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

JPS HEALTH NETWORK

Fort Worth, TX · CCN 450039 · Rates published

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You selected 93350 (HCPCS)

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This hospital’s price: $563 across 5 payers · range $311-$823

Source: https://www.jpshealthnet.org/price-transparency/75-6000439_jps-health-network_standardcharges.csv · observed 2026-04-01

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.

19,044 distinct procedures filed
78 distinct payers
704,472 rate rows
2026-07-30 last MRF observed
Data quality

660,704 of 704,472 rate rows are consumer-grade (93.8%)

43,768 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 37,923
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
placeholder amount (≤ $0.02) — excluded from medians 2,342
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 473
template filing: same amount across many unrelated codes — excluded 174
exceeds 3× this hospital's gross charge for a DRG stay — excluded 98
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 61
exceeds 10× this hospital's gross charge — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.jpshealthnet.org/price-transparency/75-6000439_jps-health-network_standardcharges.csv
Found on page https://jpshealthnet.org/financial-resources/price-transparency-jps-health-network
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 68640c17e3c0fc7c… · 38,040,747 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 13 $459,347.53 $906,838.80 $482,314.91 nat. median
$359,358
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $109,040.41 $588,501.90 $331,962.40 nat. median
$249,124
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $253,116.90 $448,360.50 $265,772.74 nat. median
$198,433
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 75 $73,725.33 $700,938.57 $180,270.35 nat. median
$190,557
0.9× median
7
MS_DRG 		Lung Transplant 13 $155,402.40 $271,954.20 $178,110.79 nat. median
$117,894
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $144,214.80 $252,375.90 $169,083.99 nat. median
$110,192
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $135,825.60 $237,694.80 $162,315.11 nat. median
$92,655
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $131,472.62 $237,967.80 $158,479.01 nat. median
$103,967
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $130,489.20 $228,356.10 $158,009.41 nat. median
$97,414
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $60,621.04 $231,445.20 $155,545.04 nat. median
$93,270
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 13 $119,484.00 $224,952.33 $152,767.10 nat. median
$93,917
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $123,726.00 $216,520.50 $152,552.47 nat. median
$94,964
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $108,115.20 $197,987.67 $139,956.80 nat. median
$78,037
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $357.92 $193,192.39 $133,236.13 nat. median
$78,262
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $92,997.68 $430,695.11 $125,767.08 nat. median
$74,460
1.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $86,072.40 $172,827.86 $125,151.21 nat. median
$61,329
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $70,997.16 $179,753.01 $123,967.59 nat. median
$72,473
1.7× median
10
MS_DRG 		Pancreas Transplant 13 $86,108.40 $172,868.96 $122,200.47 nat. median
$64,903
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $85,615.20 $172,306.01 $121,802.52 nat. median
$66,660
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $32,882.47 $189,684.62 $120,030.59 nat. median
$77,696
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $86,623.20 $173,456.55 $119,625.21 nat. median
$63,648
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $30,066.94 $172,248.49 $118,792.06 nat. median
$66,649
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 5 $111,492.17 $167,238.26 $117,624.24 nat. median
$111,503
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $82,534.80 $168,790.02 $117,539.99 nat. median
$63,896
1.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $57,817.89 $166,168.43 $114,598.92 nat. median
$57,560
2.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 $57,601.91 $212,189.68 $114,552.64 nat. median
$60,543
1.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $60,871.54 $164,645.35 $113,548.52 nat. median
$59,558
1.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 74 $16,247.34 $175,677.00 $113,153.88 nat. median
$55,188
outlier · 2.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 13 $71,156.40 $155,802.64 $110,136.36 nat. median
$53,907
outlier · 2.0×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 $55,989.83 $158,524.21 $109,327.04 nat. median
$58,331
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 75 $38,372.39 $579,002.40 $108,451.93 nat. median
