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 DIVINE SAVIOR HOSPITAL

Portage, WI · CCN 520041 · Rates published

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You selected 45378 (HCPCS)

Diagnostic colonoscopy

This hospital’s price: $3,489 across 7 payers · range $903-$6,775

Source: https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY27/390806250_1124083894_aspirus-divine-savior-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.

14,062 distinct procedures filed
22 distinct payers
273,573 rate rows
2026-04-01 last MRF observed
Data quality

215,931 of 273,573 rate rows are consumer-grade (78.9%)

57,642 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 34,233
professional (physician) fee — not the facility price 18,916
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
placeholder amount (≤ $0.02) — excluded from medians 44
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY26/390806250_aspirus-divine-savior-hospital_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint 5a10fddce12bbca6… · 153,551,580 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 5 $3,605,000.00 $3,876,022.50 $3,648,225.00 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 6 $2,463,456.87 $4,271,819.03 $2,587,087.26 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $4,897,200.00 $2,425,280.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $1,618,302.00 $981,450.00 nat. median
$813,967
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $305,459.45 $985,517.86 $753,412.90 nat. median
$168,055
outlier · 4.5×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $588,494.81 $4,413,711.06 $748,421.63 nat. median
$599,737
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $614,180.81 $4,606,356.06 $721,525.71 nat. median
$621,313
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,260.84 $4,216,956.27 $716,011.02 nat. median
$579,571
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $559,781.08 $4,198,358.11 $710,764.46 nat. median
$574,037
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $531,849.12 $3,988,868.38 $677,792.00 nat. median
$562,501
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,290.60 $3,669,679.51 $623,356.38 nat. median
$513,770
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $198,511.47 $639,561.45 $488,934.66 nat. median
$186,516
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $151,429.78 $487,261.11 $372,503.45 nat. median
$131,925
outlier · 2.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $150,545.78 $484,401.51 $370,317.34 nat. median
$145,435
outlier · 2.5×
J3403
HCPCS 		Revakinagene, Per Implant 6 $262,233.77 $1,966,753.29 $337,500.00 nat. median
$264,195
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $278,250.00 $2,086,875.00 $292,162.50 nat. median
$286,598
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $202,713.58 $1,520,351.88 $256,842.62 nat. median
$207,733
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $98,522.68 $316,116.65 $241,666.21 nat. median
$97,418
outlier · 2.5×
7
MS_DRG 		Lung Transplant 10 $92,164.59 $295,549.46 $225,942.92 nat. median
$70,649
outlier · 3.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $85,587.10 $274,272.51 $209,677.02 nat. median
$72,715
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $80,746.58 $258,614.34 $197,706.59 nat. median
$65,418
outlier · 3.0×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $80,654.86 $258,317.65 $197,479.78 nat. median
$2,110
outlier · 93.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $78,555.25 $251,525.83 $192,287.54 nat. median
$2,736
outlier · 70.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $77,517.44 $248,168.71 $189,721.08 nat. median
$74,509
outlier · 2.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $73,541.17 $235,306.23 $179,887.91 nat. median
$69,922
outlier · 2.6×
215
MS_DRG 		Other Heart Assist System Implant 10 $71,047.19 $227,238.65 $173,720.38 nat. median
$73,023
outlier · 2.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $69,818.18 $223,263.06 $170,681.10 nat. median
$69,822
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $64,363.16 $205,617.09 $157,191.03 nat. median
$2,596
outlier · 60.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $61,893.16 $197,627.11 $151,082.82 nat. median
$2,633
outlier · 57.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $60,273.30 $192,387.18 $147,076.97 nat. median
$60,505
outlier · 2.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $60,086.34 $191,782.39 $146,614.62 nat. median
$59,651
outlier · 2.5×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $138,148.31 $138,148.31 $138,148.31 nat. median
$92,809
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $56,314.67 $179,581.75 $137,287.43 nat. median
$56,428
outlier · 2.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $54,970.67 $175,234.16 $133,963.76 nat. median
$55,923
outlier · 2.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $54,558.65 $173,901.36 $132,944.85 nat. median
$52,327
outlier · 2.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $51,727.42 $164,742.89 $125,943.35 nat. median
$9,905
outlier · 12.7×
10
MS_DRG 		Pancreas Transplant 10 $51,424.76 $163,763.83 $125,194.87 nat. median
$23,080
outlier · 5.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $51,403.59 $163,695.36 $125,142.53 nat. median
$37,013
outlier · 3.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $51,134.79 $162,825.84 $124,477.79 nat. median
$45,605
outlier · 2.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $51,105.16 $162,729.99 $124,404.52 nat. median
$51,518
outlier · 2.4×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $49,562.91 $157,741.10 $120,590.59 nat. median
$48,611
