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

ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC.

Stevens Point, WI · CCN 520002 · Rates published

Your selected procedure

You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $4,155 across 4 payers · range $903-$6,775

Source: https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY27/390868982_1295754844_aspirus-wisconsin-rapids-hospital_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,360 distinct procedures filed
25 distinct payers
328,161 rate rows
2026-04-01 last MRF observed
Data quality

179,474 of 328,161 rate rows are consumer-grade (54.7%)

148,687 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 74,344
professional (physician) fee — not the facility price 48,522
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 25,781
placeholder amount (≤ $0.02) — excluded from medians 33
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY26/390808443_aspirus-stevens-point-hospital_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 7beb94959cd21b16… · 154,556,431 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,505,000.00 $4,730,250.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,691,450.00 $3,876,022.50 $3,783,736.25 nat. median
$3,685,267
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 4 $3,335,820.00 $3,502,611.00 $3,419,215.50 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,321,376.38 $3,487,445.20 $3,404,410.79 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,245,381.39 $3,407,650.46 $3,326,515.92 nat. median
$3,248,446
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 4 $3,180,000.00 $3,339,000.00 $3,259,500.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,938,320.00 $4,850,948.67 $3,055,852.80 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,587,087.26 $4,271,819.03 $2,690,570.75 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,847,800.00 $2,425,280.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,271,523.00 $990,246.70 nat. median
$813,967
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $304,125.79 $985,517.86 $898,202.24 nat. median
$168,055
outlier · 5.3×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $614,180.81 $4,606,356.06 $810,718.67 nat. median
$621,313
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $588,494.81 $4,413,711.06 $776,813.15 nat. median
$599,737
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,260.84 $4,216,956.27 $742,184.30 nat. median
$579,571
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $559,781.08 $4,198,358.11 $738,911.03 nat. median
$574,037
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $3,988,868.38 $702,040.84 nat. median
$562,501
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $3,669,679.51 $645,863.59 nat. median
$513,770
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $197,641.14 $639,561.45 $582,897.12 nat. median
$186,516
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $150,763.41 $487,261.11 $444,090.40 nat. median
$131,925
outlier · 3.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $149,883.24 $484,401.51 $441,484.16 nat. median
$145,435
outlier · 3.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $2,086,875.00 $292,162.50 nat. median
$286,598
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $98,085.51 $316,116.65 $288,109.12 nat. median
$97,418
outlier · 3.0×
7
MS_DRG 		Lung Transplant 9 $91,754.97 $295,549.46 $269,364.16 nat. median
$70,649
outlier · 3.8×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $202,713.58 $1,520,351.88 $267,581.93 nat. median
$207,733
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $85,205.97 $274,272.51 $249,972.32 nat. median
$72,715
outlier · 3.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $80,386.42 $258,614.34 $235,701.44 nat. median
$65,418
outlier · 3.6×
209
MS_DRG 		Complex Aortic Arch Procedures 9 $80,295.10 $258,317.65 $235,431.04 nat. median
$2,110
outlier · 111.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $77,171.28 $248,168.71 $226,181.28 nat. median
$74,509
outlier · 3.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $73,212.23 $235,306.23 $214,458.40 nat. median
$69,922
outlier · 3.1×
215
MS_DRG 		Other Heart Assist System Implant 9 $70,729.05 $227,238.65 $207,105.60 nat. median
$73,023
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $69,505.37 $223,263.06 $203,482.24 nat. median
$69,822
outlier · 2.9×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $64,073.98 $205,617.09 $187,399.68 nat. median
$2,596
outlier · 72.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $3,591.68 $251,525.83 $182,018.37 nat. median
$2,736
outlier · 66.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $18,861.12 $197,627.11 $180,117.60 nat. median
$2,633
outlier · 68.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $17,952.53 $192,387.18 $175,341.92 nat. median
$60,505
outlier · 2.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $59,815.69 $191,782.39 $174,790.72 nat. median
$59,651