$126,722
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 13 $48,566.90 $156,879.21 $108,192.56 nat. median
$54,505
2.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 $72,079.20 $189,225.00 $108,176.50 nat. median
$56,686
1.9× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 13 $68,482.80 $152,750.98 $107,979.14 nat. median
$48,456
outlier · 2.2×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 13 $67,255.20 $151,349.78 $106,988.64 nat. median
$50,788
outlier · 2.1×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 13 $66,794.40 $150,823.82 $106,616.84 nat. median
$48,086
outlier · 2.2×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 $59,126.45 $153,575.53 $105,914.16 nat. median
$51,243
outlier · 2.1×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 13 $65,187.60 $148,989.81 $105,320.38 nat. median
$50,898
outlier · 2.1×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $67,464.00 $151,588.10 $104,543.52 nat. median
$50,590
outlier · 2.1×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 13 $63,955.20 $147,583.15 $104,326.01 nat. median
$48,243
outlier · 2.2×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 $40,611.16 $150,232.12 $103,608.36 nat. median
$53,342
1.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 $36,171.97 $200,018.50 $102,957.52 nat. median
$50,083
outlier · 2.1×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $49,187.82 $149,394.00 $101,811.70 nat. median
$50,679
outlier · 2.0×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 $63,525.60 $147,092.80 $101,443.31 nat. median
$51,590
2.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With McC 72 $32,760.00 $142,896.06 $101,012.74 nat. median
$46,224
outlier · 2.2×
653
MS_DRG 		Major Bladder Procedures With Mcc 13 $45,964.26 $145,758.71 $100,523.25 nat. median
$49,999
outlier · 2.0×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 $18,091.62 $164,317.99 $99,245.48 nat. median
$58,118
1.7× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $44,260.98 $143,619.27 $99,047.77 nat. median
$46,557
outlier · 2.1×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 13 $56,416.80 $138,978.76 $97,288.41 nat. median
$42,849
outlier · 2.3×
140
MS_DRG 		Major Head And Neck Procedures With McC 74 $6,764.07 $215,302.97 $96,543.69 nat. median
$38,387
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 19,044 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 14 13 — — $459,347.53 $906,838.80 $482,314.91 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 13 — — $109,040.41 $588,501.90 $331,962.40 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 13 — — $253,116.90 $448,360.50 $265,772.74 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 95 75 $554,599.00 $332,759.40 40% off $73,725.33 $700,938.57 $180,270.35 2026-07-30
7 MS_DRG Lung Transplant 14 13 — — $155,402.40 $271,954.20 $178,110.79 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 13 — — $144,214.80 $252,375.90 $169,083.99 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 13 — — $135,825.60 $237,694.80 $162,315.11 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 13 — — $131,472.62 $237,967.80 $158,479.01 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 13 — — $130,489.20 $228,356.10 $158,009.41 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 13 — — $60,621.04 $231,445.20 $155,545.04 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 13 — — $119,484.00 $224,952.33 $152,767.10 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 13 — — $123,726.00 $216,520.50 $152,552.47 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 13 — — $108,115.20 $197,987.67 $139,956.80 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 13 — — $357.92 $193,192.39 $133,236.13 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 13 — — $92,997.68 $430,695.11 $125,767.08 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 13 — — $86,072.40 $172,827.86 $125,151.21 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $70,997.16 $179,753.01 $123,967.59 2026-04-01
10 MS_DRG Pancreas Transplant 14 13 — — $86,108.40 $172,868.96 $122,200.47 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 13 — — $85,615.20 $172,306.01 $121,802.52 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 19 $193,510.00 $116,106.00 40% off $32,882.47 $189,684.62 $120,030.59 2026-07-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 13 — — $86,623.20 $173,456.55 $119,625.21 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 13 — — $30,066.94 $172,248.49 $118,792.06 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 5 — — $111,492.17 $167,238.26 $117,624.24 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 13 — — $82,534.80 $168,790.02 $117,539.99 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 13 — — $57,817.89 $166,168.43 $114,598.92 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 13 — — $57,601.91 $212,189.68 $114,552.64 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 13 — — $60,871.54 $164,645.35 $113,548.52 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 79 74 $183,099.00 $109,859.40 40% off $16,247.34 $175,677.00 $113,153.88 2026-07-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 13 — — $71,156.40 $155,802.64 $110,136.36 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 13 — — $55,989.83 $158,524.21 $109,327.04 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 83 75 $302,585.00 $181,551.00 40% off $38,372.39 $579,002.40 $108,451.93 2026-07-30
