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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

LANDMARK MEDICAL CENTER

Woonsocket, RI · CCN 410011 · Rates published

4,679 distinct procedures filed
20 distinct payers
99,287 rate rows
2026-03-17 last MRF observed
Data quality

99,283 of 99,287 rate rows are consumer-grade (100.0%)

4 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
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://landmarkmedical.org/wp-content/uploads/2026/04/461175423_LandmarkMedicalCenter_standardcharges.JSON
Found on page https://landmarkmedical.org/patients-visitors/patients-guide/financial-assistance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 2e0e7b3298680173… · 27,078,068 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $352,341.09 $732,394.41 $380,053.32 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $228,794.76 $475,584.61 $246,789.85 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $174,405.98 $362,529.27 $188,123.30 nat. median
$206,474
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $173,384.77 $360,406.55 $187,021.78 nat. median
$202,976
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $113,287.66 $235,485.59 $122,197.93 nat. median
$133,161
0.9× median
7
MS_DRG 		Lung Transplant 14 $105,942.81 $220,218.19 $114,275.39 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $98,344.48 $204,423.93 $106,079.44 nat. median
$117,357
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $92,752.71 $192,800.58 $100,047.87 nat. median
$108,660
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valveâ Procedures 14 $89,022.41 $185,046.58 $96,024.17 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $84,429.02 $175,498.53 $91,069.51 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 14 $81,547.97 $169,509.82 $87,961.85 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $80,128.22 $166,558.66 $86,430.44 nat. median
$93,672
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $68,886.00 $143,190.00 $74,304.00 nat. median
$81,118
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $66,821.70 $143,638.94 $73,505.15 nat. median
$79,312
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $64,528.96 $146,897.00 $69,604.27 nat. median
$77,570
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $62,976.36 $130,905.93 $67,929.56 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $62,706.60 $130,345.17 $67,638.58 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $62,500.40 $129,916.56 $67,416.16 nat. median
$72,135
0.9× median
10
MS_DRG 		Pancreas Transplant 14 $58,880.14 $122,391.30 $63,511.16 nat. median
$68,884
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $58,545.17 $121,695.02 $63,149.85 nat. median
$71,271
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $58,510.93 $121,623.85 $63,112.92 nat. median
$68,886
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 14 $38,805.20 $122,340.46 $62,612.87 nat. median
$64,023
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $56,729.33 $117,920.52 $61,191.19 nat. median
$66,526
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $17,019.30 $117,346.20 $60,058.74 nat. median
$65,950
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $55,256.61 $114,859.25 $59,602.64 nat. median
$64,732
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $53,986.82 $112,219.80 $58,232.98 nat. median
$61,920
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $53,986.82 $112,219.80 $58,232.98 nat. median
$64,508
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $53,792.04 $111,814.91 $58,022.87 nat. median
$59,793
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $52,840.92 $109,837.87 $56,996.95 nat. median
$62,134
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 14 $50,286.68 $104,528.50 $54,241.81 nat. median
$60,185
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 14 $49,808.27 $103,534.05 $53,725.78 nat. median
$59,898
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $47,378.50 $104,648.78 $53,565.12 nat. median
$60,726
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $48,997.34 $101,848.40 $52,851.06 nat. median
$58,020
0.9× median
J9173
HCPCS 		Durvalumab Soln For IV Infusion 120 Mg/2.4Ml (50 Mg/Ml) 1 $52,754.56 $52,754.56 $52,754.56 nat. median
$1,151
outlier · 45.8×
16
MS_DRG 		Autologous Bone Marrow Transplant With Ccmcc 14 $48,725.12 $101,282.56 $52,557.44 nat. median
$56,918
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 14 $49,365.73 $102,614.15 $52,524.57 nat. median
$57,822
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc 14 $42,494.60 $102,585.35 $52,509.87 nat. median
$59,099
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 14 $48,227.16 $100,247.47 $52,020.31 nat. median
$57,424
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 $48,196.19 $100,183.09 $51,986.90 nat. median
$56,696
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 $8,284.62 $101,516.36 $51,963.14 nat. median
$52,303
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $47,100.00 $97,904.50 $50,804.50 nat. median
$55,916