outlier · 2.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $56,060.36 $179,581.75 $163,671.04 nat. median
$56,428
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $14,204.32 $175,234.16 $159,708.64 nat. median
$55,923
outlier · 2.9×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $14,204.32 $174,478.75 $159,020.16 nat. median
$55,935
outlier · 2.8×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $54,311.94 $173,901.36 $158,493.92 nat. median
$52,327
outlier · 3.0×
10
MS_DRG 		Pancreas Transplant 9 $51,191.63 $163,763.83 $149,254.56 nat. median
$23,080
outlier · 6.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $51,170.56 $163,695.36 $149,192.16 nat. median
$37,013
outlier · 4.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $50,902.92 $162,825.84 $148,399.68 nat. median
$45,605
outlier · 3.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $50,873.42 $162,729.99 $148,312.32 nat. median
$51,518
outlier · 2.9×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $51,492.98 $164,742.89 $144,286.85 nat. median
$9,905
outlier · 14.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $49,337.85 $157,741.10 $143,765.44 nat. median
$48,611
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $49,099.72 $156,967.43 $143,060.32 nat. median
$49,569
outlier · 2.9×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $48,068.51 $153,617.16 $140,006.88 nat. median
$47,340
outlier · 3.0×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $47,755.21 $152,599.30 $139,079.20 nat. median
$2,633
outlier · 52.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $47,720.79 $152,487.48 $138,977.28 nat. median
$2,958
outlier · 47.0×

Other procedures at this hospital

Browse this hospital's 11,360 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,505,000.00 $4,730,250.00 $4,617,625.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,691,450.00 $3,876,022.50 $3,783,736.25 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 4 4 — — $3,335,820.00 $3,502,611.00 $3,419,215.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,321,376.38 $3,487,445.20 $3,404,410.79 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,245,381.39 $3,407,650.46 $3,326,515.92 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 4 4 — — $3,180,000.00 $3,339,000.00 $3,259,500.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 5 — — $2,938,320.00 $4,850,948.67 $3,055,852.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 5 — — $2,587,087.26 $4,271,819.03 $2,690,570.75 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 5 — — $2,332,000.00 $3,847,800.00 $2,425,280.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 16 7 — — $770,620.00 $1,271,523.00 $990,246.70 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 32 9 — — $304,125.79 $985,517.86 $898,202.24 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 7 — — $614,180.81 $4,606,356.06 $810,718.67 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 17 7 — — $588,494.81 $4,413,711.06 $776,813.15 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 7 — — $562,260.84 $4,216,956.27 $742,184.30 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 17 7 — — $559,781.08 $4,198,358.11 $738,911.03 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 7 — — $531,849.12 $3,988,868.38 $702,040.84 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 17 7 — — $489,290.60 $3,669,679.51 $645,863.59 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 9 — — $197,641.14 $639,561.45 $582,897.12 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 9 — — $150,763.41 $487,261.11 $444,090.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 9 — — $149,883.24 $484,401.51 $441,484.16 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 5 — — $278,250.00 $2,086,875.00 $292,162.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 9 — — $98,085.51 $316,116.65 $288,109.12 2026-04-01
7 MS_DRG Lung Transplant 32 9 — — $91,754.97 $295,549.46 $269,364.16 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 17 7 — — $202,713.58 $1,520,351.88 $267,581.93 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 32 9 — — $85,205.97 $274,272.51 $249,972.32 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 9 — — $80,386.42 $258,614.34 $235,701.44 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 32 9 — — $80,295.10 $258,317.65 $235,431.04 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 9 — — $77,171.28 $248,168.71 $226,181.28 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 9 — — $73,212.23 $235,306.23 $214,458.40 2026-04-01