28 MS_DRG Spinal Procedures With Mcc 18 13 — — $48,566.90 $156,879.21 $108,192.56 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 13 — — $72,079.20 $189,225.00 $108,176.50 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 13 — — $68,482.80 $152,750.98 $107,979.14 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 13 — — $67,255.20 $151,349.78 $106,988.64 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 13 — — $66,794.40 $150,823.82 $106,616.84 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 13 — — $59,126.45 $153,575.53 $105,914.16 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 13 — — $65,187.60 $148,989.81 $105,320.38 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 13 — — $67,464.00 $151,588.10 $104,543.52 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 13 — — $63,955.20 $147,583.15 $104,326.01 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 13 — — $40,611.16 $150,232.12 $103,608.36 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 13 — — $36,171.97 $200,018.50 $102,957.52 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 13 — — $49,187.82 $149,394.00 $101,811.70 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 13 — — $63,525.60 $147,092.80 $101,443.31 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 82 72 $133,364.00 $80,018.40 40% off $32,760.00 $142,896.06 $101,012.74 2026-07-30
653 MS_DRG Major Bladder Procedures With Mcc 18 13 — — $45,964.26 $145,758.71 $100,523.25 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 19 $171,245.00 $102,747.00 40% off $18,091.62 $164,317.99 $99,245.48 2026-07-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $44,260.98 $143,619.27 $99,047.77 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 13 — — $56,416.80 $138,978.76 $97,288.41 2026-04-01
140 MS_DRG Major Head And Neck Procedures With McC 82 74 $132,950.00 $79,770.00 40% off $6,764.07 $215,302.97 $96,543.69 2026-07-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 13 — — $330.17 $139,792.35 $96,408.52 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 19 $186,590.00 $111,954.00 40% off $16,782.80 $158,426.96 $96,341.58 2026-07-30
6 MS_DRG Liver Transplant Without Mcc 14 13 — — $55,644.00 $138,096.68 $96,308.04 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 13 — — $55,422.00 $137,843.29 $96,026.42 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 13 — — $50,803.57 $138,655.51 $95,624.49 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 74 $335,426.28 $201,255.77 40% off $45,004.98 $274,389.46 $94,773.36 2026-07-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 83 75 $128,536.00 $77,121.60 40% off $9,231.80 $156,490.53 $94,746.00 2026-07-30
245 MS_DRG Aicd Generator Procedures 17 13 — — $41,203.97 $137,074.89 $94,534.41 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 24 19 $202,353.64 $121,412.18 40% off $26,522.07 $149,778.75 $94,442.65 2026-07-30
799 MS_DRG Splenic Procedures With Mcc 18 13 — — $19,376.62 $136,616.06 $94,217.97 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 13 — — $27,607.76 $135,953.12 $93,760.77 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 13 — — $53,554.80 $135,712.05 $93,657.71 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 13 — — $51,928.80 $133,856.13 $92,314.57 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 13 — — $29,765.36 $135,359.71 $91,496.54 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 13 — — $22,472.42 $132,428.91 $91,330.28 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 13 — — $20,487.72 $194,509.60 $91,262.27 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 13 — — $47,664.44 $132,064.58 $91,079.02 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 13 — — $47,446.41 $131,735.85 $90,852.31 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 14 — — $42,236.88 $129,652.56 $89,415.56 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 13 — — $32,638.00 $129,153.99 $89,071.72 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 13 — — $35,253.93 $127,600.77 $88,000.53 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 82 74 $88,427.00 $53,056.20 40% off $10,645.15 $131,335.30 $87,289.99 2026-07-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 13 — — $44,959.20 $125,900.98 $86,828.26 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 13 — — $30,575.07 $125,773.59 $86,740.41 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 13 — — $44,469.60 $125,342.15 $86,442.86 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 82 72 $95,704.00 $57,422.40 40% off $15,190.72 $127,031.61 $86,411.50 2026-07-30
