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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

BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL

Tyler, TX · CCN 450864 · Rates published

11,578 distinct procedures filed
3 distinct payers
155,818 rate rows
2026-04-01 last MRF observed
Data quality

139,822 of 155,818 rate rows are consumer-grade (89.7%)

15,996 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 15,686
exceeds 10× this hospital's gross charge — excluded from medians 295
placeholder amount (≤ $0.02) — excluded from medians 12
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/USPI/752951355_TexasSpine&JointHospital_standardcharges.json
Found on page https://tsjh.org/hospital-pricing-information/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint f9c9ddfb1ce74410… · 25,506,027 bytes · first seen 2026-05-06

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,461,032.01 $3,494,311.16 $3,461,032.01 nat. median
$3,705,478
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,162,911.87 $3,193,324.48 $3,162,911.87 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,152,379.95 $2,173,075.91 $2,152,379.95 nat. median
$2,467,386
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $490,825.34 $495,544.81 $490,825.34 nat. median
$739,258
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $480,648.64 $485,270.26 $480,648.64 nat. median
$646,415
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $459,049.80 $463,463.74 $459,049.80 nat. median
$622,450
0.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $448,982.44 $453,299.58 $448,982.44 nat. median
$640,950
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $435,079.81 $439,263.27 $435,079.81 nat. median
$608,239
0.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $425,664.27 $429,757.20 $425,664.27 nat. median
$591,721
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $212,967.52 $345,186.66 $247,428.70 nat. median
$359,454
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $177,020.11 $226,658.46 $202,690.35 nat. median
$198,418
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $183,739.04 $189,268.71 $189,268.71 nat. median
$249,036
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $119,236.99 $193,264.31 $143,183.16 nat. median
$190,559
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $80,907.18 $131,137.74 $98,722.46 nat. median
$126,695
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $72,334.01 $92,617.25 $82,823.39 nat. median
$97,323
0.9× median
7
MS_DRG 		Lung Transplant 3 $82,378.85 $83,170.96 $82,378.85 nat. median
$117,974
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $82,229.09 $83,019.76 $82,229.09 nat. median
$104,013
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $76,969.27 $77,709.36 $76,969.27 nat. median
$110,307
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $69,508.67 $70,177.02 $69,508.67 nat. median
$95,038
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $60,706.45 $98,395.56 $68,930.50 nat. median
$93,901
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $57,399.27 $93,035.15 $65,492.35 nat. median
$90,551
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $62,012.82 $62,609.10 $62,012.82 nat. median
$63,528
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 3 $60,145.91 $60,724.24 $60,145.91 nat. median
$68,423
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $53,940.08 $87,428.34 $59,797.62 nat. median
$70,732
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $54,815.04 $88,846.52 $59,531.82 nat. median
$74,370
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $49,782.69 $80,689.86 $56,882.44 nat. median
$77,632
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $49,452.73 $80,155.06 $54,762.19 nat. median
$77,028
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $47,251.12 $60,500.84 $54,103.15 nat. median
$66,649
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $53,682.85 $54,199.04 $53,682.85 nat. median
$66,715
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $46,471.41 $59,502.50 $53,210.38 nat. median
$61,308
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $45,632.95 $73,963.80 $52,632.49 nat. median
$71,748
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $52,520.03 $53,025.03 $52,520.03 nat. median
$65,720
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $47,891.94 $77,625.27 $52,148.96 nat. median
$72,398
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $45,112.69 $73,120.53 $48,994.58 nat. median
$47,543
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $43,662.67 $70,770.28 $48,805.64 nat. median
$67,976
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $41,706.54 $53,401.51 $47,754.54 nat. median
$56,687
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $40,011.98 $64,853.10 $46,999.85 nat. median
$62,655
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $38,686.28 $62,704.35 $46,615.88 nat. median
