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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 SOUTH, LLC

Tulsa, OK · CCN 370218 · Rates published

1,898 distinct procedures filed
20 distinct payers
115,767 rate rows
2026-04-01 last MRF observed
Data quality

77,124 of 115,767 rate rows are consumer-grade (66.6%)

38,643 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 38,599
placeholder amount (≤ $0.02) — excluded from medians 32
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://saintfrancis.com/finance/sfhs-cms-hpt
Found on page https://www.saintfrancis.com/patients-and-guests/billing-and-insurance/standard-hospital-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint a7066470f9f536ce… · 31,534,271 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $310,350.64 $844,482.84 $423,628.62 nat. median
$168,055
outlier · 2.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $201,802.33 $660,844.05 $302,703.50 nat. median
$186,516
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $154,016.12 $417,530.38 $231,024.18 nat. median
$131,925
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $153,118.89 $457,673.02 $229,678.34 nat. median
$145,435
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $100,317.33 $287,369.68 $150,476.00 nat. median
$97,418
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $146,886.05 $200,432.87 $149,730.45 nat. median
$2,106
outlier · 71.1×
7
MS_DRG 		Lung Transplant 9 $93,864.11 $253,254.11 $140,796.16 nat. median
$70,649
2.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $87,188.19 $239,407.93 $130,782.28 nat. median
$72,715
1.8× 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
$2,024
outlier · 64.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $78,997.78 $221,617.92 $118,496.67 nat. median
$74,509
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $82,275.23 $395,913.32 $117,653.58 nat. median
$65,418
1.8× 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
$2,024
outlier · 55.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $74,962.01 $214,792.86 $112,443.01 nat. median
$69,922
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $80,051.12 $215,530.59 $109,269.78 nat. median
$2,736
outlier · 39.9×
215
MS_DRG 		Other Heart Assist System Implant 9 $72,430.70 $265,143.98 $108,646.05 nat. median
$73,023
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $82,182.14 $221,350.45 $106,836.78 nat. median
$2,110
outlier · 50.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $71,183.31 $195,463.77 $106,774.96 nat. median
$69,822
1.5× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $102,496.49 $139,861.24 $104,481.30 nat. median
$2,024
outlier · 51.6×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $97,965.25 $133,678.16 $99,862.31 nat. median
$2,106
outlier · 47.4×
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
$2,024
outlier · 48.9×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $91,048.51 $124,239.95 $92,811.64 nat. median
$2,106
outlier · 44.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $61,495.60 $166,918.68 $92,243.40 nat. median
$60,505
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $61,305.84 $189,389.73 $91,958.76 nat. median
$59,651
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $65,646.66 $176,191.74 $89,607.69 nat. median
$2,596
outlier · 34.5×
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
$2,024
outlier · 43.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $57,477.73 $205,741.48 $86,216.60 nat. median
$56,428
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $63,139.70 $169,345.18 $86,185.69 nat. median
$2,633
outlier · 32.7×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $56,113.62 $156,531.92 $84,170.43 nat. median
$55,923
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $55,876.60 $151,101.91 $83,814.90 nat. median
$55,935
1.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $55,695.44 $150,272.70 $83,543.16 nat. median
$52,327
1.6× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $81,500.49 $111,211.22 $83,078.72 nat. median
$2,024
outlier · 41.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $52,493.17 $140,269.32 $78,739.76 nat. median
$37,013
outlier · 2.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $52,190.27 $144,768.62 $78,285.40 nat. median
$51,518
1.5× 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
$2,106
outlier · 37.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $50,382.20 $134,504.21 $75,573.30 nat. median
$49,569
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $49,331.01 $131,633.39 $73,996.52 nat. median
$47,340
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $5,397.49 $135,167.16 $72,393.68 nat. median
$48,611
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $48,215.37 $128,586.57 $72,323.06 nat. median
$45,446
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $48,215.37 $129,276.95 $72,323.06 nat. median
$47,458
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $52,821.85 $141,166.94 $72,101.82 nat. median
$9,905
outlier · 7.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $52,220.35 $139,524.24 $71,280.78 nat. median
$45,605
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $47,208.58 $125,836.99 $70,781.70 nat. median
$47,121
1.5× median
10