332 MS_DRG Rectal Resection With Mcc 17 13 — — $33,540.12 $124,176.54 $85,638.99 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 13 — — $22,600.90 $124,142.30 $85,615.38 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 13 — — $13,295.50 $124,054.63 $85,554.92 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 13 — — $43,276.80 $123,980.67 $85,503.91 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 13 — — $31,877.85 $123,421.84 $85,118.51 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 13 — — $25,645.33 $122,131.60 $84,228.69 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 4 — — $72,346.81 $148,873.20 $84,120.01 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 90 76 $188,852.75 $113,311.65 40% off $17,697.37 $257,383.55 $84,078.64 2026-07-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With McC 80 74 $76,662.00 $45,997.20 40% off $9,685.16 $143,172.00 $83,969.02 2026-07-30
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 13 — — $41,263.20 $121,682.35 $83,918.86 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With McC 78 74 $227,192.45 $136,315.47 40% off $28,429.12 $190,047.58 $83,815.50 2026-07-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 90 75 $229,992.00 $137,995.20 40% off $5,637.26 $208,800.00 $83,685.55 2026-07-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 13 — — $19,520.05 $121,250.88 $83,621.30 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 82 72 $105,766.07 $63,459.64 40% off $100.00 $119,670.27 $83,087.51 2026-07-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 88 75 $198,377.00 $119,026.20 40% off $21,204.48 $239,419.50 $82,864.17 2026-07-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 13 — — $30,130.05 $119,829.15 $82,640.79 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 77 72 $102,205.00 $61,323.00 40% off $24,904.04 $113,897.04 $82,477.16 2026-07-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 13 — — $35,314.50 $119,137.47 $82,163.77 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 13 — — $17,679.95 $118,830.65 $81,952.17 2026-04-01
652 MS_DRG Kidney Transplant 14 13 — — $38,754.00 $118,818.32 $81,943.67 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 14 13 — — $38,649.60 $118,699.16 $81,861.49 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 13 — — $38,524.80 $118,556.71 $81,763.25 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 82 74 $299,120.36 $179,472.22 40% off $40,040.00 $284,048.00 $81,580.36 2026-07-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 70 61 $94,970.83 $56,982.50 40% off $29,120.00 $183,663.28 $81,540.80 2026-07-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 13 — — $29,982.34 $118,192.37 $81,511.98 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 13 — — $37,812.00 $117,743.12 $81,202.15 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With McC 87 75 $84,643.00 $50,785.80 40% off $17,148.19 $181,408.51 $81,136.65 2026-07-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 13 — — $30,720.44 $117,621.22 $81,118.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 19 $155,740.00 $93,444.00 40% off $20,938.90 $154,965.76 $81,025.82 2026-07-30
665 MS_DRG Prostatectomy With Mcc 17 13 — — $28,538.77 $117,334.96 $80,920.66 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 13 — — $11,832.42 $116,461.09 $80,317.99 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 13 — — $23,215.87 $115,950.19 $79,965.65 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 13 — — $35,716.80 $115,351.65 $79,552.86 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 88 74 $236,134.19 $141,680.51 40% off $35,149.05 $237,392.22 $79,507.77 2026-07-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 81 75 $235,046.42 $141,027.85 40% off $26,040.16 $192,377.30 $79,396.58 2026-07-30
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 13 — — $31,123.00 $114,132.62 $78,712.15 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 17 13 — — $19,539.04 $114,055.91 $78,659.25 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 22 13 — — $13,034.10 $114,936.63 $78,169.24 2026-04-01
800 MS_DRG Splenic Procedures With Cc 18 13 — — $23,485.82 $113,064.26 $77,975.35 2026-04-01