$59,371
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $42,702.86 $69,214.58 $46,488.15 nat. median
$58,251
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $40,777.35 $66,093.64 $46,256.21 nat. median
$63,873
0.7× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $37,798.36 $61,265.16 $46,011.93 nat. median
$53,342
0.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $41,769.57 $67,701.86 $45,363.79 nat. median
$39,452
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $39,081.64 $63,345.15 $44,755.43 nat. median
$52,712
0.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $40,001.97 $64,836.86 $43,444.09 nat. median
$51,514
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $39,688.51 $64,328.80 $43,103.66 nat. median
$61,728
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $37,407.13 $60,631.04 $42,953.69 nat. median
$62,031
0.7× median
33276
CPT 		Insj Phrnc Nrv Stim Sys 3 $42,619.94 $43,029.75 $42,619.94 nat. median
$43,278
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $38,891.32 $63,036.69 $42,294.43 nat. median
$58,280
0.7× median
J9226
HCPCS 		Supprelin La Implant 3 $42,220.50 $42,626.47 $42,220.50 nat. median
$55,159
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $34,588.99 $56,063.28 $41,960.36 nat. median
$58,135
0.7× median

Other procedures at this hospital

Browse this hospital's 11,578 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,461,032.01 $3,494,311.16 $3,461,032.01 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — — $3,162,911.87 $3,193,324.48 $3,162,911.87 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,152,379.95 $2,173,075.91 $2,152,379.95 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 3 — — $490,825.34 $495,544.81 $490,825.34 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 3 — — $480,648.64 $485,270.26 $480,648.64 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — — $459,049.80 $463,463.74 $459,049.80 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — — $448,982.44 $453,299.58 $448,982.44 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $435,079.81 $439,263.27 $435,079.81 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — — $425,664.27 $429,757.20 $425,664.27 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 3 — — $212,967.52 $345,186.66 $247,428.70 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 3 — — $177,020.11 $226,658.46 $202,690.35 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $183,739.04 $189,268.71 $189,268.71 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 3 — — $119,236.99 $193,264.31 $143,183.16 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 3 — — $80,907.18 $131,137.74 $98,722.46 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 3 — — $72,334.01 $92,617.25 $82,823.39 2026-04-01
7 MS_DRG Lung Transplant 3 3 — — $82,378.85 $83,170.96 $82,378.85 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $82,229.09 $83,019.76 $82,229.09 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $76,969.27 $77,709.36 $76,969.27 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $69,508.67 $70,177.02 $69,508.67 2026-04-01
215 MS_DRG Other Heart Assist System Implant 16 3 — — $60,706.45 $98,395.56 $68,930.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 3 — — $57,399.27 $93,035.15 $65,492.35 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 3 — — $62,012.82 $62,609.10 $62,012.82 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 3 — — $60,145.91 $60,724.24 $60,145.91 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 3 — — $53,940.08 $87,428.34 $59,797.62 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 3 — — $54,815.04 $88,846.52 $59,531.82 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 3 — — $49,782.69 $80,689.86 $56,882.44 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 3 — — $49,452.73 $80,155.06 $54,762.19 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $47,251.12 $60,500.84 $54,103.15 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $53,682.85 $54,199.04 $53,682.85 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 3 — — $46,471.41 $59,502.50 $53,210.38 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 3 — — $45,632.95 $73,963.80 $52,632.49 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 3 — — $52,520.03 $53,025.03 $52,520.03 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 3 — — $47,891.94 $77,625.27 $52,148.96 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 1 — — $45,112.69 $73,120.53 $48,994.58 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 3 — — $43,662.67 $70,770.28 $48,805.64 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 3 — — $41,706.54 $53,401.51 $47,754.54 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 3 — — $40,011.98 $64,853.10 $46,999.85 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 3 — — $38,686.28 $62,704.35 $46,615.88 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 3 — — $42,702.86 $69,214.58 $46,488.15 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 3 — — $40,777.35 $66,093.64 $46,256.21 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 3 — — $37,798.36 $61,265.16 $46,011.93 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 1 — — $41,769.57 $67,701.86 $45,363.79 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 3 — — $39,081.64 $63,345.15 $44,755.43 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 3 — — $40,001.97 $64,836.86 $43,444.09 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 3 — — $39,688.51 $64,328.80 $43,103.66 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 3 — — $37,407.13 $60,631.04 $42,953.69 2026-04-01
33276 CPT Insj Phrnc Nrv Stim Sys 3 3 — — $42,619.94 $43,029.75 $42,619.94 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 3 — — $38,891.32 $63,036.69 $42,294.43 2026-04-01
J9226 HCPCS Supprelin La Implant 3 3 — — $42,220.50 $42,626.47 $42,220.50 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 3 — — $34,588.99 $56,063.28 $41,960.36 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 3 — — $41,483.58 $41,882.46 $41,483.58 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 3 — — $41,483.58 $41,882.46 $41,483.58 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 16 3 — — $35,887.58 $58,168.10 $41,273.41 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 3 — — $35,568.83 $57,651.44 $40,996.74 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 1 — — $37,714.10 $61,128.60 $40,959.36 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 3 — — $31,331.30 $51,995.57 $40,803.75 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 3 — — $34,630.23 $56,130.13 $40,664.73 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $40,295.55 $40,683.01 $40,295.55 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 3 — — $34,514.16 $55,941.99 $40,141.76 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 3 — — $35,293.08 $57,204.50 $39,682.88 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 3 — — $34,990.82 $56,714.59 $38,441.90 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 3 — — $33,283.91 $53,947.95 $38,350.13 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 3 — — $33,769.41 $54,734.87 $38,253.63 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 3 — — $30,883.51 $50,057.28 $38,219.22 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 16 3 — — $32,582.76 $52,811.50 $37,782.62 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 3 — — $32,652.87 $52,925.15 $37,149.65 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 3 — — $32,117.71 $41,123.86 $36,775.19 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 16 3 — — $32,740.08 $53,066.49 $36,531.52 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 3 — — $32,023.61 $51,905.21 $35,391.10 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $35,336.60 $35,676.37 $35,336.60 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 3 — — $30,557.68 $49,529.17 $35,075.96 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 3 — — $30,904.13 $50,090.71 $34,999.70 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 3 — — $30,433.36 $49,327.66 $34,628.75 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 3 — — $31,711.92 $51,400.01 $34,440.70 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $29,955.21 $38,354.98 $34,299.12 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 3 — — $30,159.97 $48,884.54 $34,273.60 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 3 — — $30,123.44 $48,825.33 $34,124.47 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 3 — — $29,037.54 $47,065.27 $34,001.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 3 — — $28,876.69 $46,804.55 $33,735.79 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 16 3 — — $30,683.77 $49,733.54 $33,459.09 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 1 — — $30,748.58 $49,838.59 $33,394.46 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 3 — — $29,678.00 $48,103.35 $33,193.91 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 3 — — $30,406.26 $49,283.73 $33,056.17 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 3 — — $29,474.36 $49,105.15 $32,903.02 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $32,483.72 $32,796.06 $32,483.72 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 3 — — $27,398.39 $44,408.46 $32,436.77 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 1 — — $29,799.97 $48,301.04 $32,364.22 2026-04-01
