,642.51 $30,036.37 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 14 — — $21,601.67 $59,439.51 $29,867.47 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 14 — — $22,447.06 $53,088.55 $29,533.44 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 14 — — $22,449.93 $49,131.05 $29,488.92 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 9 — — $1,498.63 $55,053.54 $29,481.29 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 9 — — $1,410.33 $55,053.54 $29,481.29 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 9 — — $1,243.80 $55,053.54 $29,481.29 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 14 — — $21,487.14 $54,767.13 $29,386.98 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 14 — — $21,588.79 $55,211.46 $29,209.33 2026-04-01
570 MS_DRG Skin Debridement With Mcc 22 14 — — $21,881.56 $51,242.11 $29,192.88 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 13 9 — — $549.79 $51,613.00 $28,880.82 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 22 14 — — $20,866.52 $54,753.30 $28,793.21 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 22 14 — — $21,730.52 $52,035.98 $28,792.94 2026-04-01
263 MS_DRG Vein Ligation And Stripping 22 14 — — $22,527.96 $46,149.10 $28,742.75 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 14 — — $21,233.02 $52,665.94 $28,664.58 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 14 — — $19,869.37 $64,457.47 $28,645.17 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 22 14 — — $21,903.04 $53,212.96 $28,591.11 2026-04-01
800 MS_DRG Splenic Procedures With Cc 22 14 — — $20,938.82 $53,060.90 $28,446.82 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 13 — — $21,497.16 $61,552.54 $28,421.08 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 26 14 — — $19,331.41 $60,496.02 $28,391.33 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 10 8 — — $20,122.03 $44,067.25 $28,377.98 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 29 15 — — $16,761.22 $59,636.99 $28,178.02 2026-04-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 11 8 — — $4,386.82 $46,851.11 $28,142.75 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 9 — — $555.17 $46,851.11 $28,142.75 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 9 — — $577.06 $46,851.11 $28,142.75 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 11 8 — — $555.61 $46,851.11 $28,142.75 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 9 — — $559.22 $46,851.11 $28,142.75 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 11 8 — — $781.50 $46,851.11 $28,142.75 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 11 8 — — $587.26 $46,851.11 $28,142.75 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 14 — — $42.50 $56,348.94 $28,125.81 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 8 6 — — $245.91 $76,227.97 $28,087.74 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 14 — — $20,564.44 $55,252.93 $27,970.62 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 14 — — $20,397.65 $52,895.02 $27,927.88 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 14 — — $20,200.08 $53,479.56 $27,871.14 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 22 14 — — $21,457.08 $47,568.98 $27,758.39 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 23 14 — — $18,096.36 $55,630.12 $27,345.29 2026-04-01
503 MS_DRG Foot Procedures With Mcc 22 14 — — $20,807.82 $49,123.15 $27,319.17 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 33 15 — — $13,843.11 $83,385.24 $27,277.08 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 14 — — $19,316.75 $54,362.29 $27,082.56 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 14 — — $19,707.60 $50,740.51 $26,989.82 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 12 8 — — $592.30 $46,851.11 $26,976.38 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 10 7 — — $4,386.82 $46,851.11 $26,976.38 2026-04-01
22630 HCPCS Lumbar Spine Fusion 13 9 — — $2,367.25 $57,151.73 $26,879.58 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 13 9 — — $2,742.42 $57,151.73 $26,879.58 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 13 9 — — $1,465.06 $57,151.73 $26,879.58 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 14 — — $18,662.75 $49,672.14 $26,798.01 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 14 10 — — $1,771.67 $57,151.73 $26,709.96 2026-04-01
22558 HCPCS Lumbar Spine Fusion 12 8 — — $2,317.30 $57,151.73 $26,709.96 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 23 14 — — $19,408.38 $50,061.18 $26,612.45 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 15 11 — — $1,755.00 $57,151.73 $26,540.33 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 22 14 — — $19,207.95 $50,892.57 $26,456.62 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 14 — — $19,802.80 $48,234.49 $26,378.09 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 4 3 — — $434.19 $51,805.10 $26,339.00 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 4 3 — — $746.38 $76,500.85 $26,339.00 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 14 — — $13,809.24 $47,967.89 $26,318.48 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 33 14 — — $11,555.60 $113,335.56 $26,264.78 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 14 — — $18,512.90 $47,922.47 $26,208.24 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 22 14 — — $19,103.44 $48,457.64 $25,935.74 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 24 14 — — $17,771.78 $50,902.44 $25,872.76 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 22 14 — — $19,386.19 $47,008.14 $25,766.07 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 3 2 — — $2,353.05 $150,746.01 $25,765.85 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 25 14 — — $15,975.20 $67,397.95 $25,672.71 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 8 — — $25,442.80 $49,613.46 $25,659.07 2026-04-01
See an error in this hospital's data? Submit a correction