849 MS_DRG Radiotherapy 17 13 — — $8,187.99 $111,695.95 $77,031.69 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 13 — — $32,474.40 $111,650.74 $77,000.51 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 17 13 — — $24,941.63 $111,530.22 $76,917.39 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 19 $122,459.26 $73,475.56 40% off $17,050.90 $134,751.91 $76,427.94 2026-07-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 19 $109,801.00 $65,880.60 40% off $34,112.00 $124,245.03 $76,139.70 2026-07-30
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 67 65 $200,494.47 $120,296.68 40% off $18,200.00 $165,001.61 $75,814.32 2026-07-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 17 13 — — $25,590.45 $109,911.25 $75,800.86 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 13 — — $30,433.18 $109,911.25 $75,800.86 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 21 13 — — $15,941.46 $109,752.36 $75,691.28 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 21 13 — — $9,753.46 $109,552.39 $75,553.37 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 13 — — $9,193.00 $109,386.65 $75,439.07 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 17 13 — — $25,393.02 $108,715.50 $74,976.21 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 19 $102,559.00 $61,535.40 40% off $11,141.08 $123,380.75 $74,814.60 2026-07-30
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 13 — — $29,066.40 $107,760.82 $74,317.81 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 13 — — $28,971.60 $107,652.63 $74,243.19 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 14 13 — — $28,863.60 $107,529.35 $74,158.17 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without McC 79 74 $95,976.85 $57,586.11 40% off $7,280.00 $102,280.71 $74,065.34 2026-07-30
397 MS_DRG Appendix Procedures With Mcc 18 13 — — $15,482.95 $155,408.75 $74,059.93 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 19 $64,565.00 $38,739.00 40% off $16,930.65 $122,789.04 $73,907.40 2026-07-30
113 MS_DRG Orbital Procedures With Cc/Mcc 20 13 — — $9,028.65 $106,786.98 $73,646.19 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 17 13 — — $19,294.88 $106,458.26 $73,419.49 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 17 13 — — $17,491.08 $106,026.80 $73,121.93 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 21 20 $42,656.00 $25,593.60 40% off $2,047.44 $105,835.05 $72,989.69 2026-07-30
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 86 74 $64,647.00 $38,788.20 40% off $1,684.26 $105,754.24 $72,933.96 2026-07-30
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 5 — — $68,801.71 $103,202.56 $72,585.80 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 13 — — $1,935.16 $104,862.56 $72,319.01 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 21 13 — — $20,092.62 $104,825.59 $72,293.51 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 18 13 — — $14,551.68 $104,651.63 $72,173.54 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 19 13 — — $26,190.00 $104,477.69 $72,053.58 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 13 — — $18,583.01 $104,406.47 $72,004.46 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 79 74 $118,145.90 $70,887.54 40% off $3,956.91 $154,913.71 $71,677.63 2026-07-30
374 MS_DRG Digestive Malignancy With Mcc 20 13 — — $18,842.05 $103,877.77 $71,639.84 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 21 16 $51,470.00 $30,882.00 40% off $6,708.90 $103,772.30 $71,567.10 2026-07-30
595 MS_DRG Major Skin Disorders With Mcc 17 13 — — $15,678.78 $103,631.22 $71,469.81 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 17 13 — — $22,434.34 $103,381.94 $71,297.89 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 19 $383,130.37 $229,878.22 40% off $25,118.40 $381,856.37 $71,210.04 2026-07-30
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 17 13 — — $21,178.49 $103,175.11 $71,155.25 2026-04-01
835 MS_DRG Acute Leukemia With Cc 17 13 — — $25,029.60 $103,153.20 $71,140.14 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 18 13 — — $1,403.55 $103,125.81 $71,121.25 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 20 13 — — $14,870.77 $103,065.54 $71,079.68 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 18 13 — — $16,885.36 $102,891.59 $70,959.72 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 17 13 — — $9,329.98 $102,180.72 $70,469.46 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 19 13 — — $762.22 $101,982.11 $70,332.49 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 17 13 — — $16,741.07 $101,906.78 $70,280.54 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 19 $80,009.44 $48,005.66 40% off $5,812.02 $124,283.37 $70,023.68 2026-07-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 22 13 — — $11,493.47 $111,850.72 $70,004.07 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 18 13 — — $14,629.84 $100,730.22 $69,469.12 2026-04-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 19 13 — — $20,878.00 $100,478.20 $69,295.31 2026-04-01
