Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

St. Mary Rehabilitation Hospital

Langhorne, PA · CCN 393055 · Rates published

Your selected procedure

You selected 470 (MS_DRG)

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

This hospital’s price: $28,936 across 2 payers · range $21,246-$36,626

Source: https://www.stmaryrehabilitationhospital.com/docs/irfstmaryrehabilitationhospitallibraries/aug2025/273938747_st-mary-rehabilitation-hospital_standardcharges.csv.zip · observed 2025-08-08

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.

9,955 distinct procedures filed
53 distinct payers
428,364 rate rows
2026-03-16 last MRF observed
Data quality

148,331 of 428,364 rate rows are consumer-grade (34.6%)

280,033 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
per-diem day rate — not a per-procedure price 279,935
placeholder amount (≤ $0.02) — excluded from medians 82
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12
percent-of-charges filed in the dollar field — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stmaryrehabilitationhospital.com/docs/irfstmaryrehabilitationhospitallibraries/mar2026/273938747_st-mary-rehabilitation-hospital_standardcharges.csv.zip
Found on page https://www.stmaryrehabilitationhospital.com/patients-and-caregivers/financial-assistance
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 8f0a9cce3682bb39… · 1,658,698 bytes · first seen 2026-05-18

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 2 $424,947.83 $732,571.14 $578,759.48 nat. median
$370,165
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $317,400.40 $547,169.23 $432,284.82 nat. median
$261,939
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $267,308.51 $460,815.39 $364,061.95 nat. median
$205,166
1.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $241,491.27 $416,308.83 $328,900.05 nat. median
$199,832
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $159,216.84 $274,475.25 $216,846.04 nat. median
$132,706
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $147,631.08 $254,502.46 $201,066.77 nat. median
$114,305
1.8× median
7
MS_DRG 		Lung Transplant 2 $147,259.24 $253,861.44 $200,560.34 nat. median
$122,690
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $124,169.98 $214,057.67 $169,113.83 nat. median
$108,240
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $122,752.47 $211,614.01 $167,183.24 nat. median
$100,978
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $119,997.44 $206,864.60 $163,431.02 nat. median
$99,646
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 2 $119,382.21 $205,803.99 $162,593.10 nat. median
$98,002
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $118,036.81 $203,484.64 $160,760.73 nat. median
$96,835
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $108,748.59 $187,472.62 $148,110.60 nat. median
$92,900
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $103,799.69 $178,941.16 $141,370.42 nat. median
$81,364
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $95,483.91 $164,605.51 $130,044.71 nat. median
$79,040
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $95,430.95 $164,514.21 $129,972.58 nat. median
$80,459
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $93,981.88 $162,016.15 $127,999.01 nat. median
$81,124
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $90,832.47 $156,586.87 $123,709.67 nat. median
$77,385
1.6× median
10
MS_DRG 		Pancreas Transplant 2 $89,839.76 $154,875.52 $122,357.64 nat. median
$67,750
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $89,324.82 $153,987.80 $121,656.31 nat. median
$69,153
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $88,075.20 $151,833.57 $119,954.39 nat. median
$73,475
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $87,186.15 $150,300.94 $118,743.54 nat. median
$74,472
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $84,106.61 $144,992.08 $114,549.35 nat. median
$71,485
1.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $80,033.22 $137,969.95 $109,001.59 nat. median
$66,640
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $79,630.96 $137,276.48 $108,453.72 nat. median
$68,581
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $78,385.84 $135,130.01 $106,757.93 nat. median
$65,958
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $76,941.28 $132,639.73 $104,790.51 nat. median
$64,357
1.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $75,548.56 $130,238.80 $102,893.68 nat. median
$62,262
1.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $75,257.85 $129,737.63 $102,497.74 nat. median
$62,911
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $75,130.52 $129,518.13 $102,324.33 nat. median
$65,792
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $72,872.41 $125,625.36 $99,248.89 nat. median
$62,218
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $72,767.62 $125,444.71 $99,106.17 nat. median
$63,840
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $71,262.21 $122,849.53 $97,055.87 nat. median
$60,294
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $69,798.50 $120,326.22 $95,062.36 nat. median
$58,419
1.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $69,708.36 $120,170.82 $94,939.59 nat. median
$59,832
1.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $69,390.60 $119,623.04 $94,506.82 nat. median
$59,159
1.6× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 $69,148.34 $119,205.40 $94,176.87 nat. median
