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

CENTRAL VERMONT MEDICAL CENTER

Barre, VT · CCN 470001 · Rates published

5,558 distinct procedures filed
22 distinct payers
474,807 rate rows
2026-05-08 last MRF observed
Data quality

306,171 of 474,807 rate rows are consumer-grade (64.5%)

168,636 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
professional (physician) fee — not the facility price 162,450
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,782
per-diem day rate — not a per-procedure price 170
placeholder amount (≤ $0.02) — excluded from medians 100
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 68
exceeds 10× this hospital's gross charge — excluded from medians 42
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uvmhealth.org/sites/default/files/222547186_central-vermont-medical-center-inc_standardcharges.csv
Found on page https://www.uvmhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 5deb7d04c01490f6… · 54,744,897 bytes · first seen 2026-07-05

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 5 $434,480.20 $881,725.26 $434,480.20 nat. median
$168,055
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $324,520.28 $658,574.85 $324,520.28 nat. median
$186,516
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $273,304.75 $554,639.06 $276,037.80 nat. median
$131,925
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $246,908.37 $501,070.81 $249,377.46 nat. median
$145,435
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $162,788.38 $330,359.40 $164,416.27 nat. median
$97,418
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $150,942.74 $306,320.08 $150,942.74 nat. median
$72,715
outlier · 2.1×
7
MS_DRG 		Lung Transplant 5 $150,562.54 $305,548.54 $150,562.54 nat. median
$70,649
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $126,955.34 $257,640.59 $126,955.34 nat. median
$65,418
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $125,506.04 $254,699.38 $126,761.10 nat. median
$74,509
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 6 $122,060.19 $247,706.42 $123,280.79 nat. median
$73,023
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $122,689.21 $248,982.97 $122,689.21 nat. median
$69,922
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $120,684.60 $244,914.85 $121,891.45 nat. median
$2,736
outlier · 44.6×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $111,188.03 $225,642.72 $112,299.91 nat. median
$69,822
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $106,128.11 $215,374.22 $107,189.39 nat. median
$2,633
outlier · 40.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $97,625.80 $198,119.78 $98,602.06 nat. median
$60,505
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $97,571.65 $198,009.90 $98,547.36 nat. median
$59,651
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $96,090.05 $195,003.23 $97,050.95 nat. median
$2,596
outlier · 37.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $92,870.02 $188,468.52 $93,798.72 nat. median
$56,428
1.7× median
10
MS_DRG 		Pancreas Transplant 5 $91,855.04 $186,408.74 $91,855.04 nat. median
$23,080
outlier · 4.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $91,328.53 $185,340.27 $91,328.53 nat. median
$45,605
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $90,050.89 $182,747.43 $90,951.40 nat. median
$55,935
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $89,141.92 $180,902.75 $90,033.34 nat. median
$55,923
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $85,993.27 $174,513.00 $86,853.21 nat. median
$52,327
1.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $81,828.53 $166,061.13 $82,646.82 nat. median
$9,905
outlier · 8.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $81,417.22 $165,226.46 $82,231.39 nat. median
$51,518
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $80,144.18 $162,642.97 $80,945.62 nat. median
$48,611
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $78,667.20 $159,645.65 $79,453.87 nat. median
$47,340
1.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $77,243.25 $156,755.89 $78,015.68 nat. median
$2,958
outlier · 26.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 6 $76,946.03 $156,152.68 $77,715.49 nat. median
$37,013
outlier · 2.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $76,815.84 $155,888.49 $77,584.00 nat. median
$49,569
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $74,507.06 $151,203.14 $75,252.13 nat. median
$47,121
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $74,399.93 $150,985.70 $75,143.93 nat. median
$47,458
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $72,860.75 $147,862.13 $73,589.36 nat. median
