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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

SSM HEALTH ST MARY'S HOSPITAL - MADISON

Madison, WI · CCN 520083 · Rates published

12,285 distinct procedures filed
17 distinct payers
90,436 rate rows
2026-04-01 last MRF observed
Data quality

65,024 of 90,436 rate rows are consumer-grade (71.9%)

25,412 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 23,742
template filing: same amount across many unrelated codes — excluded 1,632
placeholder amount (≤ $0.02) — excluded from medians 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=yDWVdHK8N1Nd0zB7mYL6Zw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint db67db594eac08f2… · 23,737,694 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $242,747.90 $1,337,587.23 $852,385.29 nat. median
$370,174
outlier · 2.3×
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $577,965.00 $1,464,178.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $443,794.65 $1,098,816.70 $759,006.21 nat. median
$753,246
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $424,401.71 $1,051,419.78 $736,146.15 nat. median
$674,867
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $417,988.45 $1,028,394.85 $730,009.06 nat. median
$625,184
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $421,903.64 $1,029,107.75 $719,765.80 nat. median
$673,137
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $399,922.63 $1,012,845.30 $709,248.52 nat. median
$634,303
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $366,978.46 $930,468.00 $651,688.00 nat. median
$619,808
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $157,603.28 $868,040.30 $553,163.76 nat. median
$265,286
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $119,416.29 $657,450.57 $424,801.15 nat. median
$202,976
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $120,120.08 $661,331.74 $421,437.52 nat. median
$206,474
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $77,999.08 $429,047.12 $271,865.58 nat. median
$133,161
outlier · 2.0×
7
MS_DRG 		Lung Transplant 7 $72,937.22 $401,132.45 $255,624.00 nat. median
$122,708
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $67,700.66 $372,254.45 $237,221.33 nat. median
$117,357
outlier · 2.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $63,846.98 $351,002.51 $223,678.40 nat. median
$108,660
outlier · 2.1×
209
MS_DRG 		Complex Aortic Arch Procedures 7 $63,773.96 $350,599.83 $223,421.79 nat. median
$98,047
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $62,102.39 $341,381.67 $220,578.30 nat. median
$98,894
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $46,008.07 $336,825.25 $212,214.59 nat. median
$102,358
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $58,110.52 $319,367.74 $203,518.96 nat. median
$100,136
outlier · 2.0×
215
MS_DRG 		Other Heart Assist System Implant 7 $56,124.98 $308,418.08 $196,541.22 nat. median
$99,019
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $38,925.62 $303,022.23 $193,761.69 nat. median
$93,672
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $50,803.62 $279,072.36 $177,840.49 nat. median
$82,711
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $48,837.18 $268,228.01 $170,929.87 nat. median
$83,470
outlier · 2.0×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $167,598.22 $167,598.22 $167,598.22 nat. median
$65,393
outlier · 2.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $47,547.56 $261,116.15 $165,456.18 nat. median
$79,312
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $47,398.71 $260,295.32 $164,936.05 nat. median
$81,118
outlier · 2.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $154,558.90 $154,558.90 $154,558.90 nat. median
$62,372
outlier · 2.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $42,930.80 $237,835.34 $151,561.96 nat. median
$74,915
outlier · 2.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $42,045.41 $245,983.07 $150,908.60 nat. median
$73,807
outlier · 2.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $42,997.94 $236,026.40 $147,216.41 nat. median
$72,135
outlier · 2.0×
10
MS_DRG 		Pancreas Transplant 7 $40,502.96 $222,267.31 $141,641.14 nat. median
$68,884
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $40,486.11 $222,174.38 $141,581.93 nat. median
$64,023
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $40,743.92 $293,253.52 $140,875.31 nat. median
$68,090
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $40,272.10 $220,994.24 $140,829.87 nat. median
$71,271
2.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $40,248.52 $220,864.14 $140,746.97 nat. median
$68,886
outlier · 2.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $32,997.34 $243,736.08 $139,982.10 nat. median
$77,570
1.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $17,668.68 $420,227.59 $136,432.02 nat. median
$66,526
outlier · 2.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $38,830.27 $213,042.95 $135,520.90 nat. median