0.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 14 $46,848.98 $97,382.71 $50,533.73 nat. median
$52,746
1.0× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 14 $46,075.53 $95,774.98 $49,699.45 nat. median
$53,167
0.9× median
J9271
HCPCS 		Pembrolizumab IV Soln 100 Mg/4Ml (25 Mg/Ml) - 00006302602 1 $49,263.35 $49,263.35 $49,263.35 nat. median
$736
outlier · 66.9×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 $45,410.49 $94,392.59 $48,982.10 nat. median
$55,736
0.9× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 14 $36,807.60 $95,124.45 $48,694.28 nat. median
$50,270
1.0× median
834
MS_DRG 		Acute Leukemia Without Major O.r. Procedures With Mcc 14 $45,140.72 $102,716.00 $48,691.11 nat. median
$53,172
0.9× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 14 $44,982.61 $93,503.18 $48,520.57 nat. median
$52,836
0.9× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 $44,919.04 $93,371.04 $48,452.00 nat. median
$53,268
0.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 $44,848.95 $93,225.35 $48,376.40 nat. median
$52,857
0.9× median

Other procedures at this hospital

Browse this hospital's 4,679 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
             
33270 CPT Hc Insrt/Rep Subq Defibrillator And Lead 23 14 $152,449.00 $35,118.00 77% off $2,296.00 $59,590.56 $35,118.70 2026-03-17
33249 CPT Hc Insert/Rplacmnt Aicd W Lead Sing/Dual 25 14 $152,449.00 $35,118.00 77% off $1,541.00 $59,590.56 $35,118.70 2026-03-17
33264 CPT Hc Rem Pac Cvdfb Pls Gen &Repl Plse Gen Multi Lead 25 14 $152,449.00 $35,118.00 77% off $1,541.00 $59,590.56 $35,118.70 2026-03-17
33289 CPT Hc Tcat Imp Wrls Pulm Artry Sensr 21 14 $146,704.00 $32,091.00 78% off $1,900.00 $57,344.82 $32,091.71 2026-03-17
33263 CPT Hc Rem Pac Cvdfb Plse Gen &Repl Plse Gen Dual Lead 25 14 $109,650.00 $24,886.00 77% off $1,541.00 $42,861.01 $24,886.70 2026-03-17
33262 CPT Hc Rem Pac Cvdfb Plse Gen &Repl Plse Gen Sngl Lead 25 14 $109,650.00 $24,886.00 77% off $1,541.00 $42,861.01 $24,886.70 2026-03-17
33240 CPT Hc Insert Pulse Gen,Sngl/Dual 25 14 $109,650.00 $24,886.00 77% off $1,541.00 $42,861.01 $24,886.70 2026-03-17
33229 CPT Hc Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Ld Sys 25 14 $93,056.30 $21,550.00 77% off $1,541.00 $33,058.24 $21,550.49 2026-03-17
33221 CPT Hc Insert Pm Pulse Gen Only (Existing Leads) 25 14 $84,572.00 $21,550.00 75% off $1,541.00 $33,058.24 $21,550.49 2026-03-17
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 22 13 $82,011.60 $20,509.00 75% off $1,596.00 $28,713.90 $20,509.93 2026-03-17
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sin 22 13 $82,011.60 $20,509.00 75% off $1,596.00 $28,713.90 $20,509.93 2026-03-17
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 21 14 $80,320.00 $20,509.00 74% off $1,596.00 $31,396.18 $20,509.93 2026-03-17
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/Per 22 14 $80,320.00 $20,509.00 74% off $1,596.00 $31,194.14 $20,509.93 2026-03-17
C9773 HCPCS Hc Revasc Lithotr-stent Tib/Per 22 14 $80,320.00 $20,509.00 74% off $1,596.00 $29,600.26 $20,509.93 2026-03-17
C9774 HCPCS Hc Revasc Lithotr-ather Tib/Per 22 14 $80,320.00 $20,509.00 74% off $1,596.00 $29,600.26 $20,509.93 2026-03-17
37231 CPT Hc Revasc Tibial/Peron Art Angiopl/Stnt/Atherc Ini 24 14 $80,101.90 $19,664.00 75% off $1,541.00 $28,558.66 $19,664.54 2026-03-17
37227 CPT Hc Revasc Fem/Pop Art Angiopl/Stnt/Atherectomy 24 14 $80,101.90 $19,664.00 75% off $1,541.00 $28,558.66 $19,664.54 2026-03-17
93654 CPT Hc Ephys Eval W Ablation Ventricular Tachycardia 24 14 $77,805.60 $29,243.00 62% off $1,657.00 $40,941.24 $29,243.74 2026-03-17
93653 CPT Hc Ephys Eval W Ablation Supravent Arrhythmia 24 14 $77,805.60 $29,243.00 62% off $1,657.00 $40,941.24 $29,243.74 2026-03-17
93656 CPT Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein 24 14 $77,805.60 $29,243.00 62% off $1,657.00 $40,941.24 $29,243.74 2026-03-17
33274 CPT Hc Tcat Ins/Rpl Perm Ldls Pm W/Ig 22 14 $76,772.50 $21,550.00 72% off $1,657.00 $30,170.69 $21,550.49 2026-03-17
93582 CPT Hc Percutan Transcath Closure Pat Duct Arteriosus 24 14 $73,060.90 $20,509.00 72% off $1,657.00 $28,713.90 $20,509.93 2026-03-17
93580 CPT Hc Perc Clos,Cong Interatrial Commun W/Impl 24 14 $73,060.90 $20,509.00 72% off $1,657.00 $28,713.90 $20,509.93 2026-03-17
37230 CPT Hc Revasc Tibial/Peron Art Angiopl/Stent Init 24 14 $54,995.00 $19,664.00 64% off $1,541.00 $28,558.66 $19,664.54 2026-03-17
37229 CPT Hc Revasc Tibial/Peron Art Angiopl/Atherect Init 24 14 $54,995.00 $19,664.00 64% off $1,541.00 $28,558.66 $19,664.54 2026-03-17
0238T HCPCS Hc Translum Peripheral Atherectomy Iliac Artery Ea 22 14 $53,324.00 $20,509.00 62% off $1,596.00 $28,713.90 $20,509.93 2026-03-17
37242 CPT Hc Vascular Embolization Or Occlusion Arterial S&i 25 14 $52,552.30 $20,509.00 61% off $1,045.33 $28,713.90 $20,509.93 2026-03-17
37225 CPT Hc Revasc Fem/Pop Art Angiopl/Atherectomy 24 14 $52,552.30 $19,664.00 63% off $1,541.00 $27,530.36 $19,664.54 2026-03-17
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 21 14 $50,214.70 $20,509.00 59% off $1,596.00 $28,713.90 $20,509.93 2026-03-17