504 MS_DRG Foot Procedures With Cc 18 13 — — $15,810.29 $100,186.46 $69,094.11 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 18 13 — — $13,905.40 $100,045.37 $68,996.81 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 74 $246,896.96 $148,138.18 40% off $28,279.48 $202,061.10 $68,945.92 2026-07-30
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 10 $385,941.00 $231,564.60 40% off $43,852.87 $186,089.40 $68,582.68 2026-07-30
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 13 — — $9,405.99 $99,292.04 $68,477.27 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 19 13 — — $16,267.41 $99,289.32 $68,475.39 2026-04-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 17 13 — — $12,881.59 $99,197.54 $68,412.10 2026-04-01
671 MS_DRG Urethral Procedures With Cc/Mcc 17 13 — — $11,426.11 $99,170.14 $68,393.20 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 18 13 — — $20,077.62 $98,779.79 $68,123.99 2026-04-01
666 MS_DRG Prostatectomy With Cc 17 13 — — $15,154.64 $98,544.20 $67,961.52 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 13 — — $21,801.73 $112,550.62 $67,915.51 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 17 13 — — $17,328.05 $98,382.57 $67,850.05 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 17 13 — — $17,407.74 $98,203.15 $67,726.31 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 6 — — $60,000.00 $96,423.45 $67,657.12 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 13 — — $7,446.31 $108,062.16 $67,634.97 2026-04-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 18 13 — — $18,515.99 $97,999.06 $67,585.56 2026-04-01
289 MS_DRG Acute And Subacute Endocarditis With Cc 17 13 — — $19,001.45 $97,963.45 $67,561.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 19 $79,377.82 $47,626.69 40% off $17,828.23 $198,254.62 $67,535.85 2026-07-30
915 MS_DRG Allergic Reactions With Mcc 20 13 — — $3,950.07 $97,616.91 $67,322.01 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $67,138.44 $67,138.44 $67,138.44 2026-04-01
413 MS_DRG Cholecystectomy With C.d.e. Without Cc/Mcc 17 13 — — $15,137.78 $97,327.92 $67,122.70 2026-04-01
913 MS_DRG Traumatic Injury With Mcc 18 13 — — $18,317.80 $96,973.17 $66,878.05 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 19 13 — — $16,294.31 $96,908.79 $66,833.65 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc 17 13 — — $16,929.01 $96,586.92 $66,611.67 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 20 13 — — $1,684.26 $96,530.76 $66,572.94 2026-04-01
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 13 — — $14,518.83 $96,330.78 $66,435.02 2026-04-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 18 13 — — $13,907.17 $96,256.81 $66,384.01 2026-04-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 17 13 — — $18,909.60 $96,167.78 $66,322.61 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 19 13 — — $11,941.11 $96,147.24 $66,308.44 2026-04-01
533 MS_DRG Fractures Of Femur With Mcc 17 13 — — $18,812.40 $96,056.84 $66,246.10 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 18 13 — — $13,223.74 $96,036.30 $66,231.93 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With McC 67 65 $152,676.00 $91,605.60 40% off $10,483.64 $139,278.30 $66,207.93 2026-07-30
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 19 14 — — $1,665.00 $95,839.07 $66,095.91 2026-04-01
945 MS_DRG Rehabilitation With Cc/Mcc 14 13 — — $18,583.20 $95,795.24 $66,065.68 2026-04-01
115 MS_DRG Extraocular Procedures Except Orbit 19 13 — — $11,113.28 $95,607.59 $65,936.27 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 89 74 $119,297.00 $71,578.20 40% off $8,657.56 $126,125.61 $65,901.73 2026-07-30
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 20 13 — — $12,205.99 $95,465.14 $65,838.03 2026-04-01
398 MS_DRG Appendix Procedures With Cc 18 13 — — $18,163.20 $116,790.02 $65,735.06 2026-04-01
606 MS_DRG Minor Skin Disorders With Mcc 18 13 — — $12,031.60 $95,310.37 $65,731.29 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 17 13 — — $18,100.80 $95,244.61 $65,685.94 2026-04-01
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 13 — — $11,145.25 $95,198.05 $65,653.83 2026-04-01
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 21 13 — — $51.36 $95,193.94 $65,650.99 2026-04-01
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/Mcc 17 13 — — $15,122.45 $95,133.67 $65,609.43 2026-04-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 17 13 — — $12,180.53 $95,121.35 $65,600.93 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 18 13 — — $12,226.16 $95,091.22 $65,580.15 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 22 13 — — $8,665.21 $104,427.01 $65,550.54 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 16 13 — — $17,926.80 $95,046.02 $65,548.98 2026-04-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/McC 67 60 $57,113.00 $34,267.80 40% off $386.00 $143,405.00 $65,514.00 2026-07-30