$55,446
1.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $68,832.83 $118,661.50 $93,747.17 nat. median
$59,257
1.6× median
28
MS_DRG 		Spinal Procedures With Mcc 2 $68,503.81 $118,094.29 $93,299.05 nat. median
$56,970
1.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 2 $68,012.52 $117,247.36 $92,629.94 nat. median
$55,867
1.7× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 2 $68,012.52 $117,247.36 $92,629.94 nat. median
$52,535
1.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $67,504.33 $116,371.29 $91,937.81 nat. median
$60,162
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $67,036.71 $115,565.15 $91,300.93 nat. median
$60,895
1.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 $66,986.01 $115,477.74 $91,231.88 nat. median
$51,433
1.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 2 $66,303.17 $114,300.59 $90,301.88 nat. median
$57,082
1.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 $65,605.68 $113,098.18 $89,351.93 nat. median
$56,397
1.6× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $64,671.56 $111,487.85 $88,079.71 nat. median
$57,394
1.5× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 $64,285.07 $110,821.57 $87,553.32 nat. median
$55,685
1.6× median
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 17 $32,288.01 $175,903.21 $87,066.75 nat. median
$83,710
1.0× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $62,814.59 $108,286.60 $85,550.60 nat. median
$51,176
1.7× median

Other procedures at this hospital

Browse this hospital's 9,955 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 2 2 $578,759.48 $578,759.48 $424,947.83 $732,571.14 $578,759.48 2025-08-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 $432,284.82 $432,284.82 $317,400.40 $547,169.23 $432,284.82 2025-08-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 2 $364,061.95 $364,061.95 $267,308.51 $460,815.39 $364,061.95 2025-08-08
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 $328,900.05 $328,900.05 $241,491.27 $416,308.83 $328,900.05 2025-08-08
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 $216,846.04 $216,846.04 $159,216.84 $274,475.25 $216,846.04 2025-08-08
14 MS_DRG Allogeneic Bone Marrow Transplant 2 2 $201,066.77 $201,066.77 $147,631.08 $254,502.46 $201,066.77 2025-08-08
7 MS_DRG Lung Transplant 2 2 $200,560.34 $200,560.34 $147,259.24 $253,861.44 $200,560.34 2025-08-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 $169,113.83 $169,113.83 $124,169.98 $214,057.67 $169,113.83 2025-08-08
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 $167,183.24 $167,183.24 $122,752.47 $211,614.01 $167,183.24 2025-08-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 2 $163,431.02 $163,431.02 $119,997.44 $206,864.60 $163,431.02 2025-08-08
215 MS_DRG Other Heart Assist System Implant 2 2 $162,593.10 $162,593.10 $119,382.21 $205,803.99 $162,593.10 2025-08-08
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 $160,760.73 $160,760.73 $118,036.81 $203,484.64 $160,760.73 2025-08-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $148,110.60 $148,110.60 $108,748.59 $187,472.62 $148,110.60 2025-08-08
850 MS_DRG Acute Leukemia With Other Procedures 2 2 $141,370.42 $141,370.42 $103,799.69 $178,941.16 $141,370.42 2025-08-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 2 $130,044.71 $130,044.71 $95,483.91 $164,605.51 $130,044.71 2025-08-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 $129,972.58 $129,972.58 $95,430.95 $164,514.21 $129,972.58 2025-08-08
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 $127,999.01 $127,999.01 $93,981.88 $162,016.15 $127,999.01 2025-08-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 $123,709.67 $123,709.67 $90,832.47 $156,586.87 $123,709.67 2025-08-08
10 MS_DRG Pancreas Transplant 2 2 $122,357.64 $122,357.64 $89,839.76 $154,875.52 $122,357.64 2025-08-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 $121,656.31 $121,656.31 $89,324.82 $153,987.80 $121,656.31 2025-08-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 $119,954.39 $119,954.39 $88,075.20 $151,833.57 $119,954.39 2025-08-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 $118,743.54 $118,743.54 $87,186.15 $150,300.94 $118,743.54 2025-08-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 $114,549.35 $114,549.35 $84,106.61 $144,992.08 $114,549.35 2025-08-08
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 $109,001.59 $109,001.59 $80,033.22 $137,969.95 $109,001.59 2025-08-08
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 $108,453.72 $108,453.72 $79,630.96 $137,276.48 $108,453.72 2025-08-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 2 $106,757.93 $106,757.93 $78,385.84 $135,130.01 $106,757.93 2025-08-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 2 $104,790.51 $104,790.51 $76,941.28 $132,639.73 $104,790.51 2025-08-08
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 $102,893.68 $102,893.68 $75,548.56 $130,238.80 $102,893.68 2025-08-08
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 2 $102,497.74 $102,497.74 $75,257.85 $129,737.63 $102,497.74 2025-08-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 $102,324.33 $102,324.33 $75,130.52 $129,518.13 $102,324.33 2025-08-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 $99,248.89 $99,248.89 $72,872.41 $125,625.36 $99,248.89 2025-08-08