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 21 14 $50,214.70 $20,509.00 59% off $1,596.00 $28,713.90 $20,509.93 2026-03-17
92933 CPT Hc Prq Trluml Coronry Stnt/Ath/Angio One Art/Brnch 24 14 $38,375.00 $20,509.00 47% off $1,423.00 $28,713.90 $20,509.93 2026-03-17
37184 CPT Hc Prim Perc Mech Thrombectomy, Arterial 25 14 $19,728.00 $20,509.00 $1,423.00 $19,728.00 $19,728.00 2026-03-17
28705 CPT Arthrodesis Pantalar 25 14 $18,816.10 $19,617.00 $1,423.00 $18,816.10 $18,816.10 2026-03-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 14 — $395,888.00 $352,341.09 $732,394.41 $380,053.32 2026-03-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 14 — $257,072.00 $228,794.76 $475,584.61 $246,789.85 2026-03-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 14 — $195,961.00 $174,405.98 $362,529.27 $188,123.30 2026-03-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 14 — $194,814.00 $173,384.77 $360,406.55 $187,021.78 2026-03-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 14 — $127,289.00 $113,287.66 $235,485.59 $122,197.93 2026-03-17
7 MS_DRG Lung Transplant 21 14 — $119,036.00 $105,942.81 $220,218.19 $114,275.39 2026-03-17
14 MS_DRG Allogeneic Bone Marrow Transplant 21 14 — $110,499.00 $98,344.48 $204,423.93 $106,079.44 2026-03-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 14 — $104,216.00 $92,752.71 $192,800.58 $100,047.87 2026-03-17
212 MS_DRG Concomitant Aortic And Mitral Valveâ Procedures 21 14 — $100,025.00 $89,022.41 $185,046.58 $96,024.17 2026-03-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 14 — $94,864.00 $84,429.02 $175,498.53 $91,069.51 2026-03-17
215 MS_DRG Other Heart Assist System Implant 21 14 — $91,626.00 $81,547.97 $169,509.82 $87,961.85 2026-03-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — $90,031.00 $80,128.22 $166,558.66 $86,430.44 2026-03-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 14 — $77,400.00 $68,886.00 $143,190.00 $74,304.00 2026-03-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 14 — $77,642.00 $66,821.70 $143,638.94 $73,505.15 2026-03-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 14 — $72,504.00 $64,528.96 $146,897.00 $69,604.27 2026-03-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — $70,759.00 $62,976.36 $130,905.93 $67,929.56 2026-03-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 14 — $70,456.00 $62,706.60 $130,345.17 $67,638.58 2026-03-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 14 — $70,225.00 $62,500.40 $129,916.56 $67,416.16 2026-03-17
10 MS_DRG Pancreas Transplant 21 14 — $66,157.00 $58,880.14 $122,391.30 $63,511.16 2026-03-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 14 — $65,781.00 $58,545.17 $121,695.02 $63,149.85 2026-03-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 14 — $65,742.00 $58,510.93 $121,623.85 $63,112.92 2026-03-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Ccmcc 21 14 — $66,129.00 $38,805.20 $122,340.46 $62,612.87 2026-03-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 14 — $63,740.00 $56,729.33 $117,920.52 $61,191.19 2026-03-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 14 — $63,430.00 $17,019.30 $117,346.20 $60,058.74 2026-03-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 14 — $62,086.00 $55,256.61 $114,859.25 $59,602.64 2026-03-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — $60,659.00 $53,986.82 $112,219.80 $58,232.98 2026-03-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — $60,659.00 $53,986.82 $112,219.80 $58,232.98 2026-03-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 14 — $60,440.00 $53,792.04 $111,814.91 $58,022.87 2026-03-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 14 — $59,371.00 $52,840.92 $109,837.87 $56,996.95 2026-03-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 14 — $56,501.00 $50,286.68 $104,528.50 $54,241.81 2026-03-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 14 — $55,964.00 $49,808.27 $103,534.05 $53,725.78 2026-03-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 14 — $56,566.00 $47,378.50 $104,648.78 $53,565.12 2026-03-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 14 — $55,053.00 $48,997.34 $101,848.40 $52,851.06 2026-03-17
J9173 HCPCS Durvalumab Soln For IV Infusion 120 Mg/2.4Ml (50 Mg/Ml) 1 1 — $86.00 $52,754.56 $52,754.56 $52,754.56 2026-03-17
16 MS_DRG Autologous Bone Marrow Transplant With Ccmcc 21 14 — $54,747.00 $48,725.12 $101,282.56 $52,557.44 2026-03-17
28 MS_DRG Spinal Procedures With Mcc 21 14 — $55,467.00 $49,365.73 $102,614.15 $52,524.57 2026-03-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc 21 14 — $55,451.00 $42,494.60 $102,585.35 $52,509.87 2026-03-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 14 — $54,187.00 $48,227.16 $100,247.47 $52,020.31 2026-03-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 14 — $54,153.00 $48,196.19 $100,183.09 $51,986.90 2026-03-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 14 — $54,873.00 $8,284.62 $101,516.36 $51,963.14 2026-03-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 14 — $52,921.00 $47,100.00 $97,904.50 $50,804.50 2026-03-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 14 — $52,639.00 $46,848.98 $97,382.71 $50,533.73 2026-03-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 14 — $51,770.00 $46,075.53 $95,774.98 $49,699.45 2026-03-17