outlier · 2.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $49,323.74 $156,967.43 $119,999.13 nat. median
$49,569
outlier · 2.4×
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $426,184.12 $119,331.55 nat. median
$65,477
1.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $48,288.05 $153,617.16 $117,437.91 nat. median
$47,340
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 14,062 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
             
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 8 5 — — $3,605,000.00 $3,876,022.50 $3,648,225.00 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 9 6 — — $2,463,456.87 $4,271,819.03 $2,587,087.26 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 6 — — $2,332,000.00 $4,897,200.00 $2,425,280.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 13 8 — — $770,620.00 $1,618,302.00 $981,450.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 33 10 — — $305,459.45 $985,517.86 $753,412.90 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 14 8 — — $588,494.81 $4,413,711.06 $748,421.63 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 8 — — $614,180.81 $4,606,356.06 $721,525.71 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $562,260.84 $4,216,956.27 $716,011.02 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 14 8 — — $559,781.08 $4,198,358.11 $710,764.46 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 8 — — $531,849.12 $3,988,868.38 $677,792.00 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $489,290.60 $3,669,679.51 $623,356.38 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 10 — — $198,511.47 $639,561.45 $488,934.66 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 10 — — $151,429.78 $487,261.11 $372,503.45 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 10 — — $150,545.78 $484,401.51 $370,317.34 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 10 6 — — $262,233.77 $1,966,753.29 $337,500.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 6 — — $278,250.00 $2,086,875.00 $292,162.50 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 14 8 — — $202,713.58 $1,520,351.88 $256,842.62 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 10 — — $98,522.68 $316,116.65 $241,666.21 2026-04-01
7 MS_DRG Lung Transplant 33 10 — — $92,164.59 $295,549.46 $225,942.92 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 10 — — $85,587.10 $274,272.51 $209,677.02 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 10 — — $80,746.58 $258,614.34 $197,706.59 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 33 10 — — $80,654.86 $258,317.65 $197,479.78 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 10 — — $78,555.25 $251,525.83 $192,287.54 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 10 — — $77,517.44 $248,168.71 $189,721.08 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 10 — — $73,541.17 $235,306.23 $179,887.91 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 10 — — $71,047.19 $227,238.65 $173,720.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 10 — — $69,818.18 $223,263.06 $170,681.10 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 10 — — $64,363.16 $205,617.09 $157,191.03 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 33 10 — — $61,893.16 $197,627.11 $151,082.82 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 10 — — $60,273.30 $192,387.18 $147,076.97 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 10 — — $60,086.34 $191,782.39 $146,614.62 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $138,148.31 $138,148.31 $138,148.31 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 10 — — $56,314.67 $179,581.75 $137,287.43 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 10 — — $54,970.67 $175,234.16 $133,963.76 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 10 — — $54,558.65 $173,901.36 $132,944.85 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 10 — — $51,727.42 $164,742.89 $125,943.35 2026-04-01
10 MS_DRG Pancreas Transplant 33 10 — — $51,424.76 $163,763.83 $125,194.87 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 33 10 — — $51,403.59 $163,695.36 $125,142.53 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 10 — — $51,134.79 $162,825.84 $124,477.79 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 10 — — $51,105.16 $162,729.99 $124,404.52 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 10 — — $49,562.91 $157,741.10 $120,590.59 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 10 — — $49,323.74 $156,967.43 $119,999.13 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 7 — — $56,824.55 $426,184.12 $119,331.55 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 10 — — $48,288.05 $153,617.16 $117,437.91 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 10 — — $47,973.39 $152,599.30 $116,659.77 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 10 — — $47,938.82 $152,487.48 $116,574.28 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 10 — — $8,062.35 $174,478.75 $115,713.70 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 5 — — $110,901.76 $831,763.20 $115,337.83 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 10 — — $47,188.86 $150,061.50 $114,719.65 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 10 — — $47,188.86 $150,061.50 $114,719.65 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 10 — — $47,020.24 $149,516.05 $114,302.67 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 10 — — $44,035.92 $139,862.34 $106,922.56 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 10 — — $43,985.83 $139,700.31 $106,798.69 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 10 — — $43,571.70 $138,360.66 $105,774.55 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 33 10 — — $43,188.60 $137,121.42 $104,827.17 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 10 — — $43,176.61 $137,082.63 $104,797.