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $99,106.17 $99,106.17 $72,767.62 $125,444.71 $99,106.17 2025-08-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 2 $97,055.87 $97,055.87 $71,262.21 $122,849.53 $97,055.87 2025-08-08
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 2 $95,062.36 $95,062.36 $69,798.50 $120,326.22 $95,062.36 2025-08-08
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 $94,939.59 $94,939.59 $69,708.36 $120,170.82 $94,939.59 2025-08-08
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 $94,506.82 $94,506.82 $69,390.60 $119,623.04 $94,506.82 2025-08-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 $94,176.87 $94,176.87 $69,148.34 $119,205.40 $94,176.87 2025-08-08
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 $93,747.17 $93,747.17 $68,832.83 $118,661.50 $93,747.17 2025-08-08
28 MS_DRG Spinal Procedures With Mcc 2 2 $93,299.05 $93,299.05 $68,503.81 $118,094.29 $93,299.05 2025-08-08
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 2 $92,629.94 $92,629.94 $68,012.52 $117,247.36 $92,629.94 2025-08-08
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 2 $92,629.94 $92,629.94 $68,012.52 $117,247.36 $92,629.94 2025-08-08
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 2 $91,937.81 $91,937.81 $67,504.33 $116,371.29 $91,937.81 2025-08-08
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $91,300.93 $91,300.93 $67,036.71 $115,565.15 $91,300.93 2025-08-08
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 2 $91,231.88 $91,231.88 $66,986.01 $115,477.74 $91,231.88 2025-08-08
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 $90,301.88 $90,301.88 $66,303.17 $114,300.59 $90,301.88 2025-08-08
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 2 $89,351.93 $89,351.93 $65,605.68 $113,098.18 $89,351.93 2025-08-08
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 $88,079.71 $88,079.71 $64,671.56 $111,487.85 $88,079.71 2025-08-08
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 $87,553.32 $87,553.32 $64,285.07 $110,821.57 $87,553.32 2025-08-08
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 18 17 $78,179.20 $78,179.20 $32,288.01 $175,903.21 $87,066.75 2026-03-16
653 MS_DRG Major Bladder Procedures With Mcc 2 2 $85,550.60 $85,550.60 $62,814.59 $108,286.60 $85,550.60 2025-08-08
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 $84,824.71 $84,824.71 $62,281.62 $107,367.80 $84,824.71 2025-08-08
834 MS_DRG Acute Leukemia With Mcc 2 2 $84,824.71 $84,824.71 $62,281.62 $107,367.80 $84,824.71 2025-08-08
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 $84,468.67 $84,468.67 $62,020.20 $106,917.14 $84,468.67 2025-08-08
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 $83,953.02 $83,953.02 $61,641.59 $106,264.46 $83,953.02 2025-08-08
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 2 $83,501.84 $83,501.84 $61,310.31 $105,693.37 $83,501.84 2025-08-08
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 2 2 $83,311.54 $83,311.54 $61,170.59 $105,452.50 $83,311.54 2025-08-08
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 $82,886.45 $82,886.45 $60,858.47 $104,914.43 $82,886.45 2025-08-08
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 $82,808.18 $82,808.18 $60,801.00 $104,815.36 $82,808.18 2025-08-08
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 2 $82,798.97 $82,798.97 $60,794.24 $104,803.70 $82,798.97 2025-08-08
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 $81,646.45 $81,646.45 $59,948.01 $103,344.88 $81,646.45 2025-08-08
B1904 HCPCS Guillain-barré M <38.50 18 17 $68,789.05 $68,789.05 $28,409.88 $154,775.36 $81,511.75 2026-03-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 $81,285.81 $81,285.81 $59,683.22 $102,888.40 $81,285.81 2025-08-08
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 $79,036.01 $79,036.01 $58,031.33 $100,040.69 $79,036.01 2025-08-08
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 2 $78,773.58 $78,773.58 $57,838.64 $99,708.52 $78,773.58 2025-08-08
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 $78,184.27 $78,184.27 $57,405.95 $98,962.60 $78,184.27 2025-08-08
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 2 2 $77,944.87 $77,944.87 $57,230.17 $98,659.57 $77,944.87 2025-08-08
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 2 $77,298.79 $77,298.79 $56,755.79 $97,841.78 $77,298.79 2025-08-08
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 2 $76,842.99 $76,842.99 $56,421.13 $97,264.86 $76,842.99 2025-08-08
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 $76,783.14 $76,783.14 $56,377.18 $97,189.10 $76,783.14 2025-08-08
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 2 $76,752.45 $76,752.45 $56,354.65 $97,150.25 $76,752.45 2025-08-08
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 2 $76,476.21 $76,476.21 $56,151.82 $96,800.60 $76,476.21 2025-08-08
245 MS_DRG Aicd Generator Procedures 2 2 $74,995.27 $74,995.27 $55,064.46 $94,926.09 $74,995.27 2025-08-08
471 MS_DRG Cervical Spinal Fusion With Mcc 2 2 $74,542.55 $74,542.55 $54,732.06 $94,353.05 $74,542.55 2025-08-08
6 MS_DRG Liver Transplant Without Mcc 2 2 $74,418.25 $74,418.25 $54,640.79 $94,195.71 $74,418.25 2025-08-08
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 18 17 $70,351.88 $70,351.88 $29,055.33 $158,291.73 $73,301.22 2026-03-16
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 $73,287.21 $73,287.21 $53,810.33 $92,764.09 $73,287.21 2025-08-08
799 MS_DRG Splenic Procedures With Mcc 2 2 $72,969.54 $72,969.54 $53,577.09 $92,361.99 $72,969.54 2025-08-08
