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 WAUSAU HOSPITAL

Wausau, WI · CCN 520030 · Rates published

Your selected procedure

You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $4,155 across 4 payers · range $907-$6,805

Source: https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY27/391138241_1558363986_aspirus-wausau-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.

14,021 distinct procedures filed
32 distinct payers
452,195 rate rows
2026-04-01 last MRF observed
Data quality

349,727 of 452,195 rate rows are consumer-grade (77.3%)

102,468 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 54,673
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 37,599
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,779
placeholder amount (≤ $0.02) — excluded from medians 349
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 28
exceeds 10× this hospital's gross charge — excluded from medians 25
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY27/391138241_1558363986_aspirus-wausau-hospital_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaCMS hospital list
Last fetch success · 2026-09-21
Content fingerprint 30e731215ce0efc2… · 211,734,650 bytes · first seen 2026-09-21

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 $3,026,469.60 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,587,087.26 $4,271,819.03 $2,664,699.87 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,847,800.00 $2,401,960.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $1,271,523.00 $944,009.50 nat. median
$813,967
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $317,962.27 $1,118,391.34 $828,091.08 nat. median
$168,055
outlier · 4.9×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $614,180.81 $4,606,356.06 $767,726.01 nat. median
$621,313
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $588,494.81 $4,413,711.06 $735,618.51 nat. median
$599,737
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,260.84 $4,216,956.27 $702,826.04 nat. median
$579,571
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $559,781.08 $4,198,358.11 $699,726.35 nat. median
$574,037
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $3,988,868.38 $664,811.40 nat. median
$562,501
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $3,669,679.51 $611,613.25 nat. median
$513,770
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $204,310.86 $725,790.99 $473,270.57 nat. median
$186,516
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $157,401.99 $552,956.60 $409,425.94 nat. median
$131,925
outlier · 3.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $76,935.69 $740,854.97 $382,325.96 nat. median
$145,435
outlier · 2.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $2,086,875.00 $289,380.00 nat. median
$286,598
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $202,713.58 $1,520,351.88 $253,391.98 nat. median
$207,733
1.2× median
7
MS_DRG 		Lung Transplant 8 $95,624.05 $335,397.23 $248,338.34 nat. median
$70,649
outlier · 3.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $88,767.68 $311,251.59 $230,460.18 nat. median
$72,715
outlier · 3.2×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $83,721.93 $293,482.29 $217,303.24 nat. median
$65,418
outlier · 3.3×
209
MS_DRG 		Complex Aortic Arch Procedures 8 $83,626.32 $293,145.60 $217,053.95 nat. median
$2,110
outlier · 102.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $93,213.94 $595,005.93 $197,063.73 nat. median
$97,418
outlier · 2.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $66,643.88 $233,339.63 $172,771.78 nat. median
$2,596
outlier · 66.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $62,185.73 $217,639.66 $167,968.88 nat. median
$59,651
outlier · 2.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $105.67 $285,438.06 $156,798.51 nat. median
$2,736
outlier · 57.3×
215
MS_DRG 		Other Heart Assist System Implant 8 $73,611.30 $257,876.34 $156,558.77 nat. median
$73,023
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $76,436.42 $281,628.32 $154,858.09 nat. median
$74,509
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $58,254.14 $203,794.05 $150,895.34 nat. median
$56,428
outlier · 2.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $60,425.16 $267,031.64 $150,531.24 nat. median
$69,922
outlier · 2.2×
J7330
HCPCS 		Gft Atlgs Clgn Membr Cult Chondrocytes On Prcn 1 $138,148.31 $138,148.31 $138,148.31 nat. median
$92,809
1.5× median
10
MS_DRG 		Pancreas Transplant 8 $53,156.91 $185,843.45 $137,604.17 nat. median
$23,080
outlier · 6.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $53,134.85 $185,765.76 $137,546.64 nat. median
$37,013
outlier · 3.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $52,854.65 $184,779.01 $136,816.01 nat. median
$45,605
outlier · 3.0×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $49,887.21 $174,328.76 $134,542.61 nat. median
