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

PROVIDENCE CENTRALIA HOSPITAL

Centralia, WA · CCN 500019 · Rates published

3,413 distinct procedures filed
14 distinct payers
60,658 rate rows
2026-04-01 last MRF observed
Data quality

38,773 of 60,658 rate rows are consumer-grade (63.9%)

21,885 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 19,210
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
template filing: same amount across many unrelated codes — excluded 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/wamt/live/910573108_providence-centralia-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 51f2b7a310ad1314… · 199,210,636 bytes · first seen 2026-05-13

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 $3,894,479.75 nat. median
$3,685,267
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,321,376.38 $3,653,514.02 $3,504,052.08 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,245,381.39 $3,569,919.53 $3,423,877.37 nat. median
$3,248,446
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,938,320.00 $4,965,760.80 $3,158,694.00 nat. median
$2,968,000
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $4,314,200.00 $2,541,880.00 nat. median
$2,332,000
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $588,494.81 $2,200,382.09 $994,556.23 nat. median
$599,737
1.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,260.84 $2,102,293.27 $950,220.81 nat. median
$579,571
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $559,781.08 $2,093,021.46 $946,030.03 nat. median
$574,037
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,290.60 $1,854,595.74 $826,901.12 nat. median
$513,770
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $381,339.91 $2,036,350.80 $514,808.88 nat. median
$168,055
outlier · 3.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $247,474.26 $1,520,985.60 $334,090.26 nat. median
$186,516
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $198,344.72 $292,816.10 $266,054.67 nat. median
$2,106
outlier · 126.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $188,542.61 $1,281,031.20 $254,532.52 nat. median
$131,925
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $187,436.11 $1,157,230.80 $253,038.75 nat. median
$145,435
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $155,933.32 $276,632.40 $218,394.00 nat. median
$92,809
outlier · 2.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $148,450.77 $219,157.72 $199,128.17 nat. median
$2,106
outlier · 94.6×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $136,901.14 $202,107.02 $183,635.79 nat. median
$2,106
outlier · 87.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $122,319.34 $762,971.40 $165,131.10 nat. median
$97,418
1.7× median
7
MS_DRG 		Lung Transplant 10 $114,361.00 $705,666.60 $154,387.35 nat. median
$70,649
outlier · 2.2×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $135,663.15 $171,839.99 $153,751.57 nat. median
$7,098
outlier · 21.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $106,128.02 $707,448.60 $143,272.83 nat. median
$72,715
2.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $103,087.14 $152,187.45 $138,278.54 nat. median
$2,106
outlier · 65.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $100,069.18 $595,063.80 $135,093.40 nat. median
$65,418
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $96,027.31 $588,227.40 $129,636.87 nat. median
$74,509
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $91,050.26 $575,024.40 $122,917.86 nat. median
$69,922
1.8× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 1 $120,701.30 $120,701.30 $120,701.30 nat. median
$16,222
outlier · 7.4×
215
MS_DRG 		Other Heart Assist System Implant 10 $87,928.56 $572,086.80 $118,703.56 nat. median
$73,023
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $86,390.23 $521,121.60 $116,626.81 nat. median
$69,822
1.7× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 2 $81,874.78 $120,871.65 $109,824.79 nat. median
$2,106
outlier · 52.1×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $99,954.38 $184,915.60 $107,950.73 nat. median
$2,110
outlier · 51.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $6,205.25 $566,006.40 $105,112.44 nat. median
$2,736
outlier · 38.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $74,208.99 $457,304.40 $100,182.14 nat. median
$59,651
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $69,488.03 $435,267.00 $93,808.84 nat. median
$56,428
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $67,805.75 $417,798.00 $91,537.76 nat. median
$55,923
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $67,290.03 $403,039.80 $90,841.54 nat. median
$52,327
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $79,562.23 $450,360.00 $86,722.83 nat. median
$2,596
outlier · 33.4×
10
MS_DRG 		Pancreas Transplant 10 $63,367.38 $430,520.40 $85,545.96 nat. median
$23,080
outlier · 3.7×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $63,340.89 $360,639.00 $85,510.20 nat. median
$37,013
outlier · 2.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $63,004.43 $428,041.80 $85,055.98 nat. median
$45,605
1.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $62,967.34 $381,591.00 $85,005.90 nat. median
$51,518
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $76,470.56 $497,410.20 $83,352.91 nat. median
$2,633
outlier · 31.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $60,737.56 $360,028.80 $81,995.71 nat. median
$49,569
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $27,630.47 $457,563.60 $81,887.30 nat. median
$60,505
1.4× median
0398T
CPT 		Mrgfus Strtctc Les Abltj 3 $47,428.98 $99,878.21 $80,260.32 nat. median
$13,133
outlier · 6.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $59,441.19 $368,706.60 $80,245.60 nat. median
$47,340
