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

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Hospital

SAINT FRANCIS BARTLETT MEDICAL CENTER

Bartlett, TN · CCN 440228 · Rates published

16,571 distinct procedures filed
15 distinct payers
297,402 rate rows
2026-09-01 last MRF observed
Data quality

285,479 of 297,402 rate rows are consumer-grade (96.0%)

11,923 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,801
per-diem day rate — not a per-procedure price 1,619
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 321
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 95
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 46
exceeds 10× this hospital's gross charge — excluded from medians 25
placeholder amount (≤ $0.02) — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/TenetHealth/752804737_saint-francis-hospital---bartlett_standardcharges.json
Found on page https://mrfs.hyvehealthcare.com/TenetHealth/
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-11-03
Content fingerprint 14919a9606c96790… · 57,751,600 bytes · first seen 2026-11-03

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 $211,364.26 $1,007,109.26 $621,530.04 nat. median
$360,195
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $94,429.08 $495,014.11 $261,696.78 nat. median
$190,274
1.4× median
Q0480
HCPCS 		Dme Pos 1 $193,999.84 $229,999.82 $211,999.83 nat. median
$111,503
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $49,343.81 $497,936.36 $189,528.30 nat. median
$197,664
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $60,108.22 $280,281.46 $172,973.64 nat. median
$109,875
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 2 $67,955.46 $232,217.15 $166,263.21 nat. median
$93,531
1.8× median
583
MS_DRG 		Mastectomy For Malignancy Without Cc/mcc 4 $6,260.13 $327,626.80 $162,179.28 nat. median
$16,749
outlier · 9.7×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $143,801.39 $170,486.19 $157,143.79 nat. median
$63,915
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $86,483.31 $264,280.24 $130,173.30 nat. median
$103,911
1.3× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $118,728.00 $140,760.00 $129,744.00 nat. median
$68,131
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $70,007.44 $226,125.20 $124,903.20 nat. median
$77,595
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $60,985.86 $253,605.76 $122,510.11 nat. median
$97,029
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $63,931.79 $653,573.40 $114,730.54 nat. median
$247,805
outlier · 0.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $55,678.11 $228,154.46 $114,111.21 nat. median
$90,525
1.3× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $103,647.71 $122,881.31 $113,264.51 nat. median
$65,318
1.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $50,914.50 $164,454.69 $112,253.56 nat. median
$58,153
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $42,465.93 $161,197.00 $110,276.91 nat. median
$62,605
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $61,601.90 $198,975.18 $106,741.76 nat. median
$72,153
1.5× median
10
MS_DRG 		Pancreas Transplant 2 $23,528.71 $167,351.68 $103,279.85 nat. median
$64,615
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $37,721.01 $166,393.14 $102,688.30 nat. median
$66,332
1.5× median
L7181
HCPCS 		Dme Pos 1 $92,136.34 $109,233.81 $100,685.07 nat. median
$50,552
2.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $35,696.77 $153,349.15 $100,582.00 nat. median
$61,992
1.6× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $32,451.77 $153,349.15 $99,655.38 nat. median
$59,554
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $47,226.15 $210,121.89 $97,898.96 nat. median
$77,933
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $36,097.09 $177,711.31 $97,698.40 nat. median
$67,850
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $43,881.48 $141,737.92 $96,385.76 nat. median
$55,148
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $35,496.90 $156,982.71 $96,073.96 nat. median
$61,601
1.6× median
J9226
HCPCS 		Supprelin La Implant 1 $86,477.31 $102,524.65 $94,500.98 nat. median
$55,159
1.7× median
7
MS_DRG 		Lung Transplant 4 $52,052.04 $302,024.56 $89,814.04 nat. median
$117,943
0.8× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 $39,599.16 $127,905.95 $88,742.29 nat. median
$45,076
2.0× median
826
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 2 $39,619.55 $127,971.79 $86,508.83 nat. median
