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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

SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE

Shawnee, OK · CCN 370149 · Rates published

17,363 distinct procedures filed
17 distinct payers
161,981 rate rows
2026-04-01 last MRF observed
Data quality

138,855 of 161,981 rate rows are consumer-grade (85.7%)

23,126 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 23,088
placeholder amount (≤ $0.02) — excluded from medians 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=fhyUnGceR0ZpzaBBOhDvhg*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 295027ceac6d7276… · 34,046,033 bytes · first seen 2026-05-08

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 $4,600,400.00 $4,600,400.00 $4,600,400.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,685,266.67 $4,975,110.00 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,316,462.59 $4,477,224.49 $3,415,956.47 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,248,445.72 $4,385,401.72 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $3,976,749.00 $3,034,112.20 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,455,110.60 $4,787,465.68 $2,766,723.33 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $4,547,400.00 $2,646,820.00 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,502,709.00 $923,819.26 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $1,153,866.09 $713,518.78 nat. median
$753,246
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.94 $1,103,444.44 $682,146.81 nat. median
$674,867
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $1,096,949.46 $674,370.78 nat. median
$673,137
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $1,086,769.97 $668,112.74 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $1,039,798.83 $639,236.33 nat. median
$634,303
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $954,143.99 $606,854.96 nat. median
$619,808
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $311,605.23 $712,050.68 $385,907.20 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $202,721.61 $485,428.23 $273,674.17 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $154,787.80 $323,088.54 $208,963.53 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $153,887.79 $336,187.34 $207,748.52 nat. median
$202,976
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $163,129.23 $163,129.23 $163,129.23 nat. median
$96,983
1.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $111,492.17 $217,409.73 $146,667.95 nat. median
$111,989
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $100,703.49 $185,811.48 $132,566.63 nat. median
$87,428
1.5× median
7
MS_DRG 		Lung Transplant 12 $94,449.98 $186,784.31 $127,507.47 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $87,753.43 $221,943.35 $120,285.73 nat. median
$117,357
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $546.25 $211,089.67 $118,684.44 nat. median
$133,161
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $82,825.30 $290,821.27 $108,011.35 nat. median
$108,660
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $79,537.73 $205,451.10 $107,375.94 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $75,489.49 $199,123.93 $104,175.50 nat. median
$100,136
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $80,594.32 $185,811.48 $102,719.68 nat. median
$98,894
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $72,950.37 $245,801.98 $100,671.51 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $71,699.12 $181,204.87 $96,793.81 nat. median
$93,672
1.0× median
90288
HCPCS 		Botulism Ig IV 1 $94,115.25 $94,115.25 $94,115.25 nat. median
$55,037
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $66,145.36 $185,811.48 $89,296.24 nat. median
$82,711
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $67,163.92 $123,926.46 $88,414.95 nat. median
$62,372
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $82,731.93 $161,327.26 $84,138.37 nat. median
$98,047
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $61,981.48 $154,742.12 $83,675.00 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $61,791.14 $175,573.93 $83,418.04 nat. median
$81,118
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $62,421.88 $115,176.76 $82,172.50 nat. median
$65,393
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $69,113.10 $95,028.69 $82,070.90 nat. median
$76,329
1.1× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $134,163.33 $80,687.20 nat. median
$70,825
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $57,951.21 $190,732.83 $78,992.90 nat. median
$77,570
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $123,517.45 $78,412.16 nat. median
$69,774
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $56,582.88 $145,113.06 $76,386.89 nat. median
$74,915
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $9,415.44 $140,079.17 $75,992.04 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $56,163.40 $139,310.45 $75,501.52 nat. median
$72,135
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $53,280.94 $185,811.48 $71,929.27 nat. median
$68,090
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $52,677.58 $127,075.74 $71,114.73 nat. median
$71,271
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $52,647.41 $134,207.89 $71,074.00 nat. median
$68,886
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 9 $55,272.32 $107,781.03 $70,701.20 nat. median
$66,682
1.1× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $115,661.91 $70,462.44 nat. median
$62,507
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $52,498.43 $96,866.67 $69,109.22 nat. median