1.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $58,065.35 $321,251.40 $78,388.22 nat. median
$45,446
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $58,065.35 $348,699.60 $78,388.22 nat. median
$47,458
1.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $57,854.29 $332,521.20 $78,103.29 nat. median
$43,299
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $10,041.37 $422,053.20 $74,264.80 nat. median
$55,935
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $54,118.85 $323,481.60 $73,060.45 nat. median
$44,036
1.7× median

Other procedures at this hospital

Browse this hospital's 3,413 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 5 — — $3,691,450.00 $4,060,595.00 $3,894,479.75 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 5 — — $3,321,376.38 $3,653,514.02 $3,504,052.08 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 5 — — $3,245,381.39 $3,569,919.53 $3,423,877.37 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,938,320.00 $4,965,760.80 $3,158,694.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 9 — — $2,332,000.00 $4,314,200.00 $2,541,880.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 9 — — $588,494.81 $2,200,382.09 $994,556.23 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 9 — — $562,260.84 $2,102,293.27 $950,220.81 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 9 — — $559,781.08 $2,093,021.46 $946,030.03 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 9 — — $489,290.60 $1,854,595.74 $826,901.12 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 10 — — $381,339.91 $2,036,350.80 $514,808.88 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 10 — — $247,474.26 $1,520,985.60 $334,090.26 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $198,344.72 $292,816.10 $266,054.67 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 10 — — $188,542.61 $1,281,031.20 $254,532.52 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 10 — — $187,436.11 $1,157,230.80 $253,038.75 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $155,933.32 $276,632.40 $218,394.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $148,450.77 $219,157.72 $199,128.17 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $136,901.14 $202,107.02 $183,635.79 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 10 — — $122,319.34 $762,971.40 $165,131.10 2026-04-01
7 MS_DRG Lung Transplant 18 10 — — $114,361.00 $705,666.60 $154,387.35 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $135,663.15 $171,839.99 $153,751.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 10 — — $106,128.02 $707,448.60 $143,272.83 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 2 — — $103,087.14 $152,187.45 $138,278.54 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 10 — — $100,069.18 $595,063.80 $135,093.40 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 10 — — $96,027.31 $588,227.40 $129,636.87 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 10 — — $91,050.26 $575,024.40 $122,917.86 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $120,701.30 $120,701.30 $120,701.30 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 10 — — $87,928.56 $572,086.80 $118,703.56 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $86,390.23 $521,121.60 $116,626.81 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $81,874.78 $120,871.65 $109,824.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 10 — — $99,954.38 $184,915.60 $107,950.73 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $6,205.25 $566,006.40 $105,112.44 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $74,208.99 $457,304.40 $100,182.14 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 10 — — $69,488.03 $435,267.00 $93,808.84 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $67,805.75 $417,798.00 $91,537.76 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 10 — — $67,290.03 $403,039.80 $90,841.54 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 10 — — $79,562.23 $450,360.00 $86,722.83 2026-04-01
10 MS_DRG Pancreas Transplant 18 10 — — $63,367.38 $430,520.40 $85,545.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 10 — — $63,340.89 $360,639.00 $85,510.20 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 10 — — $63,004.43 $428,041.80 $85,055.98 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 10 — — $62,967.34 $381,591.00 $85,005.90 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 10 — — $76,470.56 $497,410.20 $83,352.91 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 10 — — $60,737.56 $360,028.80 $81,995.71 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 10 — — $27,630.47 $457,563.60 $81,887.30 2026-04-01
0398T CPT Mrgfus Strtctc Les Abltj 5 3 — — $47,428.98 $99,878.21 $80,260.32 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 10 — — $59,441.19 $368,706.60 $80,245.60 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $58,065.35 $321,251.40 $78,388.22 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $58,065.35 $348,699.60 $78,388.22 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $57,854.29 $332,521.20 $78,103.29 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 10 — — $10,041.37 $422,053.20 $74,264.80 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 10 — — $54,118.85 $323,481.60 $73,060.45 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 10 — — $54,056.15 $341,490.60 $72,975.80 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 10 — — $53,537.78 $329,848.20 $72,276.01 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 10 — — $53,058.27 $328,271.40 $71,628.66 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 10 — — $53,043.26 $334,476.00 $71,608.40 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $52,659.11 $309,906.00 $71,089.