10 MS_DRG Pancreas Transplant 3 3 — — $32,327.24 $32,638.08 $32,327.24 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 1 — — $29,581.96 $47,947.69 $32,127.46 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 3 — — $26,987.72 $43,742.82 $31,988.69 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 3 — — $27,803.47 $35,599.86 $31,835.33 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 3 — — $28,539.08 $46,257.34 $31,807.85 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 3 — — $27,878.59 $45,186.78 $31,369.22 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 3 — — $28,729.39 $46,565.80 $31,201.52 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 16 3 — — $28,210.90 $45,725.40 $31,079.06 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 3 — — $28,358.79 $45,965.11 $30,799.03 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 3 — — $27,240.48 $44,152.52 $30,479.83 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 3 — — $25,491.15 $41,317.12 $30,379.28 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $30,204.37 $30,494.80 $30,204.37 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 3 — — $25,999.63 $42,141.29 $29,883.29 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 3 — — $26,752.63 $43,361.78 $29,799.61 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 3 — — $25,374.49 $41,128.03 $29,434.54 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 3 — — $25,916.55 $42,006.63 $29,204.43 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 3 — — $24,138.93 $39,125.40 $29,035.73 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 3 — — $24,878.97 $40,324.88 $28,873.10 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 3 — — $25,060.06 $32,087.17 $28,694.10 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 3 3 — — $28,268.87 $28,540.69 $28,268.87 2026-04-01
77371 CPT Srs Multisource 12 3 — — $7,027.14 $41,912.17 $28,081.16 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 3 — — $25,195.96 $40,838.67 $28,062.65 2026-04-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 3 3 — — $28,021.15 $28,290.59 $28,021.15 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 3 — — $23,348.87 $41,623.68 $27,890.04 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 3 — — $24,280.93 $39,355.55 $27,779.24 2026-04-01
791 MS_DRG Prematurity With Major Problems 3 3 — — $27,519.39 $27,784.00 $27,519.39 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 3 — — $21,598.89 $35,008.39 $27,382.44 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 3 — — $24,572.59 $39,828.28 $27,294.72 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 3 — — $25,130.56 $40,732.66 $27,293.01 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 3 — — $24,029.93 $38,948.72 $27,270.43 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 3 — — $21,475.16 $34,807.84 $27,090.25 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 3 — — $23,034.77 $37,335.73 $26,896.16 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 3 — — $22,180.43 $35,950.98 $26,706.96 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 3 — — $24,488.92 $39,692.67 $26,596.16 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 3 — — $23,166.75 $37,549.65 $26,391.14 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 3 — — $23,564.46 $38,194.27 $26,327.04 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 3 — — $23,644.60 $38,324.15 $26,297.35 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 3 — — $22,414.35 $36,330.11 $26,170.49 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 3 — — $22,321.25 $36,179.22 $25,983.57 2026-04-01
332 MS_DRG Rectal Resection With Mcc 16 3 — — $23,923.29 $38,775.87 $25,981.86 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 3 — — $21,335.52 $34,581.51 $25,815.53 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 3 — — $23,266.33 $37,711.04 $25,567.21 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 3 — — $21,620.69 $35,043.73 $25,117.78 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 3 — — $22,776.70 $36,917.44 $25,099.57 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 3 — — $22,992.35 $37,266.97 $24,970.82 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 3 — — $20,586.65 $33,367.70 $24,954.48 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 3 — — $22,909.27 $37,132.31 $24,880.59 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 6 3 — — $21,594.70 $27,650.08 $24,726.21 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 3 — — $22,189.27 $35,965.30 $24,683.88 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 3 — — $21,963.61 $35,599.54 $24,642.72 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $21,494.63 $27,521.96 $24,611.64 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 3 — — $21,055.06 $34,126.93 $24,446.35 2026-04-01
J9266 HCPCS Pegaspargase Injection 3 3 — — $24,417.60 $24,652.38 $24,417.60 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 3 — — $22,460.30 $36,404.60 $24,392.99 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 3 — — $21,885.24 $35,472.52 $24,166.30 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 3 — — $21,704.95 $35,180.29 $24,124.46 2026-04-01