$65,950
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $38,005.73 $208,495.82 $132,865.18 nat. median
$64,732
outlier · 2.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $37,727.69 $206,962.56 $131,888.10 nat. median
$63,724
outlier · 2.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $37,130.62 $213,146.01 $131,598.05 nat. median
$64,508
outlier · 2.0×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $37,755.22 $207,114.34 $131,237.94 nat. median
$60,691
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $36,340.90 $346,797.15 $130,553.63 nat. median
$62,134
outlier · 2.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $37,130.62 $203,669.92 $129,789.85 nat. median
$61,920
outlier · 2.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $36,996.39 $202,929.62 $129,318.08 nat. median
$59,793
outlier · 2.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $34,620.48 $190,299.11 $120,968.49 nat. median
$60,726
2.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $34,580.60 $189,607.27 $120,828.34 nat. median
$60,185
outlier · 2.0×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $34,250.89 $187,789.04 $119,669.66 nat. median
$59,898
2.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $33,936.35 $186,054.44 $118,564.28 nat. median
$59,099
outlier · 2.0×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $33,161.23 $181,779.89 $117,454.17 nat. median
$57,424
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 12,285 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 7 — — $242,747.90 $1,337,587.23 $852,385.29 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 3 — — $577,965.00 $1,464,178.00 $770,620.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 5 — — $443,794.65 $1,098,816.70 $759,006.21 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 5 — — $424,401.71 $1,051,419.78 $736,146.15 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 5 — — $417,988.45 $1,028,394.85 $730,009.06 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 5 — — $421,903.64 $1,029,107.75 $719,765.80 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 5 — — $399,922.63 $1,012,845.30 $709,248.52 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 5 — — $366,978.46 $930,468.00 $651,688.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 7 — — $157,603.28 $868,040.30 $553,163.76 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 9 — — $119,416.29 $657,450.57 $424,801.15 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 7 — — $120,120.08 $661,331.74 $421,437.52 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 7 — — $77,999.08 $429,047.12 $271,865.58 2026-04-01
7 MS_DRG Lung Transplant 9 7 — — $72,937.22 $401,132.45 $255,624.00 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 9 7 — — $67,700.66 $372,254.45 $237,221.33 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 7 — — $63,846.98 $351,002.51 $223,678.40 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 9 7 — — $63,773.96 $350,599.83 $223,421.79 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $62,102.39 $341,381.67 $220,578.30 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 7 — — $46,008.07 $336,825.25 $212,214.59 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 7 — — $58,110.52 $319,367.74 $203,518.96 2026-04-01
215 MS_DRG Other Heart Assist System Implant 9 7 — — $56,124.98 $308,418.08 $196,541.22 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $38,925.62 $303,022.23 $193,761.69 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 7 — — $50,803.62 $279,072.36 $177,840.49 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 9 7 — — $48,837.18 $268,228.01 $170,929.87 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $167,598.22 $167,598.22 $167,598.22 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 7 — — $47,547.56 $261,116.15 $165,456.18 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $47,398.71 $260,295.32 $164,936.05 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $154,558.90 $154,558.90 $154,558.90 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $42,930.80 $237,835.34 $151,561.96 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 9 — — $42,045.41 $245,983.07 $150,908.60 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 9 — — $42,997.94 $236,026.40 $147,216.41 2026-04-01