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 10 — — $52,364.17 $325,917.00 $70,691.63 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 10 — — $51,824.60 $317,725.20 $69,963.21 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 10 — — $51,791.04 $314,382.60 $69,917.90 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 10 — — $43,611.93 $270,081.00 $69,779.09 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $11,285.86 $383,329.80 $68,845.92 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 10 — — $43,288.12 $375,651.00 $68,367.57 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $50,603.30 $308,053.80 $68,314.46 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 10 — — $49,493.26 $293,803.20 $66,815.90 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $49,154.16 $270,156.60 $66,358.12 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 — — $40,168.79 $243,610.20 $66,077.66 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 10 — — $48,480.37 $298,452.60 $65,448.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 10 — — $48,309.05 $293,133.60 $65,217.22 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 10 — — $48,164.22 $291,362.40 $65,021.69 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 12 10 — — $48,155.50 $180,053.41 $65,009.93 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 10 — — $47,971.71 $325,917.00 $64,761.81 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 10 — — $59,004.07 $362,026.80 $64,314.44 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $19,959.96 $334,044.00 $63,771.13 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $47,093.04 $286,000.20 $63,575.60 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 10 — — $46,748.64 $298,474.20 $63,110.66 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 10 — — $46,594.10 $277,171.20 $62,902.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 10 — — $5,568.79 $349,255.80 $62,506.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 10 — — $45,888.52 $301,006.80 $61,949.50 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 12 10 — — $44,853.57 $167,707.50 $60,552.32 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $44,509.14 $247,984.20 $60,087.33 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $43,462.69 $271,971.00 $58,674.63 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $43,281.66 $291,324.60 $58,430.25 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 10 — — $3,726.22 $321,030.00 $57,734.63 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 10 — — $42,641.42 $262,278.00 $57,565.92 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 10 — — $42,425.95 $270,367.20 $57,275.03 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 10 — — $42,041.81 $254,037.60 $56,756.44 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $8,269.76 $291,637.80 $56,589.91 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 10 — — $41,517.26 $248,778.00 $56,048.30 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 10 — — $41,308.85 $257,860.80 $55,766.95 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 10 — — $50,928.27 $295,385.40 $55,511.82 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 10 — — $40,948.55 $261,840.60 $55,280.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 10 — — $40,785.18 $251,218.80 $55,059.99 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 10 — — $40,487.58 $252,676.80 $54,658.24 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 10 — — $50,396.66 $93,233.82 $54,428.39 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 10 — — $40,151.13 $241,488.00 $54,204.02 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $49,646.92 $297,280.80 $54,115.14 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $39,993.94 $256,743.00 $53,991.82 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 10 — — $28,371.00 $331,381.80 $53,649.94 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 10 — — $39,578.01 $248,880.60 $53,430.32 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 10 — — $39,566.53 $226,276.20 $53,414.82 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 10 — — $39,411.11 $237,195.00 $53,205.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $11,200.63 $287,274.60 $53,064.19 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 10 — — $38,214.53 $229,996.80 $51,589.62 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 10 — — $47,064.78 $278,083.80 $51,300.61 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 10 — — $37,909.86 $242,157.60 $51,178.32 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 10 — — $37,294.36 $224,661.60 $50,347.39 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 10 — — $37,230.77 $221,583.60 $50,261.54 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 10 — — $37,212.23 $221,913.00 $50,236.51 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 10 — — $37,103.61 $226,260.00 $50,089.88 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 10 — — $37,059.46 $239,230.80 $50,030.28 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 10 — — $36,990.58 $222,037.20 $49,937.29 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $36,847.52 $233,155.80 $49,744.15 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 10 — — $6,579.30 $275,092.20 $49,741.