$41,943
1.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $71,364.20 $144,825.07 $72,077.84 nat. median
$43,533
1.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $71,272.05 $144,638.03 $71,984.77 nat. median
$2,633
outlier · 27.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $70,947.15 $143,978.72 $71,656.62 nat. median
$43,299
1.7× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 $70,699.46 $143,476.05 $71,406.46 nat. median
$38,844
1.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $70,376.89 $142,821.41 $71,080.66 nat. median
$43,803
1.6× median
28
MS_DRG 		Spinal Procedures With Mcc 6 $70,040.47 $142,138.71 $70,740.88 nat. median
$41,895
1.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $69,018.59 $140,064.90 $69,708.77 nat. median
$44,036
1.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 5 $69,538.16 $141,119.34 $69,538.16 nat. median
$38,932
1.8× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 5 $69,538.16 $141,119.34 $69,538.16 nat. median
$29,295
outlier · 2.4×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $68,540.46 $139,094.63 $69,225.87 nat. median
$45,446
1.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 $68,488.63 $138,989.42 $69,173.51 nat. median
$40,584
1.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $67,790.46 $137,572.60 $68,468.37 nat. median
$43,023
1.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 $67,077.34 $136,125.37 $67,748.11 nat. median
$40,726
1.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $66,122.27 $134,187.17 $66,783.49 nat. median
$42,674
1.6× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $65,727.10 $133,385.24 $66,384.37 nat. median
$40,301
1.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 6 $64,223.65 $130,334.15 $64,865.89 nat. median
$36,547
1.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 $63,678.71 $129,228.27 $64,315.49 nat. median
$38,173
1.7× median

Other procedures at this hospital

Browse this hospital's 5,558 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 5 — — $434,480.20 $881,725.26 $434,480.20 2026-02-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 5 — — $324,520.28 $658,574.85 $324,520.28 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 6 — — $273,304.75 $554,639.06 $276,037.80 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 6 — — $246,908.37 $501,070.81 $249,377.46 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 6 — — $162,788.38 $330,359.40 $164,416.27 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 14 5 — — $150,942.74 $306,320.08 $150,942.74 2026-02-19
7 MS_DRG Lung Transplant 14 5 — — $150,562.54 $305,548.54 $150,562.54 2026-02-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 5 — — $126,955.34 $257,640.59 $126,955.34 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 6 — — $125,506.04 $254,699.38 $126,761.10 2026-02-19
215 MS_DRG Other Heart Assist System Implant 16 6 — — $122,060.19 $247,706.42 $123,280.79 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 5 — — $122,689.21 $248,982.97 $122,689.21 2026-02-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $120,684.60 $244,914.85 $121,891.45 2026-02-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $111,188.03 $225,642.72 $112,299.91 2026-02-19
850 MS_DRG Acute Leukemia With Other Procedures 16 6 — — $106,128.11 $215,374.22 $107,189.39 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $97,625.80 $198,119.78 $98,602.06 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $97,571.65 $198,009.90 $98,547.36 2026-02-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 6 — — $96,090.05 $195,003.23 $97,050.95 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 6 — — $92,870.02 $188,468.52 $93,798.72 2026-02-19
10 MS_DRG Pancreas Transplant 14 5 — — $91,855.04 $186,408.74 $91,855.04 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 5 — — $91,328.53 $185,340.27 $91,328.53 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 6 — — $90,050.89 $182,747.43 $90,951.40 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $89,141.92 $180,902.75 $90,033.34 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 6 — — $85,993.27 $174,513.00 $86,853.21 2026-02-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $81,828.53 $166,061.13 $82,646.82 2026-02-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 6 — — $81,417.22 $165,226.46 $82,231.39 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 6 — — $80,144.18 $162,642.97 $80,945.62 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 6 — — $78,667.20 $159,645.65 $79,453.87 