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 10 — — $42,869.71 $136,089.87 $104,038.56 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 10 — — $42,731.43 $135,642.56 $103,696.60 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 33 10 — — $42,634.07 $135,327.61 $103,455.83 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 10 — — $42,203.00 $133,933.19 $102,389.82 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 10 — — $42,176.19 $133,846.47 $102,323.52 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 10 — — $41,486.91 $131,616.76 $100,618.94 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 10 — — $41,227.28 $130,776.91 $99,976.89 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 33 10 — — $41,062.19 $130,242.87 $99,568.63 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 10 — — $40,463.21 $128,305.28 $98,087.37 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 33 10 — — $40,340.45 $127,908.18 $97,783.79 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 10 — — $42,387.03 $146,852.72 $97,392.21 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 10 — — $40,069.53 $127,031.82 $97,113.83 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 10 — — $39,764.75 $126,045.91 $96,360.11 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 33 10 — — $39,531.23 $125,290.50 $95,782.61 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 10 — — $39,394.36 $124,847.75 $95,444.14 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 10 — — $39,339.33 $124,669.74 $95,308.05 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 10 — — $39,278.65 $124,473.47 $95,158.01 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 33 10 — — $39,124.85 $123,975.95 $94,777.66 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 10 — — $38,422.86 $121,705.16 $93,041.68 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 10 — — $38,400.29 $121,632.13 $92,985.85 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 10 — — $4,620.23 $130,073.99 $92,852.07 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 10 — — $38,147.71 $120,815.10 $92,361.25 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 10 — — $38,024.25 $120,415.72 $92,055.92 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 33 10 — — $37,460.55 $118,592.24 $90,661.90 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 10 — — $36,358.53 $115,027.44 $87,936.67 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 10 — — $35,986.02 $113,822.44 $87,015.47 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 10 — — $35,703.82 $112,909.56 $86,317.58 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 10 — — $35,377.87 $111,855.19 $85,511.53 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 33 10 — — $34,866.38 $110,200.59 $84,246.62 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 10 — — $34,694.23 $109,643.73 $83,820.91 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 10 — — $34,387.33 $108,650.98 $83,061.96 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 33 10 — — $33,968.26 $107,295.35 $82,025.61 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 8 — — $64,282.30 $482,117.24 $81,859.41 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 10 — — $33,900.53 $107,076.26 $81,858.12 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 10 — — $33,801.76 $106,756.75 $81,613.86 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 33 10 — — $33,513.91 $105,825.61 $80,902.02 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 10 — — $33,383.39 $105,403.41 $80,579.25 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 10 — — $35,522.50 $112,323.04 $80,180.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 10 — — $33,145.63 $104,634.31 $79,991.28 2026-04-01
245 MS_DRG Aicd Generator Procedures 33 10 — — $32,987.59 $104,123.09 $79,600.47 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 10 — — $32,890.94 $103,810.43 $79,361.44 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 10 — — $32,876.83 $103,764.79 $79,326.55 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 33 10 — — $32,751.25 $103,358.56 $79,015.99 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 11 — — $37,524.04 $118,797.64 $78,786.18 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 33 10 — — $32,418.95 $102,283.64 $78,194.23 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 10 — — $32,409.78 $102,253.97 $78,171.55 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 10 — — $32,285.61 $101,852.30 $77,864.48 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $77,046.96 $77,046.96 $77,046.96 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 10 — — $31,791.04 $100,252.48 $76,641.45 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 10 — — $31,086.24 $97,972.56 $74,898.48 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 10 — — $30,718.67 $96,783.54 $73,989.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 10 — — $30,594.50 $96,381.87 $73,682.42 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 10 — — $30,543.70 $96,217.55 $73,556.80 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 10 — — $30,528.88 $96,169.63 $73,520.17 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 10 — — $30,442.10 $95,888.92 $73,305.57 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 33 10 — — $30,406.83 $95,774.81 $73,218.33 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 10 — — $30,351.80 $95,596.79 $73,082.24 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 10 — — $30,237.51 $95,227.08 $72,799.60 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 10 — — $30,099.23 $94,779.77 $72,457.64 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 10 — — $29,905.21 $94,152.16 $71,977.85 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 6 5 — — $68,801.71 $516,012.83 $71,553.78 2026-04-01