$43,768
2.0× median
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 2 $41,287.06 $133,357.90 $86,504.26 nat. median
$40,647
outlier · 2.1×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 $38,039.23 $122,867.33 $85,953.79 nat. median
$45,402
1.9× median
834
MS_DRG 		Acute Leukemia With Mcc 2 $32,100.71 $128,035.45 $85,812.45 nat. median
$50,311
1.7× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 2 $38,229.48 $123,481.84 $85,759.14 nat. median
$45,788
1.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 2 $34,145.33 $138,292.46 $85,346.17 nat. median
$53,896
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $31,617.43 $323,042.35 $84,752.00 nat. median
$126,240
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $39,838.11 $166,295.19 $83,771.26 nat. median
$66,553
1.3× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $36,792.98 $118,841.92 $83,111.39 nat. median
$40,320
outlier · 2.1×
6
MS_DRG 		Liver Transplant Without Mcc 4 $26,974.15 $131,237.12 $82,939.07 nat. median
$44,113
1.9× median
L7180
HCPCS 		Dme Pos 1 $74,281.59 $88,065.80 $81,173.70 nat. median
$46,980
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $17,877.02 $196,602.13 $80,905.51 nat. median
$76,979
1.1× median
L2006
HCPCS 		Dme Pos 1 $73,140.87 $86,713.40 $79,927.13 nat. median
$39,926
outlier · 2.0×
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 3 $23,218.98 $106,673.00 $78,773.98 nat. median
$41,461
1.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $29,100.88 $142,760.96 $78,762.84 nat. median
$58,315
1.4× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 $38,717.51 $155,754.61 $78,682.45 nat. median
$35,358
outlier · 2.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $35,163.39 $140,085.93 $78,668.64 nat. median
$56,565
1.4× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 2 $24,294.24 $126,692.10 $78,187.09 nat. median
$50,660
1.5× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 $29,665.40 $115,178.03 $78,055.51 nat. median
$45,281
1.7× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 $31,584.32 $106,926.71 $76,877.97 nat. median
$42,696
1.8× median

Other procedures at this hospital

Browse this hospital's 16,571 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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 2 — — $12,386.63 $63,114.00 $33,926.56 2026-09-01
835 MS_DRG Acute Leukemia With Cc 6 2 — — $20,055.51 $64,779.64 $41,181.85 2026-09-01
834 MS_DRG Acute Leukemia With Mcc 6 2 — — $32,100.71 $128,035.45 $85,812.45 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 14 4 — — $11,291.83 $201,956.86 $39,885.91 2026-09-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 22 4 — — $5,995.62 $55,288.12 $26,508.98 2026-09-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 6 2 — — $13,301.64 $43,493.20 $31,766.76 2026-09-01
265 MS_DRG Aicd Lead Procedures 6 2 — — $12,510.06 $84,383.66 $38,817.69 2026-09-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 1 — — $26,739.91 $31,701.96 $29,220.93 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 2 — — $60,108.22 $280,281.46 $172,973.64 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 2 — — $39,599.16 $127,905.95 $88,742.29 2026-09-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 2 — — $18,138.29 $58,586.98 $40,845.43 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 2 — — $29,983.05 $100,119.01 $72,430.49 2026-09-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 2 — — $17,807.05 $81,333.14 $48,195.60 2026-09-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 2 — — $12,497.04 $43,619.14 $30,938.45 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 3 — — $35,562.58 $160,406.38 $74,201.22 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 3 — — $22,105.80 $98,493.47 $57,148.00 2026-09-01
397 MS_DRG Appendix Procedures With Mcc 6 2 — — $12,720.70 $55,853.86 $34,429.15 2026-09-01
303 MS_DRG Atherosclerosis Without Mcc 14 4 — — $6,926.55 $61,230.01 $28,043.71 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 2 — — $34,145.33 $138,292.46 $85,346.17 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 2 — — $24,294.24 $126,692.10 $78,187.09 2026-09-01
G2170 HCPCS Avf By Tissue W Thermal E 2 1 — — $24,225.75 $28,721.25 $26,473.50 2026-09-01