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 10 — — $12,992.67 $274,249.80 $49,611.77 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 10 — — $36,674.43 $219,623.40 $49,510.48 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 10 — — $36,431.58 $211,140.00 $49,182.63 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 10 — — $31,487.20 $189,059.40 $48,766.35 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 10 — — $11,691.77 $269,076.60 $48,058.60 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 10 — — $35,182.90 $193,568.40 $47,496.92 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 4 3 — — $23,014.68 $105,982.34 $47,360.79 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $41,432.48 $256,732.20 $46,819.28 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 10 — — $29,170.88 $147,765.60 $46,673.41 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $34,545.32 $205,275.60 $46,636.18 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 10 — — $34,389.01 $233,641.80 $46,425.17 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 10 — — $34,181.49 $209,979.00 $46,145.01 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 5 3 — — $33,818.47 $83,494.80 $46,076.41 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 10 — — $34,097.60 $203,677.20 $46,031.76 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 10 — — $33,904.20 $215,109.00 $45,770.67 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 10 — — $28,497.97 $174,074.40 $45,596.75 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 10 — — $33,230.41 $206,398.80 $44,861.06 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 10 — — $754.63 $247,951.80 $44,649.99 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 10 — — $33,006.99 $207,954.00 $44,559.43 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $33,003.46 $193,525.20 $44,554.68 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 10 — — $31,895.19 $193,579.20 $44,457.29 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 10 — — $32,910.73 $213,100.20 $44,429.49 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 10 — — $5,911.80 $263,871.00 $44,318.75 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 10 — — $32,725.29 $187,498.80 $44,179.14 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 10 — — $32,436.52 $208,488.60 $43,789.30 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 10 — — $32,423.27 $191,754.00 $43,771.42 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 10 — — $32,042.66 $171,385.20 $43,257.60 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 10 — — $32,017.94 $190,096.20 $43,224.21 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 10 — — $31,973.78 $187,299.00 $43,164.61 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 10 — — $31,951.70 $192,612.60 $43,134.79 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $31,847.50 $173,026.80 $42,994.12 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 10 — — $31,639.09 $214,957.80 $42,712.77 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 10 — — $10,158.44 $230,331.60 $42,671.27 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 10 — — $31,565.80 $212,614.20 $42,613.83 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 10 — — $31,534.01 $195,690.60 $42,570.92 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 10 — — $31,460.71 $189,194.40 $42,471.96 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 10 — — $31,405.08 $185,997.60 $42,396.86 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 10 — — $31,079.22 $197,013.60 $41,956.94 2026-04-01
509 MS_DRG Arthroscopy 5 3 — — $30,577.42 $94,851.00 $41,660.59 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 18 10 — — $30,804.58 $185,230.80 $41,586.18 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 10 — — $30,796.63 $208,704.60 $41,575.45 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 21 10 — — $6,629.46 $228,366.00 $41,432.74 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 10 — — $30,655.34 $187,093.80 $41,384.71 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 10 — — $34,130.27 $212,187.60 $41,247.76 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 10 — — $30,506.98 $185,695.20 $41,184.43 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 10 — — $25,627.06 $158,371.20 $41,003.30 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $30,275.61 $189,162.00 $40,872.07 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $37,449.78 $220,492.80 $40,820.26 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 10 — — $30,127.26 $181,251.00 $40,671.81 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 22 10 — — $3,033.81 $225,212.40 $40,134.91 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 18 10 — — $29,500.27 $188,724.60 $39,825.36 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 10 — — $12,600.24 $219,245.40 $39,428.76 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 10 — — $29,071.97 $179,317.80 $39,247.16 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 10 — — $29,068.44 $168,523.20 $39,242.39 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $5,146.46 $73,029.13 $39,087.79 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 12 10 — — $28,851.23 $107,874.75 $38,949.16 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 10 — — $28,724.92 $183,967.20 $38,778.64 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 12 10 — — $28,715.00 $107,365.38 $38,765.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 10 — — $35,504.35 $212,176.80 $38,699.74 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 10 — — $28,598.64 $175,991.40 $38,682.28 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 10 — — $28,566.85 $172,227.60 $38,565.25 2026-04-01