$48,483
1.4× median

Other procedures at this hospital

Browse this hospital's 17,363 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,600,400.00 $4,600,400.00 $4,600,400.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 6 — — $3,685,266.67 $4,975,110.00 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,316,462.59 $4,477,224.49 $3,415,956.47 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,248,445.72 $4,385,401.72 $3,345,899.09 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 6 — — $2,945,740.00 $3,976,749.00 $3,034,112.20 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 7 — — $2,455,110.60 $4,787,465.68 $2,766,723.33 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 8 7 — — $2,332,000.00 $4,547,400.00 $2,646,820.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $770,620.00 $1,502,709.00 $923,819.26 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 8 — — $591,726.20 $1,153,866.09 $713,518.78 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 8 — — $565,868.94 $1,103,444.44 $682,146.81 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 9 — — $562,538.19 $1,096,949.46 $674,370.78 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 9 — — $557,317.93 $1,086,769.97 $668,112.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 9 — — $533,230.17 $1,039,798.83 $639,236.33 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 9 — — $489,304.61 $954,143.99 $606,854.96 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 21 12 — — $311,605.23 $712,050.68 $385,907.20 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $202,721.61 $485,428.23 $273,674.17 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 12 — — $154,787.80 $323,088.54 $208,963.53 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 12 — — $153,887.79 $336,187.34 $207,748.52 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $163,129.23 $163,129.23 $163,129.23 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 8 — — $111,492.17 $217,409.73 $146,667.95 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 1 — — $100,703.49 $185,811.48 $132,566.63 2026-04-01
7 MS_DRG Lung Transplant 21 12 — — $94,449.98 $186,784.31 $127,507.47 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 21 12 — — $87,753.43 $221,943.35 $120,285.73 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 12 — — $546.25 $211,089.67 $118,684.44 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 12 — — $82,825.30 $290,821.27 $108,011.35 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $79,537.73 $205,451.10 $107,375.94 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 12 — — $75,489.49 $199,123.93 $104,175.50 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $80,594.32 $185,811.48 $102,719.68 2026-04-01
215 MS_DRG Other Heart Assist System Implant 21 12 — — $72,950.37 $245,801.98 $100,671.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $71,699.12 $181,204.87 $96,793.81 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $94,115.25 $94,115.25 $94,115.25 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 12 — — $66,145.36 $185,811.48 $89,296.24 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 1 — — $67,163.92 $123,926.46 $88,414.95 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 11 8 — — $82,731.93 $161,327.26 $84,138.37 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $61,981.48 $154,742.12 $83,675.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $61,791.14 $175,573.93 $83,418.04 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 1 — — $62,421.88 $115,176.76 $82,172.50 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $69,113.10 $95,028.69 $82,070.90 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 7 — — $68,801.71 $134,163.33 $80,687.20 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 12 — — $57,951.21 $190,732.83 $78,992.90 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 9 — — $63,342.28 $123,517.45 $78,412.16 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $56,582.88 $145,113.06 $76,386.89 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 12 — — $9,415.44 $140,079.17 $75,992.04 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 12 — — $56,163.40 $139,310.45 $75,501.52 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $53,280.94 $185,811.48 $71,929.27 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 12 — — $52,677.58 $127,075.74 $71,114.73 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $52,647.41 $134,207.89 $71,074.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 9 — — $55,272.32 $107,781.03 $70,701.20 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 9 8 — — $56,824.55 $115,661.91 $70,462.44 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 1 — — $52,498.43 $96,866.67 $69,109.22 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $50,833.75 $124,498.71 $67,474.06 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $66,993.22 $66,993.22 $66,993.22 2026-04-01