791 MS_DRG Prematurity With Major Problems 33 10 — — $29,436.04 $92,634.50 $70,817.62 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 10 — — $3,963.58 $98,759.92 $70,498.82 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 10 — — $29,164.42 $91,755.85 $70,145.90 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 10 — — $32,073.71 $104,901.32 $69,570.19 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 10 — — $28,907.61 $90,925.13 $69,510.83 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 8 — — $56,269.19 $422,018.94 $69,288.25 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 10 — — $28,398.23 $89,277.38 $68,251.15 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 33 10 — — $28,273.36 $88,873.43 $67,942.34 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 10 — — $2,133.88 $95,158.61 $67,928.06 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 10 — — $28,107.56 $88,337.12 $67,532.34 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 10 — — $28,066.64 $88,204.75 $67,431.14 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 10 — — $17,572.58 $112,708.73 $67,430.43 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 10 — — $28,040.54 $88,120.31 $67,366.59 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 10 — — $27,886.03 $87,620.50 $66,984.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 10 — — $27,232.02 $85,504.91 $65,367.16 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 10 — — $27,169.23 $85,301.79 $65,211.88 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 10 — — $27,166.41 $85,292.66 $65,204.90 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 10 — — $27,092.33 $85,053.03 $65,021.70 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 33 10 — — $26,944.17 $84,573.77 $64,655.31 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 35 10 — — $4,943.67 $97,342.68 $64,557.32 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 33 10 — — $26,713.47 $83,827.49 $64,084.80 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 10 — — $26,702.89 $83,793.26 $64,058.63 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 10 — — $26,398.81 $82,809.63 $63,306.66 2026-04-01
332 MS_DRG Rectal Resection With Mcc 33 10 — — $26,343.78 $82,631.62 $63,170.57 2026-04-01
265 MS_DRG Aicd Lead Procedures 33 10 — — $26,326.14 $82,574.56 $63,126.95 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 33 10 — — $26,280.99 $82,428.50 $63,015.29 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 10 — — $26,242.89 $82,305.26 $62,921.08 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 10 — — $26,076.39 $81,766.66 $62,509.33 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 10 — — $26,017.83 $81,577.24 $62,364.52 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 10 — — $25,992.44 $81,495.08 $62,301.71 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 10 — — $25,955.04 $81,374.12 $62,209.24 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 10 — — $25,933.88 $81,305.66 $62,156.90 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 10 — — $25,889.43 $81,161.88 $62,046.98 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 10 — — $25,629.10 $80,319.75 $61,403.18 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 33 10 — — $25,409.68 $79,609.98 $60,860.58 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 10 — — $25,290.45 $79,224.29 $60,565.72 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 33 10 — — $25,171.92 $78,840.88 $60,272.61 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 33 10 — — $25,059.04 $78,475.73 $59,993.46 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 10 — — $24,987.08 $78,242.94 $59,815.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 10 — — $24,868.55 $77,859.54 $59,522.39 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 34 10 — — $26,379.06 $82,745.73 $59,067.24 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 33 10 — — $24,367.64 $76,239.17 $58,283.65 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 10 — — $17,433.92 $81,228.06 $57,983.87 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 10 — — $24,104.48 $75,387.91 $57,632.87 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 33 10 — — $24,025.47 $75,132.31 $57,437.47 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 10 — — $24,022.64 $75,123.18 $57,430.49 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 10 — — $1,564.20 $85,879.19 $56,954.77 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 10 — — $25,403.33 $79,589.44 $56,814.16 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 10 — — $23,748.20 $74,235.40 $56,751.80 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 33 10 — — $23,647.31 $73,909.05 $56,502.30 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 33 10 — — $23,621.91 $73,826.89 $56,439.49 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 10 — — $23,590.16 $73,724.19 $56,360.98 2026-04-01
652 MS_DRG Kidney Transplant 33 10 — — $23,583.81 $73,703.65 $56,345.28 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 10 — — $23,566.88 $73,648.88 $56,303.41 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 33 10 — — $23,522.44 $73,505.10 $56,193.49 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 33 10 — — $23,324.89 $72,866.08 $55,704.97 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 33 10 — — $23,283.27 $72,731.43 $55,602.04 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 33 10 — — $23,261.40 $72,660.68 $55,547.95 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 33 10 — — $23,216.24 $72,514.62 $55,436.29 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 10 — — $23,127.35 $72,227.07 $55,216.46 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 10 — — $23,093.48 $72,117.52 $55,132.71 2026-04-01