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 $72,955.73 $72,955.73 $53,566.95 $92,344.51 $72,955.73 2025-08-08
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 2 $72,200.68 $72,200.68 $53,012.56 $91,388.80 $72,200.68 2025-08-08
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 $71,813.95 $71,813.95 $52,728.61 $90,899.29 $71,813.95 2025-08-08
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 2 $71,390.39 $71,390.39 $52,417.61 $90,363.16 $71,390.39 2025-08-08
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 18 17 $68,061.23 $68,061.23 $28,109.29 $153,137.77 $71,372.24 2026-03-16
163 MS_DRG Major Chest Procedures With Mcc 2 2 $70,735.09 $70,735.09 $51,936.47 $89,533.71 $70,735.09 2025-08-08
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 2 $70,705.93 $70,705.93 $51,915.06 $89,496.80 $70,705.93 2025-08-08
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 $70,480.34 $70,480.34 $51,749.42 $89,211.26 $70,480.34 2025-08-08
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 2 $70,469.60 $70,469.60 $51,741.53 $89,197.66 $70,469.60 2025-08-08
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 18 17 $64,160.73 $64,160.73 $26,498.38 $144,361.65 $69,293.59 2026-03-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 2 $69,237.27 $69,237.27 $50,836.71 $87,637.83 $69,237.27 2025-08-08
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 $68,824.45 $68,824.45 $50,533.60 $87,115.30 $68,824.45 2025-08-08
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 2 $68,634.15 $68,634.15 $50,393.88 $86,874.43 $68,634.15 2025-08-08
901 MS_DRG Wound Debridements For Injuries With Mcc 2 2 $67,992.67 $67,992.67 $49,922.87 $86,062.46 $67,992.67 2025-08-08
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 2 $67,414.10 $67,414.10 $49,498.07 $85,330.14 $67,414.10 2025-08-08
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 2 $66,402.77 $66,402.77 $48,755.51 $84,050.03 $66,402.77 2025-08-08
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 $66,266.18 $66,266.18 $48,655.22 $83,877.15 $66,266.18 2025-08-08
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 2 $65,463.57 $65,463.57 $48,065.91 $82,861.22 $65,463.57 2025-08-08
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 2 $65,366.89 $65,366.89 $47,994.92 $82,738.85 $65,366.89 2025-08-08
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 $64,903.42 $64,903.42 $47,654.63 $82,152.21 $64,903.42 2025-08-08
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 18 17 $61,836.23 $61,836.23 $25,538.36 $139,131.52 $64,584.21 2026-03-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 2 $64,311.04 $64,311.04 $47,219.68 $81,402.40 $64,311.04 2025-08-08
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 2 $64,295.69 $64,295.69 $47,208.41 $81,382.98 $64,295.69 2025-08-08
793 MS_DRG Full Term Neonate With Major Problems 2 2 $64,002.58 $64,002.58 $46,993.19 $81,011.96 $64,002.58 2025-08-08
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 2 $63,852.18 $63,852.18 $46,882.77 $80,821.60 $63,852.18 2025-08-08
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 18 17 $57,597.22 $57,597.22 $23,787.65 $129,593.74 $63,579.01 2026-03-16
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 2 $63,106.34 $63,106.34 $46,335.14 $79,877.54 $63,106.34 2025-08-08
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 2 $63,071.05 $63,071.05 $46,309.23 $79,832.87 $63,071.05 2025-08-08
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 2 2 $62,977.43 $62,977.43 $46,240.49 $79,714.37 $62,977.43 2025-08-08
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 $62,667.43 $62,667.43 $46,012.88 $79,321.99 $62,667.43 2025-08-08
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 $62,420.35 $62,420.35 $45,831.46 $79,009.24 $62,420.35 2025-08-08
791 MS_DRG Prematurity With Major Problems 2 2 $62,305.25 $62,305.25 $45,746.95 $78,863.56 $62,305.25 2025-08-08
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 18 17 $56,899.49 $56,899.49 $23,499.49 $128,023.85 $61,451.45 2026-03-16
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 2 $61,135.85 $61,135.85 $44,888.33 $77,383.37 $61,135.85 2025-08-08
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 2 2 $61,092.88 $61,092.88 $44,856.78 $77,328.98 $61,092.88 2025-08-08
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 18 17 $55,648.85 $55,648.85 $22,982.97 $125,209.91 $61,014.72 2026-03-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 2 2 $60,552.68 $60,552.68 $44,460.15 $76,645.22 $60,552.68 2025-08-08
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 2 $60,428.38 $60,428.38 $44,368.88 $76,487.88 $60,428.38 2025-08-08
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 2 $60,305.60 $60,305.60 $44,278.73 $76,332.48 $60,305.60 2025-08-08
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 $60,038.58 $60,038.58 $44,082.67 $75,994.49 $60,038.58 2025-08-08
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 2 2 $60,009.42 $60,009.42 $44,061.26 $75,957.58 $60,009.42 2025-08-08
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 2 $59,677.93 $59,677.93 $43,817.87 $75,538.00 $59,677.93 2025-08-08
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 $59,314.23 $59,314.23 $43,550.82 $75,077.63 $59,314.23 2025-08-08
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 2 $59,254.37 $59,254.37 $43,506.87 $75,001.87 $59,254.37 2025-08-08