G2171 HCPCS Avf Use Magnetic/art/ven 2 1 — — $24,225.75 $28,721.25 $26,473.50 2026-09-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 2 — — $23,086.49 $82,079.45 $57,748.93 2026-09-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 6 2 — — $7,155.32 $60,152.10 $24,824.60 2026-09-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $36,686.46 $148,980.37 $74,554.91 2026-09-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $14,585.26 $50,778.99 $36,057.11 2026-09-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 2 — — $17,970.69 $58,045.63 $42,359.58 2026-09-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 2 — — $24,058.12 $80,568.18 $58,210.19 2026-09-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 6 2 — — $10,040.78 $43,353.27 $27,175.82 2026-09-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 6 2 — — $13,337.63 $43,871.65 $26,814.61 2026-09-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 6 2 — — $8,514.82 $49,925.41 $24,764.33 2026-09-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 6 2 — — $16,213.41 $63,455.51 $32,949.19 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 3 — — $39,838.11 $166,295.19 $83,771.26 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 3 — — $35,163.39 $140,085.93 $78,668.64 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 3 — — $27,078.91 $107,712.66 $75,972.00 2026-09-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 3 — — $12,981.16 $73,280.06 $31,187.03 2026-09-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 8 3 — — $11,495.40 $47,159.42 $28,329.50 2026-09-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 5 — — $11,809.85 $102,213.56 $30,844.95 2026-09-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 8 3 — — $16,770.04 $54,493.90 $30,096.63 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $55,678.11 $228,154.46 $114,111.21 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $35,696.77 $153,349.15 $100,582.00 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $32,451.77 $153,349.15 $99,655.38 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $61,601.90 $198,975.18 $106,741.76 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $24,400.12 $117,547.54 $73,152.00 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 5 — — $9,521.66 $124,371.56 $37,167.12 2026-09-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 2 — — $10,755.92 $55,751.24 $29,668.81 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 2 — — $14,403.50 $90,272.47 $43,174.60 2026-09-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 6 2 — — $9,612.72 $45,309.98 $26,017.26 2026-09-01
602 MS_DRG Cellulitis With Mcc 22 4 — — $5,110.70 $125,634.78 $47,244.06 2026-09-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 5 — — $10,200.00 $68,708.94 $30,312.42 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 5 — — $10,200.00 $112,614.94 $45,100.00 2026-09-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 13 5 — — $10,200.00 $56,936.00 $30,174.00 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 2 — — $38,039.23 $122,867.33 $85,953.79 2026-09-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 6 2 — — $9,929.80 $48,682.34 $26,875.46 2026-09-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 2 — — $12,110.31 $60,462.28 $32,895.37 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $211,364.26 $1,007,109.26 $621,530.04 2026-09-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 6 2 — — $12,822.05 $48,199.58 $33,109.61 2026-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 2 — — $31,066.79 $100,346.26 $66,859.26 2026-09-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 6 2 — — $14,938.02 $49,034.50 $35,750.37 2026-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 2 — — $19,323.96 $77,039.56 $51,643.38 2026-09-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/mcc 6 2 — — $10,991.46 $38,726.18 $27,354.72 2026-09-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 8 3 — — $9,109.00 $51,606.92 $25,303.47 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 3 — — $47,226.15 $210,121.89 $97,898.96 2026-09-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 3 — — $30,975.07 $134,500.31 $73,152.00 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 3 — — $60,985.86 $253,605.76 $122,510.11 2026-09-01
545 MS_DRG Connective Tissue Disorders With Mcc 6 2 — — $9,774.09 $57,878.21 $28,552.34 2026-09-01
92921 CPT Cor Angplsty Add 5 4 $45,527.00 $34,145.25 25% off $1.00 $34,145.25 $34,145.25 2026-09-01
92934 CPT Cor Ather Stnt Aplst Add 5 4 $69,883.00 $52,412.25 25% off $1.00 $52,412.25 $52,412.25 2026-09-01