J9226 HCPCS Supprelin La Implant 14 8 — — $41,173.43 $308,800.70 $55,000.20 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 33 10 — — $23,029.99 $71,912.12 $54,975.69 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 10 — — $23,019.40 $71,877.89 $54,949.52 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 33 10 — — $22,967.20 $71,709.01 $54,820.41 2026-04-01
665 MS_DRG Prostatectomy With Mcc 33 10 — — $22,819.74 $71,232.03 $54,455.76 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 10 — — $22,773.89 $71,083.68 $54,342.36 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 33 10 — — $22,735.08 $70,958.16 $54,246.40 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 33 10 — — $22,398.55 $69,869.55 $53,414.17 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 37 10 — — $18,410.64 $80,484.07 $53,376.75 2026-04-01
263 MS_DRG Vein Ligation And Stripping 33 10 — — $22,369.63 $69,775.98 $53,342.64 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 33 10 — — $22,109.29 $68,933.85 $52,698.84 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 33 10 — — $22,106.47 $68,924.72 $52,691.87 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 10 — — $22,083.19 $68,849.41 $52,634.29 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 34 10 — — $17,907.53 $73,267.75 $52,301.48 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 33 10 — — $21,798.16 $67,927.40 $51,929.43 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 10 — — $4,343.34 $77,756.84 $51,568.06 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 33 10 — — $21,584.39 $67,235.89 $51,400.78 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 33 10 — — $21,570.28 $67,190.25 $51,365.89 2026-04-01
570 MS_DRG Skin Debridement With Mcc 33 10 — — $21,549.12 $67,121.78 $51,313.55 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 6 5 — — $49,338.18 $370,036.35 $51,311.71 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 33 10 — — $21,400.25 $66,640.24 $50,945.42 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 33 10 — — $21,273.26 $66,229.44 $50,631.37 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 33 10 — — $21,260.56 $66,188.36 $50,599.96 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 33 10 — — $21,170.26 $65,896.24 $50,376.64 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 33 10 — — $21,160.38 $65,864.29 $50,352.22 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 33 10 — — $21,130.75 $65,768.44 $50,278.94 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 6 5 — — $47,919.99 $359,399.92 $49,836.79 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 33 10 — — $20,909.92 $65,054.11 $49,732.84 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 34 10 — — $7,346.46 $69,223.69 $49,414.67 2026-04-01
800 MS_DRG Splenic Procedures With Cc 33 10 — — $20,619.96 $64,116.13 $49,015.77 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 33 10 — — $20,548.70 $63,885.62 $48,839.56 2026-04-01
503 MS_DRG Foot Procedures With Mcc 33 10 — — $20,490.85 $63,698.48 $48,696.49 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 33 10 — — $20,250.97 $62,922.54 $48,103.29 2026-04-01
81416 HCPCS Exome Sequence Analysis 27 8 — — $12,000.00 $90,000.00 $48,000.00 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 33 10 — — $20,086.59 $62,390.78 $47,696.77 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 33 10 — — $19,994.87 $62,094.10 $47,469.96 2026-04-01
849 MS_DRG Radiotherapy 33 10 — — $19,915.15 $61,836.21 $47,272.81 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 33 10 — — $19,891.87 $61,760.90 $47,215.23 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 33 10 — — $19,829.78 $61,560.06 $47,061.70 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 33 10 — — $19,565.92 $60,706.52 $46,409.18 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 33 10 — — $19,500.31 $60,494.28 $46,246.92 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 33 10 — — $19,406.47 $60,190.74 $46,014.88 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 33 10 — — $19,111.57 $59,236.78 $45,285.59 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 33 10 — — $19,089.70 $59,166.04 $45,231.50 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 33 10 — — $19,021.26 $58,944.66 $45,062.27 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 33 10 — — $18,995.87 $58,862.50 $44,999.46 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 33 10 — — $18,995.87 $58,862.50 $44,999.46 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 33 10 — — $18,914.03 $58,597.77 $44,797.07 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 33 10 — — $18,811.02 $58,264.57 $44,542.34 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 36 10 — — $20,336.19 $63,260.30 $44,452.69 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 33 10 — — $18,725.65 $57,988.42 $44,331.23 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 10 — — $21,345.93 $66,464.51 $44,079.03 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 33 10 — — $18,606.42 $57,602.73 $44,036.38 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 33 10 — — $18,598.66 $57,577.62 $44,017.19 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 33 10 — — $18,379.95 $56,870.14 $43,476.33 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 35 10 — — $21,048.91 $65,503.70 $43,441.83 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 6 — — $3,489.41 $320,878.32 $43,211.61 