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 2 $59,088.63 $59,088.63 $43,385.18 $74,792.08 $59,088.63 2025-08-08
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 $58,660.46 $58,660.46 $43,070.80 $74,250.12 $58,660.46 2025-08-08
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 $58,342.79 $58,342.79 $42,837.56 $73,848.02 $58,342.79 2025-08-08
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 $57,888.53 $57,888.53 $42,504.02 $73,273.04 $57,888.53 2025-08-08
C1904 HCPCS Guillain-barré M <38.50 18 17 $53,012.16 $53,012.16 $21,894.02 $119,277.35 $57,607.19 2026-03-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 $57,426.61 $57,426.61 $42,164.86 $72,688.35 $57,426.61 2025-08-08
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 18 17 $51,759.63 $51,759.63 $21,376.73 $116,459.18 $56,443.18 2026-03-16
B0106 HCPCS Stroke M <41.50 And A <84.50 18 17 $54,469.67 $54,469.67 $22,495.97 $122,556.76 $56,103.76 2026-03-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 2 2 $55,994.78 $55,994.78 $41,113.55 $70,876.00 $55,994.78 2025-08-08
335 MS_DRG Peritoneal Adhesiolysis With Mcc 2 2 $55,606.50 $55,606.50 $40,828.47 $70,384.54 $55,606.50 2025-08-08
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 2 2 $55,014.14 $55,014.14 $40,393.53 $69,634.74 $55,014.14 2025-08-08
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 $55,011.06 $55,011.06 $40,391.27 $69,630.85 $55,011.06 2025-08-08
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 2 2 $55,001.85 $55,001.85 $40,384.51 $69,619.20 $55,001.85 2025-08-08
265 MS_DRG Aicd Lead Procedures 2 2 $54,744.04 $54,744.04 $40,195.21 $69,292.86 $54,744.04 2025-08-08
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 2 2 $54,498.49 $54,498.49 $40,014.92 $68,982.06 $54,498.49 2025-08-08
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 $54,179.29 $54,179.29 $39,780.55 $68,578.02 $54,179.29 2025-08-08
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 2 2 $54,165.47 $54,165.47 $39,770.41 $68,560.54 $54,165.47 2025-08-08
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 2 2 $54,028.88 $54,028.88 $39,670.12 $68,387.65 $54,028.88 2025-08-08
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 $53,771.07 $53,771.07 $39,480.82 $68,061.32 $53,771.07 2025-08-08
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 2 $53,754.18 $53,754.18 $39,468.42 $68,039.95 $53,754.18 2025-08-08
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 2 2 $53,732.70 $53,732.70 $39,452.65 $68,012.75 $53,732.70 2025-08-08
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 $53,637.56 $53,637.56 $39,382.79 $67,892.32 $53,637.56 2025-08-08
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 18 17 $51,829.22 $51,829.22 $21,405.47 $116,615.74 $53,526.71 2026-03-16
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 2 $53,290.72 $53,290.72 $39,128.13 $67,453.31 $53,290.72 2025-08-08
B0205 HCPCS Traumatic Brain Injury M <35.50 18 17 $49,314.77 $49,314.77 $20,367.00 $110,958.24 $53,259.95 2026-03-16
332 MS_DRG Rectal Resection With Mcc 2 2 $53,232.40 $53,232.40 $39,085.31 $67,379.50 $53,232.40 2025-08-08
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 2 2 $53,174.08 $53,174.08 $39,042.49 $67,305.68 $53,174.08 2025-08-08
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 18 17 $47,050.45 $47,050.45 $19,431.84 $105,863.52 $53,008.76 2026-03-16
271 MS_DRG Other Major Cardiovascular Procedures With Cc 2 2 $52,859.49 $52,859.49 $38,811.50 $66,907.47 $52,859.49 2025-08-08
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 2 2 $52,776.61 $52,776.61 $38,750.65 $66,802.57 $52,776.61 2025-08-08
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 18 17 $48,791.95 $48,791.95 $20,151.07 $109,781.88 $52,695.30 2026-03-16
665 MS_DRG Prostatectomy With Mcc 2 2 $52,693.74 $52,693.74 $38,689.80 $66,697.68 $52,693.74 2025-08-08
252 MS_DRG Other Vascular Procedures With Mcc 2 2 $52,644.64 $52,644.64 $38,653.75 $66,635.52 $52,644.64 2025-08-08
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 2 2 $52,564.83 $52,564.83 $38,595.15 $66,534.51 $52,564.83 2025-08-08
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 2 2 $52,273.24 $52,273.24 $38,381.06 $66,165.43 $52,273.24 2025-08-08
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 18 17 $50,144.14 $50,144.14 $20,709.53 $112,824.32 $52,118.06 2026-03-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 2 2 $52,055.33 $52,055.33 $38,221.06 $65,889.60 $52,055.33 2025-08-08
A1904 HCPCS Guillain-barré M <38.50 18 17 $48,383.84 $48,383.84 $19,982.53 $108,863.65 $51,597.73 2026-03-16
D1904 HCPCS Guillain-barré M <38.50 18 17 $49,431.37 $49,431.37 $20,415.16 $111,220.59 $51,581.90 2026-03-16
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 18 17 $50,076.44 $50,076.44 $20,681.57 $112,671.99 $51,578.73 2026-03-16
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 2 2 $51,513.60 $51,513.60 $37,823.30 $65,203.90 $51,513.60 2025-08-08
37 MS_DRG Extracranial Procedures With Mcc 2 2 $50,964.19 $50,964.19 $37,419.90 $64,508.48 $50,964.19 2025-08-08
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 2 2 $50,672.61 $50,672.61 $37,205.81 $64,139.41 $50,672.61 2025-08-08
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 18 17 $49,081.57 $49,081.57 $20,270.69 $110,433.53 $50,563.00 2026-03-16
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 2 2 $50,163.10 $50,163.10 $36,831.71 $63,494.50 $50,163.10 2025-08-08