10 MS_DRG Pancreas Transplant 21 12 — — $45,199.80 $103,296.94 $66,969.84 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 12 — — $49,779.31 $115,026.07 $66,913.42 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $49,458.96 $140,079.17 $66,769.60 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 9 8 — — $50,007.15 $97,513.94 $65,784.41 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $49,423.76 $115,176.76 $65,701.16 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 21 12 — — $52,951.25 $108,792.36 $65,449.30 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 9 8 — — $49,600.83 $96,721.62 $65,249.89 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $48,660.23 $119,846.32 $64,952.62 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 21 12 — — $14,232.32 $124,079.79 $64,712.38 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 11 8 — — $365.47 $117,967.97 $61,524.83 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 12 — — $45,450.23 $147,878.94 $61,357.81 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 12 — — $45,399.23 $103,844.30 $61,288.96 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 12 — — $44,575.36 $118,459.57 $60,701.20 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 13 — — $32,243.65 $116,159.12 $60,694.44 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $44,977.60 $111,405.63 $60,378.06 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $44,262.91 $129,828.27 $59,754.93 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $44,587.57 $106,030.30 $59,575.18 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 21 12 — — $44,023.00 $122,921.21 $59,431.05 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $43,584.13 $110,226.80 $58,838.58 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $48,660.23 $108,422.30 $58,761.19 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 12 — — $42,855.08 $185,811.48 $57,854.36 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 12 — — $43,556.84 $103,340.72 $57,054.62 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $42,590.75 $104,815.22 $56,806.28 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 12 — — $41,871.26 $104,616.84 $56,698.76 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $41,812.85 $185,811.48 $56,447.35 2026-04-01
J9226 HCPCS Supprelin La Implant 11 9 — — $45,020.65 $87,790.27 $56,062.93 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $41,101.75 $93,324.44 $55,487.36 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $42,008.46 $94,552.69 $55,300.17 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 21 12 — — $40,864.00 $104,796.14 $55,166.40 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $40,724.65 $100,857.16 $54,661.14 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 1 — — $41,506.04 $76,584.22 $54,638.77 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 21 12 — — $40,450.27 $86,371.60 $54,607.86 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 12 — — $39,455.45 $143,754.92 $54,167.54 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $39,712.59 $115,176.76 $53,612.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 12 — — $41,687.87 $96,557.65 $53,319.84 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $39,735.58 $98,051.22 $53,140.42 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $42,369.52 $95,701.18 $52,926.86 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 22 12 — — $16,229.81 $105,484.75 $52,901.72 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 12 — — $40,606.86 $93,831.83 $52,876.88 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $40,668.63 $96,454.65 $52,275.13 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 12 — — $38,820.49 $96,195.23 $52,134.53 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 12 — — $37,797.76 $94,251.48 $50,695.52 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 12 — — $297.50 $125,826.33 $49,905.88 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $36,635.48 $86,465.07 $49,457.90 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 12 — — $35,939.46 $108,798.08 $49,066.64 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $36,114.72 $93,824.20 $48,754.87 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 12 — — $22,674.23 $88,614.82 $48,691.96 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 12 — — $32,970.11 $86,749.29 $48,393.21 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $35,627.01 $116,483.40 $48,096.46 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 12 — — $36,353.25 $85,082.13 $47,570.02 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $37,633.89 $87,435.99 $47,387.32 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $35,030.83 $99,474.22 $47,291.62 2026-04-01
245 MS_DRG Aicd Generator Procedures 21 12 — — $34,201.94 $104,004.53 $47,198.68 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 21 12 — — $34,737.78 $85,871.84 $46,896.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 12 — — $34,604.89 $91,224.28 $46,716.60 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 12 — — $35,200.35 $86,087.38 $46,656.43 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 21 12 — — $33,961.31 $93,026.87 $46,594.10 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 7 — — $39,525.62 $77,074.96 $46,353.67 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 12 — — $34,362.83 $82,262.85 $45,856.16 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $33,623.00 $94,272.47 $45,391.05 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 13 — — $2,309.06 $86,038.15 $44,823.68 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 12 — — $7,856.00 $82,209.44 $44,554.71 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 12 — — $34,089.17 $82,144.58 $44,519.56 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 13 — — $14,841.08 $84,908.55 $44,210.74 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 10 8 — — $6,271.67 $82,607.01 $43,358.09 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 8 — — $42,422.67 $82,724.21 $43,143.86 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 8 — — $918.29 $82,607.01 $43,082.73 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 8 — — $863.68 $85,500.95 $43,082.73 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $31,891.94 $115,176.76 $43,054.12 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $33,487.25 $78,220.85 $43,046.