2026-02-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 6 — — $77,243.25 $156,755.89 $78,015.68 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 6 — — $76,946.03 $156,152.68 $77,715.49 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 6 — — $76,815.84 $155,888.49 $77,584.00 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 6 — — $74,507.06 $151,203.14 $75,252.13 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $74,399.93 $150,985.70 $75,143.93 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 6 — — $72,860.75 $147,862.13 $73,589.36 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 6 — — $71,364.20 $144,825.07 $72,077.84 2026-02-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 6 — — $71,272.05 $144,638.03 $71,984.77 2026-02-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $70,947.15 $143,978.72 $71,656.62 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 6 — — $70,699.46 $143,476.05 $71,406.46 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 6 — — $70,376.89 $142,821.41 $71,080.66 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 16 6 — — $70,040.47 $142,138.71 $70,740.88 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 6 — — $69,018.59 $140,064.90 $69,708.77 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 5 — — $69,538.16 $141,119.34 $69,538.16 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 5 — — $69,538.16 $141,119.34 $69,538.16 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $68,540.46 $139,094.63 $69,225.87 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 6 — — $68,488.63 $138,989.42 $69,173.51 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 6 — — $67,790.46 $137,572.60 $68,468.37 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 6 — — $67,077.34 $136,125.37 $67,748.11 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $66,122.27 $134,187.17 $66,783.49 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $65,727.10 $133,385.24 $66,384.37 2026-02-19
653 MS_DRG Major Bladder Procedures With Mcc 16 6 — — $64,223.65 $130,334.15 $64,865.89 2026-02-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 6 — — $63,678.71 $129,228.27 $64,315.49 2026-02-19
834 MS_DRG Acute Leukemia With Mcc 16 6 — — $63,678.71 $129,228.27 $64,315.49 2026-02-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $63,411.42 $128,685.86 $64,045.54 2026-02-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 6 — — $63,024.33 $127,900.29 $63,654.57 2026-02-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 6 — — $62,542.75 $126,923.01 $63,168.18 2026-02-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $62,223.64 $126,275.38 $62,845.88 2026-02-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 6 — — $62,164.88 $126,156.14 $62,786.53 2026-02-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $62,157.96 $126,142.11 $62,779.54 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 5 — — $62,685.62 $127,212.92 $62,685.62 2026-02-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 6 — — $61,292.77 $124,386.28 $61,905.70 2026-02-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $61,022.03 $123,836.85 $61,632.25 2026-02-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 6 — — $59,333.09 $120,409.34 $59,926.42 2026-02-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 6 — — $59,136.08 $120,009.54 $59,727.44 2026-02-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 6 — — $58,693.69 $119,111.75 $59,280.62 2026-02-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 6 — — $58,513.94 $118,747.02 $59,099.08 2026-02-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 6 — — $58,028.94 $117,762.72 $58,609.23 2026-02-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 6 — — $57,686.76 $117,068.34 $58,263.63 2026-02-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $57,641.82 $116,977.15 $58,218.24 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 6 — — $57,618.79 $116,930.39 $58,194.98 2026-02-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 6 — — $57,411.41 $116,509.55 $57,985.53 2026-02-19
245 MS_DRG Aicd Generator Procedures 16 6 — — $56,299.65 $114,253.38 $56,862.65 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 16 6 — — $55,959.80 $113,563.67 $56,519.40 2026-02-19
6 MS_DRG Liver Transplant Without Mcc 14 5 — — $55,866.48 $113,374.30 $55,866.48 2026-02-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $55,017.40 $111,651.19 $55,567.57 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 16 6 — — $54,778.92 $111,167.22 $55,326.71 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $54,768.55 $111,146.18 $55,316.24 2026-02-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 6 — — $54,201.73 $109,995.89 $54,743.75 2026-02-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 6 — — $53,911.41 $109,406.71 $54,450.53 2026-02-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 6 — — $53,593.43 $108,761.42 $54,129.37 2026-02-19