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 2 2 $50,020.38 $50,020.38 $36,726.92 $63,313.85 $50,020.38 2025-08-08
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 18 17 $48,445.90 $48,445.90 $20,008.16 $109,003.29 $50,016.95 2026-03-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 2 2 $49,998.90 $49,998.90 $36,711.14 $63,286.65 $49,998.90 2025-08-08
C0106 HCPCS Stroke M <41.50 And A <84.50 18 17 $47,259.21 $47,259.21 $19,518.05 $106,333.21 $49,763.71 2026-03-16
B0105 HCPCS Stroke M <41.50 And A >=84.50 18 17 $47,904.27 $47,904.27 $19,784.46 $107,784.62 $49,749.86 2026-03-16
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 2 2 $49,404.99 $49,404.99 $36,275.07 $62,534.90 $49,404.99 2025-08-08
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 2 $49,176.32 $49,176.32 $36,107.18 $62,245.47 $49,176.32 2025-08-08
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 2 2 $49,033.60 $49,033.60 $36,002.39 $62,064.82 $49,033.60 2025-08-08
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 18 17 $45,378.54 $45,378.54 $18,741.34 $102,101.72 $49,008.82 2026-03-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 2 2 $48,939.99 $48,939.99 $35,933.65 $61,946.32 $48,939.99 2025-08-08
B2102 HCPCS Burns M <52.50 18 17 $43,422.65 $43,422.65 $17,933.55 $97,700.96 $48,886.69 2026-03-16
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 18 17 $45,220.57 $45,220.57 $18,676.09 $101,746.27 $48,838.21 2026-03-16
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 2 2 $48,808.01 $48,808.01 $35,836.75 $61,779.27 $48,808.01 2025-08-08
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 $48,709.79 $48,709.79 $35,764.63 $61,654.95 $48,709.79 2025-08-08
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 18 17 $45,090.80 $45,090.80 $18,622.50 $101,454.30 $48,698.06 2026-03-16
500 MS_DRG Soft Tissue Procedures With Mcc 2 2 $48,628.46 $48,628.46 $35,704.91 $61,552.00 $48,628.46 2025-08-08
B0604 HCPCS Neurological M <43.50 18 17 $46,738.26 $46,738.26 $19,302.90 $105,161.09 $48,467.83 2026-03-16
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 2 2 $47,896.43 $47,896.43 $35,167.43 $60,625.43 $47,896.43 2025-08-08
662 MS_DRG Minor Bladder Procedures With Mcc 2 2 $47,874.94 $47,874.94 $35,151.65 $60,598.23 $47,874.94 2025-08-08
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 2 2 $47,670.83 $47,670.83 $35,001.79 $60,339.88 $47,670.83 2025-08-08
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 18 17 $44,133.54 $44,133.54 $18,227.15 $99,300.47 $47,500.38 2026-03-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 $47,457.51 $47,457.51 $34,845.16 $60,069.87 $47,457.51 2025-08-08
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 2 2 $47,359.30 $47,359.30 $34,773.05 $59,945.55 $47,359.30 2025-08-08
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 2 2 $47,325.54 $47,325.54 $34,748.26 $59,902.82 $47,325.54 2025-08-08
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 18 17 $45,557.20 $45,557.20 $18,815.13 $102,503.71 $47,162.06 2026-03-16
652 MS_DRG Kidney Transplant 2 2 $47,135.24 $47,135.24 $34,608.54 $59,661.94 $47,135.24 2025-08-08
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 $47,092.27 $47,092.27 $34,576.98 $59,607.56 $47,092.27 2025-08-08
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 2 2 $46,938.81 $46,938.81 $34,464.30 $59,413.31 $46,938.81 2025-08-08
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 18 17 $44,716.55 $44,716.55 $18,467.93 $100,612.23 $46,887.06 2026-03-16
B1004 HCPCS Amputation Lower Extremity M <47.50 18 17 $43,212.02 $43,212.02 $17,846.56 $97,227.04 $46,668.98 2026-03-16
570 MS_DRG Skin Debridement With Mcc 2 2 $46,196.04 $46,196.04 $33,918.93 $58,473.14 $46,196.04 2025-08-08
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 18 17 $44,748.52 $44,748.52 $18,481.14 $100,684.17 $46,090.97 2026-03-16
974 MS_DRG HIV With Major Related Condition With Mcc 2 2 $45,827.71 $45,827.71 $33,648.50 $58,006.93 $45,827.71 2025-08-08
B1504 HCPCS Pulmonary M <45.50 18 17 $42,288.61 $42,288.61 $17,465.20 $95,149.37 $45,671.70 2026-03-16
B0704 HCPCS Fracture Of Lower Extremity M <41.50 18 17 $43,823.23 $43,823.23 $18,099.00 $98,602.27 $45,385.42 2026-03-16
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 18 17 $44,015.06 $44,015.06 $18,178.22 $99,033.89 $45,335.51 2026-03-16
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 2 $45,250.69 $45,250.69 $33,224.82 $57,276.56 $45,250.69 2025-08-08
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 2 2 $45,134.06 $45,134.06 $33,139.19 $57,128.93 $45,134.06 2025-08-08
D0106 HCPCS Stroke M <41.50 And A <84.50 18 17 $43,281.60 $43,281.60 $17,875.30 $97,383.60 $45,086.68 2026-03-16
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 2 2 $45,011.29 $45,011.29 $33,049.04 $56,973.53 $45,011.29 2025-08-08
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 18 17 $41,630.38 $41,630.38 $17,193.35 $93,668.35 $44,960.81 2026-03-16
B1604 HCPCS Pain Syndrome M <43.50 18 17 $43,524.21 $43,524.21 $17,975.50 $97,929.47 $44,829.93 2026-03-16
668 MS_DRG Transurethral Procedures With Mcc 2 2 $44,755.00 $44,755.00 $32,860.87 $56,649.13 $44,755.00 2025-08-08
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 2 2 $44,730.44 $44,730.44 $32,842.84 $56,618.05 $44,730.44 2025-08-08
800 MS_DRG Splenic Procedures With Cc 2 2 $44,716.63 $44,716.63 $32,832.70 $56,600.57 $44,716.63 2025-08-08
