Price Transparency 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 →

Export CSV
Hospital

PROVIDENCE ST MARY MEDICAL CENTER

Walla Walla, WA · CCN 500002 · Rates published

11,733 distinct procedures filed
13 distinct payers
197,620 rate rows
2026-04-01 last MRF observed
Data quality

141,632 of 197,620 rate rows are consumer-grade (71.7%)

55,988 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 55,883
template filing: same amount across many unrelated codes — excluded 67
placeholder amount (≤ $0.02) — excluded from medians 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/300502262_providence-st-mary-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 5ca9369569c1193f… · 198,743,017 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,691,450.00 $4,060,595.00 $3,857,565.25 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,321,376.38 $3,653,514.02 $3,470,838.32 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,587,087.26 $4,786,111.43 $2,845,795.98 nat. median
$2,469,189
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $614,180.81 $1,806,919.94 $829,144.09 nat. median
$754,974
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $588,494.81 $1,731,351.73 $794,467.99 nat. median
$675,122
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,260.84 $1,654,171.38 $759,052.13 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $559,781.08 $1,646,875.94 $755,704.46 nat. median
$625,184
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $1,564,700.11 $717,996.31 nat. median
$634,511
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $1,439,492.95 $660,542.31 nat. median
$620,080
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $355,155.22 $1,047,061.41 $390,670.74 nat. median
$370,174
1.1× median
0100T
HCPCS 		Prosth Retina Receive&Gen 2 $24,827.00 $692,352.27 $358,589.64 nat. median
$11,210
outlier · 32.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $230,670.83 $782,068.26 $253,737.91 nat. median
$265,286
1.0× median
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 1 $163,701.25 $302,322.22 $233,011.73 nat. median
$63,188
outlier · 3.7×
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 2 $41,850.47 $261,295.40 $212,586.18 nat. median
$42,941
outlier · 5.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $175,869.09 $658,687.26 $193,456.00 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $174,840.13 $595,030.93 $192,324.14 nat. median
$202,986
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $174,613.89 $174,613.89 $174,613.89 nat. median
$87,411
2.0× median
5166
OTHER 		Cochlear Implant Procedure 1 $100,458.40 $185,525.80 $142,992.10 nat. median
$33,509
outlier · 4.3×
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 2 $27,515.25 $171,792.79 $139,768.14 nat. median
$30,333
outlier · 4.6×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $130,689.47 $130,689.47 $130,689.47 nat. median
$65,381
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $114,286.72 $392,308.59 $125,715.39 nat. median
$133,176
0.9× median
5200
OTHER 		Implantation Wireless Pa Pressure Monitor 1 $87,067.89 $160,796.33 $123,932.11 nat. median
$28,997
outlier · 4.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $123,756.60 $123,756.60 $123,756.60 nat. median
$76,377
1.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $120,521.69 $169,825.19 $120,521.69 nat. median
$62,270
1.9× median
7
MS_DRG 		Lung Transplant 9 $106,886.10 $362,843.31 $117,574.71 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $99,230.08 $363,759.59 $109,153.09 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $93,595.85 $305,972.99 $102,955.44 nat. median
$108,660
0.9× median
5213
OTHER 		Level 3 Electrophysiologic Procedures 1 $71,148.44 $131,396.39 $101,272.42 nat. median
$26,257
outlier · 3.9×
209
MS_DRG 		Complex Aortic Arch Procedures 9 $93,489.09 $172,954.82 $100,968.22 nat. median
$98,017
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $4,551.24 $291,032.11 $99,239.28 nat. median
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $89,837.23 $302,457.81 $98,820.95 nat. median
$102,358
1.0× median
5232
OTHER 		Level 2 Icd And Similar Procedures 2 $18,203.24 $182,010.43 $98,554.90 nat. median
$32,531
outlier · 3.0×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,499.33 $189,118.52 $95,249.00 nat. median
$69,774
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $85,208.97 $295,669.03 $93,729.87 nat. median
$100,136
0.9× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 1 $65,531.97 $121,023.95 $93,277.96 nat. median
$20,658
outlier · 4.5×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $90,753.35 $90,753.35 $90,753.35 nat. median
$48,483
1.9× median
215
MS_DRG 		Other Heart Assist System Implant 9 $82,306.04 $294,158.56 $90,536.64 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $80,875.51 $267,953.01 $88,963.06 nat. median