J9271 HCPCS Pembrolizumab IV Soln 100 Mg/4Ml (25 Mg/Ml) - 00006302602 1 1 — $59.00 $49,263.35 $49,263.35 $49,263.35 2026-03-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 14 — $51,023.00 $45,410.49 $94,392.59 $48,982.10 2026-03-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 14 — $51,418.00 $36,807.60 $95,124.45 $48,694.28 2026-03-17
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 21 14 — $50,719.00 $45,140.72 $102,716.00 $48,691.11 2026-03-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 14 — $50,542.00 $44,982.61 $93,503.18 $48,520.57 2026-03-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 14 — $50,470.00 $44,919.04 $93,371.04 $48,452.00 2026-03-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 14 — $50,392.00 $44,848.95 $93,225.35 $48,376.40 2026-03-17
17 MS_DRG Autologous Bone Marrow Transplant Without Ccmcc 21 14 — $50,192.00 $44,671.27 $92,856.01 $48,184.74 2026-03-17
J9022 HCPCS Atezolizumab IV Soln 1200 Mg/20Ml 1 1 — $93.00 $47,932.74 $47,932.74 $47,932.74 2026-03-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — $49,281.00 $43,860.34 $91,170.37 $47,310.03 2026-03-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 14 — $48,924.00 $43,542.48 $90,509.66 $46,967.17 2026-03-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 14 — $48,114.00 $42,822.02 $89,012.07 $46,190.04 2026-03-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 14 — $48,763.00 $4,119.19 $90,213.20 $46,182.57 2026-03-17
653 MS_DRG Major Bladder Procedures With Mcc 21 14 — $48,032.00 $41,205.40 $88,859.59 $45,490.31 2026-03-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — $46,601.00 $41,475.63 $86,213.39 $44,737.76 2026-03-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 14 — $46,118.00 $41,045.30 $85,318.89 $44,273.59 2026-03-17
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki For IV Soln 100 Mg 1 1 — $31.00 $44,178.47 $44,178.47 $44,178.47 2026-03-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 14 — $45,752.00 $40,719.30 $84,641.24 $43,921.94 2026-03-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 14 — $45,671.00 $40,647.58 $84,492.16 $43,844.58 2026-03-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 14 — $45,516.00 $40,509.85 $84,205.86 $43,696.01 2026-03-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 14 — $45,328.00 $40,342.77 $83,858.56 $43,515.79 2026-03-17
471 MS_DRG Cervical Spinal Fusion With Mcc 21 14 — $44,665.00 $39,751.89 $82,630.32 $42,878.44 2026-03-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 14 — $44,441.00 $39,553.02 $82,216.96 $42,663.94 2026-03-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 14 — $44,043.00 $4,564.72 $81,480.01 $41,716.29 2026-03-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 14 — $43,411.00 $38,636.14 $80,311.07 $41,674.93 2026-03-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 14 — $43,283.00 $38,522.04 $80,073.90 $41,551.86 2026-03-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 14 — $43,499.00 $29,846.00 $80,473.71 $41,201.69 2026-03-17
6 MS_DRG Liver Transplant Without Mcc 21 14 — $42,909.00 $38,189.51 $79,382.69 $41,193.18 2026-03-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 14 — $42,740.00 $38,038.73 $79,069.28 $41,030.54 2026-03-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 14 — $42,538.00 $37,859.43 $78,696.58 $40,837.14 2026-03-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 14 — $42,431.00 $37,764.08 $78,498.37 $40,734.29 2026-03-17
245 MS_DRG Aicd Generator Procedures 21 14 — $42,226.00 $37,581.51 $78,118.88 $40,537.36 2026-03-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 14 — $42,100.00 $37,469.86 $77,886.79 $40,416.93 2026-03-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 21 14 — $42,082.00 $37,453.56 $77,852.90 $40,399.34 2026-03-17
799 MS_DRG Splenic Procedures With Mcc 21 14 — $41,919.00 $37,308.49 $77,551.35 $40,242.86 2026-03-17
163 MS_DRG Major Chest Procedures With Mcc 21 14 — $41,488.00 $36,924.62 $76,753.43 $39,828.81 2026-03-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 14 — $41,315.00 $36,770.58 $76,433.23 $39,662.65 2026-03-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 21 14 — $41,476.00 $27,895.90 $76,731.40 $39,287.85 2026-03-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 14 — $40,673.00 $36,199.26 $75,245.66 $38,527.97 2026-03-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 14 — $40,074.00 $35,666.24 $74,137.70 $38,471.45 2026-03-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 14 — $39,758.00 $35,385.07 $73,553.23 $38,168.16 2026-03-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 14 — $39,281.00 $34,960.45 $72,670.59 $37,710.14 2026-03-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 14 — $39,054.00 $34,758.33 $72,250.46 $37,492.13 2026-03-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 14 — $39,035.00 $34,741.21 $72,214.88 $37,473.67 2026-03-17