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 2 2 $44,692.08 $44,692.08 $32,814.67 $56,569.49 $44,692.08 2025-08-08
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 $44,461.88 $44,461.88 $32,645.65 $56,278.11 $44,461.88 2025-08-08
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 18 17 $41,701.84 $41,701.84 $17,222.86 $93,829.15 $44,190.45 2026-03-16
C0105 HCPCS Stroke M <41.50 And A >=84.50 18 17 $41,562.67 $41,562.67 $17,165.38 $93,516.02 $44,178.58 2026-03-16
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 2 2 $43,999.95 $43,999.95 $32,306.48 $55,693.42 $43,999.95 2025-08-08
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 2 2 $43,949.31 $43,949.31 $32,269.30 $55,629.32 $43,949.31 2025-08-08
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 18 17 $39,345.37 $39,345.37 $16,249.64 $88,527.09 $43,923.30 2026-03-16
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 2 2 $43,923.21 $43,923.21 $32,250.14 $55,596.29 $43,923.21 2025-08-08
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 2 2 $43,861.83 $43,861.83 $32,205.07 $55,518.59 $43,861.83 2025-08-08
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 18 17 $41,675.51 $41,675.51 $17,211.99 $93,769.91 $43,759.15 2026-03-16
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 2 2 $43,688.42 $43,688.42 $32,077.74 $55,299.09 $43,688.42 2025-08-08
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 18 17 $40,940.17 $40,940.17 $16,908.29 $92,115.39 $43,503.93 2026-03-16
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 18 17 $41,850.42 $41,850.42 $17,284.22 $94,163.44 $43,432.70 2026-03-16
B0904 HCPCS Other Orthopedic M <44.5 18 17 $40,110.80 $40,110.80 $16,565.76 $90,249.30 $43,319.67 2026-03-16
654 MS_DRG Major Bladder Procedures With Cc 2 2 $43,309.35 $43,309.35 $31,799.42 $54,819.29 $43,309.35 2025-08-08
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 2 2 $43,099.11 $43,099.11 $31,645.05 $54,553.17 $43,099.11 2025-08-08
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 2 2 $43,054.60 $43,054.60 $31,612.37 $54,496.84 $43,054.60 2025-08-08
C0205 HCPCS Traumatic Brain Injury M <35.50 18 17 $40,870.59 $40,870.59 $16,879.55 $91,958.83 $42,862.91 2026-03-16
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 18 17 $40,637.39 $40,637.39 $16,783.24 $91,434.12 $42,803.56 2026-03-16
A0106 HCPCS Stroke M <41.50 And A <84.50 18 17 $41,280.57 $41,280.57 $17,048.88 $92,881.29 $42,765.97 2026-03-16
B1404 HCPCS Cardiac M <45.50 18 17 $40,227.40 $40,227.40 $16,613.92 $90,511.66 $42,473.16 2026-03-16
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 18 17 $40,895.04 $40,895.04 $16,889.65 $92,013.84 $42,467.22 2026-03-16
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 2 2 $41,994.17 $41,994.17 $30,833.76 $53,154.57 $41,994.17 2025-08-08
288 MS_DRG Acute And Subacute Endocarditis With Mcc 2 2 $41,918.96 $41,918.96 $30,778.54 $53,059.39 $41,918.96 2025-08-08
619 MS_DRG O.r. Procedures For Obesity With Mcc 2 2 $41,842.23 $41,842.23 $30,722.20 $52,962.26 $41,842.23 2025-08-08
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 18 17 $39,540.96 $39,540.96 $16,330.42 $88,967.16 $41,806.43 2026-03-16
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 18 17 $40,575.33 $40,575.33 $16,757.61 $91,294.48 $41,792.59 2026-03-16
963 MS_DRG Other Multiple Significant Trauma With Mcc 2 2 $41,691.84 $41,691.84 $30,611.78 $52,771.90 $41,691.84 2025-08-08
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 18 17 $38,521.64 $38,521.64 $15,909.44 $86,673.69 $41,603.37 2026-03-16
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 $41,487.72 $41,487.72 $30,461.91 $52,513.54 $41,487.72 2025-08-08
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 18 17 $38,626.96 $38,626.96 $15,952.93 $86,910.66 $41,369.19 2026-03-16
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 2 2 $41,351.15 $41,351.15 $30,361.63 $52,340.66 $41,351.15 2025-08-08
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 18 17 $38,976.76 $38,976.76 $16,097.40 $87,697.71 $41,250.48 2026-03-16
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 2 $41,186.94 $41,186.94 $30,241.06 $52,132.82 $41,186.94 2025-08-08
263 MS_DRG Vein Ligation And Stripping 2 2 $41,160.85 $41,160.85 $30,221.90 $52,099.79 $41,160.85 2025-08-08
C2102 HCPCS Burns M <52.50 18 17 $33,361.10 $33,361.10 $13,778.13 $75,062.47 $41,099.70 2026-03-16
849 MS_DRG Radiotherapy 2 2 $40,992.04 $40,992.04 $30,097.95 $51,886.12 $40,992.04 2025-08-08
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 2 2 $40,864.66 $40,864.66 $30,004.43 $51,724.89 $40,864.66 2025-08-08
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 18 17 $38,433.25 $38,433.25 $15,872.93 $86,474.81 $40,724.22 2026-03-16
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 2 2 $40,718.86 $40,718.86 $29,897.38 $51,540.35 $40,718.86 2025-08-08
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 2 2 $40,668.22 $40,668.22 $29,860.20 $51,476.25 $40,668.22 2025-08-08
503 MS_DRG Foot Procedures With Mcc 2 2 $40,616.05 $40,616.05 $29,821.89 $51,410.21 $40,616.05 2025-08-08
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 2 2 $40,574.62 $40,574.62 $29,791.47 $51,357.76 $40,574.62 2025-08-08
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 18 17 $37,459.07 $37,459.07 $15,470.59 $84,282.90 $40,455.79 2026-03-16
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 18 17 $39,255.10 $39,255.10 $16,212.36 $88,323.97 $40,432.75 2026-03-16