$93,672
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,512.78 $392,318.26 $86,649.94 nat. median
$66,682
1.3× median
1592
OTHER 		New Technology - Level 41 ($25,001-$30,000) 1 $25,575.47 $159,681.65 $86,464.32 nat. median
$27,776
outlier · 3.1×
5378
OTHER 		Level 8 Urology And Related Services 1 $60,428.03 $111,598.03 $86,013.03 nat. median
$20,900
outlier · 4.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $74,526.02 $231,568.44 $81,978.62 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $71,651.01 $255,760.96 $78,816.11 nat. median
$83,442
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $167,177.82 $78,197.93 nat. median
$62,507
1.3× median
0618T
HCPCS 		Insj Iris Prosth Sec Io Lens 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$9,456
outlier · 8.3×
0617T
HCPCS 		Insj Iris Prosth W/rmvl&insj 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$8,800
outlier · 8.9×
0616T
HCPCS 		Insertion Of Iris Prosthesis 2 $15,373.26 $95,983.71 $78,090.99 nat. median
$4,807
outlier · 16.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $46,572.42 $235,272.42 $76,742.09 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $69,547.93 $235,139.15 $76,502.72 nat. median
$81,118
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $17,953.00 $245,965.02 $76,401.93 nat. median
$15,912
outlier · 4.8×

Other procedures at this hospital

Browse this hospital's 11,733 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
             
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $123,756.60 $123,756.60 $123,756.60 2026-04-01
19297 HCPCS Place Breast Cath For Rad 1 1 — — $33,104.00 $33,104.00 $33,104.00 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 1 1 — — $29,767.37 $29,767.37 $29,767.37 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 2 2 — — $24,827.00 $692,352.27 $358,589.64 2026-04-01
5244 OTHER Level 4 Blood Product Exchange And Related Services 2 1 — — $163,701.25 $302,322.22 $233,011.73 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $174,613.89 $174,613.89 $174,613.89 2026-04-01
5166 OTHER Cochlear Implant Procedure 2 1 — — $100,458.40 $185,525.80 $142,992.10 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $130,689.47 $130,689.47 $130,689.47 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 1 — — $87,067.89 $160,796.33 $123,932.11 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 2 1 — — $71,148.44 $131,396.39 $101,272.42 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 1 — — $65,531.97 $121,023.95 $93,277.96 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $90,753.35 $90,753.35 $90,753.35 2026-04-01
5378 OTHER Level 8 Urology And Related Services 2 1 — — $60,428.03 $111,598.03 $86,013.03 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 1 — — $53,425.74 $98,666.25 $76,045.99 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $52,789.47 $97,491.19 $75,140.33 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $72,078.92 $72,078.92 $72,078.92 2026-04-01
5495 OTHER Level 5 Intraocular Procedures 2 1 — — $47,282.30 $87,320.59 $67,301.45 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 2 2 — — $32,714.16 $81,485.48 $57,099.82 2026-04-01
5494 OTHER Level 4 Intraocular Procedures 2 1 — — $37,137.89 $68,585.97 $52,861.93 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 2 1 — — $22,636.89 $41,805.64 $32,221.26 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 2 1 — — $22,372.22 $41,316.85 $31,844.53 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 2 — — $120,521.69 $169,825.19 $120,521.69 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 3 2 — — $18,203.24 $182,010.43 $98,554.90 2026-04-01
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 3 1 — — $25,575.47 $159,681.65 $86,464.32 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 3 2 — — $18,203.24 $130,406.15 $70,612.24 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 3 2 — — $12,070.42 $61,313.68 $61,313.68 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 3 2 — — $17,967.00 $59,053.43 $59,053.43 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 3 2 — — $22,849.45 $107,799.70 $58,371.32 2026-04-01
1590 OTHER New Technology - Level 39 ($15,001-$20,000) 3 1 — — $16,275.47 $101,616.65 $55,023.32 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 3 2 — — $19,816.75 $97,011.00 $52,529.45 2026-04-01
5496 OTHER Level 6 Intraocular Procedures 4 1 — — $51,614.93 $95,983.71 $73,647.63 2026-04-01
5377 OTHER Level 7 Urology And Related Services 4 1 — — $38,454.95 $75,440.49 $55,933.89 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 4 3 — — $15,537.80 $78,926.74 $48,446.87 2026-04-01