215 MS_DRG Other Heart Assist System Implant 32 9 — — $70,729.05 $227,238.65 $207,105.60 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 9 — — $69,505.37 $223,263.06 $203,482.24 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 9 — — $64,073.98 $205,617.09 $187,399.68 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 10 — — $3,591.68 $251,525.83 $182,018.37 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 33 9 — — $18,861.12 $197,627.11 $180,117.60 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 9 — — $17,952.53 $192,387.18 $175,341.92 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 9 — — $59,815.69 $191,782.39 $174,790.72 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 9 — — $56,060.36 $179,581.75 $163,671.04 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 9 — — $14,204.32 $175,234.16 $159,708.64 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 9 — — $14,204.32 $174,478.75 $159,020.16 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 9 — — $54,311.94 $173,901.36 $158,493.92 2026-04-01
10 MS_DRG Pancreas Transplant 32 9 — — $51,191.63 $163,763.83 $149,254.56 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 9 — — $51,170.56 $163,695.36 $149,192.16 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 9 — — $50,902.92 $162,825.84 $148,399.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 9 — — $50,873.42 $162,729.99 $148,312.32 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 9 — — $51,492.98 $164,742.89 $144,286.85 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 9 — — $49,337.85 $157,741.10 $143,765.44 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 9 — — $49,099.72 $156,967.43 $143,060.32 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 9 — — $48,068.51 $153,617.16 $140,006.88 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 9 — — $47,755.21 $152,599.30 $139,079.20 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 9 — — $47,720.79 $152,487.48 $138,977.28 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $138,148.31 $138,148.31 $138,148.31 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 9 — — $12,076.92 $150,061.50 $136,766.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 9 — — $12,076.92 $150,061.50 $136,766.24 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 9 — — $46,806.20 $149,516.05 $136,269.12 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 9 — — $15,865.71 $146,852.72 $128,618.11 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 9 — — $43,834.80 $139,862.34 $127,470.72 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 9 — — $43,784.93 $139,700.31 $127,323.04 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 9 — — $43,372.59 $138,360.66 $126,102.08 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 9 — — $42,991.15 $137,121.42 $124,972.64 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 9 — — $42,979.21 $137,082.63 $124,937.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 9 — — $42,673.64 $136,089.87 $124,032.48 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 9 — — $6,053.84 $135,642.56 $123,624.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 32 9 — — $42,439.02 $135,327.61 $123,337.76 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 9 — — $12,076.92 $133,933.19 $122,066.88 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 9 — — $41,983.13 $133,846.47 $121,987.84 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 9 — — $41,296.83 $131,616.76 $119,955.68 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 9 — — $41,038.33 $130,776.91 $119,190.24 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 32 9 — — $40,873.95 $130,242.87 $118,703.52 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 10 — — $3,387.22 $130,073.99 $118,549.60 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 9 — — $40,277.57 $128,305.28 $116,937.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 9 — — $40,155.34 $127,908.18 $116,575.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 9 — — $39,885.60 $127,031.82 $115,776.96 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 9 — — $39,582.13 $126,045.91 $114,878.40 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 9 — — $39,349.62 $125,290.50 $114,189.92 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 9 — — $39,213.34 $124,847.75 $113,786.40 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 9 — — $12,076.92 $124,669.74 $113,624.16 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 9 — — $39,098.14 $124,473.47 $113,445.28 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 32 9 — — $38,945.01 $123,975.95 $112,991.84 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 9 — — $12,076.92 $121,705.16 $110,922.24 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 9 — — $38,223.58 $121,632.13 $110,855.68 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 9 — — $37,972.10 $120,815.10 $110,111.04 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 9 — — $37,849.17 $120,415.72 $109,747.04 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 9 — — $37,351.13 $118,797.64 $108,272.32 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 32 9 — — $37,287.91 $118,592.24 $108,085.12 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 9 — — $12,076.92 $115,027.44 $104,836.16 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 9 — — $31,527.47 $113,822.44 $103,737.92 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 9 — — $35,538.80 $112,909.56 $102,905.92 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 9 — — $35,358.26 $112,323.04 $102,371.36 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 9 — — $35,214.26 $111,855.19 $101,944.96 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 9 — — $34,704.98 $110,200.59 $100,436.96 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 9 — — $34,533.58 $109,643.73 $99,929.44 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 9 — — $34,228.01 $108,650.98 $99,024.64 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 9 — — $33,810.75 $107,295.35 $97,789.12 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 9 — — $32,686.31 $107,076.26 $97,589.44 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 9 — — $33,644.97 $106,756.75 $97,298.24 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 32 9 — — $33,358.37 $105,825.61 $96,449.60 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 9 — — $33,228.42 $105,403.41 $96,064.80 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 9 — — $32,892.80 $104,634.31 $95,363.84 2026-04-01
245 MS_DRG Aicd Generator Procedures 32 9 — — $32,834.34 $104,123.09 $94,897.92 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 9 — — $32,738.10 $103,810.43 $94,612.96 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 9 — — $32,724.05 $103,764.79 $94,571.36 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 9 — — $32,599.02 $103,358.56 $94,201.12 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 9 — — $32,268.16 $102,283.64 $93,221.44 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 9 — — $32,259.03 $102,253.97 $93,194.40 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 9 — — $32,135.39 $101,852.30 $92,828.32 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 9 — — $12,548.86 $100,252.48 $91,370.24 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 9 — — $11,667.09 $98,759.92 $90,009.92 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 9 — — $30,941.22 $97,972.56 $89,292.32 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 10 — — $338.20 $97,342.68 $88,718.24 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 9 — — $30,575.24 $96,783.54 $88,208.64 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 9 — — $30,451.61 $96,381.87 $87,842.56 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 9 — — $30,401.03 $96,217.55 $87,692.80 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 9 — — $14,873.51 $96,169.63 $87,649.12 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 9 — — $30,299.88 $95,888.92 $87,393.28 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 9 — — $30,264.75 $95,774.81 $87,289.28 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 34 9 — — $12,076.92 $95,596.79 $87,127.04 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 9 — — $30,096.16 $95,227.08 $86,790.08 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 35 9 — — $3,969.00 $95,158.61 $86,727.68 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 9 — — $29,958.48 $94,779.77 $86,382.40 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 9 — — $29,765.31 $94,152.16 $85,810.40 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 17 7 — — $64,282.30 $482,117.24 $84,852.63 2026-04-01
791 MS_DRG Prematurity With Major Problems 35 9 — — $7,056.00 $92,634.50 $84,427.20 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 32 9 — — $28,772.03 $90,925.13 $82,869.28 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 9 — — $28,264.86 $89,277.38 $81,367.52 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 9 — — $28,140.53 $88,873.43 $80,999.36 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 9 — — $27,975.45 $88,337.12 $80,510.56 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 9 — — $27,934.71 $88,204.75 $80,389.92 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 9 — — $27,908.71 $88,120.31 $80,312.96 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 9 — — $27,754.88 $87,620.50 $79,857.44 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 9 — — $27,218.90 $85,879.19 $78,270.40 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 32 9 — — $27,103.70 $85,504.91 $77,929.28 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 9 — — $27,041.18 $85,301.79 $77,744.16 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 32 9 — — $27,038.37 $85,292.66 $77,735.84 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 9 — — $26,964.61 $85,053.03 $77,517.44 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 9 — — $26,817.10 $84,573.77 $77,080.64 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $77,046.96 $77,046.96 $77,046.96 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 32 9 — — $26,587.39 $83,827.49 $76,400.48 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 9 — — $25,160.34 $83,793.26 $76,369.28 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 9 — — $26,274.10 $82,809.63 $75,472.80 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 32 9 — — $26,254.43 $82,745.73 $75,414.56 2026-04-01
332 MS_DRG Rectal Resection With Mcc 33 9 — — $26,219.31 $149,636.68 $75,310.56 2026-04-01
