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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 - JANESVILLE

Janesville, WI · CCN 520208 · Rates published

12,000 distinct procedures filed
12 distinct payers
150,892 rate rows
2026-04-01 last MRF observed
Data quality

127,146 of 150,892 rate rows are consumer-grade (84.3%)

23,746 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 23,658
placeholder amount (≤ $0.02) — excluded from medians 88
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=p*_*6Ox07Zg5NzRgUvb8KrmA*-*&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 · 2026-05-16
Content fingerprint 0368e5864506d916… · 17,346,716 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 6 $234,836.79 $1,337,587.23 $870,364.67 nat. median
$370,174
outlier · 2.4×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $443,794.65 $1,098,816.70 $839,218.12 nat. median
$753,246
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $424,401.71 $1,051,419.78 $802,095.49 nat. median
$674,867
1.2× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $577,965.00 $1,464,178.00 $770,620.00 nat. median
$824,563
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $417,988.45 $1,028,394.85 $765,052.57 nat. median
$625,184
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $421,903.64 $1,029,107.75 $748,841.32 nat. median
$673,137
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $399,922.63 $1,012,845.30 $729,119.06 nat. median
$634,303
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $366,978.46 $930,468.00 $709,628.78 nat. median
$619,808
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $152,523.77 $868,040.30 $564,831.66 nat. median
$265,286
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $116,287.13 $661,331.74 $430,326.91 nat. median
$206,474
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $115,606.76 $657,450.57 $427,801.44 nat. median
$202,976
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $75,566.92 $429,047.12 $279,179.89 nat. median
$133,161
outlier · 2.1×
7
MS_DRG 		Lung Transplant 6 $70,673.40 $401,132.45 $261,015.88 nat. median
$122,708
outlier · 2.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $65,611.00 $372,254.45 $242,225.04 nat. median
$117,357
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $61,885.47 $351,002.51 $228,396.45 nat. median
$108,660
outlier · 2.1×
209
MS_DRG 		Complex Aortic Arch Procedures 6 $61,814.88 $350,599.83 $228,134.43 nat. median
$98,047
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $60,198.91 $341,381.67 $222,136.20 nat. median
$98,894
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $59,400.15 $336,825.25 $219,171.35 nat. median
$102,358
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $56,339.80 $319,367.74 $207,811.79 nat. median
$100,136
outlier · 2.1×
215
MS_DRG 		Other Heart Assist System Implant 6 $54,420.28 $308,418.08 $200,686.87 nat. median
$99,019
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $53,474.38 $303,022.23 $197,175.81 nat. median
$93,672
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $49,275.89 $279,072.36 $181,591.68 nat. median
$82,711
outlier · 2.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $47,374.84 $268,228.01 $174,535.29 nat. median
$83,470
outlier · 2.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $46,128.11 $261,116.15 $169,907.63 nat. median
$79,312
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $45,984.22 $260,295.32 $169,373.51 nat. median
$81,118
outlier · 2.1×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $43,081.34 $243,736.08 $158,598.46 nat. median
$77,570
outlier · 2.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $42,046.92 $237,835.34 $154,758.86 nat. median
$74,915
outlier · 2.1×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $41,867.18 $236,810.07 $154,091.72 nat. median
$73,807
outlier · 2.1×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $41,729.80 $236,026.40 $153,581.79 nat. median
$72,135
outlier · 2.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $39,550.74 $223,596.14 $145,493.45 nat. median
$68,090
outlier · 2.1×
10
MS_DRG 		Pancreas Transplant 6 $39,317.80 $222,267.31 $144,628.78 nat. median
$68,884
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 $39,301.51 $222,174.38 $144,568.32 nat. median
$64,023
outlier · 2.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $39,094.62 $220,994.24 $143,800.39 nat. median
$71,271
outlier · 2.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $39,071.81 $220,864.14 $143,715.74 nat. median
$68,886
outlier · 2.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $37,884.82 $214,093.01 $139,017.03 nat. median
$66,526
outlier · 2.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $37,700.74 $213,042.95 $138,626.52 nat. median
$65,950
outlier · 2.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $36,903.61 $208,495.82 $135,667.71 nat. median
$64,732
outlier · 2.1×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $36,661.43 $207,114.34 $134,768.78 nat. median
$60,691
outlier · 2.2×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $36,634.82 $206,962.56 $134,670.02 nat. median
$63,724
outlier · 2.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $36,057.62 $203,669.92 $132,527.51 nat. median
$64,508
outlier · 2.1×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $36,057.62 $203,669.92 $132,527.51 nat. median
$61,920
outlier · 2.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $35,927.84 $202,929.62 $132,045.79 nat. median
$59,793
outlier · 2.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $35,294.15 $199,314.83 $129,693.66 nat. median
$62,134
outlier · 2.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $33,630.94 $189,827.19 $123,520.08 nat. median
$60,726
outlier · 2.0×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $33,592.39 $189,607.27 $123,376.98 nat. median
$60,185
outlier · 2.0×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $33,273.65 $187,789.04 $122,193.86 nat. median
$59,898
outlier · 2.0×
28
MS_DRG 		Spinal Procedures With Mcc 6 $32,978.80 $186,107.09 $121,099.42 nat. median
$57,822
outlier · 2.1×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $32,969.56 $186,054.44 $121,065.15 nat. median
$59,099
outlier · 2.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $32,733.36 $184,707.02 $120,188.40 nat. median
$58,020
outlier · 2.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 6 $32,552.00 $183,672.46 $119,515.21 nat. median
$56,918
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 12,000 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
             