5376 OTHER Level 6 Urology And Related Services 4 1 — — $27,597.05 $53,693.58 $40,019.99 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 4 3 — — $9,748.08 $49,516.97 $33,741.99 2026-04-01
37221 HCPCS Iliac Revasc W/stent 4 3 — — $9,748.08 $49,516.97 $33,741.99 2026-04-01
37228 HCPCS Tib/per Revasc W/tla 4 3 — — $9,748.08 $49,516.97 $33,741.99 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 5 2 — — $41,850.47 $261,295.40 $212,586.18 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 5 2 — — $27,515.25 $171,792.79 $139,768.14 2026-04-01
0616T HCPCS Insertion Of Iris Prosthesis 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
0618T HCPCS Insj Iris Prosth Sec Io Lens 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
0617T HCPCS Insj Iris Prosth W/rmvl&insj 5 2 — — $15,373.26 $95,983.71 $78,090.99 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 5 2 — — $39,207.90 $89,821.73 $72,408.86 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $23,517.16 $47,578.92 $45,656.32 2026-04-01
0275T HCPCS Perq Lamot/lam Lumbar 5 2 — — $6,339.19 $39,579.02 $32,200.92 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 5 2 — — $23,618.21 $42,931.79 $29,772.28 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 5 3 — — $11,464.83 $52,151.78 $28,239.11 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 5 — — $3,691,450.00 $4,060,595.00 $3,857,565.25 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 5 — — $3,321,376.38 $3,653,514.02 $3,470,838.32 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 5 — — $33,384.75 $171,792.79 $68,145.35 2026-04-01
C9784 HCPCS Endo Sleeve Gastro W/tube 6 3 — — $9,121.22 $56,948.76 $38,584.65 2026-04-01
0619T HCPCS Cysto W/prst8 Commissurotomy 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
C9769 HCPCS Cysto W/temp Pros Implant 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
0421T HCPCS Waterjet Prostate Abltj Cmpl 6 3 — — $8,162.99 $50,966.03 $34,531.14 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 9 6 — — $9,436.88 $125,904.48 $32,955.86 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 10 7 — — $34,386.10 $101,163.92 $37,480.85 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 10 7 — — $34,386.10 $101,163.92 $37,480.85 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 10 7 — — $34,386.10 $101,163.92 $37,480.85 2026-04-01
5626 OTHER Level 6 Radiation Therapy 10 7 — — $10,614.08 $53,511.06 $28,099.62 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $2,587,087.26 $4,786,111.43 $2,845,795.98 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 11 7 — — $13,809.00 $112,313.04 $41,229.80 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 11 7 — — $13,809.00 $101,163.92 $37,136.99 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $16,398.00 $101,163.92 $37,136.99 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 11 7 — — $13,809.00 $101,163.92 $37,136.99 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 11 7 — — $13,809.00 $88,246.31 $32,394.97 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 7 — — $614,180.81 $1,806,919.94 $829,144.09 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 7 — — $588,494.81 $1,731,351.73 $794,467.99 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 7 — — $562,260.84 $1,654,171.38 $759,052.13 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 7 — — $559,781.08 $1,646,875.94 $755,704.46 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 7 — — $531,849.12 $1,564,700.11 $717,996.31 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 7 — — $489,290.60 $1,439,492.95 $660,542.31 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 9 — — $93,489.09 $172,954.82 $100,968.22 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 9 — — $47,404.36 $87,698.07 $51,196.71 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 12 6 — — $7,432.31 $64,726.97 $32,723.53 2026-04-01
22558 HCPCS Lumbar Spine Fusion 12 7 — — $14,757.36 $88,956.21 $32,202.03 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 9 — — $28,777.15 $53,237.73 $31,079.32 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 7 — — $56,824.55 $167,177.82 $78,197.93 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 14 7 — — $17,953.00 $245,965.02 $76,401.93 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 14 7 — — $13,809.00 $144,402.03 $53,500.41 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 14 8 — — $25,575.47 $129,914.68 $40,493.71 2026-04-01
69930 HCPCS Implant Cochlear Device 14 7 — — $24,827.00 $150,941.15 $40,049.10 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 14 7 — — $16,398.00 $148,081.06 $38,126.03 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 14 7 — — $24,827.00 $186,165.56 $38,126.03 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 14 7 — — $16,398.00 $148,081.06 $38,126.03 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 14 7 — — $16,398.00 $148,081.06 $38,126.03 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 14 7 — — $24,827.00 $148,081.06 $38,126.03 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 14 7 — — $13,809.00 $139,768.14 $37,480.85 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 14 7 — — $16,398.00 $101,163.92 $37,480.85 2026-04-01