92925 CPT Cor Atherect Aplas Add 5 4 $87,735.00 $65,801.25 25% off $1.00 $65,801.25 $65,801.25 2026-09-01
92929 CPT Cor Stnt Angio Add 5 4 $69,772.00 $52,329.00 25% off $1.00 $52,329.00 $52,329.00 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 5 — — $19,333.89 $178,301.35 $64,174.08 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 5 — — $10,634.76 $127,401.09 $49,958.96 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 5 — — $17,877.02 $196,602.13 $80,905.51 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 5 — — $12,470.11 $141,391.96 $59,418.48 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 3 — — $27,117.97 $136,867.49 $59,791.29 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 3 — — $18,129.80 $97,691.19 $49,833.50 2026-09-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 4 — — $8,341.76 $72,512.76 $24,135.69 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 2 — — $26,952.64 $106,038.14 $71,469.96 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 2 — — $35,496.90 $156,982.71 $96,073.96 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 4 — — $10,585.30 $133,642.06 $39,784.23 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 4 — — $7,073.08 $91,233.33 $25,774.52 2026-09-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $64,808.86 $76,835.25 $70,822.05 2026-09-01
374 MS_DRG Digestive Malignancy With Mcc 6 2 — — $11,976.12 $49,878.76 $32,413.90 2026-09-01
440 MS_DRG Disorders Of Pancreas Except Malignancy Without Cc/mcc 14 4 — — $2,769.38 $87,313.90 $44,076.91 2026-09-01
Q0480 HCPCS Dme Pos 2 1 — — $193,999.84 $229,999.82 $211,999.83 2026-09-01
L7181 HCPCS Dme Pos 2 1 — — $92,136.34 $109,233.81 $100,685.07 2026-09-01
L7180 HCPCS Dme Pos 2 1 — — $74,281.59 $88,065.80 $81,173.70 2026-09-01
L2006 HCPCS Dme Pos 2 1 — — $73,140.87 $86,713.40 $79,927.13 2026-09-01
L5856 HCPCS Dme Pos 2 1 — — $55,201.38 $65,444.94 $60,323.16 2026-09-01
L6880 HCPCS Dme Pos 2 1 — — $54,940.80 $65,136.00 $60,038.40 2026-09-01
L8614 HCPCS Dme Pos 2 1 — — $43,533.12 $51,611.43 $47,572.28 2026-09-01
Q0483 HCPCS Dme Pos 2 1 — — $43,114.33 $51,114.92 $47,114.62 2026-09-01
L5858 HCPCS Dme Pos 2 1 — — $42,736.63 $50,667.14 $46,701.88 2026-09-01
L5973 HCPCS Dme Pos 2 1 — — $39,562.15 $46,903.58 $43,232.87 2026-09-01
L6975 HCPCS Dme Pos 2 1 — — $37,391.83 $44,330.52 $40,861.18 2026-09-01
Q0489 HCPCS Dme Pos 2 1 — — $37,377.77 $44,313.85 $40,845.81 2026-09-01
L6970 HCPCS Dme Pos 2 1 — — $34,189.09 $40,533.45 $37,361.27 2026-09-01
Q0481 HCPCS Dme Pos 2 1 — — $33,413.73 $39,614.21 $36,513.97 2026-09-01
L5859 HCPCS Dme Pos 2 1 — — $33,364.16 $39,555.45 $36,459.81 2026-09-01
E0766 HCPCS Dme Pos 2 1 — — $30,432.72 $36,080.03 $33,256.38 2026-09-01
L6965 HCPCS Dme Pos 3 2 — — $20,857.49 $38,899.07 $32,810.52 2026-09-01
L6960 HCPCS Dme Pos 3 2 — — $18,839.70 $36,472.32 $30,763.61 2026-09-01
Q0479 HCPCS Dme Pos 2 1 — — $27,554.36 $32,667.54 $30,110.95 2026-09-01
L6955 HCPCS Dme Pos 3 2 — — $17,948.25 $32,198.02 $27,158.33 2026-09-01
L6945 HCPCS Dme Pos 3 2 — — $16,012.76 $28,900.79 $24,377.19 2026-09-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 6 2 — — $17,630.96 $56,948.29 $38,827.62 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 2 — — $94,429.08 $495,014.11 $261,696.78 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 2 — — $50,914.50 $164,454.69 $112,253.56 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 2 — — $38,229.48 $123,481.84 $85,759.14 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 2 — — $49,343.81 $497,936.36 $189,528.30 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 2 — — $15,076.17 $90,820.53 $44,381.85 2026-09-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 2 — — $10,178.94 $57,337.14 $29,086.82 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $22,549.15 $109,422.16 $61,030.28 2026-09-01
38 MS_DRG Extracranial Procedures With Cc 6 2 — — $9,316.02 $37,842.28 $25,175.39 2026-09-01
37 MS_DRG Extracranial Procedures With Mcc 6 2 — — $12,790.34 $76,778.36 $37,592.72 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 1 — — $18,049.39 $58,299.85 $39,403.16 2026-09-01
503 MS_DRG Foot Procedures With Mcc 6 2 — — $10,508.48 $65,094.03 $31,330.10 2026-09-01