140 MS_DRG Major Head And Neck Procedures With Mcc 21 14 — $39,505.00 $5,879.88 $73,085.66 $37,423.37 2026-03-17
901 MS_DRG Wound Debridements For Injuries With Mcc 21 14 — $38,876.00 $34,600.21 $71,921.78 $37,321.57 2026-03-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 14 — $38,805.00 $34,536.65 $71,789.66 $37,253.01 2026-03-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 14 — $38,656.00 $34,404.61 $71,515.21 $37,110.60 2026-03-17
793 MS_DRG Full Term Neonate With Major Problems 21 14 — $38,629.00 $34,380.17 $71,464.39 $37,084.22 2026-03-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 14 — $39,120.00 $7,736.44 $72,372.43 $37,058.60 2026-03-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 14 — $38,477.00 $34,244.87 $71,183.15 $36,938.28 2026-03-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 14 — $38,922.00 $33,498.30 $72,006.50 $36,871.49 2026-03-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 14 — $38,225.00 $34,020.74 $70,717.27 $36,696.53 2026-03-17
791 MS_DRG Prematurity With Major Problems 21 14 — $37,616.00 $3,270.99 $69,590.69 $35,635.95 2026-03-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 14 — $36,930.00 $32,868.32 $68,321.80 $35,453.47 2026-03-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 14 — $36,269.00 $32,279.88 $67,098.63 $34,818.75 2026-03-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 14 — $36,107.00 $32,135.63 $66,798.78 $34,663.15 2026-03-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 14 — $35,892.00 $31,944.10 $66,400.66 $34,456.56 2026-03-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 14 — $35,839.00 $31,896.83 $66,302.41 $34,405.57 2026-03-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 14 — $35,805.00 $31,866.67 $66,239.71 $34,373.04 2026-03-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 14 — $35,604.00 $31,688.19 $65,868.71 $34,180.52 2026-03-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 14 — $34,906.00 $31,066.34 $80,149.30 $33,509.76 2026-03-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 14 — $34,674.00 $30,860.14 $64,147.47 $33,287.34 2026-03-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 14 — $34,670.00 $30,856.88 $64,140.70 $33,283.82 2026-03-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 14 — $34,574.00 $30,771.31 $63,962.83 $33,191.52 2026-03-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 14 — $34,382.00 $30,600.15 $152,645.00 $33,006.90 2026-03-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 14 — $34,755.00 $28,527.50 $64,298.25 $32,929.37 2026-03-17
904 MS_DRG Skin Grafts For Injuries With Ccmcc 21 14 — $34,082.00 $30,333.65 $74,749.90 $32,719.44 2026-03-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 14 — $34,069.00 $30,321.42 $63,027.67 $32,706.25 2026-03-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 14 — $33,674.00 $29,970.15 $62,297.51 $32,327.36 2026-03-17
332 MS_DRG Rectal Resection With Mcc 21 14 — $33,602.00 $29,906.58 $62,165.37 $32,258.78 2026-03-17
265 MS_DRG Aicd Lead Procedures 21 14 — $33,580.00 $29,886.20 $62,123.00 $32,236.80 2026-03-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 14 — $33,471.00 $29,790.04 $61,923.11 $32,133.07 2026-03-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 14 — $33,255.00 $29,597.69 $61,523.29 $31,925.60 2026-03-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 14 — $33,648.00 $25,229.50 $62,250.08 $31,881.89 2026-03-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 14 — $33,179.00 $29,530.05 $61,382.69 $31,852.64 2026-03-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 14 — $33,146.00 $29,500.71 $61,321.69 $31,820.99 2026-03-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 14 — $33,098.00 $29,457.51 $65,785.20 $31,774.40 2026-03-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 14 — $33,521.00 $29,717.50 $62,014.59 $31,761.45 2026-03-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 14 — $33,070.00 $29,433.06 $61,181.07 $31,748.02 2026-03-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 14 — $33,039.00 $29,405.35 $61,123.48 $31,718.13 2026-03-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 14 — $32,741.00 $29,139.66 $60,571.20 $31,431.54 2026-03-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 14 — $32,675.00 $29,080.97 $60,449.21 $31,368.24 2026-03-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 14 — $33,013.00 $5,165.90 $61,074.35 $31,280.55 2026-03-17
252 MS_DRG Other Vascular Procedures With Mcc 21 14 — $32,390.00 $28,827.51 $59,922.35 $31,094.84 2026-03-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 14 — $32,081.00 $28,552.85 $59,351.42 $30,798.58 2026-03-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 14 — $32,382.00 $27,694.00 $59,907.11 $30,683.63 2026-03-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 14 — $31,841.00 $28,339.32 $58,907.57 $30,568.25 2026-03-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 14 — $32,235.00 $25,562.20 $59,636.05 $30,545.03 2026-03-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 14 — $31,688.00 $28,202.40 $58,622.97 $30,420.57 2026-03-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 14 — $31,646.00 $28,165.72 $64,588.40 $30,381.00 2026-03-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 14 — $30,696.00 $27,319.74 $56,788.23 $29,468.49 2026-03-17