61886 HCPCS Implant Neurostim Arrays 14 7 — — $16,398.00 $139,768.14 $37,480.85 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 14 7 — — $13,809.00 $101,163.92 $37,480.85 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 14 7 — — $16,398.00 $139,768.14 $37,480.85 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 14 7 — — $13,809.00 $139,768.14 $37,480.85 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 7 — — $24,827.00 $130,821.56 $34,839.82 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
22630 HCPCS Lumbar Spine Fusion 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 14 7 — — $16,513.34 $88,956.21 $32,957.94 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 14 7 — — $16,398.00 $88,956.21 $32,957.94 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 14 7 — — $21,045.15 $106,902.24 $31,747.97 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 14 7 — — $21,045.15 $106,902.24 $31,747.97 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 14 7 — — $21,045.15 $106,902.24 $31,747.97 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 15 7 — — $63,499.33 $189,118.52 $95,249.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 9 — — $74,526.02 $231,568.44 $81,978.62 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 9 — — $71,651.01 $255,760.96 $78,816.11 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 9 — — $55,448.80 $171,760.48 $60,993.68 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 9 — — $55,408.56 $186,148.82 $60,949.42 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 9 — — $47,898.72 $151,882.80 $52,688.59 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $46,707.16 $152,857.38 $51,377.88 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 9 — — $44,305.98 $142,986.57 $48,736.58 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 9 — — $35,364.79 $113,374.13 $38,901.27 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 15 7 — — $15,974.62 $99,738.31 $28,433.62 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $4,551.24 $291,032.11 $99,239.28 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 8 — — $55,512.78 $392,318.26 $86,649.94 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 7 — — $16,398.00 $261,295.40 $66,261.98 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 16 7 — — $17,967.00 $159,681.65 $66,261.98 2026-04-01
J9226 HCPCS Supprelin La Implant 16 8 — — $41,173.43 $273,064.64 $66,057.43 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 16 7 — — $24,827.00 $182,010.43 $47,220.31 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 16 7 — — $24,827.00 $182,010.43 $47,220.31 2026-04-01
J9266 HCPCS Pegaspargase Injection 16 8 — — $27,014.86 $190,918.55 $43,000.39 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 16 7 — — $20,886.54 $130,406.15 $33,462.46 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 16 7 — — $17,176.00 $130,406.15 $33,462.46 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 16 7 — — $20,886.54 $130,406.15 $33,462.46 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 16 11 — — $890.38 $56,948.76 $32,262.40 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 10 — — $27,067.42 $136,970.25 $29,774.16 2026-04-01
0238T HCPCS Trluml Perip Athrc Iliac Art 16 7 — — $15,537.80 $97,011.00 $28,755.71 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 16 7 — — $15,537.80 $97,011.00 $27,577.47 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 9 — — $355,155.22 $1,047,061.41 $390,670.74 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 9 — — $230,670.83 $782,068.26 $253,737.91 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 9 — — $175,869.09 $658,687.26 $193,456.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 9 — — $174,840.13 $595,030.93 $192,324.14 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 9 — — $114,286.72 $392,308.59 $125,715.39 2026-04-01
7 MS_DRG Lung Transplant 17 9 — — $106,886.10 $362,843.31 $117,574.71 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 9 — — $99,230.08 $363,759.59 $109,153.09 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 9 — — $93,595.85 $305,972.99 $102,955.44 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 9 — — $89,837.23 $302,457.81 $98,820.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 9 — — $85,208.97 $295,669.03 $93,729.87 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 9 — — $82,306.04 $294,158.56 $90,536.64 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $80,875.51 $267,953.01 $88,963.06 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $69,547.93 $235,139.15 $76,502.72 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 9 — — $65,157.81 $223,807.84 $71,673.59 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $63,593.43 $214,825.54 $69,952.77 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 9 — — $63,113.85 $207,237.09 $69,425.24 2026-04-01