163 MS_DRG Major Chest Procedures With Mcc 16 6 — — $53,101.49 $107,763.10 $53,632.50 2026-02-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $52,910.24 $107,374.99 $53,439.34 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 6 — — $52,902.16 $107,358.62 $53,431.18 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 5 — — $53,079.61 $107,718.67 $53,079.61 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 6 — — $51,977.07 $105,481.21 $52,496.84 2026-02-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 6 — — $51,667.17 $104,852.29 $52,183.84 2026-02-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 6 — — $51,524.32 $104,562.37 $52,039.57 2026-02-19
901 MS_DRG Wound Debridements For Injuries With Mcc 16 6 — — $51,042.74 $103,585.09 $51,553.16 2026-02-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 6 — — $50,608.40 $102,703.66 $51,114.49 2026-02-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 6 — — $49,849.18 $101,162.92 $50,347.67 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $49,746.65 $100,954.84 $50,244.12 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 6 — — $49,144.10 $99,732.07 $49,635.54 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 6 — — $49,071.54 $99,584.77 $49,562.26 2026-02-19
140 MS_DRG Major Head And Neck Procedures With Mcc 16 6 — — $48,723.61 $98,878.70 $49,210.85 2026-02-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 6 — — $48,278.90 $97,976.23 $48,761.69 2026-02-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 6 — — $48,267.39 $97,952.85 $48,750.07 2026-02-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 6 — — $47,934.44 $97,277.17 $48,413.79 2026-02-19
793 MS_DRG Full Term Neonate With Major Problems 12 6 — — $48,047.34 $65,973.14 $48,047.34 2026-02-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 6 — — $47,374.52 $96,140.90 $47,848.26 2026-02-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 6 — — $47,348.04 $96,087.12 $47,821.52 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 6 — — $47,277.76 $95,944.51 $47,750.54 2026-02-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $47,045.04 $95,472.23 $47,515.49 2026-02-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 6 — — $46,859.54 $95,095.81 $47,328.14 2026-02-19
791 MS_DRG Prematurity With Major Problems 12 6 — — $46,773.13 $64,223.56 $46,773.13 2026-02-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 6 — — $45,895.26 $93,138.91 $46,354.21 2026-02-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 6 — — $45,863.01 $93,073.44 $46,321.64 2026-02-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 6 — — $45,457.46 $92,250.47 $45,912.04 2026-02-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 6 — — $45,364.15 $92,061.09 $45,817.79 2026-02-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 6 — — $45,071.51 $91,467.24 $45,522.23 2026-02-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 6 — — $45,049.64 $91,422.81 $45,500.13 2026-02-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 6 — — $45,272.00 $62,162.34 $45,272.00 2026-02-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 6 — — $44,800.80 $90,917.81 $45,248.81 2026-02-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 6 — — $44,527.74 $90,363.70 $44,973.01 2026-02-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 6 — — $44,482.82 $90,272.52 $44,927.65 2026-02-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 6 — — $44,358.39 $90,020.01 $44,801.97 2026-02-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 6 — — $44,036.96 $89,367.71 $44,477.33 2026-02-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $43,798.49 $88,883.75 $44,236.47 2026-02-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 6 — — $43,457.48 $88,191.70 $43,892.06 2026-02-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 6 — — $43,110.70 $87,487.96 $43,541.81 2026-02-19
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 6 — — $42,035.80 $85,306.61 $42,456.16 2026-02-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 6 — — $41,744.33 $84,715.09 $42,161.78 2026-02-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 6 — — $41,299.62 $83,812.62 $41,712.62 2026-02-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 6 — — $41,297.32 $83,807.95 $41,710.29 2026-02-19