MS_DRG 		Pancreas Transplant 9 $52,514.65 $140,327.99 $68,269.04 nat. median
$23,080
outlier · 3.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $45,015.25 $159,515.44 $67,412.40 nat. median
$44,036
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $44,964.41 $119,708.14 $67,334.30 nat. median
$41,943
1.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $49,011.64 $130,761.19 $66,900.89 nat. median
$2,633
outlier · 25.4×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $48,976.55 $130,665.37 $66,852.99 nat. median
$2,958
outlier · 22.6×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $44,544.08 $120,172.07 $66,688.60 nat. median
$43,803
1.5× median
28
MS_DRG 		Spinal Procedures With Mcc 9 $44,155.25 $117,498.31 $66,091.30 nat. median
$41,895
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $44,143.08 $127,781.08 $66,072.60 nat. median
$43,533
1.5× median

Other procedures at this hospital

Browse this hospital's 1,898 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 9 — — $310,350.64 $844,482.84 $423,628.62 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 9 — — $201,802.33 $660,844.05 $302,703.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 9 — — $154,016.12 $417,530.38 $231,024.18 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 9 — — $153,118.89 $457,673.02 $229,678.34 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 9 — — $100,317.33 $287,369.68 $150,476.00 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
7 MS_DRG Lung Transplant 19 9 — — $93,864.11 $253,254.11 $140,796.16 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 9 — — $87,188.19 $239,407.93 $130,782.28 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 9 — — $78,997.78 $221,617.92 $118,496.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 9 — — $82,275.23 $395,913.32 $117,653.58 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 9 — — $74,962.01 $214,792.86 $112,443.01 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $80,051.12 $215,530.59 $109,269.78 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 9 — — $72,430.70 $265,143.98 $108,646.05 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 8 — — $82,182.14 $221,350.45 $106,836.78 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $71,183.31 $195,463.77 $106,774.96 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
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 19 9 — — $61,495.60 $166,918.68 $92,243.40 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $61,305.84 $189,389.73 $91,958.76 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 9 — — $65,646.66 $176,191.74 $89,607.69 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 9 — — $57,477.73 $205,741.48 $86,216.60 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 9 — — $63,139.70 $169,345.18 $86,185.69 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $56,113.62 $156,531.92 $84,170.43 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 9 — — $55,876.60 $151,101.91 $83,814.90 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 9 — — $55,695.44 $150,272.70 $83,543.16 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
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 9 — — $52,493.17 $140,269.32 $78,739.76 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 9 — — $52,190.27 $144,768.62 $78,285.40 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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 9 — — $50,382.20 $134,504.21 $75,573.30 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 9 — — $49,331.01 $131,633.39 $73,996.52 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 9 — — $5,397.49 $135,167.16 $72,393.68 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $48,215.37 $129,276.95 $72,323.06 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $48,215.37 $128,586.57 $72,323.06 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $52,821.85 $141,166.94 $72,101.82 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 9 — — $52,220.35 $139,524.24 $71,280.78 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 9 — — $47,208.58 $125,836.99 $70,781.70 2026-04-01
10 MS_DRG Pancreas Transplant 19 9 — — $52,514.65 $140,327.99 $68,269.04 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 9 — — $45,015.25 $159,515.44 $67,412.40 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 9 — — $44,964.41 $119,708.14 $67,334.30 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 9 — — $49,011.64 $130,761.19 $66,900.89 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 — — $48,976.55 $130,665.37 $66,852.99 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 9 — — $44,544.08 $120,172.07 $66,688.60 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 9 — — $44,155.25 $117,498.31 $66,091.30 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 9 — — $44,143.08 $127,781.08 $66,072.60 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $43,831.59 $176,743.40 $65,594.10 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 9 — — $43,592.42 $132,593.80 $65,226.70 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 9 — — $43,154.90 $118,900.47 $64,554.60 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 9 — — $43,127.69 $114,692.03 $64,512.80 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $42,164.58 $113,063.06 $63,033.30 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 9 — — $41,944.03 $111,459.42 $62,694.50 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $48,044.23 $128,119.18 $62,460.06 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 9 — — $41,264.48 $109,603.56 $61,650.60 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 9 — — $40,989.51 $108,852.61 $61,061.60 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 9 — — $40,680.17 $108,007.79 $60,753.