265 MS_DRG Aicd Lead Procedures 32 9 — — $26,201.75 $82,574.56 $75,258.56 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 9 — — $26,156.79 $82,428.50 $75,125.44 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 9 — — $26,118.86 $82,305.26 $75,013.12 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 9 — — $25,953.08 $81,766.66 $74,522.24 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 9 — — $25,894.77 $81,577.24 $74,349.60 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 7 — — $56,269.19 $422,018.94 $74,275.33 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 33 9 — — $25,869.48 $81,495.08 $74,274.72 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 9 — — $25,832.25 $81,374.12 $74,164.48 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 9 — — $13,394.11 $81,305.66 $74,102.08 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 9 — — $25,787.30 $81,228.06 $74,031.36 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 9 — — $25,766.93 $81,161.88 $73,971.04 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 32 9 — — $25,507.72 $80,319.75 $73,203.52 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 33 9 — — $25,289.25 $79,609.98 $72,556.64 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 9 — — $25,282.93 $79,589.44 $72,537.92 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 9 — — $25,170.54 $79,224.29 $72,205.12 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 33 9 — — $16,901.11 $78,840.88 $71,855.68 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 32 9 — — $24,940.13 $78,475.73 $71,522.88 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 9 — — $60.78 $78,242.94 $71,310.72 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 39 9 — — $29,027.73 $91,755.85 $71,076.60 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 32 9 — — $24,750.47 $77,859.54 $70,961.28 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 35 9 — — $12,463.19 $76,239.17 $69,484.48 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 9 — — $23,989.71 $75,387.91 $68,708.64 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 9 — — $23,911.04 $75,132.31 $68,475.68 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 9 — — $23,908.23 $75,123.18 $68,467.36 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 9 — — $23,634.97 $74,235.40 $67,658.24 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 9 — — $23,534.52 $73,909.05 $67,360.80 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 34 9 — — $5,252.67 $73,826.89 $67,285.92 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 34 9 — — $23,477.62 $73,724.19 $67,192.32 2026-04-01
652 MS_DRG Kidney Transplant 32 9 — — $23,471.30 $73,703.65 $67,173.60 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 38 9 — — $22,757.84 $80,484.07 $67,145.36 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 34 9 — — $23,454.44 $73,648.88 $67,123.68 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 32 9 — — $23,410.18 $73,505.10 $66,992.64 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 32 9 — — $23,337.13 $73,267.75 $66,776.32 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 9 — — $23,213.50 $72,866.08 $66,410.24 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 33 9 — — $23,172.05 $72,731.43 $66,287.52 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 9 — — $23,150.28 $72,660.68 $66,223.04 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 32 9 — — $23,105.32 $72,514.62 $66,089.92 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 9 — — $23,016.81 $72,227.07 $65,827.84 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 9 — — $22,983.09 $72,117.52 $65,728.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 9 — — $22,919.87 $71,912.12 $65,540.80 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 32 9 — — $22,909.33 $71,877.89 $65,509.60 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 32 9 — — $22,857.35 $71,709.01 $65,355.68 2026-04-01
665 MS_DRG Prostatectomy With Mcc 32 9 — — $22,710.54 $71,232.03 $64,920.96 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 9 — — $22,664.88 $71,083.68 $64,785.76 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 9 — — $22,626.24 $70,958.16 $64,671.36 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 9 — — $3,538.61 $104,901.32 $63,680.74 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 32 9 — — $22,291.17 $69,869.55 $63,679.20 2026-04-01
263 MS_DRG Vein Ligation And Stripping 34 9 — — $10,643.20 $69,775.98 $63,593.92 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 9 — — $4,723.60 $69,223.69 $63,090.56 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 32 9 — — $22,003.16 $68,933.85 $62,826.40 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 9 — — $22,000.35 $68,924.72 $62,818.08 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 9 — — $21,977.17 $68,849.41 $62,749.44 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 9 — — $21,693.38 $67,927.40 $61,909.12 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 32 9 — — $21,480.54 $67,235.89 $61,278.88 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 32 9 — — $21,466.49 $67,190.25 $61,237.28 2026-04-01