533 MS_DRG Fractures Of Femur With Mcc 6 2 — — $14,591.49 $47,130.75 $30,426.03 2026-09-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 6 2 — — $11,375.93 $36,744.43 $24,273.82 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 2 — — $22,691.83 $167,281.71 $73,547.46 2026-09-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 2 — — $6,858.62 $75,115.50 $27,646.14 2026-09-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 6 2 — — $8,333.06 $51,555.61 $24,830.39 2026-09-01
J7310 HCPCS Ganciclovir Long Act Implant 3 2 — — $9,989.10 $39,008.00 $32,902.40 2026-09-01
906 MS_DRG Hand Procedures For Injuries 6 2 — — $9,174.46 $45,811.40 $24,922.17 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 4 — — $63,931.79 $653,573.40 $114,730.54 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 4 — — $86,483.31 $264,280.24 $130,173.30 2026-09-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 2 — — $13,197.46 $67,680.44 $36,243.34 2026-09-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 2 — — $13,851.44 $48,847.93 $34,490.34 2026-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 3 — — $10,015.00 $66,938.80 $24,395.75 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 2 — — $29,100.88 $142,760.96 $78,762.84 2026-09-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 2 — — $20,864.64 $67,393.14 $47,166.52 2026-09-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 2 — — $12,186.19 $67,307.29 $34,527.82 2026-09-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 2 — — $20,558.45 $72,623.79 $41,779.28 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 2 — — $29,665.40 $115,178.03 $78,055.51 2026-09-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 6 2 — — $15,404.69 $61,564.43 $31,305.70 2026-09-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 2 — — $13,527.56 $58,116.09 $36,612.96 2026-09-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 2 1 — — $118,728.00 $140,760.00 $129,744.00 2026-09-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 2 — — $8,837.56 $46,900.54 $24,618.33 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 4 — — $13,205.81 $123,462.00 $38,593.75 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 4 — — $14,087.41 $183,516.15 $36,200.68 2026-09-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 4 — — $9,003.80 $102,573.86 $29,985.28 2026-09-01
116 MS_DRG Intraocular Procedures With Cc/mcc 6 2 — — $18,603.54 $67,822.93 $37,806.47 2026-09-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 2 — — $14,461.83 $64,301.09 $39,141.58 2026-09-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 2 — — $11,826.07 $40,981.42 $29,160.06 2026-09-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 2 — — $10,555.47 $34,094.35 $24,504.74 2026-09-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 6 2 — — $11,648.28 $42,679.26 $29,639.28 2026-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 2 — — $24,218.36 $78,225.71 $55,880.61 2026-09-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 6 2 — — $9,908.28 $36,191.08 $25,167.07 2026-09-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 2 — — $17,300.29 $59,258.87 $42,383.42 2026-09-01
652 MS_DRG Kidney Transplant 6 2 — — $17,356.91 $75,318.40 $46,977.26 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 4 — — $9,226.33 $109,646.05 $27,487.07 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 4 — — $7,128.43 $86,426.67 $26,666.26 2026-09-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 2 — — $14,301.58 $75,262.43 $39,698.99 2026-09-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 6 2 — — $11,201.53 $41,254.29 $28,586.56 2026-09-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 6 2 — — $10,447.89 $39,451.50 $27,049.03 2026-09-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 2 — — $12,537.24 $55,655.62 $33,932.61 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 2 — — $38,717.51 $155,754.61 $78,682.45 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 4 — — $29,685.69 $240,461.48 $53,923.10 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 12 4 — — $26,974.15 $131,237.12 $82,939.07 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 2 — — $23,466.99 $84,558.58 $59,147.37 2026-09-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 2 — — $12,379.27 $42,070.56 $30,195.79 2026-09-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 2 — — $13,232.56 $70,357.81 $36,890.62 2026-09-01