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 9 — — $40,443.15 $113,042.49 $60,388.90 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 5 3 — — $202.50 $119,310.40 $60,356.47 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 9 — — $40,304.23 $108,793.54 $60,175.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $40,248.38 $106,828.56 $60,089.70 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 9 — — $40,186.80 $106,660.38 $59,995.10 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 9 — — $40,030.69 $106,234.06 $59,755.30 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $39,318.20 $105,766.81 $58,660.80 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 9 — — $39,038.94 $155,066.91 $58,231.80 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 9 — — $38,913.62 $103,183.32 $58,204.87 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 9 — — $42,428.09 $112,781.41 $57,914.35 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 9 — — $38,341.48 $113,785.28 $57,160.40 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $41,389.08 $109,943.83 $56,496.09 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 9 — — $35,995.46 $103,764.77 $56,089.94 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $37,222.98 $98,566.15 $55,442.20 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 9 — — $36,844.90 $97,533.59 $54,861.40 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 8 — — $41,997.02 $111,604.14 $54,596.13 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 9 — — $36,558.47 $135,727.53 $54,421.40 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 9 — — $21,953.98 $96,248.77 $54,138.70 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $36,227.65 $95,847.87 $53,913.20 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 9 — — $39,295.29 $104,225.66 $53,638.07 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 9 — — $35,708.49 $101,207.17 $53,115.70 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 9 — — $35,533.77 $117,359.33 $52,847.30 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 9 — — $35,222.28 $125,649.40 $52,368.80 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 9 — — $34,728.19 $91,752.84 $51,851.04 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 9 — — $34,796.94 $92,861.55 $51,715.40 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 9 — — $34,627.95 $107,301.78 $51,455.80 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 27 10 — — $21,328.14 $127,588.57 $51,068.67 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 9 — — $34,335.79 $92,629.04 $51,007.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 11 — — $0.70 $140,541.41 $50,900.29 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 9 — — $34,203.32 $98,402.66 $50,803.50 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 9 — — $33,962.00 $89,660.35 $50,432.80 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 9 — — $33,703.50 $91,589.95 $50,295.47 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 9 — — $33,801.60 $112,188.58 $50,186.40 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 9 — — $33,689.18 $88,915.27 $50,013.70 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 9 — — $33,561.72 $100,347.09 $49,817.90 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 3 — — $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
163 MS_DRG Major Chest Procedures With Mcc 19 9 — — $33,224.45 $101,690.71 $49,299.80 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 9 — — $33,215.14 $87,620.66 $49,285.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 9 — — $33,089.11 $87,276.47 $49,091.90 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 9 — — $32,587.15 $85,905.60 $48,320.80 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 9 — — $32,118.84 $85,184.64 $47,601.40 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 9 — — $31,871.79 $83,951.95 $47,221.90 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $31,674.16 $83,412.21 $46,918.30 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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 9 — — $31,372.69 $85,505.63 $46,455.20 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 9 — — $31,321.13 $82,448.10 $46,376.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 9 — — $31,306.10 $87,567.34 $46,352.90 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 9 — — $31,182.22 $85,474.76 $46,162.60 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 9 — — $31,126.36 $81,916.17 $46,076.80 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $31,010.36 $110,404.64 $45,898.60 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 9 — — $30,870.01 $81,216.07 $45,683.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 9 — — $1,200.00 $82,166.49 $45,429.68 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 9 — — $30,673.09 $80,678.28 $45,380.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 9 — — $29,660.57 $77,913.06 $43,632.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $29,143.57 $78,834.89 $43,030.90 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $31,498.72 $82,933.08 $42,995.75 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 9 — — $29,016.82 $76,154.98 $42,836.20 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 9 — — $28,623.70 $85,845.13 $42,583.93 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 9 — — $28,848.55 $82,135.28 $42,577.70 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 9 — — $28,807.01 $75,581.98 $42,513.90 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