570 MS_DRG Skin Debridement With Mcc 32 9 — — $21,445.41 $67,121.78 $61,174.88 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 32 9 — — $21,297.20 $66,640.24 $60,736.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 33 9 — — $21,170.75 $66,229.44 $60,361.60 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 32 9 — — $21,158.11 $66,188.36 $60,324.16 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 34 9 — — $12,076.92 $65,896.24 $60,057.92 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 32 9 — — $21,058.36 $65,864.29 $60,028.80 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 32 9 — — $21,028.86 $65,768.44 $59,941.44 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 33 9 — — $20,947.37 $65,503.70 $59,700.16 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 5 — — $56,824.55 $426,184.12 $59,665.78 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 33 9 — — $8,563.50 $65,054.11 $59,290.40 2026-04-01
800 MS_DRG Splenic Procedures With Cc 32 9 — — $20,520.28 $64,116.13 $58,435.52 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 9 — — $20,449.33 $63,885.62 $58,225.44 2026-04-01
503 MS_DRG Foot Procedures With Mcc 32 9 — — $20,391.73 $63,698.48 $58,054.88 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 32 9 — — $20,152.89 $62,922.54 $57,347.68 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 9 — — $20,093.89 $62,730.83 $57,172.96 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 37 9 — — $7,693.75 $84,055.30 $57,158.40 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 35 9 — — $19,989.22 $62,390.78 $56,863.04 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 9 — — $18,248.22 $112,708.73 $56,830.53 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 32 9 — — $19,897.90 $62,094.10 $56,592.64 2026-04-01
849 MS_DRG Radiotherapy 32 9 — — $19,818.52 $61,836.21 $56,357.60 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 34 9 — — $15,839.55 $74,160.29 $56,288.96 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 9 — — $19,733.53 $61,560.06 $56,105.92 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 36 9 — — $20,163.03 $63,260.30 $55,405.30 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 9 — — $19,470.81 $60,706.52 $55,328.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 9 — — $19,405.48 $60,494.28 $55,134.56 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 9 — — $19,312.05 $60,190.74 $54,857.92 2026-04-01
J9226 HCPCS Supprelin La Implant 17 7 — — $41,173.43 $308,800.70 $54,348.92 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 32 9 — — $19,018.43 $59,236.78 $53,988.48 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 9 — — $18,996.65 $59,166.04 $53,924.00 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 32 9 — — $18,928.51 $58,944.66 $53,722.24 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 32 9 — — $18,903.22 $58,862.50 $53,647.36 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 33 9 — — $13,599.66 $58,862.50 $53,647.36 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 32 9 — — $18,821.74 $58,597.77 $53,406.08 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 32 9 — — $18,719.18 $58,264.57 $53,102.40 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 32 9 — — $18,634.18 $57,988.42 $52,850.72 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 32 9 — — $18,515.47 $57,602.73 $52,499.20 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 32 9 — — $18,507.74 $57,577.62 $52,476.32 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 32 9 — — $18,289.98 $56,870.14 $51,831.52 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 33 9 — — $18,218.33 $56,637.36 $51,619.36 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 33 9 — — $18,060.28 $56,123.86 $51,151.36 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 35 9 — — $17,818.51 $56,107.89 $51,136.80 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 34 10 — — $12,128.00 $56,030.29 $51,066.08 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 33 9 — — $17,954.91 $55,781.53 $50,839.36 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 32 9 — — $17,934.54 $55,715.35 $50,779.04 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 32 9 — — $17,800.37 $55,279.45 $50,381.76 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 32 9 — — $17,744.87 $55,099.15 $50,217.44 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 32 9 — — $17,681.65 $54,893.76 $50,030.24 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 33 9 — — $16,982.36 $54,656.41 $49,813.92 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 32 9 — — $17,577.69 $54,555.99 $49,722.40 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 9 — — $11,948.69 $54,462.42 $49,637.12 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 34 9 — — $5,793.29 $53,656.80 $48,902.88 2026-04-01