265 MS_DRG Aicd Lead Procedures 16 3 — — $19,927.33 $32,299.06 $23,848.47 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 3 — — $20,826.45 $33,756.39 $23,788.41 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 3 — — $20,651.13 $26,441.93 $23,645.81 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 3 — — $21,363.80 $34,627.35 $23,525.90 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 3 — — $20,538.92 $33,290.35 $23,362.60 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 3 — — $20,526.55 $33,270.29 $23,322.78 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 3 — — $20,465.86 $33,171.93 $23,315.36 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 3 — — $20,362.35 $26,072.17 $23,315.15 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $23,225.97 $23,449.30 $23,225.97 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 3 — — $20,136.50 $32,638.08 $23,133.84 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 3 — — $21,238.30 $34,423.93 $23,079.25 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 3 — — $19,936.56 $25,526.99 $22,827.62 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 3 — — $19,552.01 $31,690.72 $22,786.32 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 3 — — $19,873.72 $32,212.15 $22,778.89 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 3 — — $20,049.30 $32,496.74 $22,734.36 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 3 — — $20,927.79 $33,920.65 $22,728.61 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 16 3 — — $19,698.72 $31,928.52 $22,631.78 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 3 — — $18,569.82 $30,098.74 $22,553.50 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 3 — — $19,039.41 $30,859.87 $22,469.83 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 3 — — $18,692.96 $30,298.33 $22,441.49 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 3 — — $20,613.75 $33,411.63 $22,432.94 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 3 — — $19,154.89 $31,047.05 $22,228.24 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 3 — — $19,305.95 $24,719.55 $22,105.57 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 3 — — $19,500.75 $31,607.64 $22,039.30 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 3 3 — — $21,944.80 $22,155.81 $21,944.80 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 3 — — $18,880.91 $30,602.98 $21,882.74 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 3 — — $19,794.17 $32,083.23 $21,869.25 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 3 — — $18,248.11 $29,577.31 $21,697.17 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 6 3 — — $17,197.00 $26,296.14 $21,621.35 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 3 — — $19,344.90 $32,261.81 $21,617.10 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 3 — — $19,214.99 $31,144.46 $21,599.32 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 3 — — $19,448.90 $31,523.60 $21,456.26 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 3 — — $18,370.08 $29,774.99 $21,334.12 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 3 — — $18,646.41 $30,222.89 $21,282.16 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 3 — — $19,474.83 $31,565.62 $21,212.38 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 3 — — $18,306.44 $29,671.85 $21,089.17 2026-04-01
665 MS_DRG Prostatectomy With Mcc 16 3 — — $18,031.29 $29,225.87 $20,845.56 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 3 — — $17,758.63 $22,738.34 $20,333.86 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 3 — — $17,600.58 $28,527.76 $20,253.75 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 16 3 — — $17,904.02 $29,019.59 $20,222.03 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 3 — — $17,789.13 $28,833.36 $20,205.17 2026-04-01
652 MS_DRG Kidney Transplant 3 3 — — $20,176.99 $20,371.00 $20,176.99 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 3 — — $15,144.16 $29,889.59 $20,027.59 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 3 — — $18,094.33 $29,328.05 $19,943.34 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 3 — — $17,814.46 $28,874.43 $19,927.82 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 3 — — $17,475.67 $28,325.30 $19,899.47 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 3 — — $16,147.50 $29,494.22 $19,762.67 2026-04-01
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 3 3 — — $19,740.24 $19,930.05 $19,740.24 2026-04-01
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 3 3 — — $19,740.24 $19,930.05 $19,740.24 2026-04-01
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 3 3 — — $19,740.24 $19,930.05 $19,740.24 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 3 — — $16,897.08 $27,387.49 $19,733.47 2026-04-01