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 21 12 — — $31,574.46 $79,239.46 $42,945.09 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 12 — — $31,765.53 $79,268.07 $42,883.47 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 12 — — $31,698.73 $81,179.39 $42,793.29 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $31,402.07 $102,350.73 $42,392.79 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 12 — — $29,774.26 $78,970.50 $42,273.28 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 12 — — $33,613.66 $77,715.37 $42,119.08 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 12 — — $32,983.73 $72,601.36 $41,804.46 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 12 — — $14,582.14 $73,686.73 $41,747.51 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $32,067.92 $75,929.95 $41,444.20 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 7 — — $34,970.13 $68,191.75 $41,011.22 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 12 — — $30,309.57 $185,811.48 $40,917.92 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 12 — — $212.50 $93,721.20 $40,591.76 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $31,518.44 $74,083.49 $40,295.64 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 12 — — $31,713.81 $67,212.67 $40,213.32 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 12 — — $31,261.29 $72,237.03 $39,857.58 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 14 — — $12,108.79 $97,814.69 $39,775.20 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 12 — — $29,402.38 $62,102.48 $39,693.21 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $29,529.51 $73,083.96 $39,609.01 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 12 — — $29,233.58 $76,143.59 $39,465.33 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 12 — — $25,911.03 $72,633.79 $39,365.04 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $29,008.04 $79,582.81 $39,160.85 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 9 8 — — $29,717.20 $57,948.54 $39,092.98 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 9 8 — — $29,576.84 $57,674.84 $38,908.33 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 12 — — $29,191.92 $66,941.81 $38,508.12 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 12 — — $31,063.76 $68,271.33 $38,318.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 12 — — $14,423.38 $74,518.40 $37,942.44 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 12 — — $28,278.27 $67,659.03 $37,739.80 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 12 — — $28,049.14 $70,455.42 $37,583.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 21 12 — — $27,814.26 $62,010.92 $37,549.25 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 12 — — $26,852.47 $68,217.92 $37,520.88 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 12 — — $27,106.03 $74,920.88 $37,406.32 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… 21 12 — — $26,996.13 $68,889.36 $36,691.20 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 12 — — $27,165.65 $67,550.30 $36,673.63 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 12 — — $27,042.10 $75,287.12 $36,506.84 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 12 — — $15,464.79 $77,120.23 $36,145.76 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 12 — — $24,573.87 $78,089.24 $36,039.24 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 12 — — $14,853.73 $67,224.12 $35,814.59 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 12 — — $25,347.41 $65,104.88 $35,519.47 2026-04-01
332 MS_DRG Rectal Resection With Mcc 22 12 — — $19,624.29 $72,892.44 $35,519.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 12 — — $16,902.48 $67,655.21 $35,409.43 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 12 — — $27,373.95 $64,933.21 $35,191.59 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 12 — — $28,275.39 $55,183.98 $35,121.24 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 12 — — $14,808.30 $64,542.17 $34,979.66 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 12 — — $25,903.63 $77,412.07 $34,969.90 2026-04-01
265 MS_DRG Aicd Lead Procedures 21 12 — — $27,419.92 $63,668.54 $34,955.62 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 12 — — $21,301.21 $66,339.04 $34,761.60 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 12 — — $27,473.79 $57,455.81 $34,498.94 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 12 — — $24,927.12 $62,962.76 $34,461.74 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 12 — — $24,396.36 $62,068.14 $34,383.95 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 12 — — $26,659.92 $66,421.06 $34,353.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 11 9 — — $28,424.06 $55,426.92 $34,074.76 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 6 5 — — $28,608.42 $48,039.96 $34,056.75 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 12 — — $26,365.48 $56,450.56 $33,954.06 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 12 — — $23,943.89 $61,730.52 $33,892.62 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 12 — — $25,935.95 $62,445.83 $33,843.51 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 8 6 — — $20,000.80 $64,250.10 $33,723.07 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 12 — — $26,244.81 $61,673.29 $33,700.24 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 22 12 — — $20,756.40 $61,677.11 $33,521.43 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 12 — — $7,990.18 $68,431.56 $33,389.47 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 12 — — $16,486.14 $61,377.63 $33,264.58 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $24,634.42 $115,176.76 $33,256.47 2026-04-01