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 6 — — $41,290.41 $83,793.92 $41,703.32 2026-02-19
265 MS_DRG Aicd Lead Procedures 16 6 — — $41,096.86 $83,401.14 $41,507.83 2026-02-19
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 6 — — $40,912.54 $83,027.06 $41,321.67 2026-02-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 6 — — $40,672.88 $82,540.75 $41,079.61 2026-02-19
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 6 — — $40,662.53 $82,519.71 $41,069.15 2026-02-19
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 6 — — $40,559.99 $82,311.63 $40,965.59 2026-02-19
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 6 — — $40,366.45 $81,918.84 $40,770.11 2026-02-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $40,353.79 $81,893.13 $40,757.33 2026-02-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $40,337.65 $81,860.39 $40,741.03 2026-02-19
264 MS_DRG Other Circulatory System O.r. Procedures 16 6 — — $40,266.21 $81,715.44 $40,668.87 2026-02-19
332 MS_DRG Rectal Resection With Mcc 16 6 — — $39,962.06 $81,098.21 $40,361.68 2026-02-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 6 — — $39,918.28 $81,009.36 $40,317.46 2026-02-19
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 6 — — $39,682.11 $80,530.07 $40,078.93 2026-02-19
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 6 — — $39,619.91 $80,403.82 $40,016.11 2026-02-19
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 5 — — $40,005.86 $81,187.05 $40,005.86 2026-02-19
665 MS_DRG Prostatectomy With Mcc 16 6 — — $39,557.69 $80,277.57 $39,953.26 2026-02-19
252 MS_DRG Other Vascular Procedures With Mcc 16 6 — — $39,520.82 $80,202.75 $39,916.03 2026-02-19
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 6 — — $39,460.91 $80,081.18 $39,855.52 2026-02-19
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 6 — — $39,242.02 $79,636.96 $39,634.44 2026-02-19
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 6 — — $39,078.42 $79,304.96 $39,469.21 2026-02-19
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 6 — — $38,671.73 $78,479.65 $39,058.45 2026-02-19
37 MS_DRG Extracranial Procedures With Mcc 16 6 — — $38,259.29 $77,642.64 $38,641.89 2026-02-19
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 6 — — $38,040.40 $77,198.42 $38,420.81 2026-02-19
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 6 — — $37,657.92 $76,422.21 $38,034.50 2026-02-19
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 6 — — $37,550.78 $76,204.77 $37,926.29 2026-02-19
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 6 — — $37,534.63 $76,172.04 $37,909.97 2026-02-19
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 6 — — $37,088.81 $75,267.23 $37,459.70 2026-02-19
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $36,917.12 $74,918.87 $37,286.29 2026-02-19
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 6 — — $36,809.99 $74,701.44 $37,178.09 2026-02-19
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 6 — — $36,739.70 $74,558.82 $37,107.10 2026-02-19
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 16 6 — — $36,640.63 $74,357.75 $37,007.04 2026-02-19
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 6 — — $36,566.91 $74,208.12 $36,932.58 2026-02-19
500 MS_DRG Soft Tissue Procedures With Mcc 16 6 — — $36,505.83 $74,084.21 $36,870.89 2026-02-19
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 6 — — $35,956.30 $72,968.98 $36,315.87 2026-02-19
662 MS_DRG Minor Bladder Procedures With Mcc 16 6 — — $35,940.17 $72,936.25 $36,299.57 2026-02-19
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 6 — — $35,786.95 $72,625.29 $36,144.82 2026-02-19
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 6 — — $35,626.80 $72,300.31 $35,983.07 2026-02-19
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $35,553.06 $72,150.68 $35,908.59 2026-02-19
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 6 — — $35,527.73 $72,099.24 $35,883.01 2026-02-19
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 6 — — $35,352.61 $71,743.87 $35,706.14 2026-02-19
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 6 — — $35,237.40 $71,510.07 $35,589.78 2026-02-19
652 MS_DRG Kidney Transplant 14 5 — — $35,384.87 $71,809.33 $35,384.87 2026-02-19
570 MS_DRG Skin Debridement With Mcc 16 6 — — $34,679.81 $70,378.48 $35,026.61 2026-02-19
974 MS_DRG HIV With Major Related Condition With Mcc 16 6 — — $34,403.29 $69,817.36 $34,747.32 2026-02-19
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $33,970.12 $68,938.27 $34,309.82 2026-02-19
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 6 — — $33,882.57 $68,760.58 $34,221.40 2026-02-19