$47,340
outlier · 2.8×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $1,697.02 $276,338.37 $128,685.67 nat. median
$52,327
outlier · 2.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $13,784.29 $224,272.39 $126,426.97 nat. median
$2,633
outlier · 48.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $45,419.59 $178,130.73 $124,847.84 nat. median
$49,569
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $69,433.09 $253,364.74 $121,154.35 nat. median
$69,822
1.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 8 $45,402.58 $158,535.55 $117,384.56 nat. median
$41,943
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $40,835.49 $154,438.33 $114,350.85 nat. median
$42,674
outlier · 2.7×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $110,901.76 $831,763.20 $114,228.81 nat. median
$108,243
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 8 $43,993.51 $153,573.30 $113,710.36 nat. median
$38,932
outlier · 2.9×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 $42,797.71 $149,362.12 $110,592.27 nat. median
$2,596
outlier · 42.6×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 $1,306.14 $151,892.46 $108,183.45 nat. median
$40,726
outlier · 2.7×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 8 $41,602.64 $145,153.54 $107,476.11 nat. median
$32,772
outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 14,021 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 5 5 — — $2,938,320.00 $4,850,948.67 $3,026,469.60 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 5 5 — — $2,587,087.26 $4,271,819.03 $2,664,699.87 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 5 5 — — $2,332,000.00 $3,847,800.00 $2,401,960.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 10 7 — — $770,620.00 $1,271,523.00 $944,009.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 8 — — $317,962.27 $1,118,391.34 $828,091.08 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 7 — — $614,180.81 $4,606,356.06 $767,726.01 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 11 7 — — $588,494.81 $4,413,711.06 $735,618.51 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $562,260.84 $4,216,956.27 $702,826.04 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 7 — — $559,781.08 $4,198,358.11 $699,726.35 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 7 — — $531,849.12 $3,988,868.38 $664,811.40 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 7 — — $489,290.60 $3,669,679.51 $611,613.25 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 8 — — $204,310.86 $725,790.99 $473,270.57 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 8 — — $157,401.99 $552,956.60 $409,425.94 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 8 — — $76,935.69 $740,854.97 $382,325.96 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 5 — — $278,250.00 $2,086,875.00 $289,380.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 7 — — $202,713.58 $1,520,351.88 $253,391.98 2026-04-01
7 MS_DRG Lung Transplant 27 8 — — $95,624.05 $335,397.23 $248,338.34 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 8 — — $88,767.68 $311,251.59 $230,460.18 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 8 — — $83,721.93 $293,482.29 $217,303.24 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 8 — — $83,626.32 $293,145.60 $217,053.95 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 9 — — $93,213.94 $595,005.93 $197,063.73 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 8 — — $66,643.88 $233,339.63 $172,771.78 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 8 — — $62,185.73 $217,639.66 $167,968.88 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 8 — — $105.67 $285,438.06 $156,798.51 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 8 — — $73,611.30 $257,876.34 $156,558.77 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 8 — — $76,436.42 $281,628.32 $154,858.09 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 8 — — $58,254.14 $203,794.05 $150,895.34 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 8 — — $60,425.16 $267,031.64 $150,531.24 2026-04-01
J7330 HCPCS Gft Atlgs Clgn Membr Cult Chondrocytes On Prcn 1 1 — — $138,148.31 $138,148.31 $138,148.31 2026-04-01