10 MS_DRG Pancreas Transplant 17 9 — — $59,466.09 $221,367.21 $65,412.70 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 9 — — $59,441.46 $185,435.23 $65,385.61 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 9 — — $59,128.58 $220,092.75 $65,041.44 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 9 — — $59,094.09 $196,208.44 $65,003.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 9 — — $11,235.65 $197,102.50 $64,603.86 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 9 — — $57,298.95 $193,154.18 $63,028.84 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 9 — — $57,020.57 $185,121.48 $62,722.63 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 9 — — $55,815.05 $189,583.47 $61,396.56 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $54,535.63 $179,296.17 $59,989.19 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $54,535.63 $165,182.71 $59,989.19 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 9 — — $54,339.36 $170,977.47 $59,773.30 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 9 — — $53,381.03 $179,582.16 $58,719.13 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 9 — — $50,865.70 $166,329.45 $55,952.27 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 9 — — $50,807.39 $175,589.41 $55,888.13 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 9 — — $50,325.35 $169,603.06 $55,357.88 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 9 — — $49,879.44 $168,792.29 $54,867.38 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $49,508.26 $159,349.07 $54,459.09 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 9 — — $49,233.98 $167,581.69 $54,157.38 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 9 — — $48,732.23 $163,369.59 $53,605.45 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 9 — — $48,701.03 $161,650.88 $53,571.13 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 9 — — $47,596.52 $158,396.70 $52,356.17 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 9 — — $46,564.27 $151,069.25 $51,220.70 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 9 — — $46,248.93 $138,910.52 $50,873.82 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 9 — — $45,894.17 $170,391.61 $50,483.59 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 9 — — $45,622.36 $153,459.91 $50,184.60 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 9 — — $45,463.05 $150,724.95 $50,009.36 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 9 — — $45,328.37 $149,814.23 $49,861.21 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 9 — — $45,149.35 $167,581.69 $49,664.28 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $44,332.26 $147,057.07 $48,765.49 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 9 — — $44,011.99 $153,471.01 $48,413.19 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 9 — — $43,212.15 $154,773.24 $47,533.37 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $41,929.44 $127,509.80 $46,122.38 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 9 — — $40,787.97 $149,794.79 $44,866.77 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 9 — — $40,192.61 $134,859.46 $44,211.87 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 9 — — $39,992.23 $139,018.81 $43,991.45 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 9 — — $39,635.01 $130,622.37 $43,598.51 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 9 — — $39,147.22 $127,917.96 $43,061.94 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 9 — — $38,953.42 $132,588.20 $42,848.76 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 9 — — $38,618.37 $134,634.56 $42,480.21 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 9 — — $38,466.45 $129,172.99 $42,313.10 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 9 — — $38,189.71 $129,922.67 $42,008.68 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 17 9 — — $37,730.66 $132,013.45 $41,503.73 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 17 9 — — $37,343.87 $127,970.72 $41,078.26 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 9 — — $37,333.20 $116,347.87 $41,066.52 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 9 — — $37,188.67 $121,962.16 $40,907.54 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 9 — — $35,792.63 $124,513.85 $39,371.89 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 9 — — $35,161.13 $113,935.00 $38,677.24 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 9 — — $35,042.88 $116,339.54 $38,547.