570 MS_DRG Skin Debridement With Mcc 16 3 — — $17,187.55 $27,858.31 $19,719.30 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 3 — — $16,952.46 $27,477.26 $19,712.55 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 16 3 — — $16,927.72 $27,437.15 $19,680.83 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 3 — — $17,261.79 $27,978.64 $19,484.47 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 1 — — $17,733.74 $28,743.59 $19,259.71 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 3 — — $17,591.16 $28,512.48 $19,207.12 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 10 1 — — $17,648.90 $28,606.07 $19,167.56 2026-04-01
263 MS_DRG Vein Ligation And Stripping 16 3 — — $16,415.11 $26,606.30 $19,064.74 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 16 3 — — $16,632.53 $26,958.70 $19,016.15 2026-04-01
800 MS_DRG Splenic Procedures With Cc 16 3 — — $15,663.88 $25,388.68 $19,014.12 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 3 — — $15,992.07 $25,920.61 $18,956.76 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 3 — — $17,278.88 $28,006.33 $18,913.58 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 3 — — $15,116.52 $24,501.48 $18,539.74 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 3 — — $17,037.90 $27,615.74 $18,503.99 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 3 — — $15,510.69 $25,140.38 $18,492.50 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 3 — — $17,016.69 $27,581.36 $18,480.95 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 16 3 — — $16,748.01 $27,145.88 $18,472.93 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 3 — — $16,339.69 $26,484.06 $18,451.33 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 3 — — $16,799.86 $27,229.92 $18,305.42 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 3 — — $15,319.79 $24,830.96 $18,245.51 2026-04-01
849 MS_DRG Radiotherapy 16 3 — — $13,780.80 $23,143.35 $18,161.84 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 3 — — $16,664.34 $27,010.27 $18,098.29 2026-04-01
503 MS_DRG Foot Procedures With Mcc 16 3 — — $14,926.20 $24,193.02 $18,097.73 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 3 — — $16,434.56 $26,637.82 $18,014.74 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 3 — — $14,439.52 $23,404.19 $17,896.64 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 3 — — $15,429.38 $25,008.59 $17,876.40 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 3 — — $15,101.79 $24,477.61 $17,619.29 2026-04-01
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 3 3 — — $17,583.23 $17,752.30 $17,583.23 2026-04-01
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 3 3 — — $17,583.23 $17,752.30 $17,583.23 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 3 — — $15,887.78 $25,751.58 $17,497.82 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 3 — — $15,183.09 $24,609.40 $17,470.16 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 6 3 — — $15,087.75 $19,318.51 $17,275.67 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 16 3 — — $15,755.21 $25,536.70 $17,215.08 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 16 3 — — $15,217.27 $24,664.79 $17,210.35 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 16 3 — — $14,955.07 $24,239.81 $17,201.58 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 16 3 — — $15,134.78 $24,531.09 $17,088.90 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 10 1 — — $15,652.10 $25,369.58 $16,998.94 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 3 — — $14,884.37 $24,125.21 $16,986.32 2026-04-01
113 MS_DRG Orbital Procedures With Cc/mcc 16 3 — — $13,229.31 $21,560.27 $16,919.51 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 3 — — $15,091.18 $24,460.42 $16,852.71 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 16 3 — — $14,780.67 $23,957.13 $16,824.36 2026-04-01
27278 CPT Arthrodesis Sacroiliac Joint 3 3 $5,999.00 $3,599.40 40% off $16,816.96 $16,978.66 $16,816.96 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 3 — — $14,778.31 $23,953.31 $16,775.78 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 3 — — $13,890.98 $22,515.08 $16,763.63 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 3 — — $15,297.99 $24,795.62 $16,614.36 2026-04-01
792 MS_DRG Prematurity Without Major Problems 3 3 — — $16,604.85 $16,764.51 $16,604.85 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 16 3 — — $14,936.81 $24,210.21 $16,604.38 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 3 3 — — $16,574.71 $16,734.08 $16,574.71 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 3 — — $14,193.83 $23,005.95 $16,492.36 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 3 — — $14,702.90 $23,831.07 $16,417.45 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 3 — — $15,064.67 $24,417.44 $16,360.96 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 3 3 — — $16,346.79 $16,503.97 $16,346.79 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 3 3 — — $16,268.33 $16,424.76 $16,268.33 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 3 — — $13,998.21 $22,688.89 $16,206.92 