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 9 — — $27,896.17 $73,094.46 $41,114.70 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 9 — — $27,893.31 $73,086.64 $41,110.30 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 9 — — $29,921.22 $78,624.90 $40,842.46 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 9 — — $27,667.75 $75,999.51 $40,763.80 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 9 — — $27,433.59 $71,831.14 $40,404.10 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 10 — — $13,835.98 $73,585.95 $40,387.36 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 9 — — $27,959.90 $73,268.51 $40,188.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 9 — — $1,175.00 $80,382.20 $40,150.60 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 9 — — $27,094.17 $70,904.19 $39,882.70 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 9 — — $27,058.37 $78,628.30 $39,827.70 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $11,875.93 $71,801.81 $39,801.14 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 9 — — $27,040.47 $70,757.52 $39,800.20 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 9 — — $26,994.64 $70,632.36 $39,729.80 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 9 — — $26,786.98 $72,865.79 $39,410.80 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 9 — — $26,727.55 $80,816.36 $39,319.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 9 — — $660.00 $78,349.29 $39,285.41 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 9 — — $26,663.82 $81,211.41 $39,221.60 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 9 — — $26,642.33 $72,978.96 $39,188.60 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 9 — — $26,617.99 $74,310.22 $39,151.20 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 9 — — $26,384.55 $71,559.21 $38,792.60 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 9 — — $23,725.39 $70,526.76 $38,774.52 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 9 — — $27,114.22 $71,647.69 $38,773.33 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 9 — — $26,103.85 $83,188.77 $38,758.58 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 9 — — $26,332.99 $70,227.95 $38,713.40 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 9 — — $25,989.28 $67,886.70 $38,185.40 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 9 — — $14,032.59 $84,234.03 $38,183.53 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 10 — — $18,717.75 $69,620.95 $38,034.02 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 9 — — $25,868.98 $67,558.16 $38,000.60 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 9 — — $23,493.15 $68,217.19 $37,854.51 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 12 — — $1,175.00 $133,161.31 $37,590.32 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 9 — — $25,561.07 $67,359.65 $37,527.60 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 9 — — $25,528.85 $83,503.58 $37,478.10 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 9 — — $25,556.91 $67,045.79 $37,218.38 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 8 5 — — $1,062.00 $53,532.84 $37,033.01 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 9 — — $23,787.98 $66,207.40 $36,285.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 9 — — $24,705.37 $65,203.29 $36,213.10 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 9 — — $24,702.50 $64,372.49 $36,208.70 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 9 — — $24,423.95 $73,816.40 $35,780.80 2026-04-01
652 MS_DRG Kidney Transplant 19 9 — — $24,257.11 $68,306.15 $35,524.50 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 9 — — $24,239.92 $66,941.96 $35,498.10 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 9 — — $24,785.57 $67,867.88 $35,443.37 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 9 — — $24,194.81 $62,985.96 $35,428.80 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
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 9 — — $1,200.00 $63,332.11 $35,201.66 2026-04-01