333 MS_DRG Rectal Resection With Cc 32 9 — — $17,238.40 $53,453.69 $48,717.76 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 32 9 — — $17,213.11 $53,371.53 $48,642.88 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 32 9 — — $17,201.17 $53,332.73 $48,607.52 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 32 9 — — $17,132.33 $53,109.08 $48,403.68 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 33 9 — — $17,121.09 $53,072.56 $48,370.40 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 9 — — $17,020.64 $52,746.21 $48,072.96 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 32 9 — — $16,911.06 $52,390.18 $47,748.48 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 33 9 — — $16,906.14 $52,374.21 $47,733.92 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 34 9 — — $16,311.18 $52,161.96 $47,540.48 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 35 9 — — $3,724.64 $52,070.68 $47,457.28 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 33 9 — — $14,584.82 $51,936.03 $47,334.56 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 33 9 — — $16,744.58 $51,849.30 $47,255.52 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 39 9 — — $3,777.35 $77,756.84 $47,202.58 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 32 9 — — $16,700.32 $51,705.52 $47,124.48 2026-04-01
792 MS_DRG Prematurity Without Major Problems 37 9 — — $3,459.77 $55,895.64 $46,966.86 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 32 9 — — $16,510.66 $51,089.33 $46,562.88 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 32 9 — — $16,501.53 $51,059.66 $46,535.84 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 32 9 — — $16,377.19 $50,655.71 $46,167.68 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 34 9 — — $12,076.92 $50,500.52 $46,026.24 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 32 9 — — $16,313.97 $50,450.31 $45,980.48 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 35 9 — — $15,224.34 $50,388.69 $45,924.32 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 32 9 — — $16,230.38 $50,178.73 $45,732.96 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 32 9 — — $16,205.79 $50,098.85 $45,660.16 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 32 9 — — $16,181.91 $50,021.26 $45,589.44 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 32 9 — — $16,154.51 $49,932.25 $45,508.32 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 34 9 — — $12,076.92 $49,809.02 $45,396.00 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 39 9 — — $17,320.21 $57,878.87 $45,378.90 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 33 9 — — $4,686.29 $49,777.06 $45,366.88 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 32 9 — — $16,090.59 $49,724.57 $45,319.04 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 32 9 — — $16,080.05 $49,690.34 $45,287.84 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 32 9 — — $16,028.77 $49,523.74 $45,136.00 2026-04-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 15 5 — — $8,500.00 $63,750.00 $44,625.00 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 37 9 — — $11,684.44 $53,017.79 $44,548.72 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 32 9 — — $15,828.57 $48,873.31 $44,543.20 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 32 9 — — $15,822.95 $48,855.06 $44,526.56 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 35 9 — — $15,808.90 $48,809.41 $44,484.96 2026-04-01
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 15 5 — — $8,455.00 $63,412.50 $44,388.75 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 32 9 — — $15,754.81 $48,633.68 $44,324.80 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 32 9 — — $15,754.11 $48,631.40 $44,322.72 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 32 9 — — $15,747.79 $48,610.86 $44,304.00 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 32 9 — — $15,724.61 $48,535.55 $44,235.36 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 32 9 — — $15,682.46 $48,398.62 $44,110.56 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 33 9 — — $15,659.28 $48,323.30 $44,041.92 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 32 9 — — $15,653.66 $48,305.05 $44,025.28 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 34 9 — — $15,598.17 $48,124.75 $43,860.96 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 32 9 — — $15,554.61 $47,983.26 $43,732.00 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 32 9 — — $15,448.54 $47,638.64 $43,417.92 2026-04-01
835 MS_DRG Acute Leukemia With Cc 32 9 — — $15,437.30 $47,602.13 $43,384.64 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 32 9 — — $15,423.26 $47,556.48 $43,343.04 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 34 9 — — $125.62 $47,456.07 $43,251.52 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 32 9 — — $15,383.22 $47,426.40 $43,224.48 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 32 9 — — $15,363.55 $47,362.50 $43,166.24 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 32 9 — — $15,303.14 $47,166.23 $42,987.36 2026-04-01
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