7 MS_DRG Lung Transplant 12 4 — — $52,052.04 $302,024.56 $89,814.04 2026-09-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 2 — — $12,391.16 $52,208.63 $33,537.23 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 2 — — $25,462.91 $136,778.87 $71,294.28 2026-09-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 2 — — $12,529.88 $75,444.34 $36,877.81 2026-09-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 2 — — $9,765.60 $52,838.32 $27,426.90 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 2 — — $31,584.32 $106,926.71 $76,877.97 2026-09-01
654 MS_DRG Major Bladder Procedures With Cc 6 2 — — $13,959.59 $65,285.27 $37,782.25 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 6 2 — — $25,881.92 $121,190.44 $70,050.57 2026-09-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 6 2 — — $9,095.76 $49,363.35 $25,578.58 2026-09-01
164 MS_DRG Major Chest Procedures With Cc 6 2 — — $12,323.78 $58,864.73 $33,354.87 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 14 4 — — $22,982.87 $104,524.54 $41,197.30 2026-09-01
165 MS_DRG Major Chest Procedures Without Cc/mcc 14 4 — — $9,165.40 $49,838.33 $30,614.38 2026-09-01
183 MS_DRG Major Chest Trauma With Mcc 14 4 — — $5,073.90 $46,195.76 $27,869.62 2026-09-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 2 — — $8,214.15 $51,492.64 $24,624.47 2026-09-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 6 2 — — $11,007.88 $42,128.86 $28,722.00 2026-09-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 2 — — $11,203.80 $55,907.50 $30,426.62 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 2 — — $20,581.53 $107,199.57 $56,886.04 2026-09-01
583 MS_DRG Mastectomy For Malignancy Without Cc/mcc 22 4 — — $6,260.13 $327,626.80 $162,179.28 2026-09-01
551 MS_DRG Medical Back Problems With Mcc 8 3 — — $8,783.20 $39,090.00 $27,071.45 2026-09-01
607 MS_DRG Minor Skin Disorders Without Mcc 22 4 — — $2,568.37 $96,498.59 $36,330.82 2026-09-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 6 2 — — $9,611.02 $35,092.61 $24,407.00 2026-09-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 3 — — $31,165.32 $131,116.28 $73,152.00 2026-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 5 — — $3,115.04 $257,036.43 $35,003.10 2026-09-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 5 — — $3,041.06 $168,352.19 $25,943.43 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 6 — — $14,212.31 $155,828.28 $35,946.68 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 4 — — $17,644.00 $98,903.94 $47,054.86 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $39,619.55 $127,971.79 $86,508.83 2026-09-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $14,334.99 $53,901.81 $37,022.31 2026-09-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 2 — — $12,654.45 $73,697.52 $36,693.67 2026-09-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $13,955.06 $79,957.14 $40,174.94 2026-09-01
67 MS_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc 6 2 — — $10,106.46 $34,253.02 $24,614.85 2026-09-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 6 — — $11,024.00 $67,339.94 $25,454.23 2026-09-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 2 — — $9,015.92 $54,501.18 $26,582.97 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 2 — — $12,271.12 $84,623.88 $38,484.78 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 2 — — $13,947.13 $90,137.20 $42,407.71 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 5 — — $6,058.85 $133,926.69 $29,883.31 2026-09-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 5 — — $7,596.56 $88,152.98 $27,289.86 2026-09-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 2 — — $10,006.81 $54,235.31 $28,124.61 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 2 — — $18,720.37 $102,448.88 $52,832.30 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 4 — — $6,859.62 $87,378.21 $26,708.58 2026-09-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 2 — — $10,373.72 $50,813.97 $28,076.93 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 2 — — $32,720.72 $105,688.47 $70,183.18 2026-09-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/mcc 22 4 — — $6,939.59 $195,063.44 $37,374.05 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 3 — — $23,218.98 $106,673.00 $78,773.98 2026-09-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 5 — — $7,129.94 $106,673.00 $24,550.34 2026-09-01