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 6 — — $33,790.39 $68,573.54 $34,128.29 2026-02-19
668 MS_DRG Transurethral Procedures With Mcc 16 6 — — $33,598.00 $68,183.09 $33,933.98 2026-02-19
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 6 — — $33,579.57 $68,145.69 $33,915.37 2026-02-19
800 MS_DRG Splenic Procedures With Cc 16 6 — — $33,569.20 $68,124.64 $33,904.89 2026-02-19
793 OTHER Full Term Neonate With Major Problems (ms-DRG V41 (fy 2024)) 15 11 $7,922.28 $7,922.28 $7,318.47 $33,900.21 $33,900.21 2026-05-08
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 6 — — $33,550.76 $68,087.24 $33,886.27 2026-02-19
472 MS_DRG Cervical Spinal Fusion With Cc 16 6 — — $33,377.94 $67,736.54 $33,711.72 2026-02-19
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 6 — — $33,031.17 $67,032.80 $33,361.48 2026-02-19
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 6 — — $32,993.16 $66,955.64 $33,323.09 2026-02-19
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 6 — — $32,973.58 $66,915.90 $33,303.32 2026-02-19
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 6 — — $32,927.51 $66,822.38 $33,256.79 2026-02-19
J3316 HCPCS Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension 32 12 $49,170.62 $49,170.62 $3,227.36 $48,777.26 $33,190.17 2026-02-19
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 6 — — $32,797.31 $66,558.18 $33,125.29 2026-02-19
654 MS_DRG Major Bladder Procedures With Cc 16 6 — — $32,512.74 $65,980.70 $32,837.86 2026-02-19
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 6 — — $32,354.91 $65,660.39 $32,678.46 2026-02-19
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 6 — — $32,321.50 $65,592.59 $32,644.72 2026-02-19
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 6 — — $31,525.41 $63,977.03 $31,840.67 2026-02-19
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 6 — — $31,468.96 $63,862.47 $31,783.65 2026-02-19
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 6 — — $31,411.35 $63,745.57 $31,725.47 2026-02-19
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 6 — — $31,298.44 $63,516.45 $31,611.42 2026-02-19
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 6 — — $31,145.24 $63,205.49 $31,456.69 2026-02-19
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 6 — — $31,042.70 $62,997.41 $31,353.12 2026-02-19
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 6 — — $30,919.43 $62,747.24 $31,228.62 2026-02-19
263 MS_DRG Vein Ligation And Stripping 16 6 — — $30,899.83 $62,707.50 $31,208.83 2026-02-19
849 MS_DRG Radiotherapy 16 6 — — $30,773.12 $62,450.32 $31,080.85 2026-02-19
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 6 — — $30,677.49 $62,256.26 $30,984.26 2026-02-19
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 6 — — $30,568.03 $62,034.15 $30,873.71 2026-02-19
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 6 — — $30,530.02 $61,957.00 $30,835.32 2026-02-19
503 MS_DRG Foot Procedures With Mcc 16 6 — — $30,490.84 $61,877.51 $30,795.75 2026-02-19
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 16 6 — — $30,459.74 $61,814.38 $30,764.33 2026-02-19
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 16 6 — — $30,222.41 $61,332.75 $30,524.64 2026-02-19
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 6 — — $30,144.06 $61,173.77 $30,445.50 2026-02-19
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 6 — — $29,822.65 $60,521.47 $30,120.88 2026-02-19
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 6 — — $29,773.10 $60,420.93 $30,070.83 2026-02-19
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 6 — — $29,421.73 $59,707.84 $29,715.94 2026-02-19
253 MS_DRG Other Vascular Procedures With Cc 16 6 — — $29,412.51 $59,689.14 $29,706.63 2026-02-19
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 6 — — $29,357.20 $59,576.92 $29,650.77 2026-02-19
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 6 — — $29,206.29 $59,270.64 $29,498.35 2026-02-19
545 MS_DRG Connective Tissue Disorders With Mcc 16 6 — — $29,111.81 $59,078.92 $29,402.93 2026-02-19
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 6 — — $29,088.77 $59,032.16 $29,379.66 2026-02-19
164 MS_DRG Major Chest Procedures With Cc 16 6 — — $28,997.74 $58,847.46 $29,287.72 2026-02-19
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 6 — — $28,849.13 $58,545.86 $29,137.62 2026-02-19
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 6 — — $28,827.25 $58,501.44 $29,115.52 2026-02-19
397 MS_DRG Appendix Procedures With Mcc 16 6 — — $28,546.15 $57,930.96 $28,831.61 2026-02-19
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 6 — — $28,430.93 $57,697.16 $28,715.24 2026-02-19