10 MS_DRG Pancreas Transplant 27 8 — — $53,156.91 $185,843.45 $137,604.17 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 8 — — $53,134.85 $185,765.76 $137,546.64 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 8 — — $52,854.65 $184,779.01 $136,816.01 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 8 — — $49,887.21 $174,328.76 $134,542.61 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 38 8 — — $1,697.02 $276,338.37 $128,685.67 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 29 8 — — $13,784.29 $224,272.39 $126,426.97 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 8 — — $45,419.59 $178,130.73 $124,847.84 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 8 — — $69,433.09 $253,364.74 $121,154.35 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 8 — — $45,402.58 $158,535.55 $117,384.56 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 8 — — $40,835.49 $154,438.33 $114,350.85 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $110,901.76 $831,763.20 $114,228.81 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 8 — — $43,993.51 $153,573.30 $113,710.36 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 8 — — $42,797.71 $149,362.12 $110,592.27 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 8 — — $1,306.14 $151,892.46 $108,183.45 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 8 — — $41,602.64 $145,153.54 $107,476.11 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 8 — — $41,002.53 $143,040.18 $105,911.31 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 8 — — $39,250.95 $141,255.74 $104,590.06 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 8 — — $28,940.12 $249,900.00 $104,557.68 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 8 — — $40,335.50 $140,691.14 $104,172.01 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 8 — — $23,099.13 $184,670.23 $104,102.41 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 8 — — $39,299.30 $186,954.52 $102,698.95 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 8 — — $39,580.22 $138,031.31 $102,202.59 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 8 — — $29,395.10 $155,608.96 $101,468.80 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 8 — — $41,751.32 $155,564.93 $101,440.09 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 8 — — $48,489.54 $223,737.82 $98,334.11 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 8 — — $47,945.87 $173,046.76 $97,550.02 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 8 — — $42,338.57 $147,803.00 $96,378.73 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 8 — — $31,519.93 $169,674.71 $95,649.13 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 8 — — $36,159.21 $144,159.01 $94,002.57 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 8 — — $36,429.66 $126,936.18 $93,987.42 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 8 — — $53,571.66 $213,047.66 $92,730.21 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 9 — — $10,849.86 $198,003.03 $92,330.47 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 8 — — $551.95 $218,325.98 $91,144.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 8 — — $34,960.28 $121,761.56 $90,155.97 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 8 — — $19,651.87 $137,104.13 $89,402.25 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 8 — — $5,507.51 $166,652.30 $89,147.49 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 8 — — $34,486.67 $120,093.66 $88,921.01 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 29 8 — — $44,810.88 $157,015.28 $88,512.75 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 8 — — $12,691.93 $170,293.69 $88,425.46 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 28 8 — — $38,600.64 $134,581.56 $87,757.35 2026-04-01
245 MS_DRG Aicd Generator Procedures 29 8 — — $5,721.50 $176,157.66 $87,490.45 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 29 8 — — $33,691.67 $117,293.98 $86,848.04 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 8 — — $33,335.72 $116,040.47 $85,919.91 2026-04-01
2038 OTHER Gen, Neuro, Clo Loop, Rechg 3 3 — — $46,261.47 $85,680.04 $83,561.47 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 8 — — $12,691.93 $170,293.69 $83,453.25 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 8 — — $30,590.06 $110,463.47 $82,174.65 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 8 — — $35,717.03 $124,426.57 $81,135.52 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 8 — — $31,247.85 $108,687.74 $80,475.72 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 11 7 — — $64,282.30 $482,117.24 $80,352.87 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 8 — — $1,218.33 $141,680.48 $79,868.21 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 8 — — $29,531.18 $107,558.55 $79,639.63 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 8 — — $34,122.70 $121,150.34 $78,999.18 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 8 — — $1,220.23 $147,611.35 $78,961.90 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 8 — — $31,071.35 $108,066.17 $78,350.17 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 30 8 — — $10,507.31 $142,182.92 $78,104.75 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $77,046.96 $77,046.96 $77,046.96 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 8 — — $1,243.52 $145,604.18 $76,724.26 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 8 — — $33,206.29 $115,584.65 $75,369.92 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 8 — — $29,023.93 $100,855.89 $74,676.78 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 8 — — $28,851.10 $100,247.26 $74,226.13 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 8 — — $28,808.45 $100,097.05 $74,114.91 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 8 — — $35,814.61 $129,168.67 $72,815.04 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 8 — — $32,954.01 $119,614.53 $72,800.26 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 8 — — $27,069.90 $93,974.52 $72,527.20 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 8 — — $30,592.56 $111,181.82 $72,498.95 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 8 — — $50.00 $136,650.89 $71,430.22 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 8 — — $31,390.52 $109,190.18 $71,200.25 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 8 — — $12,691.93 $151,990.87 $71,077.21 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 8 — — $27,638.38 $95,976.51 $71,063.94 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 4 — — $68,801.71 $516,012.83 $70,865.76 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 8 — — $27,397.90 $95,129.62 $70,433.34 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 7 — — $56,269.19 $422,018.94 $70,336.49 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 8 — — $27,012.54 $93,772.51 $69,432.03 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 8 — — $26,733.81 $92,790.94 $68,705.24 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 8 — — $26,672.77 $92,575.98 $68,546.08 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 8 — — $9,106.59 $128,132.71 $68,542.17 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 8 — — $35,866.52 $127,467.11 $68,186.12 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 8 — — $26,267.55 $91,148.94 $67,489.46 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 8 — — $26,032.22 $90,320.17 $66,875.81 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 8 — — $32,415.63 $174,993.79 $66,750.19 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 8 — — $30,162.19 $117,754.98 $66,380.91 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 8 — — $33,822.16 $118,741.74 $65,890.74 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 8 — — $24,678.30 $85,552.17 $63,345.44 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 8 — — $832.33 $96,792.33 $63,115.92 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 8 — — $847.00 $117,806.78 $63,018.51 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 8 — — $12,691.93 $130,536.14 $62,105.29 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 8 — — $24,201.74 $83,873.91 $62,102.80 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 8 — — $22,635.66 $134,112.96 $62,033.77 2026-04-01
652 MS_DRG Kidney Transplant 27 8 — — $24,135.55 $83,640.82 $61,930.22 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 27 8 — — $24,071.57 $83,415.50 $61,763.38 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 8 — — $23,995.09 $83,146.15 $61,563.95 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 8 — — $23,822.79 $93,902.00 $61,231.20 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 8 — — $15,209.50 $93,542.01 $60,996.46 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 8 — — $23,752.40 $82,291.48 $60,931.13 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 8 — — $4,741.94 $110,467.00 $60,682.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 8 — — $1,075.39 $125,058.50 $60,554.31 2026-04-01
162 MS_DRG Inguinal & Femoral Hernia Procedures Age >17 Without Cc 1 1 — — $60,419.47 $60,419.47 $60,419.47 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 8 — — $26,607.32 $92,345.47 $60,216.23 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 8 — — $26,173.43 $112,075.33 $59,952.58 2026-04-01
665 MS_DRG Prostatectomy With Mcc 27 8 — — $23,339.09 $80,835.96 $59,853.41 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 8 — — $23,250.84 $80,525.17 $59,623.29 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 6 5 — — $56,824.55 $426,184.12 $59,097.54 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 8 — — $22,014.59 $76,171.55 $58,787.31 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 37 8 — — $26,366.08 $104,126.93 $58,698.50 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 8 — — $25,914.55 $89,905.79 $58,625.37 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 8 — — $946.54 $108,817.24 $58,209.72 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 29 8 — — $25,679.60 $103,184.21 $58,167.06 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 8 — — $28,352.93 $109,376.66 $58,131.61 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 8 — — $765.81 $89,056.30 $58,071.43 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 8 — — $7,526.71 $101,314.30 $57,112.96 2026-04-01