791 MS_DRG Prematurity With Major Problems 22 11 — — $0.70 $95,985.52 $35,179.39 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 8 — — $25,754.41 $67,245.26 $35,154.77 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 9 — — $23,435.06 $60,911.07 $35,152.59 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 9 — — $23,929.86 $66,966.65 $35,021.80 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 9 — — $24,120.34 $62,782.58 $34,836.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 9 — — $23,793.81 $61,890.83 $34,812.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 9 — — $23,994.31 $76,244.37 $34,716.33 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 9 — — $23,572.38 $61,620.96 $34,661.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 9 — — $22,963.03 $62,323.02 $34,653.68 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 9 — — $23,684.25 $94,324.50 $34,644.50 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 9 — — $22,744.40 $64,419.34 $34,368.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 9 — — $23,395.67 $61,668.33 $34,201.20 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 9 — — $23,884.03 $117,635.05 $34,154.16 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 9 — — $23,631.26 $63,402.89 $34,147.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 9 — — $90.00 $64,265.02 $33,955.94 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 9 — — $23,054.11 $62,666.27 $33,676.50 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 9 — — $22,760.52 $59,068.90 $33,225.50 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 9 — — $22,757.66 $59,061.08 $33,221.10 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 10 — — $10,689.85 $63,359.68 $33,163.72 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $24,263.55 $63,173.70 $33,119.75 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 9 — — $23,024.75 $59,790.51 $32,925.39 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 9 — — $22,444.73 $63,271.20 $32,740.40 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 9 — — $202.50 $65,863.78 $32,677.59 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
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 9 — — $22,734.03 $58,996.54 $32,509.66 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 9 — — $22,227.76 $58,711.56 $32,407.10 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 9 — — $22,191.96 $57,516.15 $32,352.10 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 5 3 — — $16,457.74 $80,530.50 $32,222.12 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 9 — — $22,213.44 $57,574.82 $32,179.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 9 — — $22,040.87 $57,103.52 $32,120.00 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 1 — — $19,995.06 $44,135.78 $32,065.42 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 9 — — $21,899.09 $57,526.38 $31,902.20 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 9 — — $21,767.33 $56,356.48 $31,699.80 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 9 — — $75.00 $61,931.70 $31,628.07 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 8 — — $21,807.43 $64,133.33 $31,473.01 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 28 11 — — $0.70 $98,597.90 $31,453.72 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 9 — — $21,248.90 $55,285.65 $31,388.38 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 9 — — $21,543.20 $55,744.38 $31,355.50 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 9 — — $20,874.39 $57,569.59 $31,311.58 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 21 11 — — $16,397.83 $57,063.42 $31,170.30 2026-04-01
1013T CPT Lap Srg Imp/rpl Eso Nea&pg/r 4 3 — — $18,658.44 $44,780.26 $31,066.31 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 9 — — $648.00 $63,032.52 $31,008.51 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 9 — — $21,176.57 $57,049.02 $30,792.30 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 9 — — $21,117.86 $54,582.75 $30,702.10 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
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 9 — — $20,809.23 $57,962.59 $30,228.00 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
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 9 — — $604.26 $53,753.58 $30,000.03 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 9 — — $211.50 $54,207.28 $29,897.47 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 9 — — $17,781.33 $55,112.82 $29,841.80 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 9 — — $20,446.90 $52,750.35 $29,671.40 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 9 — — $8,316.64 $55,721.87 $29,548.68 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 23 9 — — $235.00 $59,149.83 $29,478.68 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
0981T CPT Tcat Impl Wrls Ivc Snr 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 3 — — $17,630.81 $42,313.95 $29,355.31 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 9 — — $20,179.09 $67,160.06 $29,260.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 9 — — $20,112.49 $51,837.09 $29,157.70 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 9 — — $20,017.26 $52,867.97 $29,011.40 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 7 — — $200.00 $67,800.55 $28,633.78 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 10 — — $1,175.00 $62,137.46 $28,581.45 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 21 9 — — $19,012.91 $52,160.16 $28,551.60 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 9 — — $19,695.74 $50,698.93 $28,517.50 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 21 10 — — $19,600.50 $50,438.84 $28,454.14 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 10 — — $12,866.19 $57,223.08 $28,417.46 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 9 — — $19,626.28 $56,641.61 $28,410.80 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 19 9 — — $19,600.50 $50,438.84 $28,371.20 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 19 9 — — $19,517.44 $53,026.41 $28,243.60 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 19 9 — — $19,412.89 $50,489.39 $28,083.00 2026-04-01