215 MS_DRG Other Heart Assist System Implant 6 2 — — $67,955.46 $232,217.15 $166,263.21 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 4 — — $15,329.36 $96,856.27 $40,130.35 2026-09-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 2 — — $9,866.38 $48,817.61 $26,703.81 2026-09-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 2 — — $9,570.82 $54,540.83 $27,487.88 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 2 — — $19,759.95 $97,989.72 $53,527.60 2026-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 3 — — $17,794.03 $82,940.03 $55,581.01 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 3 — — $26,809.95 $123,053.87 $59,568.55 2026-09-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 8 3 — — $12,744.48 $60,609.00 $44,193.86 2026-09-01
964 MS_DRG Other Multiple Significant Trauma With Cc 6 2 — — $9,635.93 $35,743.30 $24,692.22 2026-09-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 2 — — $20,665.33 $66,749.36 $47,840.52 2026-09-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 8 3 — — $12,197.51 $50,914.00 $38,918.39 2026-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 3 — — $26,587.99 $85,879.66 $54,478.78 2026-09-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 6 2 — — $11,928.56 $46,532.05 $31,473.06 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 2 — — $15,349.09 $89,540.15 $44,540.19 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 2 — — $24,343.50 $98,276.58 $65,544.08 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 2 — — $36,097.09 $177,711.31 $97,698.40 2026-09-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 6 2 — — $16,279.39 $68,662.30 $44,060.90 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 2 — — $15,820.19 $92,917.18 $46,045.93 2026-09-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 14 4 — — $11,011.28 $49,022.12 $27,285.81 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 4 — — $19,745.79 $87,170.64 $34,529.96 2026-09-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 2 — — $14,732.48 $75,528.30 $40,453.54 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 10 4 — — $6,729.53 $81,354.13 $30,454.21 2026-09-01
10 MS_DRG Pancreas Transplant 4 2 — — $23,528.71 $167,351.68 $103,279.85 2026-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 2 — — $12,247.90 $67,638.46 $34,700.55 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 4 — — $9,926.06 $127,583.00 $29,918.54 2026-09-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 6 2 — — $10,434.30 $51,765.51 $28,270.22 2026-09-01
J9266 HCPCS Pegaspargase Injection 3 2 — — $26,724.79 $59,297.35 $50,016.03 2026-09-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 6 2 — — $8,673.36 $49,675.86 $24,965.33 2026-09-01
709 MS_DRG Penis Procedures With Cc/mcc 6 2 — — $9,135.39 $54,272.63 $26,725.50 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 8 3 — — $20,100.24 $96,214.91 $43,163.79 2026-09-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 8 3 — — $13,700.83 $76,769.03 $31,889.11 2026-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 5 — — $11,814.34 $63,454.50 $28,922.15 2026-09-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 8 3 — — $20,829.00 $87,620.77 $33,748.36 2026-09-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 6 2 — — $9,168.80 $38,077.83 $24,815.78 2026-09-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 2 — — $10,865.76 $49,179.10 $29,408.67 2026-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 2 — — $22,516.30 $83,280.53 $57,602.85 2026-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 5 — — $6,894.83 $91,796.15 $45,953.97 2026-09-01
J9600 HCPCS Porfimer Sodium Injection 3 2 — — $5,141.27 $51,039.88 $43,051.03 2026-09-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 2 — — $8,793.96 $49,944.06 $25,219.27 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 2 — — $22,390.60 $106,084.78 $60,601.18 2026-09-01
791 MS_DRG Prematurity With Major Problems 3 1 — — $12,737.69 $41,142.93 $27,807.31 2026-09-01
665 MS_DRG Prostatectomy With Mcc 6 2 — — $12,113.14 $72,792.63 $35,619.85 2026-09-01
92938 CPT Prq Revasc Byp Graft Addl 5 4 $69,883.00 $52,412.25 25% off $1.00 $52,412.25 $52,412.25 2026-09-01
333 MS_DRG Rectal Resection With Cc 6 2 — — $11,237.20 $54,624.79 $30,413.99 2026-09-01
332 MS_DRG Rectal Resection With Mcc 6 2 — — $16,858.63 $84,441.97 $45,853.52 2026-09-01