791 MS_DRG Prematurity With Major Problems 33 9 — — $19,946.35 $105,124.04 $56,730.16 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 27 8 — — $22,036.65 $76,249.25 $56,457.27 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 31 8 — — $15,261.16 $100,366.98 $55,649.94 2026-04-01
93631 HCPCS Heart Pacing Mapping 5 1 — — $31,256.00 $55,399.00 $55,399.00 2026-04-01
93621 HCPCS Electrophysiology Evaluation 5 1 — — $31,256.00 $55,399.00 $55,399.00 2026-04-01
93622 HCPCS Electrophysiology Evaluation 5 1 — — $31,256.00 $55,399.00 $55,399.00 2026-04-01
93609 HCPCS Map Tachycardia Add-on 5 1 — — $31,256.00 $55,399.00 $55,399.00 2026-04-01
93623 HCPCS Stimulation Pacing Heart 5 1 — — $31,256.00 $55,399.00 $55,399.00 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 5 1 — — $31,256.00 $55,399.00 $55,399.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 5 1 — — $31,256.00 $55,399.00 $55,399.00 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 5 1 — — $31,256.00 $55,399.00 $55,399.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 27 8 — — $21,578.48 $74,635.74 $55,262.58 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 8 — — $25,940.01 $96,520.39 $54,410.53 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 8 — — $21,046.03 $72,760.65 $53,874.21 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 8 — — $14,510.87 $97,457.94 $53,536.17 2026-04-01
503 MS_DRG Foot Procedures With Mcc 31 8 — — $17,448.94 $72,286.70 $53,523.28 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 35 8 — — $859.92 $110,764.59 $53,493.76 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 30 8 — — $15,762.34 $81,965.16 $53,447.47 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 8 — — $20,616.74 $81,377.25 $53,064.11 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 8 — — $12,691.93 $138,114.19 $52,993.88 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 8 — — $15,598.39 $173,173.66 $52,957.31 2026-04-01
265 MS_DRG Aicd Lead Procedures 29 8 — — $24,825.91 $93,707.76 $52,825.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 8 — — $19,244.85 $95,090.77 $52,235.82 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 8 — — $824.43 $92,267.78 $52,013.25 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 31 8 — — $712.85 $97,033.19 $51,906.07 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 9 — — $9,074.96 $148,409.04 $51,594.98 2026-04-01
J9226 HCPCS Supprelin La Implant 11 7 — — $41,173.43 $308,800.70 $51,466.78 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 36 8 — — $33,233.18 $123,299.96 $51,449.85 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 8 — — $21,624.83 $78,227.93 $51,010.52 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $49,338.18 $370,036.35 $50,818.33 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 41 8 — — $12,691.93 $108,485.73 $50,587.80 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 27 8 — — $19,781.10 $68,306.02 $50,575.86 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 8 — — $21,556.97 $77,085.78 $50,265.75 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 33 8 — — $795.27 $92,482.74 $50,219.97 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 30 8 — — $19,353.08 $78,192.46 $50,049.12 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 8 — — $21,492.11 $88,357.03 $49,808.68 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $47,919.99 $359,399.92 $49,357.59 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 27 8 — — $19,267.77 $66,498.27 $49,237.35 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 8 — — $1,151.01 $134,814.65 $48,769.82 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 8 — — $27,469.88 $119,044.75 $48,424.56 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 39 8 — — $16,689.92 $91,335.41 $47,854.76 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 28 8 — — $19,435.75 $72,499.07 $47,274.87 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 8 — — $42,236.62 $158,719.43 $47,272.99 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 8 — — $22,904.60 $86,497.41 $47,115.01 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 9 — — $749.59 $109,832.48 $47,052.17 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 32 8 — — $19,749.08 $71,406.13 $46,562.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 8 — — $22,064.43 $82,457.24 $46,482.84 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 27 8 — — $18,198.46 $62,732.56 $46,449.10 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 8 — — $24,306.91 $84,244.27 $46,277.56 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 31 8 — — $22,345.75 $81,840.84 $46,135.37 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 27 8 — — $17,997.69 $62,025.52 $45,925.58 2026-04-01