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 10 6 — — $3,489.41 $320,878.32 $43,211.61 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 10 6 — — $8,839.85 $320,878.32 $43,211.61 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 6 — — $8,839.85 $320,878.32 $43,211.61 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 33 10 — — $18,120.32 $56,030.29 $42,834.28 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 33 10 — — $18,022.96 $55,715.35 $42,593.51 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 33 10 — — $17,888.21 $55,279.45 $42,260.27 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 33 10 — — $17,832.47 $55,099.15 $42,122.44 2026-04-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 20 8 — — $8,500.00 $63,750.00 $42,018.90 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 33 10 — — $17,768.98 $54,893.76 $41,965.41 2026-04-01
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 20 8 — — $8,455.00 $63,412.50 $41,796.45 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 33 10 — — $17,695.61 $54,656.41 $41,783.96 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 33 10 — — $17,664.56 $54,555.99 $41,707.20 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 37 10 — — $20,186.77 $62,714.86 $41,592.27 2026-04-01
333 MS_DRG Rectal Resection With Cc 33 10 — — $17,323.80 $53,453.69 $40,864.50 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 33 10 — — $17,298.40 $53,371.53 $40,801.69 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 33 10 — — $17,286.41 $53,332.73 $40,772.03 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 33 10 — — $17,217.27 $53,109.08 $40,601.05 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 33 10 — — $17,205.98 $53,072.56 $40,573.14 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 10 — — $17,105.09 $52,746.21 $40,323.65 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 34 10 — — $7,001.07 $56,123.86 $40,063.48 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 10 — — $18,144.31 $56,107.89 $40,052.07 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 33 10 — — $16,995.03 $52,390.18 $40,051.47 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 33 10 — — $16,990.09 $52,374.21 $40,039.26 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
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 33 10 — — $16,924.48 $52,161.96 $39,877.00 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 33 10 — — $16,854.63 $51,936.03 $39,704.27 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 33 10 — — $16,783.38 $51,705.52 $39,528.06 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 33 10 — — $16,592.89 $51,089.33 $39,056.99 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 38 10 — — $16,650.33 $54,708.90 $39,053.42 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 33 10 — — $16,583.72 $51,059.66 $39,034.31 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 10 — — $17,635.64 $54,462.42 $38,877.48 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 33 10 — — $16,458.84 $50,655.71 $38,725.49 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 33 10 — — $16,410.87 $50,500.52 $38,606.85 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 33 10 — — $16,395.35 $50,450.31 $38,568.47 2026-04-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 20 8 — — $7,776.00 $58,320.00 $38,439.88 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 36 10 — — $14,913.75 $57,878.87 $38,385.07 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 33 10 — — $16,311.39 $50,178.73 $38,360.85 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 38 11 — — $13,734.72 $62,730.83 $38,327.18 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 34 10 — — $6,932.24 $53,656.80 $38,302.39 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 33 10 — — $16,286.70 $50,098.85 $38,299.79 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 33 10 — — $16,262.71 $50,021.26 $38,240.47 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 33 10 — — $16,235.19 $49,932.25 $38,172.42 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 33 10 — — $16,197.10 $49,809.02 $38,078.21 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 33 10 — — $16,187.22 $49,777.06 $38,053.78 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 10 — — $16,160.41 $49,690.34 $37,987.48 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 35 10 — — $144.85 $56,637.36 $37,561.70 2026-04-01
0094U OTHER Genome Rapid Sequence Alys 20 8 — — $7,582.20 $56,866.50 $37,481.85 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 33 10 — — $15,907.84 $48,873.31 $37,362.88 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 33 10 — — $15,902.19 $48,855.06 $37,348.92 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 33 10 — — $15,888.08 $48,809.41 $37,314.03 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 33 10 — — $15,833.76 $48,633.68 $37,179.68 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 33 10 — — $15,833.05 $48,631.40 $37,177.94 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 34 11 — — $5,019.99 $52,070.68 $37,170.15 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 33 10 — — $15,826.70 $48,610.86 $37,162.24 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 33 10 — — $15,803.42 $48,535.55 $37,104.66 2026-04-01
792 MS_DRG Prematurity Without Major Problems 35 11 — — $1,996.75 $55,895.64 $37,069.79 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 34 10 — — $16,827.82 $51,849.30 $37,012.12 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 33 10 — — $15,761.09 $48,398.62 $36,999.98 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 35 10 — — $15,694.62 $55,781.53 $36,994.12 2026-04-01
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