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 3 — — $13,887.44 $22,509.35 $16,195.44 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 3 — — $13,143.87 $21,304.14 $16,154.95 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 6 3 — — $14,052.84 $17,993.41 $16,090.68 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 3 — — $13,839.72 $22,432.00 $16,085.44 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 3 — — $13,966.99 $22,638.28 $16,075.33 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 3 — — $14,467.22 $23,449.07 $16,007.17 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 3 — — $14,256.87 $23,108.14 $15,863.44 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 3 3 — — $15,823.48 $15,975.63 $15,823.48 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 3 — — $14,561.49 $23,601.87 $15,814.49 2026-04-01
935 MS_DRG Non-extensive Burns 6 3 — — $13,707.65 $17,551.42 $15,695.43 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 16 3 — — $13,794.35 $22,358.46 $15,648.84 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 3 — — $14,345.25 $23,251.39 $15,645.58 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 3 — — $14,009.41 $22,707.04 $15,640.74 2026-04-01
33270 CPT Ins/rep Subq Defibrillator 16 3 — — $7,568.00 $29,973.21 $15,599.00 2026-04-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 16 3 — — $7,568.00 $26,479.70 $15,599.00 2026-04-01
93656 CPT Compre Ep Eval Abltj Atr Fib 6 3 — — $9,746.00 $21,638.17 $15,589.05 2026-04-01
93654 CPT Compre Ep Eval Tx Vt 6 3 — — $9,746.00 $21,638.17 $15,589.05 2026-04-01
93653 CPT Compre Ep Eval Tx Svt 6 3 — — $9,746.00 $21,638.17 $15,589.05 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 3 — — $13,456.15 $21,810.29 $15,517.26 2026-04-01
709 MS_DRG Penis Procedures With Cc/mcc 16 3 — — $14,211.50 $23,034.60 $15,434.39 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 3 — — $13,347.15 $21,633.62 $15,374.20 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 3 — — $13,810.85 $22,385.20 $15,369.48 2026-04-01
93590 CPT Perq Transcath Cls Mitral 6 3 — — $14,905.00 $15,975.63 $15,364.24 2026-04-01
93591 CPT Perq Transcath Cls Aortic 6 3 — — $14,905.00 $15,975.63 $15,364.24 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 3 — — $13,761.94 $22,305.94 $15,337.08 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 16 3 — — $13,220.47 $21,428.29 $15,269.60 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 3 — — $13,845.61 $22,441.55 $15,199.42 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 3 — — $13,955.79 $22,620.13 $15,156.67 2026-04-01
835 MS_DRG Acute Leukemia With Cc 16 3 — — $12,356.11 $20,027.31 $15,085.38 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 3 — — $13,494.45 $21,872.37 $15,067.83 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 3 — — $12,740.86 $20,650.92 $15,062.44 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 3 — — $13,776.09 $22,328.86 $15,052.99 2026-04-01
36906 CPT Thrmbc/nfs Dialysis Circuit 16 3 — — $7,568.00 $15,999.00 $14,905.00 2026-04-01
33274 CPT Tcat Insj/rpl Perm Ldls Pm 16 3 — — $7,568.00 $17,752.30 $14,905.00 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 16 3 — — $12,018.50 $19,480.09 $14,904.53 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 16 3 — — $13,158.01 $21,327.06 $14,896.43 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 16 3 — — $13,234.61 $21,451.21 $14,824.23 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 3 — — $12,614.77 $20,446.55 $14,779.01 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 3 — — $13,459.10 $21,815.07 $14,708.83 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 3 — — $13,526.26 $21,923.94 $14,690.18 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 16 3 — — $12,617.13 $20,450.37 $14,677.12 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 16 3 — — $12,875.20 $20,868.66 $14,667.67 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 3 — — $12,981.84 $21,041.52 $14,620.43 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 3 — — $12,496.93 $20,255.55 $14,546.21 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 3 — — $12,280.11 $19,904.11 $14,538.78 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 16 3 — — $12,105.11 $19,620.48 $14,534.06 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 16 3 — — $13,370.13 $21,670.86 $14,520.61 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 16 3 — — $13,113.82 $21,255.44 $14,515.17 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 3 — — $13,087.31 $21,212.46 $14,472.65 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 10 1 — — $13,310.03 $21,573.45 $14,455.34 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 6 3 — — $12,594.84 $16,126.56 $14,421.25 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 3 — — $12,426.23 $20,140.95 $14,411.92 2026-04-01
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