10 MS_DRG Pancreas Transplant 9 7 — — $40,502.96 $222,267.31 $141,641.14 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 7 — — $40,486.11 $222,174.38 $141,581.93 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 8 — — $40,743.92 $293,253.52 $140,875.31 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 7 — — $40,272.10 $220,994.24 $140,829.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 7 — — $40,248.52 $220,864.14 $140,746.97 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 8 — — $32,997.34 $243,736.08 $139,982.10 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 8 — — $17,668.68 $420,227.59 $136,432.02 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 7 — — $38,830.27 $213,042.95 $135,520.90 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 7 — — $38,005.73 $208,495.82 $132,865.18 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 7 — — $37,727.69 $206,962.56 $131,888.10 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $37,130.62 $213,146.01 $131,598.05 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 7 — — $37,755.22 $207,114.34 $131,237.94 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 7 — — $36,340.90 $346,797.15 $130,553.63 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $37,130.62 $203,669.92 $129,789.85 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $36,996.39 $202,929.62 $129,318.08 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 7 — — $34,620.48 $190,299.11 $120,968.49 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 9 7 — — $34,580.60 $189,607.27 $120,828.34 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 9 7 — — $34,250.89 $187,789.04 $119,669.66 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 7 — — $33,936.35 $186,054.44 $118,564.28 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 7 — — $33,161.23 $181,779.89 $117,454.17 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 13 8 — — $30,601.56 $186,107.09 $117,255.58 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 9 7 — — $33,504.42 $183,672.46 $117,046.35 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 7 — — $33,692.02 $184,707.02 $116,373.47 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 7 — — $33,139.89 $181,662.18 $115,765.29 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 7 — — $32,591.12 $178,635.92 $113,192.60 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 7 — — $32,252.99 $176,771.23 $112,648.50 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 7 — — $32,211.43 $176,542.01 $111,865.79 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 13 8 — — $31,034.14 $256,496.58 $111,384.58 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 7 — — $31,678.40 $173,602.49 $110,629.20 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 7 — — $21,228.44 $174,141.45 $109,716.70 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 7 — — $31,462.71 $172,413.05 $109,249.48 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 9 7 — — $31,220.06 $171,074.93 $109,018.50 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 7 — — $30,881.37 $193,547.45 $107,828.24 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 9 7 — — $30,710.62 $168,265.49 $107,228.17 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 7 — — $2,222.76 $168,940.75 $107,049.26 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $30,151.75 $177,651.21 $105,264.14 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 7 — — $30,133.77 $165,084.36 $104,605.65 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 7 — — $29,932.69 $163,975.46 $104,494.32 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 8 — — $29,834.39 $320,256.16 $102,970.16 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 9 7 — — $29,385.62 $160,958.49 $102,571.74 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 7 — — $29,436.16 $161,237.27 $102,167.95 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 7 — — $28,508.26 $156,120.20 $99,488.51 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 7 — — $28,211.70 $154,484.72 $97,889.20 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 9 7 — — $27,727.53 $151,814.67 $96,744.79 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 7 — — $27,842.68 $152,449.66 $96,599.68 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 9 7 — — $27,320.31 $149,568.98 $95,313.71 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 7 — — $17,951.53 $148,813.19 $94,295.44 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 7 — — $27,987.03 $153,245.72 $93,606.70 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 7 — — $26,605.29 $145,625.87 $92,800.93 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 2 — — $74,215.13 $118,969.54 $92,435.13 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 9 7 — — $26,472.74 $144,894.86 $92,335.09 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 5 — — $47,506.71 $120,519.00 $92,074.03 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 9 7 — — $26,243.57 $143,631.08 $91,529.74 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 8 — — $26,139.66 $173,642.82 $91,164.57 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 8 — — $25,736.37 $144,739.83 $90,637.65 2026-04-01