178 MS_DRG Respiratory Infections And Inflammations With Cc 14 4 — — $5,670.13 $54,135.54 $33,280.15 2026-09-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 2 — — $14,533.17 $64,105.18 $39,334.68 2026-09-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 2 — — $17,321.80 $82,247.37 $46,882.24 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 2 — — $42,465.93 $161,197.00 $110,276.91 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 4 — — $29,175.62 $130,710.48 $48,544.38 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 2 — — $37,721.01 $166,393.14 $102,688.30 2026-09-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 3 — — $22,151.66 $93,766.10 $70,136.11 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 4 — — $17,644.00 $124,296.93 $52,973.12 2026-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 4 — — $17,473.55 $75,339.39 $36,038.03 2026-09-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $103,647.71 $122,881.31 $113,264.51 2026-09-01
570 MS_DRG Skin Debridement With Mcc 6 2 — — $14,244.96 $68,592.33 $38,554.64 2026-09-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 2 — — $10,642.10 $61,819.63 $30,823.61 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $14,023.00 $114,305.79 $47,861.49 2026-09-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 2 — — $8,765.65 $80,959.99 $32,015.22 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $25,803.78 $152,791.75 $75,376.99 2026-09-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 4 — — $9,743.98 $99,272.69 $26,444.45 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 2 — — $12,128.43 $85,664.04 $38,483.79 2026-09-01
593 MS_DRG Skin Ulcers With Cc 22 4 — — $1,034.26 $175,271.74 $55,833.73 2026-09-01
A9604 HCPCS Sm 153 Lexidronam 2 1 — — $37,906.55 $44,940.76 $41,423.65 2026-09-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 4 — — $7,043.44 $73,809.47 $24,872.01 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $70,007.44 $226,125.20 $124,903.20 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $43,881.48 $141,737.92 $96,385.76 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 3 — — $36,792.98 $118,841.92 $83,111.39 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 6 2 — — $17,539.23 $140,125.57 $59,235.71 2026-09-01
800 MS_DRG Splenic Procedures With Cc 6 2 — — $15,637.30 $65,520.83 $42,323.05 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 6 2 — — $22,373.05 $105,623.01 $60,553.68 2026-09-01
801 MS_DRG Splenic Procedures Without Cc/mcc 6 2 — — $13,165.75 $44,519.37 $32,025.36 2026-09-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 2 — — $12,364.55 $57,003.63 $33,465.21 2026-09-01
J9226 HCPCS Supprelin La Implant 2 1 — — $86,477.31 $102,524.65 $94,500.98 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 2 — — $18,386.30 $98,325.55 $51,383.23 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 4 — — $18,564.39 $127,200.52 $52,002.27 2026-09-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 2 — — $15,152.05 $67,209.34 $41,009.70 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 4 — — $31,617.43 $323,042.35 $84,752.00 2026-09-01
668 MS_DRG Transurethral Procedures With Mcc 6 2 — — $13,496.42 $68,100.24 $36,818.77 2026-09-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 6 2 — — $9,925.27 $52,985.25 $27,717.19 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 2 — — $25,255.68 $129,814.92 $69,423.44 2026-09-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 2 — — $17,411.26 $69,415.60 $46,532.28 2026-09-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 6 2 — — $16,005.34 $51,697.52 $33,173.45 2026-09-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 2 — — $26,083.49 $84,250.11 $53,417.99 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 2 — — $8,446.30 $83,558.06 $32,072.57 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 2 — — $13,363.92 $83,364.49 $39,971.86 2026-09-01
32 MS_DRG Ventricular Shunt Procedures With Cc 6 2 — — $17,899.35 $57,815.19 $39,246.35 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 2 — — $41,287.06 $133,357.90 $86,504.26 2026-09-01
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 6 2 — — $13,183.30 $42,582.28 $29,769.39 2026-09-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 2 — — $15,909.65 $72,641.03 $43,060.18 2026-09-01
902 MS_DRG Wound Debridements For Injuries With Cc 6 2 — — $11,291.56 $44,649.97 $30,031.41 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 2 — — $16,156.52 $97,873.11 $47,682.32 2026-09-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 1 — — $143,801.39 $170,486.19 $157,143.79 2026-09-01
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