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 2 2 $40,258.47 $40,258.47 $29,559.34 $50,957.60 $40,258.47 2025-08-08
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 2 2 $40,154.12 $40,154.12 $29,482.72 $50,825.51 $40,154.12 2025-08-08
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 18 17 $38,380.59 $38,380.59 $15,851.18 $86,356.33 $40,057.48 2026-03-16
D0105 HCPCS Stroke M <41.50 And A >=84.50 18 17 $38,064.64 $38,064.64 $15,720.70 $85,645.44 $40,025.83 2026-03-16
B0104 HCPCS Stroke M >=41.50 And M <50.50 18 17 $38,342.98 $38,342.98 $15,835.65 $86,271.70 $39,918.99 2026-03-16
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 2 2 $39,725.95 $39,725.95 $29,168.34 $50,283.56 $39,725.95 2025-08-08
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 2 2 $39,659.96 $39,659.96 $29,119.89 $50,200.03 $39,659.96 2025-08-08
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 18 17 $36,609.01 $36,609.01 $15,119.52 $82,370.26 $39,537.73 2026-03-16
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 18 17 $34,271.34 $34,271.34 $14,154.06 $77,110.52 $39,347.92 2026-03-16
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 2 2 $39,191.90 $39,191.90 $28,776.22 $49,607.57 $39,191.90 2025-08-08
253 MS_DRG Other Vascular Procedures With Cc 2 2 $39,179.61 $39,179.61 $28,767.20 $49,592.03 $39,179.61 2025-08-08
D0205 HCPCS Traumatic Brain Injury M <35.50 18 17 $37,137.47 $37,137.47 $15,337.78 $83,559.31 $39,159.27 2026-03-16
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 2 2 $39,105.96 $39,105.96 $28,713.12 $49,498.79 $39,105.96 2025-08-08
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 2 2 $38,904.92 $38,904.92 $28,565.51 $49,244.32 $38,904.92 2025-08-08
B1103 HCPCS Amputation Non-lower Extremity M <52.50 18 17 $37,686.63 $37,686.63 $15,564.58 $84,794.91 $38,817.22 2026-03-16
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 18 17 $36,537.54 $36,537.54 $15,090.00 $82,209.47 $38,785.35 2026-03-16
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 $38,779.07 $38,779.07 $28,473.11 $49,085.03 $38,779.07 2025-08-08
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 2 2 $38,748.38 $38,748.38 $28,450.57 $49,046.18 $38,748.38 2025-08-08
C1004 HCPCS Amputation Lower Extremity M <47.50 18 17 $35,824.77 $35,824.77 $14,795.63 $80,605.73 $38,690.75 2026-03-16
164 MS_DRG Major Chest Procedures With Cc 2 2 $38,627.14 $38,627.14 $28,361.56 $48,892.72 $38,627.14 2025-08-08
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 18 17 $36,259.20 $36,259.20 $14,975.05 $81,583.20 $38,587.50 2026-03-16
56 MS_DRG Degenerative Nervous System Disorders With Mcc 2 2 $38,429.17 $38,429.17 $28,216.20 $48,642.14 $38,429.17 2025-08-08
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 2 2 $38,400.01 $38,400.01 $28,194.79 $48,605.24 $38,400.01 2025-08-08
B0603 HCPCS Neurological M >=43.50 And M <52.50 18 17 $37,261.60 $37,261.60 $15,389.04 $83,838.59 $38,379.44 2026-03-16
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 18 17 $36,983.26 $36,983.26 $15,274.09 $83,212.33 $38,092.76 2026-03-16
397 MS_DRG Appendix Procedures With Mcc 2 2 $38,025.56 $38,025.56 $27,919.85 $48,131.26 $38,025.56 2025-08-08
A0105 HCPCS Stroke M <41.50 And A >=84.50 18 17 $36,306.22 $36,306.22 $14,994.47 $81,688.99 $37,966.27 2026-03-16
74080529 CDM Occ/emb Non Hemorr Venous 20 19 $53,714.22 $53,714.22 $22,183.97 $56,399.93 $37,949.10 2026-03-16
74080531 CDM Occ/emb Tumor/organ Infar 20 19 $53,714.22 $53,714.22 $22,183.97 $56,399.93 $37,949.10 2026-03-16
74080530 CDM Occ/emb Non Hemorr Art 20 19 $53,714.22 $53,714.22 $22,183.97 $56,399.93 $37,949.10 2026-03-16
74080532 CDM Occ/emb Hemorrhag/lymph 20 19 $53,714.22 $53,714.22 $22,183.97 $56,399.93 $37,949.10 2026-03-16
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 2 2 $37,872.09 $37,872.09 $27,807.17 $47,937.01 $37,872.09 2025-08-08
792 MS_DRG Prematurity Without Major Problems 2 2 $37,594.32 $37,594.32 $27,603.22 $47,585.42 $37,594.32 2025-08-08
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 2 $37,572.83 $37,572.83 $27,587.44 $47,558.23 $37,572.83 2025-08-08
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 18 17 $31,316.82 $31,316.82 $12,933.85 $70,462.84 $37,465.52 2026-03-16
C1504 HCPCS Pulmonary M <45.50 18 17 $34,551.56 $34,551.56 $14,269.79 $77,741.01 $37,263.93 2026-03-16
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 2 2 $37,262.83 $37,262.83 $27,359.83 $47,165.84 $37,262.83 2025-08-08
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 18 17 $35,495.65 $35,495.65 $14,659.70 $79,865.22 $37,192.70 2026-03-16
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 18 17 $35,836.05 $35,836.05 $14,800.29 $80,631.12 $37,161.05 2026-03-16
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 2 2 $37,118.58 $37,118.58 $27,253.91 $46,983.25 $37,118.58 2025-08-08
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 2 2 $37,001.94 $37,001.94 $27,168.27 $46,835.62 $37,001.94 2025-08-08
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 18 17 $35,869.90 $35,869.90 $14,814.27 $80,707.29 $36,946.00 2026-03-16
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 18 17 $34,188.59 $34,188.59 $14,119.89 $76,924.33 $36,923.68 2026-03-16
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 18 17 $34,508.30 $34,508.30 $14,251.93 $77,643.68 $36,913.74 2026-03-16
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