264 MS_DRG Other Circulatory System O.r. Procedures 21 14 — $31,037.00 $25,922.00 $57,420.13 $29,411.76 2026-03-17
37 MS_DRG Extracranial Procedures With Mcc 21 14 — $30,593.00 $27,228.46 $56,598.49 $29,370.03 2026-03-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 14 — $30,590.00 $27,225.20 $56,591.70 $29,366.51 2026-03-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 14 — $30,233.00 $26,908.16 $66,641.30 $29,024.53 2026-03-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 14 — $30,102.00 $26,791.62 $55,690.44 $28,898.82 2026-03-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 14 — $30,069.00 $26,762.27 $55,629.44 $28,867.17 2026-03-17
652 MS_DRG Kidney Transplant 21 14 — $30,020.00 $26,718.26 $55,537.96 $28,819.70 2026-03-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 14 — $29,998.00 $26,698.71 $55,497.32 $28,798.61 2026-03-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 14 — $29,845.00 $26,562.60 $55,214.40 $28,651.80 2026-03-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 14 — $29,684.00 $26,419.16 $54,916.23 $28,497.07 2026-03-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 14 — $29,630.00 $26,371.07 $54,816.28 $28,445.20 2026-03-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 14 — $29,602.00 $26,345.81 $54,763.76 $28,417.95 2026-03-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Ccmcc 21 14 — $29,940.00 $19,651.90 $55,390.57 $28,373.84 2026-03-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Ccm… 21 14 — $29,543.00 $26,293.64 $54,655.33 $28,361.68 2026-03-17
500 MS_DRG Soft Tissue Procedures With Mcc 21 14 — $29,428.00 $26,190.96 $54,441.87 $28,250.92 2026-03-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 14 — $29,384.00 $26,151.83 $54,360.55 $28,208.72 2026-03-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 14 — $29,301.00 $26,078.49 $54,208.09 $28,129.60 2026-03-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 14 — $29,287.00 $26,066.26 $54,182.67 $28,116.41 2026-03-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 14 — $29,220.00 $26,005.95 $54,057.31 $28,051.36 2026-03-17
665 MS_DRG Prostatectomy With Mcc 21 14 — $29,028.00 $25,835.61 $53,703.24 $27,867.63 2026-03-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 14 — $28,969.00 $25,782.63 $53,593.11 $27,810.48 2026-03-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 21 14 — $28,918.00 $25,737.81 $53,499.95 $27,762.13 2026-03-17
662 MS_DRG Minor Bladder Procedures With Mcc 21 14 — $28,482.00 $25,349.05 $52,691.85 $27,342.80 2026-03-17
263 MS_DRG Vein Ligation And Stripping 21 14 — $28,444.00 $25,315.63 $52,622.38 $27,306.75 2026-03-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 14 — $28,222.00 $25,118.41 $52,212.42 $27,094.01 2026-03-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 14 — $28,106.00 $25,014.90 $51,997.27 $26,982.36 2026-03-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 14 — $28,102.00 $25,011.63 $51,990.48 $26,978.84 2026-03-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 14 — $28,072.00 $24,984.74 $51,934.57 $26,606.37 2026-03-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 14 — $27,702.00 $24,655.48 $51,250.16 $26,594.68 2026-03-17
472 MS_DRG Cervical Spinal Fusion With Cc 21 14 — $27,425.00 $24,408.53 $50,736.84 $26,328.31 2026-03-17
570 MS_DRG Skin Debridement With Mcc 21 14 — $27,379.00 $24,367.78 $50,652.13 $26,284.35 2026-03-17
668 MS_DRG Transurethral Procedures With Mcc 21 14 — $27,186.00 $24,195.82 $50,294.67 $26,098.86 2026-03-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 14 — $27,115.00 $24,133.06 $50,164.23 $26,031.17 2026-03-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Ccmcc 21 14 — $27,407.00 $19,566.10 $50,702.95 $25,976.58 2026-03-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 14 — $27,021.00 $24,049.11 $49,989.72 $25,940.61 2026-03-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 21 14 — $27,004.00 $24,034.44 $49,959.23 $25,924.79 2026-03-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 14 — $26,887.00 $23,930.12 $49,742.39 $25,812.27 2026-03-17
974 MS_DRG HIV With Major Related Condition With Mcc 21 14 — $26,874.00 $23,918.71 $52,202.70 $25,799.96 2026-03-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Ccmcc 21 14 — $26,836.00 $23,884.49 $49,647.53 $25,763.04 2026-03-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 14 — $26,730.00 $23,789.94 $49,451.00 $25,661.06 2026-03-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 14 — $26,549.00 $23,506.00 $49,117.26 $25,165.56 2026-03-17
C1764 HCPCS Hc (Sup Shell C1764) Event Recorder, Cardiac 1 1 — — $25,160.00 $25,160.00 $25,160.00 2026-03-17
800 MS_DRG Splenic Procedures With Cc 21 14 — $26,173.00 $23,294.42 $48,541.40 $25,126.56 2026-03-17