245 MS_DRG Aicd Generator Procedures 9 7 — — $25,824.56 $141,320.34 $90,057.21 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 12 — — $7,276.57 $437,935.26 $90,028.93 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 7 — — $25,950.38 $142,014.18 $89,987.24 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 12 7 — — $15,256.30 $140,282.68 $88,890.08 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 11 7 — — $25,371.84 $138,823.76 $88,466.25 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 7 — — $25,364.54 $138,783.49 $88,440.59 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 7 — — $25,265.68 $138,238.33 $88,093.18 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 8 — — $19,888.31 $337,917.71 $87,917.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 7 — — $24,504.61 $134,041.22 $85,418.55 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 9 — — $21,436.90 $177,496.04 $85,006.88 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 8 — — $16,624.14 $257,663.25 $84,904.35 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 9 — — $23,867.10 $153,523.74 $84,336.99 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 7 — — $24,310.83 $132,972.58 $84,258.04 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 9 7 — — $24,155.80 $132,117.67 $84,192.76 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 8 — — $24,018.20 $131,358.78 $83,709.15 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 7 — — $23,919.34 $130,813.62 $82,890.01 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 7 — — $23,878.90 $130,590.60 $82,748.70 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 8 — — $23,726.12 $129,748.08 $82,682.72 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 8 — — $23,370.57 $127,787.36 $82,567.76 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 7 — — $23,798.01 $130,144.56 $82,466.06 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 7 — — $23,769.93 $129,989.69 $82,367.93 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 7 — — $23,525.03 $128,639.18 $81,976.07 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $23,635.12 $129,246.29 $81,896.87 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 5 — — $41,454.24 $106,297.34 $80,493.54 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 7 — — $22,780.81 $124,534.99 $79,360.65 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 9 7 — — $22,576.36 $123,407.50 $78,642.15 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 7 — — $22,170.82 $121,171.10 $77,132.69 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 7 — — $22,071.40 $120,622.85 $76,867.61 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 9 — — $21,939.41 $119,894.93 $76,403.75 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 7 — — $21,906.83 $119,715.28 $76,289.26 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 7 — — $21,763.04 $197,383.44 $75,783.94 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 7 — — $21,886.05 $119,600.67 $75,353.63 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 9 7 — — $21,334.48 $116,558.93 $74,277.86 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 8 — — $25,969.51 $169,448.74 $73,996.83 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 7 — — $21,242.36 $116,050.94 $73,954.14 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 9 — — $27,937.60 $157,415.94 $73,807.57 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 7 — — $21,192.38 $115,775.26 $73,778.46 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 9 7 — — $21,131.15 $115,437.63 $73,563.31 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 7 — — $21,013.20 $114,787.16 $73,148.79 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 7 — — $21,190.13 $115,762.87 $72,935.65 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 8 — — $11,772.72 $113,774.27 $72,093.04 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 7 — — $20,485.22 $111,875.51 $72,010.64 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 8 — — $20,821.10 $113,727.81 $71,653.48 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 7 — — $20,579.02 $112,392.79 $71,622.96 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 9 7 — — $20,563.29 $112,306.06 $71,567.69 2026-04-01
332 MS_DRG Rectal Resection With Mcc 9 7 — — $20,535.21 $112,151.18 $71,469.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 9 7 — — $20,521.17 $112,073.75 $71,419.65 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 9 — — $19,912.83 $210,782.14 $71,376.29 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 7 — — $20,454.89 $111,708.24 $70,783.89 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 9 7 — — $20,322.33 $110,977.23 $70,720.89 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 9 7 — — $20,275.71 $110,720.14 $70,557.06 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 9 7 — — $20,189.78 $110,246.22 $70,255.05 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 7 — — $20,255.49 $110,608.63 $70,087.13 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 7 — — $20,225.72 $110,444.46 $69,983.