905 MS_DRG Skin Grafts For Injuries Without Cc/Mcc 17 13 — — $13,143.05 $94,902.20 $65,449.79 2026-04-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/Mcc 17 13 — — $10,261.75 $94,798.10 $65,378.00 2026-04-01
67 MS_DRG Precerebral Occlusion Without Infarction With Mcc 18 13 — — $17,624.40 $94,700.85 $65,310.93 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 5 — — $44,247.19 $78,750.88 $65,264.61 2026-04-01
630 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures Without Cc/Mcc 18 13 — — $13,375.86 $94,574.84 $65,224.03 2026-04-01
741 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without… 18 14 — — $10,644.91 $94,117.37 $64,908.53 2026-04-01
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 13 — — $12,713.93 $94,010.53 $64,834.85 2026-04-01
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 14 13 — — $16,987.20 $93,973.54 $64,809.34 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 8 5 — — $3,292.82 $94,781.62 $64,767.44 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without McC 78 74 $200,915.00 $120,549.00 40% off $18,200.00 $164,527.26 $64,709.07 2026-07-30
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 13 — — $16,845.60 $93,811.93 $64,697.88 2026-04-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 18 13 — — $130.00 $93,731.12 $64,642.15 2026-04-01
748 MS_DRG Female Reproductive System Reconstructive Procedures 17 13 — — $9,196.60 $93,585.93 $64,542.02 2026-04-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 18 13 — — $12,943.25 $93,546.21 $64,514.63 2026-04-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 17 13 — — $14,050.36 $93,495.52 $64,479.67 2026-04-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 17 13 — — $12,915.76 $93,257.20 $64,315.31 2026-04-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 18 13 — — $12,030.50 $179,486.64 $64,306.81 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 18 13 — — $9,956.08 $93,064.07 $64,182.12 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 17 13 — — $10,283.91 $93,018.88 $64,150.95 2026-04-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 20 13 — — $285.40 $93,006.55 $64,142.45 2026-04-01
693 MS_DRG Urinary Stones With Mcc 17 13 — — $11,314.01 $92,999.69 $64,137.72 2026-04-01
718 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy Without Cc/Mcc 17 13 — — $8,473.38 $92,980.52 $64,124.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 6 — — $56,824.55 $85,236.82 $64,045.32 2026-04-01
150 MS_DRG Epistaxis With Mcc 17 13 — — $15,111.10 $92,821.65 $64,014.93 2026-04-01
348 MS_DRG Anal And Stomal Procedures With Cc 21 13 — — $200.00 $92,510.72 $63,800.50 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With McC 79 74 $600,253.74 $360,152.24 40% off $41,127.98 $491,793.14 $63,715.60 2026-07-30
977 MS_DRG HIV With Or Without Other Related Condition 21 13 — — $12,539.43 $92,358.69 $63,695.65 2026-04-01
540 MS_DRG Osteomyelitis With Cc 20 13 — — $553.72 $92,339.51 $63,682.42 2026-04-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 20 13 — — $13,375.42 $92,143.64 $63,547.34 2026-04-01
624 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 13 — — $12,863.51 $91,731.36 $63,263.01 2026-04-01
139 MS_DRG Salivary Gland Procedures 17 13 — — $9,828.99 $91,509.49 $63,109.99 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 67 65 $90,730.00 $54,438.00 40% off $14,566.36 $142,759.54 $62,962.14 2026-07-30
549 MS_DRG Septic Arthritis With Cc 18 13 — — $12,745.12 $91,119.12 $62,840.77 2026-04-01
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/Mcc 17 13 — — $12,692.65 $91,075.28 $62,810.54 2026-04-01
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 21 13 — — $2,548.32 $91,009.54 $62,765.20 2026-04-01
302 MS_DRG Atherosclerosis With Mcc 19 13 — — $5,481.26 $90,973.93 $62,740.64 2026-04-01
152 MS_DRG Otitis Media And Uri With Mcc 19 13 — — $2,548.00 $90,776.70 $62,604.62 2026-04-01
725 MS_DRG Benign Prostatic Hypertrophy With Mcc 17 13 — — $10,536.33 $90,612.34 $62,491.27 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 22 13 — — $1,665.00 $97,418.31 $62,487.29 2026-04-01
946 MS_DRG Rehabilitation Without Cc/Mcc 14 13 — — $13,761.60 $90,291.83 $62,270.23 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 20 14 — — $868.45 $90,263.07 $62,250.39 2026-04-01
695 MS_DRG Kidney And Urinary Tract Signs And Symptoms With Mcc 18 13 — — $11,419.28 $90,250.74 $62,241.89 2026-04-01
436 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Cc 22 13 — — $1,684.26 $90,076.78 $62,121.92 2026-04-01
102 MS_DRG Headaches With Mcc 18 13 — — $7,224.69 $89,937.08 $62,025.57 2026-04-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 19 13 — — $12,855.02 $89,880.92 $61,986.84 2026-04-01
712 MS_DRG Testes Procedures Without Cc/Mcc 18 14 — — $7,692.73 $89,646.70 $61,825.31 2026-04-01