654 MS_DRG Major Bladder Procedures With Cc 21 14 — $26,081.00 $23,212.10 $48,249.87 $25,037.77 2026-03-17
503 MS_DRG Foot Procedures With Mcc 21 14 — $26,005.00 $23,145.27 $48,110.95 $24,965.68 2026-03-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 14 — $25,830.00 $22,988.79 $47,785.69 $24,796.90 2026-03-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 14 — $25,694.00 $22,868.17 $47,534.95 $24,666.79 2026-03-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 21 14 — $25,617.00 $22,799.71 $47,392.65 $24,592.94 2026-03-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Ccmcc 21 14 — $25,611.00 $22,794.00 $47,380.79 $24,586.79 2026-03-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 14 — $25,481.00 $22,678.27 $47,140.22 $24,461.95 2026-03-17
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 14 — $25,362.00 $22,572.31 $46,919.98 $24,347.66 2026-03-17
849 MS_DRG Radiotherapy 21 14 — $25,258.00 $22,480.23 $46,728.56 $24,248.33 2026-03-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 14 — $25,228.00 $22,453.33 $46,672.65 $24,219.32 2026-03-17
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 14 — $25,147.00 $22,381.60 $46,523.56 $24,141.96 2026-03-17
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 14 — $24,805.00 $22,076.79 $45,889.95 $23,813.16 2026-03-17
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 14 — $24,720.00 $22,001.00 $55,965.40 $23,731.41 2026-03-17
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 14 — $24,598.00 $21,892.60 $45,507.10 $23,614.49 2026-03-17
253 MS_DRG Other Vascular Procedures With Cc 21 14 — $24,215.00 $21,551.93 $44,798.95 $23,247.02 2026-03-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 21 14 — $24,065.00 $21,418.27 $44,521.12 $23,102.85 2026-03-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 21 14 — $24,187.00 $17,588.90 $44,746.43 $22,930.32 2026-03-17
272 MS_DRG Other Major Cardiovascular Procedures Without Ccmcc 21 14 — $23,825.00 $21,204.73 $44,077.25 $22,872.52 2026-03-17
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 14 — $24,098.00 $19,047.30 $44,582.10 $22,846.22 2026-03-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Ccmcc 21 14 — $24,065.00 $21,418.27 $44,521.12 $22,815.03 2026-03-17
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 21 14 — $23,714.00 $21,106.12 $43,872.27 $22,766.15 2026-03-17
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 21 14 — $23,670.00 $21,066.99 $43,790.94 $22,723.95 2026-03-17
749 MS_DRG Other Female Reproductive System O.r. Procedures With Ccmcc 21 14 — $23,959.00 $19,868.40 $44,324.59 $22,714.55 2026-03-17
164 MS_DRG Major Chest Procedures With Cc 21 14 — $23,559.00 $20,968.38 $43,585.96 $22,617.58 2026-03-17
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Ccmcc 21 14 — $23,549.00 $20,959.41 $43,567.32 $22,607.90 2026-03-17
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 21 14 — $23,266.00 $20,706.77 $43,042.16 $22,335.39 2026-03-17
545 MS_DRG Connective Tissue Disorders With Mcc 21 14 — $23,172.00 $20,623.63 $42,869.35 $22,245.72 2026-03-17
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 21 14 — $22,966.00 $20,440.26 $42,488.17 $22,047.92 2026-03-17
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 21 14 — $22,960.00 $20,434.55 $42,476.31 $22,041.76 2026-03-17
509 MS_DRG Arthroscopy 1 1 — — $21,993.40 $21,993.40 $21,993.40 2026-03-17
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 21 14 — $22,829.00 $20,318.01 $42,234.06 $21,916.05 2026-03-17
473 MS_DRG Cervical Spinal Fusion Without Ccmcc 21 14 — $22,802.00 $20,294.37 $42,184.92 $21,890.55 2026-03-17
792 MS_DRG Prematurity Without Major Problems 21 14 — $22,875.00 $2,555.88 $42,318.75 $21,688.80 2026-03-17
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 21 14 — $22,472.00 $20,000.96 $41,575.03 $21,574.07 2026-03-17
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 14 — $22,398.00 $19,934.95 $41,437.82 $21,502.87 2026-03-17
397 MS_DRG Appendix Procedures With Mcc 21 14 — $22,377.00 $19,916.21 $41,398.86 $21,482.65 2026-03-17
35 MS_DRG Carotid Artery Stent Procedures With Cc 21 14 — $22,337.00 $19,880.34 $41,324.30 $21,443.96 2026-03-17
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 21 14 — $22,299.00 $19,846.93 $41,254.85 $21,407.92 2026-03-17
783 MS_DRG Cesarean Section With Sterilization With Mcc 21 14 — $22,929.00 $7,540.00 $42,418.71 $21,118.69 2026-03-17
333 MS_DRG Rectal Resection With Cc 21 14 — $21,895.00 $19,486.69 $40,506.05 $21,019.35 2026-03-17
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 21 14 — $21,862.00 $19,457.36 $40,445.07 $20,987.71 2026-03-17
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 21 14 — $21,846.00 $19,443.50 $40,416.27 $20,972.76 2026-03-17
709 MS_DRG Penis Procedures With Ccmcc 21 14 — $21,756.00 $19,363.63 $40,250.25 $20,886.61 2026-03-17
357 MS_DRG Other Digestive System O.r. Procedures With Cc 21 14 — $21,742.00 $19,350.58 $40,223.13 $20,872.54 2026-03-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 21 14 — $21,720.00 $19,331.03 $40,182.48 $20,851.45 2026-03-17