652 MS_DRG Kidney Transplant 21 12 — — $24,627.96 $63,323.28 $33,243.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 12 — — $24,610.72 $62,058.61 $33,224.47 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $26,915.28 $61,051.45 $33,087.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 12 — — $24,092.17 $70,682.41 $33,066.74 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 12 — — $24,299.70 $62,081.50 $32,804.60 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 21 12 — — $25,077.60 $60,446.77 $32,760.09 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 12 — — $24,253.73 $109,053.68 $32,742.54 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 12 — — $24,053.33 $87,443.62 $32,472.00 2026-04-01
69930 HCPCS Implant Cochlear Device 12 9 — — $1,845.46 $61,837.60 $32,456.81 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 12 — — $24,128.75 $59,720.01 $32,366.21 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 12 — — $27,734.28 $56,534.49 $32,356.66 2026-04-01
665 MS_DRG Prostatectomy With Mcc 21 12 — — $23,850.06 $59,576.95 $32,288.68 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 12 — — $23,217.97 $61,059.08 $32,031.30 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 12 — — $24,692.60 $50,750.95 $31,939.18 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 20 13 — — $3,177.60 $61,192.03 $31,879.48 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 12 — — $23,941.71 $58,737.65 $31,547.60 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $31,536.00 $31,536.00 $31,536.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 21 12 — — $23,421.25 $58,094.82 $31,485.41 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 21 12 — — $24,565.47 $50,258.81 $31,165.96 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 13 — — $1,130.40 $59,642.91 $31,106.07 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 9 8 — — $23,640.73 $46,099.42 $31,099.38 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 8 — — $835.39 $60,917.00 $31,094.53 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 9 7 — — $931.61 $58,868.28 $31,094.53 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 9 7 — — $1,242.78 $58,868.28 $31,094.53 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 9 7 — — $4,103.56 $60,917.00 $31,094.53 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 8 — — $1,359.86 $60,917.00 $31,094.53 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 8 — — $601.83 $60,917.00 $31,094.53 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 8 — — $598.54 $60,917.00 $31,094.53 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 12 — — $24,163.23 $56,446.74 $31,051.30 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 12 — — $21,486.26 $56,626.05 $31,000.19 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 12 — — $23,763.87 $57,169.68 $30,984.02 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 9 8 — — $23,514.53 $45,853.33 $30,933.36 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 12 — — $22,809.99 $58,655.63 $30,793.49 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 12 — — $25,074.73 $52,807.23 $30,583.84 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 9 8 — — $23,210.23 $45,259.95 $30,533.06 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 9 8 — — $23,134.38 $45,112.04 $30,433.28 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 9 — — $1,336.29 $57,899.82 $30,375.43 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 8 6 — — $4,103.56 $57,872.10 $30,375.43 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 8 6 — — $4,103.56 $57,872.10 $30,375.43 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 8 7 — — $1,189.00 $57,872.10 $30,375.43 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 12 — — $23,565.36 $58,777.71 $30,366.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 12 — — $24,321.97 $55,689.46 $30,303.56 2026-04-01
L5858 HCPCS Stance Phase Only 9 8 — — $23,006.91 $44,863.47 $30,265.59 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 8 — — $922.33 $57,872.10 $30,182.53 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 8 — — $577.85 $57,899.82 $30,182.53 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 8 — — $1,277.75 $57,899.82 $30,182.53 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 9 — — $801.75 $57,872.10 $30,149.89 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 9 — — $518.39 $57,899.82 $30,149.89 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 12 — — $22,275.59 $57,413.84 $30,072.05 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 3 2 — — $434.19 $57,899.82 $30,071.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 3 2 — — $746.38 $85,500.95 $30,071.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 9 8 — — $24,228.42 $47,245.42 $30,043.24 2026-04-01