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 7 — — $14,115.60 $110,351.54 $69,924.22 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 7 — — $19,966.23 $109,013.42 $69,469.44 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 7 — — $20,173.48 $110,156.39 $69,403.33 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 7 — — $14,025.81 $109,236.44 $68,823.71 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 7 — — $19,512.39 $106,510.64 $68,820.14 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 7 — — $19,602.26 $107,006.24 $67,804.47 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 7 — — $4,836.34 $107,526.62 $67,746.45 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 7 — — $19,335.46 $105,534.92 $67,252.75 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 7 — — $14,449.77 $105,674.31 $66,960.49 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 — — $19,455.10 $106,194.69 $66,907.28 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 14 9 — — $19,791.55 $117,936.64 $66,001.62 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $65,934.53 $65,934.53 $65,934.53 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 7 — — $18,961.94 $103,475.09 $65,566.96 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 7 — — $26,938.93 $147,465.78 $65,268.05 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 9 7 — — $18,752.44 $102,319.72 $65,203.84 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 12 7 — — $18,689.53 $101,972.80 $64,615.04 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 7 — — $17,112.98 $128,662.03 $64,239.50 2026-04-01
J9226 HCPCS Supprelin La Implant 7 5 — — $33,765.49 $86,564.74 $64,029.47 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 7 — — $1,325.65 $100,755.48 $63,843.68 2026-04-01
652 MS_DRG Kidney Transplant 9 7 — — $18,337.91 $100,033.76 $63,747.10 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 9 7 — — $18,324.44 $99,959.42 $63,699.73 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 9 7 — — $18,289.05 $99,764.28 $63,575.37 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 7 — — $18,368.24 $100,201.03 $63,492.35 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 7 — — $18,230.63 $99,442.14 $63,370.09 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 7 — — $18,098.64 $98,714.23 $62,906.22 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 7 — — $18,342.97 $100,061.64 $62,827.52 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 7 — — $18,045.28 $98,419.97 $62,718.70 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 9 7 — — $17,947.55 $97,881.00 $62,375.24 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 7 — — $17,888.57 $97,555.76 $62,167.98 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 7 — — $18,081.22 $98,618.21 $62,133.77 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 7 — — $17,974.51 $98,029.68 $62,116.48 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 7 — — $17,847.01 $97,326.55 $62,021.91 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 7 — — $17,897.00 $97,602.23 $61,845.62 2026-04-01
665 MS_DRG Prostatectomy With Mcc 9 7 — — $17,729.62 $96,679.17 $61,609.37 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 7 — — $17,377.66 $100,312.54 $61,050.18 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 10 7 — — $17,394.29 $94,829.96 $60,088.98 2026-04-01
263 MS_DRG Vein Ligation And Stripping 10 7 — — $17,371.26 $94,702.97 $60,008.51 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 7 — — $17,235.34 $93,953.37 $59,533.53 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 7 — — $17,164.00 $93,559.99 $59,284.26 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 7 — — $17,161.76 $93,547.60 $59,276.40 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 8 — — $17,143.22 $93,445.38 $59,211.64 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 9 7 — — $16,916.30 $92,193.99 $58,751.16 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 9 7 — — $16,734.88 $91,193.50 $58,113.59 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 9 7 — — $16,599.51 $90,447.00 $57,637.88 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 7 — — $16,746.11 $91,255.45 $57,494.91 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 12 8 — — $16,319.80 $94,345.23 $57,444.18 2026-04-01
570 MS_DRG Skin Debridement With Mcc 11 7 — — $16,718.03 $91,100.57 $57,397.33 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 9 7 — — $16,416.40 $89,437.22 $56,994.39 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 7 — — $1,182.68 $89,889.45 $56,958.43 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 9 7 — — $16,384.95 $89,263.76 $56,883.85 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 17 9 — — $16,225.33 $173,330.00 $56,835.28 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 10 7 — — $16,408.54 $89,393.85 $56,644.38 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 8 — — $16,488.30 $89,833.70 $56,599.14 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 7 — — $9,005.11 $88,294.24 $55,629.22 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 7 — — $15,684.53 $85,401.17 $55,180.60 2026-04-01
800 MS_DRG Splenic Procedures With Cc 10 7 — — $15,978.29 $87,021.17 $55,140.94 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 10 7 — — $15,921.56 $86,708.32 $54,942.70 2026-04-01