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 9 — — $35,001.82 $123,008.93 $38,502.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 9 — — $34,937.77 $114,168.24 $38,431.55 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $34,804.73 $119,885.26 $38,285.20 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 9 — — $34,643.78 $112,927.10 $38,108.16 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 9 — — $34,417.95 $108,565.06 $37,859.75 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 9 — — $33,256.78 $99,530.00 $36,582.46 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 9 — — $32,663.87 $105,549.67 $35,930.26 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 9 — — $32,518.52 $120,135.15 $35,770.37 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 9 — — $32,325.54 $107,968.09 $35,558.09 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 9 — — $32,277.91 $109,103.72 $35,505.70 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 9 — — $32,067.69 $110,605.86 $35,274.46 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 9 — — $31,233.35 $106,926.87 $34,356.68 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 9 — — $31,143.84 $109,572.97 $34,258.22 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 9 — — $30,971.39 $96,409.11 $34,068.53 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 9 — — $30,702.86 $107,201.75 $33,773.15 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 9 — — $30,336.60 $88,123.73 $33,370.26 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 9 — — $30,313.61 $97,744.65 $33,344.97 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 9 — — $30,272.55 $96,306.37 $33,299.80 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 9 — — $30,252.02 $99,038.55 $33,277.22 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 9 — — $30,199.46 $99,535.56 $33,219.41 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 9 — — $30,155.12 $88,967.82 $33,170.63 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 9 — — $29,961.32 $110,528.12 $32,957.45 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 9 — — $29,893.16 $109,323.07 $32,882.48 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 17 9 — — $29,863.59 $100,621.21 $32,849.95 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 9 — — $29,795.43 $97,280.96 $32,774.97 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 9 — — $29,440.68 $101,301.47 $32,384.75 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 17 9 — — $29,185.29 $95,242.93 $32,103.82 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 9 — — $29,177.89 $107,312.81 $32,095.68 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 9 — — $28,908.54 $95,481.72 $31,799.39 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 9 — — $28,693.39 $97,264.30 $31,562.73 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 9 — — $28,555.43 $93,196.58 $31,410.97 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 9 — — $27,972.38 $97,039.39 $30,769.62 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 9 — — $27,666.07 $75,978.88 $30,432.68 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 17 9 — — $27,574.10 $92,202.56 $30,331.51 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 9 — — $27,570.81 $86,652.13 $30,327.89 2026-04-01
652 MS_DRG Kidney Transplant 17 9 — — $27,060.03 $85,274.94 $29,766.03 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 17 9 — — $27,040.32 $89,506.48 $29,744.35 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 17 9 — — $26,988.58 $88,301.43 $29,687.44 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 9 — — $26,710.20 $85,858.03 $29,381.22 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 9 — — $26,684.74 $90,453.30 $29,353.21 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 9 — — $26,632.18 $98,025.09 $29,295.40 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 9 — — $26,489.30 $85,619.24 $29,138.23 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 9 — — $26,342.30 $77,894.74 $28,976.53 2026-04-01
665 MS_DRG Prostatectomy With Mcc 17 9 — — $26,170.67 $95,331.78 $28,787.74 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 9 — — $26,117.29 $81,870.83 $28,729.02 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 9 — — $26,072.13 $84,919.53 $28,679.34 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 9 — — $25,680.42 $86,613.26 $28,248.46 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 17 9 — — $25,343.73 $79,355.23 $27,878.10 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 9 — — $25,340.44 $79,602.35 $27,874.48 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 9 — — $46,572.42 $235,272.42 $76,742.09 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 9 — — $12,993.17 $217,013.50 $69,653.77 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 10 — — $49,865.48 $171,982.60 $67,318.40 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 10 — — $14,681.65 $165,068.87 $54,282.04 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 10 — — $36,613.01 $118,433.10 $49,427.57 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 10 — — $24,732.59 $142,517.32 $48,255.11 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $14,090.51 $139,843.46 $45,051.95 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 9 — — $31,230.06 $101,970.69 $42,160.58 2026-04-01