113 MS_DRG Orbital Procedures With Ccmcc 21 14 — $21,976.00 $17,713.00 $40,656.82 $20,838.83 2026-03-17
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 14 — $21,611.00 $19,234.04 $39,980.87 $20,746.83 2026-03-17
347 MS_DRG Anal And Stomal Procedures With Mcc 21 14 — $21,468.00 $19,106.90 $39,716.60 $20,609.69 2026-03-17
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 21 14 — $21,286.00 $18,944.72 $39,379.47 $20,434.75 2026-03-17
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 21 14 — $21,376.00 $19,025.40 $39,547.17 $20,432.40 2026-03-17
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 21 14 — $21,251.00 $18,913.75 $39,315.09 $20,401.34 2026-03-17
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 21 14 — $21,462.00 $16,648.20 $39,704.74 $20,351.94 2026-03-17
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 21 14 — $21,193.00 $18,862.40 $39,208.36 $20,345.96 2026-03-17
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 22 15 — $20,710.00 $18,432.07 $38,313.85 $20,295.99 2026-03-17
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 21 14 — $21,340.00 $15,919.50 $39,479.41 $20,236.65 2026-03-17
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 21 14 — $20,946.00 $18,642.35 $38,750.95 $20,108.60 2026-03-17
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Ccmcc 21 14 — $20,934.00 $18,631.75 $38,728.92 $20,097.17 2026-03-17
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Ccmcc 21 14 — $20,772.00 $18,487.50 $38,429.07 $19,941.57 2026-03-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 14 — $20,665.00 $18,392.13 $38,230.84 $19,838.71 2026-03-17
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 21 14 — $20,581.00 $18,317.16 $38,075.00 $19,757.84 2026-03-17
30 MS_DRG Spinal Procedures Without Ccmcc 21 14 — $20,549.00 $18,288.63 $38,015.69 $19,727.06 2026-03-17
614 MS_DRG Adrenal And Pituitary Procedures With Ccmcc 21 14 — $20,517.00 $18,260.92 $37,958.10 $19,697.17 2026-03-17
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 21 14 — $20,482.00 $18,229.14 $37,892.03 $19,662.89 2026-03-17
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 21 14 — $20,690.00 $4,105.65 $38,276.59 $19,621.56 2026-03-17
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 21 14 — $20,432.00 $18,185.13 $37,800.55 $19,615.42 2026-03-17
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 14 — $20,385.00 $18,142.75 $37,712.45 $19,569.71 2026-03-17
135 MS_DRG Sinus And Mastoid Procedures With Ccmcc 21 14 — $20,318.00 $18,083.25 $37,588.78 $19,505.53 2026-03-17
141 MS_DRG Major Head And Neck Procedures With Cc 21 14 — $20,419.00 $4,489.14 $37,776.83 $19,365.99 2026-03-17
77 MS_DRG Hypertensive Encephalopathy With Mcc 1 1 — — $19,359.70 $19,359.70 $19,359.70 2026-03-17
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 21 14 — $20,398.00 $18,077.30 $37,737.85 $19,346.04 2026-03-17
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 21 14 — $20,057.00 $17,850.97 $37,105.95 $19,254.98 2026-03-17
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Ccmcc 21 14 — $20,049.00 $17,844.46 $37,092.41 $19,247.95 2026-03-17
374 MS_DRG Digestive Malignancy With Mcc 21 14 — $20,031.00 $17,828.15 $37,058.52 $19,230.36 2026-03-17
32 MS_DRG Ventricular Shunt Procedures With Cc 21 14 — $19,961.00 $17,765.40 $36,928.07 $19,162.68 2026-03-17
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 21 14 — $19,960.00 $17,764.58 $36,926.37 $19,161.79 2026-03-17
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Ccmcc 21 14 — $19,951.00 $17,757.24 $36,911.13 $19,153.88 2026-03-17
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 21 14 — $19,921.00 $17,730.35 $36,855.22 $19,124.87 2026-03-17
595 MS_DRG Major Skin Disorders With Mcc 21 14 — $19,866.00 $17,681.45 $36,753.58 $19,072.13 2026-03-17
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 21 14 — $19,839.00 $17,657.00 $36,702.76 $19,045.76 2026-03-17
655 MS_DRG Major Bladder Procedures Without Ccmcc 21 14 — $19,829.00 $17,648.03 $36,684.11 $19,036.08 2026-03-17
336 MS_DRG Peritoneal Adhesiolysis With Cc 21 14 — $19,756.00 $17,583.65 $36,550.28 $18,966.63 2026-03-17
412 MS_DRG Cholecystectomy With C.d.e. With Cc 21 14 — $19,700.00 $17,533.12 $36,445.24 $18,912.12 2026-03-17
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 21 14 — $19,626.00 $17,467.91 $36,309.71 $18,841.80 2026-03-17
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 21 14 — $19,614.00 $17,457.32 $36,287.69 $18,830.37 2026-03-17
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 21 14 — $19,836.00 $16,077.50 $36,697.67 $18,814.11 2026-03-17
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 21 14 — $19,595.00 $17,440.21 $36,252.12 $18,811.91 2026-03-17
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 21 14 — $19,547.00 $17,397.01 $36,162.32 $18,765.31 2026-03-17
314 MS_DRG Other Circulatory System Diagnoses With Mcc 21 14 — $19,541.00 $17,392.12 $36,152.16 $18,760.04 2026-03-17
711 MS_DRG Testes Procedures With Ccmcc 21 14 — $19,528.00 $17,380.71 $36,128.45 $18,747.73 2026-03-17
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