652 MS_DRG Kidney Transplant 18 10 — — $28,519.16 $165,844.80 $38,500.87 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 10 — — $28,442.33 $171,730.80 $38,397.15 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 10 — — $28,195.07 $183,168.00 $38,063.35 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 10 — — $28,115.59 $175,915.80 $37,956.04 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 10 — — $28,059.08 $190,641.60 $37,879.76 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 10 — — $27,947.81 $171,099.00 $37,729.54 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 10 — — $27,905.42 $166,514.40 $37,672.32 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 10 — — $27,825.94 $172,530.00 $37,565.01 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 10 — — $27,812.70 $167,729.40 $37,547.15 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 10 — — $27,747.35 $151,491.60 $37,458.92 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 10 — — $27,562.78 $185,403.60 $37,209.75 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 10 — — $27,456.81 $165,153.60 $37,066.69 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 18 10 — — $27,035.58 $168,447.60 $36,498.04 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 10 — — $16,648.18 $178,291.80 $36,394.14 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 10 — — $26,640.84 $136,333.80 $35,965.13 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 10 — — $26,284.08 $165,693.60 $35,483.51 2026-04-01
5627 OTHER Level 7 Radiation Therapy 6 4 — — $475.30 $119,680.10 $35,261.95 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 18 10 — — $26,016.50 $156,438.00 $35,122.28 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 18 10 — — $25,998.84 $142,759.80 $35,098.43 2026-04-01
570 MS_DRG Skin Debridement With Mcc 18 10 — — $25,972.35 $162,561.60 $35,062.67 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 18 10 — — $25,786.02 $157,469.40 $34,811.12 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 10 — — $21,710.59 $132,219.00 $34,736.94 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 19 10 — — $21,680.57 $99,468.00 $34,688.91 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 22 10 — — $21,073.89 $128,331.00 $34,666.54 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 18 10 — — $25,611.17 $151,642.80 $34,575.08 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 10 — — $8,332.53 $202,176.00 $34,573.76 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 10 — — $25,498.13 $147,225.60 $34,422.47 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 18 10 — — $25,448.68 $143,089.20 $34,355.72 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 10 — — $18,809.00 $184,944.60 $34,257.08 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 10 — — $25,172.28 $157,248.00 $33,982.58 2026-04-01
800 MS_DRG Splenic Procedures With Cc 18 10 — — $24,809.33 $157,334.40 $33,492.60 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 18 10 — — $24,720.14 $152,382.60 $33,372.18 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 5 3 — — $24,480.29 $66,306.60 $33,353.48 2026-04-01
503 MS_DRG Foot Procedures With Mcc 18 10 — — $24,647.73 $142,911.00 $33,274.43 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 10 — — $5,664.44 $190,576.80 $33,096.27 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 10 — — $23,476.02 $246,206.47 $33,045.53 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 19 10 — — $20,636.76 $114,010.20 $33,018.82 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 10 — — $24,347.48 $145,972.80 $32,869.10 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 10 — — $30,365.69 $56,176.53 $32,794.95 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 10 — — $24,141.72 $146,696.40 $32,591.32 2026-04-01
849 MS_DRG Radiotherapy 18 10 — — $23,927.13 $144,228.60 $32,301.62 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 10 — — $23,897.99 $147,490.20 $32,262.28 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 10 — — $23,820.28 $141,280.20 $32,157.38 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 10 — — $28,142.97 $166,978.80 $31,780.98 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 10 — — $23,407.88 $143,780.40 $31,600.64 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 10 — — $23,290.43 $143,272.80 $31,442.08 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 21 10 — — $18,566.82 $115,101.00 $31,377.93 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 10 — — $19,768.58 $154,548.00 $31,185.54 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $28,527.11 $166,633.20 $31,094.55 2026-04-01
78 MS_DRG Hypertensive Encephalopathy With Cc 5 3 — — $22,761.27 $53,881.20 $31,011.38 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 18 10 — — $22,921.30 $137,856.60 $30,943.76 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 18 10 — — $22,893.92 $137,894.40 $30,906.79 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 18 10 — — $22,776.47 $129,438.00 $30,748.24 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 18 10 — — $22,776.47 $129,438.00 $30,748.24 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 18 10 — — $22,674.04 $139,773.60 $30,609.95 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 18 10 — — $22,545.11 $135,108.00 $30,435.90 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 10 — — $22,438.25 $139,546.80 $30,291.64 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $27,505.38 $159,224.40 $30,279.53 2026-04-01
L5858 HCPCS Stance Phase Only 12 10 — — $22,336.47 $83,516.06 $30,154.24 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 18 10 — — $22,289.01 $135,907.20 $30,090.17 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 18 10 — — $22,279.30 $133,250.40 $30,077.06 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 10 — — $25,485.77 $161,244.00 $30,018.17 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 18 10 — — $22,005.54 $130,669.20 $29,707.47 2026-04-01