503 MS_DRG Foot Procedures With Mcc 10 7 — — $15,875.50 $86,454.32 $54,781.75 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 7 — — $15,767.66 $85,859.60 $54,095.29 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 10 7 — — $15,633.42 $85,119.30 $53,935.82 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 7 — — $15,553.66 $84,679.46 $53,657.12 2026-04-01
849 MS_DRG Radiotherapy 9 7 — — $15,417.17 $83,926.76 $53,482.82 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 7 — — $15,398.64 $83,824.55 $53,417.68 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 7 — — $15,349.21 $83,551.97 $52,942.68 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 9 7 — — $15,139.14 $82,393.50 $52,505.74 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 9 7 — — $15,086.90 $82,105.43 $52,322.17 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 9 7 — — $15,012.20 $81,693.47 $52,059.64 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 15 9 — — $14,375.26 $167,096.73 $51,067.41 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 9 7 — — $14,705.53 $80,002.23 $50,981.89 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 9 7 — — $14,685.31 $79,890.72 $50,910.83 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 9 7 — — $14,685.31 $79,890.72 $50,910.83 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 10 7 — — $12,388.53 $80,302.69 $50,883.78 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 9 7 — — $14,620.15 $79,531.41 $50,681.86 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 13 7 — — $14,777.42 $80,398.71 $50,654.69 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 10 — — $15,480.64 $84,276.78 $50,645.93 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $50,591.00 $50,591.00 $50,591.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 11 7 — — $12,629.40 $79,079.18 $50,393.67 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 14 7 — — $14,369.08 $78,146.83 $49,517.71 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 10 — — $17,750.35 $149,684.05 $49,473.56 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 7 — — $6,360.35 $81,570.54 $49,204.42 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 7 — — $14,194.96 $77,186.60 $49,187.61 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 11 7 — — $13,759.10 $74,782.94 $48,983.73 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 19 9 — — $1,033.56 $86,942.02 $48,713.89 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 10 7 — — $14,137.66 $76,870.66 $48,709.07 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 10 7 — — $14,011.29 $76,173.72 $48,267.46 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 9 7 — — $13,910.74 $75,619.27 $48,188.82 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 10 — — $13,663.04 $85,866.01 $47,977.56 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 12 8 — — $13,625.42 $74,475.11 $47,843.46 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 9 7 — — $13,803.46 $75,027.65 $47,811.81 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 9 7 — — $13,708.55 $74,504.17 $47,478.22 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 17 10 — — $3,403.21 $73,918.74 $47,105.15 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 10 7 — — $13,650.13 $74,182.03 $47,005.42 2026-04-01
333 MS_DRG Rectal Resection With Cc 10 7 — — $13,354.12 $72,549.65 $46,876.79 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 9 7 — — $13,404.11 $72,825.32 $46,408.36 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 7 — — $13,333.90 $133,331.30 $46,161.63 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 9 7 — — $13,324.35 $72,385.48 $46,128.07 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 9 7 — — $13,269.31 $72,081.92 $45,934.63 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 9 7 — — $13,260.32 $72,032.36 $45,903.04 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 7 — — $13,180.00 $71,589.42 $45,362.61 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 11 7 — — $13,246.84 $71,958.02 $45,336.69 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 10 7 — — $8,411.27 $71,106.21 $45,056.43 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 10 7 — — $13,088.44 $71,084.53 $45,042.69 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 9 7 — — $12,980.60 $70,489.81 $44,920.04 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 7 — — $13,036.21 $70,796.46 $44,860.16 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 10 7 — — $12,762.52 $70,672.56 $44,781.65 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 10 7 — — $12,923.87 $70,176.96 $44,467.61 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 10 7 — — $12,665.50 $68,752.11 $44,423.07 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 13 9 — — $12,959.26 $70,372.10 $44,337.49 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 9 7 — — $12,772.22 $69,340.64 $44,187.73 