89 MS_DRG Concussion With Cc 17 13 — — $10,848.40 $89,631.63 $61,814.92 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 22 13 — — $16,738.62 $98,731.85 $61,813.90 2026-04-01
672 MS_DRG Urethral Procedures Without Cc/Mcc 17 13 — — $7,039.07 $89,370.02 $61,634.50 2026-04-01
697 MS_DRG Urethral Stricture 17 13 — — $7,043.04 $89,346.74 $61,618.44 2026-04-01
887 MS_DRG Other Mental Disorder Diagnoses 14 13 — — $12,850.80 $89,252.24 $61,553.27 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 67 65 $205,880.66 $123,528.40 40% off $7,280.00 $168,698.33 $61,472.01 2026-07-30
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/Mcc 19 13 — — $11,375.25 $89,085.13 $61,438.02 2026-04-01
714 MS_DRG Transurethral Prostatectomy Without Cc/Mcc 18 13 — — $6,681.04 $89,067.32 $61,425.74 2026-04-01
664 MS_DRG Minor Bladder Procedures Without Cc/Mcc 17 13 — — $10,188.56 $88,923.51 $61,326.56 2026-04-01
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 13 — — $7,735.83 $88,919.39 $61,323.72 2026-04-01
923 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc 19 13 — — $1,889.28 $88,523.56 $61,050.73 2026-04-01
136 MS_DRG Sinus And Mastoid Procedures Without Cc/Mcc 17 13 — — $11,768.71 $88,490.69 $61,028.06 2026-04-01
842 MS_DRG Lymphoma And Non-acute Leukemia Without Cc/Mcc 19 13 — — $12,124.80 $88,423.57 $60,981.77 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 19 $45,704.00 $27,422.40 40% off $24,847.39 $114,332.59 $60,942.00 2026-07-30
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 67 65 $331,204.72 $198,722.83 40% off $32,796.60 $271,587.87 $60,924.92 2026-07-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 88 74 $177,262.93 $106,357.76 40% off $15,764.13 $149,406.20 $60,899.71 2026-07-30
369 MS_DRG Major Esophageal Disorders With Cc 20 13 — — $1,384.14 $88,283.86 $60,885.42 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 89 76 $105,272.00 $63,163.20 40% off $1,156.62 $152,649.62 $60,860.22 2026-07-30
187 MS_DRG Pleural Effusion With Cc 18 13 — — $10,254.70 $88,131.83 $60,780.57 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 21 13 — — $158.16 $87,993.50 $60,685.17 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 80 74 $890,274.00 $534,164.40 40% off $32,760.00 $729,887.74 $60,681.53 2026-07-30
228 MS_DRG Other Cardiothoracic Procedures With McC 84 74 $102,119.49 $61,271.69 40% off $12,666.59 $142,348.20 $60,569.68 2026-07-30
756 MS_DRG Malignancy, Female Reproductive System Without Cc/Mcc 17 13 — — $4,829.18 $87,740.09 $60,510.41 2026-04-01
537 MS_DRG Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc 17 13 — — $11,451.60 $87,655.18 $60,451.85 2026-04-01
197 MS_DRG Interstitial Lung Disease With Cc 17 13 — — $11,389.20 $87,583.96 $60,402.73 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 19 13 — — $1,665.00 $87,474.38 $60,327.16 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 78 74 $60,531.00 $36,318.60 40% off $18,354.00 $140,388.17 $60,321.00 2026-07-30
290 MS_DRG Acute And Subacute Endocarditis Without Cc/Mcc 17 13 — — $11,156.40 $87,318.23 $60,219.47 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 26 19 $43,773.00 $26,263.80 40% off $11,580.14 $107,326.64 $60,172.11 2026-07-30
376 MS_DRG Digestive Malignancy Without Cc/Mcc 17 13 — — $8,372.52 $87,244.27 $60,168.46 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 22 13 — — $154.23 $99,649.54 $60,050.66 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/McC Or Major Device 64 62 $166,675.00 $100,005.00 40% off $18,359.03 $136,294.66 $60,000.00 2026-07-30
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 26 19 $894,427.00 $536,656.20 40% off $13,375.99 $101,980.75 $59,958.71 2026-07-30
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 18 14 — — $8,230.54 $86,851.17 $59,897.36 2026-04-01
138 MS_DRG Mouth Procedures Without Cc/Mcc 18 13 — — $7,820.38 $86,722.43 $59,808.57 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 19 14 $17,495.00 $10,497.00 40% off $4,364.13 $86,712.83 $59,801.95 2026-07-30
550 MS_DRG Septic Arthritis Without Cc/Mcc 17 13 — — $7,806.82 $86,556.69 $59,694.27 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With McC 67 65 $195,311.20 $117,186.72 40% off $18,589.00 $160,155.18 $59,664.30 2026-07-30
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 17 13 — — $7,466.76 $86,508.75 $59,661.21 2026-04-01
866 MS_DRG Viral Illness Without Mcc 19 13 — — $1,271.67 $86,495.05 $59,651.76 2026-04-01
594 MS_DRG Skin Ulcers Without Cc/Mcc 17 13 — — $7,824.02 $86,456.70 $59,625.31 2026-04-01
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/Mcc 17 13 — — $7,501.26 $86,359.45 $59,558.24 2026-04-01
951 MS_DRG Other Factors Influencing Health Status 82 74 $115,763.00 $69,457.80 40% off $43.48 $109,665.00 $59,523.93 2026-07-30
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