509 MS_DRG Arthroscopy 4 2 — — $21,380.00 $37,697.29 $27,893.72 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 20 9 — — $18,902.34 $48,629.32 $27,826.10 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 9 — — $17,962.81 $70,223.83 $27,793.22 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 19 9 — — $19,205.23 $53,036.70 $27,764.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 19 9 — — $19,197.36 $49,337.83 $27,751.90 2026-04-01
849 MS_DRG Radiotherapy 19 9 — — $20,533.54 $52,986.98 $27,666.26 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 9 — — $14,981.14 $51,108.73 $27,573.91 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 25 9 — — $500.00 $64,112.40 $27,445.89 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 9 — — $18,975.37 $50,631.36 $27,410.90 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 23 9 — — $17,991.42 $49,201.33 $27,329.88 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 9 — — $14,708.72 $48,092.12 $26,925.57 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 20 9 — — $18,280.79 $46,834.66 $26,882.54 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 19 9 — — $18,613.04 $47,742.06 $26,854.30 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 21 9 — — $17,877.64 $47,834.77 $26,816.46 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 26 9 — — $215.00 $51,598.89 $26,766.28 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 9 — — $18,355.26 $48,306.28 $26,458.30 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 23 9 — — $17,564.72 $44,879.06 $26,347.08 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 19 9 — — $18,711.86 $48,011.94 $26,320.39 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 9 — — $18,249.28 $46,748.62 $26,295.50 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
709 MS_DRG Penis Procedures With Cc/Mcc 20 9 — — $17,795.29 $47,014.10 $26,145.52 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 19 9 — — $17,967.15 $45,978.11 $25,862.10 2026-04-01
333 MS_DRG Rectal Resection With Cc 20 9 — — $17,903.42 $45,804.06 $25,815.60 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 19 9 — — $17,865.47 $48,207.51 $25,699.00 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 9 — — $17,469.48 $52,092.26 $25,650.91 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 21 9 — — $15,720.31 $45,477.48 $25,580.50 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 9 — — $17,681.44 $48,726.03 $25,423.20 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 19 9 — — $17,569.73 $54,106.65 $25,251.60 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 22 10 — — $16,733.36 $47,647.84 $25,100.04 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 20 9 — — $10,981.56 $44,697.19 $25,081.96 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 19 9 — — $17,427.23 $44,503.59 $25,032.70 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 19 9 — — $17,400.02 $44,429.28 $24,990.90 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 19 9 — — $17,354.91 $44,960.62 $24,921.60 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 3 2 — — $1,000.00 $26,864.67 $24,755.31 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 26 11 — — $399.50 $56,130.59 $24,749.75 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 19 9 — — $17,161.57 $48,055.25 $24,624.60 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 19 9 — — $17,152.26 $44,761.03 $24,610.30 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 19 9 — — $17,025.52 $43,406.50 $24,415.60 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 25 9 — — $9,282.54 $50,859.43 $24,347.08 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 19 9 — — $16,961.07 $43,230.49 $24,316.60 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 30 12 — — $860.93 $58,932.29 $24,308.82 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 9 — — $940.00 $45,430.54 $24,251.48 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 9 — — $10.50 $43,798.07 $24,226.69 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 21 9 — — $16,105.37 $45,728.10 $24,158.06 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 19 9 — — $16,850.80 $43,894.78 $24,147.20 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 20 9 — — $16,466.27 $41,879.17 $24,127.95 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 20 9 — — $16,460.54 $41,863.53 $24,119.26 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 20 10 — — $16,446.22 $71,791.81 $24,097.51 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 19 9 — — $16,798.52 $45,995.59 $24,066.90 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 21 9 — — $211.50 $48,333.02 $24,061.82 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 15 8 — — $18,476.27 $47,368.54 $24,019.15 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 19 9 — — $16,759.85 $51,561.40 $24,007.50 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 19 9 — — $16,749.83 $45,421.52 $23,992.10 2026-04-01
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