570 MS_DRG Skin Debridement With Mcc 21 12 — — $22,556.43 $49,495.81 $29,501.92 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 21 12 — — $22,592.35 $54,428.61 $29,498.45 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 12 — — $22,985.76 $62,916.98 $29,370.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $22,030.94 $54,245.49 $29,150.18 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 21 12 — — $22,262.66 $53,329.89 $28,902.98 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 12 — — $18,422.82 $57,604.59 $28,824.24 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 12 — — $22,160.66 $52,900.70 $28,670.38 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 12 — — $21,234.80 $53,369.94 $28,666.98 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 21 12 — — $21,537.91 $52,887.35 $28,663.14 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 12 — — $22,404.88 $50,262.63 $28,577.78 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 12 — — $17,827.00 $58,434.36 $28,565.50 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 8 — — $498.65 $54,013.83 $28,414.39 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 21 12 — — $21,169.43 $53,734.28 $28,394.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 11 — — $22,170.72 $59,454.87 $28,326.86 2026-04-01
800 MS_DRG Splenic Procedures With Cc 22 12 — — $21,505.93 $51,252.62 $28,165.22 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 12 — — $23,123.88 $51,279.32 $28,095.62 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 12 — — $20,537.34 $62,260.80 $28,063.28 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 12 — — $20,651.32 $50,871.12 $28,054.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 12 — — $24,040.80 $50,440.02 $28,047.60 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 9 8 — — $21,297.95 $41,531.00 $28,017.45 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 12 — — $23,126.75 $47,456.69 $28,008.40 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 12 — — $20,869.19 $51,657.01 $27,996.34 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 29 12 — — $13,843.11 $54,834.90 $27,897.66 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 21 12 — — $22,207.08 $51,399.50 $27,856.77 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 12 — — $21,067.44 $51,092.39 $27,690.33 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 12 — — $19,982.83 $52,509.66 $26,693.21 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 7 — — $4,103.56 $50,482.42 $26,665.07 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 21 12 — — $19,873.65 $49,158.18 $26,642.06 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 8 — — $26,129.89 $50,953.29 $26,574.10 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 21 12 — — $19,681.87 $65,101.07 $26,570.52 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 12 — — $20,375.01 $49,011.31 $26,562.46 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 11 8 — — $1,771.67 $50,888.53 $26,540.33 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 8 — — $1,465.06 $50,888.53 $26,540.33 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 8 — — $2,367.25 $50,888.53 $26,540.33 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 8 — — $2,742.42 $50,888.53 $26,540.33 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 12 9 — — $1,755.00 $50,888.53 $26,511.62 2026-04-01
22558 HCPCS Lumbar Spine Fusion 10 7 — — $2,317.30 $50,888.53 $26,511.62 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 9 8 — — $20,122.03 $39,237.96 $26,470.53 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 21 12 — — $19,560.48 $49,167.72 $26,406.65 2026-04-01
263 MS_DRG Vein Ligation And Stripping 21 12 — — $22,527.96 $45,614.01 $26,282.62 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 12 — — $20,470.54 $46,590.69 $26,093.48 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 12 — — $20,805.98 $47,979.35 $26,003.17 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 21 12 — — $22,130.49 $45,947.86 $25,968.04 2026-04-01
503 MS_DRG Foot Procedures With Mcc 21 12 — — $21,479.01 $47,449.06 $25,935.70 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 3 2 — — $2,745.22 $150,746.01 $25,765.85 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 10 8 — — $1,498.63 $49,020.27 $25,729.36 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 10 8 — — $1,410.33 $49,020.27 $25,729.36 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 10 8 — — $1,243.80 $49,020.27 $25,729.36 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 22 12 — — $19,208.24 $48,355.13 $25,614.75 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 21 12 — — $19,329.91 $46,937.85 $25,438.72 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 12 — — $21,207.48 $46,333.18 $25,111.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 12 — — $21,341.10 $46,289.30 $25,087.22 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 21 12 — — $20,052.50 $45,406.13 $25,025.28 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 22 12 — — $18,850.87 $46,806.24 $24,945.57 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 12 — — $332.99 $47,380.39 $24,838.96 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 21 12 — — $19,256.65 $45,081.86 $24,761.66 2026-04-01
849 MS_DRG Radiotherapy 21 12 — — $18,607.37 $40,741.14 $24,494.84 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 29 13 — — $11,555.60 $45,165.79 $24,478.32 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 21 12 — — $19,552.58 $45,140.99 $24,464.88 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $18,031.98 $45,171.51 $24,343.17 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 21 12 — — $18,707.88 $44,782.38 $24,270.52 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 22 12 — — $17,919.93 $50,159.62 $24,191.91 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 21 12 — — $17,819.37 $48,292.18 $24,056.15 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 12 — — $11,099.99 $44,852.96 $23,901.68 2026-04-01
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