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 6 — — $28,206.29 $57,241.25 $28,488.35 2026-02-19
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 6 — — $27,973.57 $56,768.98 $28,253.31 2026-02-19
792 MS_DRG Prematurity Without Major Problems 12 6 — — $28,222.42 $38,751.80 $28,222.42 2026-02-19
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 6 — — $27,865.27 $56,549.21 $28,143.93 2026-02-19
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 6 — — $27,777.72 $56,371.52 $28,055.50 2026-02-19
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 6 — — $27,661.35 $56,135.38 $27,937.97 2026-02-19
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 6 — — $27,617.56 $56,046.54 $27,893.74 2026-02-19
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 6 — — $27,617.56 $56,046.54 $27,893.74 2026-02-19
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 6 — — $27,379.08 $55,562.57 $27,652.87 2026-02-19
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 16 6 — — $27,274.23 $55,349.81 $27,546.97 2026-02-19
347 MS_DRG Anal And Stomal Procedures With Mcc 16 6 — — $27,267.34 $55,335.78 $27,540.01 2026-02-19
330 MS_DRG Major Small And Large Bowel Procedures With Cc 16 6 — — $27,231.63 $55,263.31 $27,503.94 2026-02-19
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $27,187.87 $55,174.46 $27,459.75 2026-02-19
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 6 — — $26,942.43 $54,676.47 $27,211.85 2026-02-19
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 6 — — $26,730.47 $54,246.28 $26,997.78 2026-02-19
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 6 — — $26,668.26 $54,120.02 $26,934.94 2026-02-19
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 6 — — $26,642.93 $54,068.59 $26,909.36 2026-02-19
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 6 — — $26,594.53 $53,970.39 $26,860.47 2026-02-19
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 16 6 — — $26,429.78 $53,636.06 $26,694.08 2026-02-19
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 6 — — $26,386.00 $53,547.21 $26,649.86 2026-02-19
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 6 — — $26,305.35 $53,383.55 $26,568.40 2026-02-19
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 6 — — $26,255.81 $53,283.02 $26,518.37 2026-02-19
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 6 — — $26,207.42 $53,184.82 $26,469.49 2026-02-19
J9026 HCPCS Tarlatamab-dlle 10 Mg Intravenous Solution 30 12 $33,077.50 $33,077.50 $1,502.05 $32,812.88 $26,462.00 2026-02-19
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 6 — — $26,106.04 $52,979.08 $26,367.10 2026-02-19
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 16 6 — — $26,017.34 $52,799.05 $26,277.51 2026-02-19
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 6 — — $26,016.19 $52,796.72 $26,276.35 2026-02-19
113 MS_DRG Orbital Procedures With Cc/mcc 16 6 — — $25,997.75 $52,759.31 $26,257.73 2026-02-19
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 6 — — $25,953.98 $52,670.46 $26,213.52 2026-02-19
357 MS_DRG Other Digestive System O.r. Procedures With Cc 16 6 — — $25,944.75 $52,651.76 $26,204.20 2026-02-19
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 16 6 — — $25,911.36 $52,583.96 $26,170.47 2026-02-19
709 MS_DRG Penis Procedures With Cc/mcc 16 6 — — $25,888.30 $52,537.20 $26,147.18 2026-02-19
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 6 — — $25,718.94 $52,193.51 $25,976.13 2026-02-19
30 MS_DRG Spinal Procedures Without Cc/mcc 16 6 — — $25,638.30 $52,029.85 $25,894.68 2026-02-19
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 6 — — $25,498.91 $51,746.95 $25,753.90 2026-02-19
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 6 — — $25,338.75 $51,421.97 $25,592.14 2026-02-19
935 MS_DRG Non-extensive Burns 16 6 — — $25,304.19 $51,351.83 $25,557.23 2026-02-19
906 MS_DRG Hand Procedures For Injuries 16 6 — — $25,144.05 $51,026.85 $25,395.49 2026-02-19
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 6 — — $25,102.59 $50,942.68 $25,353.61 2026-02-19
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 6 — — $24,991.99 $50,718.23 $25,241.91 2026-02-19
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 6 — — $24,853.75 $50,437.67 $25,102.29 2026-02-19
314 MS_DRG Other Circulatory System Diagnoses With Mcc 16 6 — — $24,809.95 $50,348.83 $25,058.05 2026-02-19
141 MS_DRG Major Head And Neck Procedures With Cc 16 6 — — $24,752.36 $50,231.93 $24,999.89 2026-02-19
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 6 — — $24,721.25 $50,168.80 $24,968.46 2026-02-19