263 MS_DRG Vein Ligation And Stripping 21 10 — — $9,696.99 $144,822.60 $29,699.32 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 18 10 — — $21,915.47 $136,441.80 $29,585.89 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 19 10 — — $18,401.68 $103,172.40 $29,442.69 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 10 — — $26,673.52 $154,332.00 $29,340.87 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 10 — — $11,566.53 $154,812.60 $29,336.99 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 10 — — $21,716.77 $126,273.60 $29,317.64 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 3 2 — — $20,928.45 $37,127.98 $29,311.56 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 10 — — $6,323.22 $176,499.00 $29,196.38 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 10 — — $21,584.31 $131,117.40 $29,138.82 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 18 10 — — $21,558.70 $127,828.80 $29,104.24 2026-04-01
5165 OTHER Level 5 ENT Procedures 2 2 — — $24,248.22 $33,704.78 $28,976.50 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 18 10 — — $21,240.79 $124,988.40 $28,675.07 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 10 — — $23,490.00 $154,634.40 $28,648.70 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 18 10 — — $21,148.95 $133,790.40 $28,551.08 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 12 10 — — $21,127.66 $78,996.32 $28,522.35 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 18 10 — — $21,110.10 $122,828.40 $28,498.64 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 11 7 — — $4,585.67 $63,042.05 $28,411.04 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 10 — — $17,365.00 $158,814.00 $28,289.82 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 10 — — $163.03 $157,388.40 $27,992.68 2026-04-01
333 MS_DRG Rectal Resection With Cc 18 10 — — $20,683.57 $114,755.40 $27,922.82 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 10 — — $20,651.78 $124,648.20 $27,879.90 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 18 10 — — $20,550.22 $121,338.00 $27,742.79 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 10 — — $20,536.09 $121,602.60 $27,723.72 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 10 — — $20,409.81 $127,423.80 $27,553.25 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 18 10 — — $20,265.87 $117,131.40 $27,358.92 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 10 — — $20,183.74 $125,285.40 $27,248.04 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 18 10 — — $20,096.32 $116,483.40 $27,130.03 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 18 10 — — $20,062.76 $122,358.60 $27,084.73 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 18 10 — — $20,007.13 $118,762.20 $27,009.62 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 10 — — $23,586.60 $144,941.40 $26,700.63 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 21 10 — — $18,809.00 $141,652.80 $26,693.83 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 18 10 — — $19,768.69 $120,538.80 $26,687.73 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 18 10 — — $19,757.21 $121,942.80 $26,672.24 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 18 10 — — $19,600.91 $115,322.40 $26,461.23 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 10 — — $24,026.92 $153,721.80 $26,429.61 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 12 10 — — $19,564.01 $73,149.83 $26,411.42 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 10 — — $19,540.86 $119,518.20 $26,380.17 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 18 10 — — $19,521.43 $115,867.80 $26,353.93 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 10 — — $19,497.59 $123,681.60 $26,321.74 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 18 10 — — $19,416.34 $121,964.40 $26,212.06 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 18 10 — — $19,385.44 $120,160.80 $26,170.34 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 10 — — $19,320.97 $123,287.40 $26,083.31 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 18 10 — — $19,273.28 $124,885.80 $26,018.93 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 18 10 — — $19,240.61 $121,505.40 $25,974.82 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 19 10 — — $16,468.61 $100,229.40 $25,973.21 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 10 — — $19,227.36 $113,200.20 $25,956.94 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 20 10 — — $10,490.90 $117,660.60 $25,530.15 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 18 10 — — $18,904.16 $110,554.20 $25,520.62 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 18 10 — — $18,818.50 $115,317.00 $25,404.97 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 18 10 — — $18,809.67 $113,545.80 $25,393.06 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 18 10 — — $18,780.52 $112,876.20 $25,353.70 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 10 — — $15,841.62 $103,356.00 $25,346.59 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 18 10 — — $18,727.54 $114,210.00 $25,282.18 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 18 10 — — $18,698.40 $123,870.60 $25,242.84 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 18 10 — — $18,691.33 $112,168.80 $25,233.29 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 10 — — $9,104.68 $145,497.60 $25,089.09 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 19 10 — — $16,167.48 $98,463.60 $24,980.92 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 18 10 — — $18,484.69 $115,786.80 $24,954.33 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 12 10 — — $18,479.11 $69,093.39 $24,946.80 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 18 10 — — $18,433.47 $109,517.40 $24,885.18 2026-04-01
835 MS_DRG Acute Leukemia With Cc 18 10 — — $18,419.34 $115,333.20 $24,866.10 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 10 — — $15,517.53 $96,163.20 $24,828.05 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 18 10 — — $18,362.83 $105,915.60 $24,789.82 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 18 10 — — $18,351.35 $108,626.40 $24,774.32 2026-04-01
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