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 9 7 — — $12,764.92 $69,300.37 $44,162.06 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 12 7 — — $12,548.11 $68,104.73 $44,004.78 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 7 — — $14,245.20 $98,896.98 $43,664.82 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 10 7 — — $7,692.20 $68,473.34 $43,388.11 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 11 7 — — $12,509.36 $70,585.83 $43,263.94 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 9 7 — — $12,487.45 $67,770.20 $43,186.96 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 11 7 — — $10,481.10 $68,389.70 $43,088.49 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 10 7 — — $12,528.45 $67,996.32 $43,085.85 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 9 7 — — $12,449.25 $67,559.57 $43,052.73 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 7 — — $12,457.12 $67,602.94 $42,836.59 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 9 7 — — $12,386.91 $67,215.75 $42,833.63 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 7 — — $12,427.91 $67,441.87 $42,734.52 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 9 7 — — $12,222.34 $66,308.18 $42,255.28 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 11 7 — — $12,211.10 $103,439.20 $42,215.80 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 9 — — $7,696.95 $96,307.47 $42,113.76 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 9 7 — — $12,162.23 $65,976.75 $42,044.07 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 9 7 — — $12,143.70 $65,874.53 $41,978.93 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 9 7 — — $12,110.00 $65,688.68 $41,860.50 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 1 1 — — $41,812.86 $41,812.86 $41,812.86 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 9 — — $12,093.15 $98,635.38 $41,801.28 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 9 7 — — $12,091.46 $65,586.47 $41,795.36 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 11 8 — — $12,226.83 $66,332.96 $41,792.66 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 1 1 — — $41,731.44 $41,731.44 $41,731.44 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 11 7 — — $12,042.60 $65,316.98 $41,623.63 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 13 7 — — $12,167.29 $66,004.63 $41,585.79 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 10 7 — — $12,086.97 $65,561.69 $41,543.15 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 9 7 — — $12,007.77 $65,124.94 $41,501.25 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 11 7 — — $11,955.53 $64,836.87 $41,317.67 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 1 1 — — $41,279.00 $41,279.00 $41,279.00 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $41,279.00 $41,279.00 $41,279.00 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 9 7 — — $11,922.96 $64,657.22 $41,203.19 2026-04-01
835 MS_DRG Acute Leukemia With Cc 11 7 — — $11,913.97 $64,607.66 $41,171.61 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 10 7 — — $11,943.74 $64,771.82 $41,042.65 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 9 7 — — $11,855.00 $64,282.42 $40,964.35 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 10 7 — — $11,902.74 $64,545.71 $40,899.37 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 17 10 — — $11,962.84 $67,634.47 $40,875.42 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 10 7 — — $11,878.03 $64,409.42 $40,813.01 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 12 9 — — $11,870.72 $70,537.66 $40,787.50 2026-04-01
935 MS_DRG Non-extensive Burns 9 7 — — $11,769.06 $63,808.50 $40,662.34 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 10 7 — — $11,772.43 $63,827.09 $40,608.85 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 10 7 — — $11,806.69 $64,016.03 $40,563.74 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 7 — — $8,660.33 $78,704.38 $40,450.87 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 7 — — $11,424.27 $75,709.10 $40,400.52 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 1 1 — — $40,147.00 $40,147.00 $40,147.00 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 11 7 — — $10,298.42 $63,470.87 $39,989.42 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 9 7 — — $11,556.18 $62,634.55 $39,914.23 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 10 7 — — $11,587.64 $62,808.01 $39,798.27 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 9 7 — — $11,515.18 $62,408.43 $39,770.14 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 9 7 — — $11,433.74 $61,959.29 $39,483.92 2026-04-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 9 7 — — $11,402.84 $61,788.93 $39,375.36 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 13 7 — — $7,377.52 $67,488.33 $39,350.38 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 5 — — $21,318.04 $54,005.71 $39,171.54 2026-04-01
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