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 16 6 — — $24,703.96 $50,133.73 $24,951.00 2026-02-19
835 MS_DRG Acute Leukemia With Cc 16 6 — — $24,607.19 $49,937.34 $24,853.26 2026-02-19
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 16 6 — — $24,606.03 $49,935.00 $24,852.09 2026-02-19
32 MS_DRG Ventricular Shunt Procedures With Cc 16 6 — — $24,603.75 $49,930.33 $24,849.79 2026-02-19
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 6 — — $24,557.65 $49,836.81 $24,803.22 2026-02-19
333 MS_DRG Rectal Resection With Cc 16 6 — — $24,485.08 $49,689.51 $24,729.93 2026-02-19
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 16 6 — — $24,434.38 $49,586.64 $24,678.72 2026-02-19
595 MS_DRG Major Skin Disorders With Mcc 16 6 — — $24,367.56 $49,451.04 $24,611.24 2026-02-19
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 6 — — $24,335.32 $49,385.57 $24,578.67 2026-02-19
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 6 — — $24,324.94 $49,364.53 $24,568.19 2026-02-19
374 MS_DRG Digestive Malignancy With Mcc 16 6 — — $24,324.94 $49,364.53 $24,568.19 2026-02-19
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 16 6 — — $24,286.92 $49,287.38 $24,529.79 2026-02-19
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 16 6 — — $24,225.86 $49,163.46 $24,468.12 2026-02-19
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $24,153.28 $49,016.17 $24,394.81 2026-02-19
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 16 6 — — $24,084.17 $48,875.89 $24,325.01 2026-02-19
655 MS_DRG Major Bladder Procedures Without Cc/mcc 16 6 — — $23,932.08 $48,567.27 $24,171.40 2026-02-19
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 16 6 — — $23,904.42 $48,511.16 $24,143.46 2026-02-19
592 MS_DRG Skin Ulcers With Mcc 16 6 — — $23,690.15 $48,076.29 $23,927.05 2026-02-19
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 16 6 — — $23,587.60 $47,868.21 $23,823.47 2026-02-19
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 16 6 — — $23,366.41 $47,419.32 $23,600.08 2026-02-19
539 MS_DRG Osteomyelitis With Mcc 16 6 — — $23,299.59 $47,283.71 $23,532.58 2026-02-19
908 MS_DRG Other O.r. Procedures For Injuries With Cc 16 6 — — $23,238.54 $47,159.80 $23,470.93 2026-02-19
548 MS_DRG Septic Arthritis With Mcc 16 6 — — $23,209.74 $47,101.35 $23,441.83 2026-02-19
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 16 6 — — $23,185.53 $47,052.25 $23,417.39 2026-02-19
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 16 6 — — $23,176.33 $47,033.55 $23,408.10 2026-02-19
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 6 — — $23,023.08 $46,722.59 $23,253.31 2026-02-19
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 16 6 — — $23,019.64 $46,715.58 $23,249.83 2026-02-19
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 16 6 — — $23,003.51 $46,682.85 $23,233.54 2026-02-19
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 16 6 — — $22,917.09 $46,507.50 $23,146.26 2026-02-19
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 16 6 — — $22,900.97 $46,474.76 $23,129.98 2026-02-19
100 MS_DRG Seizures With Mcc 16 6 — — $22,872.18 $46,416.31 $23,100.90 2026-02-19
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 16 6 — — $22,869.86 $46,411.64 $23,098.56 2026-02-19
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 16 6 — — $22,789.23 $46,247.98 $23,017.12 2026-02-19
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 6 — — $22,730.46 $46,128.74 $22,957.76 2026-02-19
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 16 6 — — $22,717.80 $46,103.02 $22,944.98 2026-02-19
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 16 6 — — $22,642.90 $45,951.05 $22,869.33 2026-02-19
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 16 6 — — $22,604.88 $45,873.90 $22,830.93 2026-02-19
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 16 6 — — $22,594.53 $45,852.86 $22,820.47 2026-02-19
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 16 6 — — $22,570.33 $45,803.76 $22,796.04 2026-02-19
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 16 6 — — $22,527.71 $45,717.25 $22,752.99 2026-02-19
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 16 6 — — $22,515.02 $45,691.53 $22,740.17 2026-02-19
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 16 6 — — $22,511.56 $45,684.52 $22,736.68 2026-02-19
056 OTHER Degenerative Nervous System Disorders With Mcc (ms-DRG V41 (fy 2024)) 15 11 $121,339.61 $121,339.61 $7,318.47 $68,558.46 $22,611.00 2026-05-08
054 OTHER Nervous System Neoplasms With Mcc (ms-DRG V41 (fy 2024)) 15 11 $75,926.66 $75,926.66 $7,318.47 $42,651.66 $22,611.00 2026-05-08
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