245 MS_DRG Aicd Generator Procedures 18 9 — — $5,945.25 $135,678.56 $41,806.34 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 9 — — $30,690.54 $98,597.07 $41,432.22 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 9 — — $35,220.26 $115,517.67 $38,742.29 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 9 — — $35,143.89 $114,104.38 $38,658.28 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 9 — — $17,688.31 $104,727.80 $35,472.28 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 10 — — $26,528.71 $87,976.57 $34,828.32 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 9 — — $31,441.11 $106,127.21 $34,585.22 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 9 — — $7,093.92 $91,675.00 $34,437.08 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 10 — — $16,915.21 $97,211.54 $32,802.08 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 9 — — $22,850.97 $103,955.90 $32,744.26 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 9 — — $29,046.50 $96,200.86 $31,951.15 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 9 — — $26,903.18 $79,466.29 $30,004.48 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 9 — — $27,251.37 $94,593.21 $29,976.51 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 9 — — $20,965.01 $88,556.88 $29,814.81 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 9 — — $26,758.65 $94,182.27 $29,434.52 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 18 9 — — $21,719.79 $66,555.10 $29,321.72 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 9 — — $181.14 $70,100.82 $27,844.67 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 10 — — $38,285.79 $127,493.14 $61,257.26 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 10 — — $33,555.69 $176,305.30 $53,689.10 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $8,609.08 $147,712.34 $49,938.89 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 9 — — $12,786.33 $141,015.18 $45,645.44 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 9 — — $36,842.72 $132,007.89 $42,975.23 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 10 — — $21,431.26 $124,169.55 $41,664.51 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $6,647.33 $117,422.41 $39,122.58 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 19 10 — — $20,136.52 $65,985.90 $32,218.43 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 19 9 — — $19,636.41 $62,526.26 $31,418.26 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 9 — — $5,444.43 $97,991.77 $31,370.32 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 9 — — $26,088.92 $86,243.97 $29,043.38 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 9 — — $12,849.01 $74,465.64 $28,211.43 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 9 — — $181.14 $125,260.76 $51,155.90 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 9 — — $8,190.48 $141,448.33 $47,373.06 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 9 — — $8,653.50 $138,355.20 $45,284.11 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 9 — — $22,297.58 $118,260.95 $39,683.54 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 9 — — $3,668.19 $112,732.74 $36,920.32 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 10 — — $26,690.20 $95,095.77 $32,449.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 10 — — $16,640.81 $95,637.21 $32,420.64 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 9 — — $26,770.15 $90,492.17 $29,847.33 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $26,415.39 $88,712.37 $29,056.93 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 9 — — $4,771.54 $149,955.84 $51,131.08 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 10 — — $430.00 $67,097.75 $32,360.34 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 23 10 — — $3,668.19 $115,800.88 $37,562.51 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 11 — — $11,640.84 $75,484.08 $35,430.32 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 11 — — $22,882.60 $108,649.18 $32,906.94 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 12 — — $4,035.74 $165,292.00 $44,793.66 2026-04-01
See an error in this hospital's data? Submit a correction