849 MS_DRG Radiotherapy 28 8 — — $16,045.54 $70,173.34 $45,758.32 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 8 — — $19,041.15 $69,859.96 $45,553.97 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 8 — — $709.76 $82,537.52 $45,339.99 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 8 — — $30,180.02 $113,769.13 $45,105.24 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 8 — — $19,947.31 $68,891.34 $44,922.36 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 8 — — $26,670.00 $106,846.32 $44,708.32 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 27 8 — — $17,499.07 $60,269.56 $44,625.42 2026-04-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 14 5 — — $8,500.00 $63,750.00 $44,625.00 2026-04-01
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 14 5 — — $8,455.00 $63,412.50 $44,388.75 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 28 8 — — $16,708.49 $57,485.42 $44,365.82 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 30 8 — — $19,353.08 $125,377.69 $44,349.34 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 31 8 — — $13,778.05 $78,217.57 $44,092.86 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 8 — — $20,749.69 $80,667.62 $43,151.61 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 8 — — $22,482.50 $78,132.10 $42,919.99 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 39 8 — — $879.46 $141,478.47 $42,587.02 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 31 8 — — $3,922.49 $79,289.79 $42,414.57 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 27 8 — — $16,642.30 $57,252.33 $42,391.37 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 39 8 — — $867.48 $83,664.13 $42,353.41 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 29 8 — — $21,423.83 $74,744.51 $42,135.02 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 28 8 — — $17,256.03 $64,537.72 $42,083.47 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 29 8 — — $16,504.04 $56,765.43 $42,030.86 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 27 8 — — $16,475.36 $56,664.42 $41,956.07 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 30 8 — — $18,176.37 $67,143.16 $41,891.90 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 29 8 — — $16,397.41 $56,389.89 $41,752.80 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 30 8 — — $21,034.84 $75,625.08 $41,542.82 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 30 8 — — $20,448.63 $75,112.28 $41,261.92 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 32 8 — — $14,762.33 $63,227.23 $41,228.93 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 27 8 — — $16,128.24 $55,441.99 $41,050.94 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 33 8 — — $1,000.00 $80,519.96 $41,049.93 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 28 8 — — $15,539.17 $53,367.48 $41,018.43 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 27 8 — — $16,056.91 $55,190.77 $40,864.93 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 27 8 — — $16,049.55 $55,164.87 $40,845.75 2026-04-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 14 5 — — $7,776.00 $58,320.00 $40,824.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 41 8 — — $20,361.36 $76,301.04 $40,815.80 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 28 8 — — $17,070.79 $62,527.96 $40,772.96 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 28 8 — — $11,896.28 $62,294.86 $40,620.96 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 45 8 — — $30,973.30 $128,796.24 $40,463.74 2026-04-01
835 MS_DRG Acute Leukemia With Cc 29 8 — — $15,724.49 $89,038.91 $39,998.16 2026-04-01
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 1 1 — — $39,976.89 $39,976.89 $39,976.89 2026-04-01
0094U OTHER Genome Rapid Sequence Alys 14 5 — — $7,582.20 $56,866.50 $39,806.55 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 27 8 — — $15,647.27 $53,748.19 $39,796.80 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 8 — — $17,382.14 $59,857.77 $39,767.32 2026-04-01
333 MS_DRG Rectal Resection With Cc 28 8 — — $15,799.59 $60,660.64 $39,555.32 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 29 8 — — $18,956.46 $70,087.87 $39,509.98 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 28 8 — — $14,287.03 $60,523.37 $39,465.81 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 8 — — $2,838.81 $93,402.15 $39,108.22 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 27 8 — — $15,297.21 $52,515.40 $38,884.01 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 8 — — $12,691.93 $74,780.77 $38,830.12 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 8 — — $15,708.07 $92,179.72 $38,773.65 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 29 8 — — $19,705.01 $68,650.48 $38,699.69 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 9 — — $1,222.00 $127,904.80 $38,539.95 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 36 8 — — $740.60 $90,343.48 $37,834.15 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 34 8 — — $12,532.76 $81,568.90 $37,782.98 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 31 8 — — $6,682.87 $66,891.94 $37,708.36 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 27 8 — — $14,845.66 $50,925.20 $37,706.57 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 31 8 — — $16,757.14 $66,120.15 $37,698.51 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 8 — — $791.35 $169,007.63 $37,187.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 8 — — $24,090.70 $85,262.10 $37,157.04 2026-04-01
592 MS_DRG Skin Ulcers With Mcc 29 8 — — $604.89 $50,122.33 $37,112.11 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 27 8 — — $14,572.08 $49,961.76 $36,993.21 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 27 8 — — $14,553.70 $49,897.01 $36,945.27 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 30 8 — — $15,356.27 $56,488.31 $36,834.64 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 33 8 — — $17,991.85 $65,340.59 $36,833.84 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 30 8 — — $411.24 $56,428.74 $36,795.80 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 27 8 — — $14,423.53 $49,438.60 $36,605.85 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 4 — — $15,053.00 $322,316.08 $36,330.74 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 4 — — $15,053.00 $322,316.08 $36,330.74 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 10 4 — — $15,053.00 $322,316.08 $36,330.74 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 34 8 — — $23,285.49 $135,121.05 $36,240.75 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 32 8 — — $11,809.19 $54,211.79 $36,117.60 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 38 9 — — $12,193.66 $66,600.88 $36,081.07 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 4 — — $34,970.13 $262,275.97 $36,019.23 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 33 8 — — $16,665.52 $63,690.82 $35,903.83 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 8 — — $21,017.51 $89,470.69 $35,880.83 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 31 8 — — $13,125.00 $63,584.63 $35,843.97 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 28 8 — — $9,975.00 $54,838.54 $35,758.88 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc 27 8 — — $14,055.81 $48,143.65 $35,647.03 2026-04-01
J9266 HCPCS Pegaspargase Injection 11 7 — — $28,424.06 $213,180.44 $35,530.07 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 28 8 — — $15,589.60 $54,452.65 $35,507.24 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 38 8 — — $18,912.49 $71,170.45 $35,464.43 2026-04-01
0267U OTHER Rare Do Id Opt Gen Mapg&seq 14 5 — — $6,739.33 $50,544.98 $35,381.48 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 34 9 — — $2,998.53 $59,091.16 $35,367.57 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 28 8 — — $15,713.82 $54,061.57 $35,252.23 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 28 8 — — $11,242.42 $53,968.34 $35,191.43 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 30 8 — — $583.41 $53,854.38 $35,117.12 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 43 9 — — $11,483.73 $65,369.08 $34,967.95 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 37 8 — — $16,028.31 $61,805.37 $34,840.96 2026-04-01
935 MS_DRG Non-extensive Burns 28 8 — — $14,742.08 $53,351.94 $34,789.50 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 32 8 — — $15,765.45 $63,302.34 $34,773.61 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 27 8 — — $13,696.19 $46,877.19 $34,709.30 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 27 8 — — $13,693.25 $46,866.83 $34,701.63 2026-04-01
116 MS_DRG Intraocular Procedures With Cc/Mcc 27 8 — — $13,682.22 $46,827.98 $34,672.87 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 30 8 — — $13,977.59 $53,069.64 $34,605.42 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 8 — — $13,651.33 $46,719.21 $34,592.33 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 28 8 — — $14,055.81 $48,143.65 $34,569.82 2026-04-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 27 8 — — $13,600.58 $46,540.50 $34,460.01 2026-04-01
671 MS_DRG Urethral Procedures With Cc/Mcc 27 8 — — $13,585.88 $46,488.70 $34,421.66 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 32 8 — — $17,849.14 $64,273.55 $34,234.31 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 34 8 — — $10,195.30 $81,607.75 $34,195.33 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 40 9 — — $14,234.11 $62,085.08 $34,177.99 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 28 8 — — $397.12 $52,370.37 $34,149.44 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 28 8 — — $15,202.34 $52,181.31 $34,026.15 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 31 8 — — $13,878.58 $47,519.49 $33,941.69 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 35 8 — — $14,967.03 $70,329.00 $33,916.80 2026-04-01
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