0424T HCPCS Insj/rplc Nstim Apnea Compl 2 1 — — $48,685.00 $48,685.00 $48,685.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 6 — — $152,523.77 $868,040.30 $564,831.66 2026-04-01
10 MS_DRG Pancreas Transplant 16 6 — — $39,317.80 $222,267.31 $144,628.78 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 6 — — $29,969.48 $168,940.75 $109,929.32 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 16 6 — — $13,120.16 $72,825.32 $47,387.25 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 6 — — $23,246.59 $130,590.60 $84,974.98 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 16 6 — — $16,001.86 $89,263.76 $58,083.70 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 16 6 — — $12,136.78 $67,215.75 $43,737.12 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 6 — — $65,611.00 $372,254.45 $242,225.04 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 6 — — $23,514.28 $132,117.67 $85,968.63 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 16 6 — — $12,197.06 $67,559.57 $43,960.85 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 6 — — $20,697.74 $116,050.94 $75,514.05 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 16 6 — — $11,851.16 $65,586.47 $42,676.95 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 6 — — $32,552.00 $183,672.46 $119,515.21 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 6 — — $24,689.89 $138,823.76 $90,332.27 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 16 6 — — $14,059.00 $78,180.90 $50,872.11 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 6 — — $20,649.41 $115,775.26 $75,334.67 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 6 — — $29,851.11 $168,265.49 $109,489.93 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 6 — — $16,515.54 $92,193.99 $59,990.40 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 6 — — $234,836.79 $1,337,587.23 $870,364.67 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 6 — — $39,094.62 $220,994.24 $143,800.39 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 6 — — $61,885.47 $351,002.51 $228,396.45 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 6 — — $43,081.34 $243,736.08 $158,598.46 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 6 — — $35,294.15 $199,314.83 $129,693.66 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 7 — — $14,942.63 $85,140.98 $55,284.60 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 16 6 — — $61,814.88 $350,599.83 $228,134.43 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 6 — — $29,099.06 $163,975.46 $106,698.42 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 6 — — $59,400.15 $336,825.25 $219,171.35 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 6 — — $31,342.19 $176,771.23 $115,024.60 2026-04-01
215 MS_DRG Other Heart Assist System Implant 16 6 — — $54,420.28 $308,418.08 $200,686.87 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $53,474.38 $303,022.23 $197,175.81 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $36,057.62 $203,669.92 $132,527.51 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 6 — — $36,057.62 $203,669.92 $132,527.51 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $42,046.92 $237,835.34 $154,758.86 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 6 — — $17,606.98 $98,419.97 $64,041.62 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $29,310.82 $165,183.48 $107,484.48 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 6 — — $27,722.00 $156,120.20 $101,587.02 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 6 — — $27,218.10 $153,245.72 $99,716.60 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 6 — — $17,455.48 $97,555.76 $63,479.29 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $31,469.26 $177,496.04 $115,496.23 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 6 — — $46,128.11 $261,116.15 $169,907.63 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 6 — — $33,273.65 $187,789.04 $122,193.86 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 6 — — $41,867.18 $236,810.07 $154,091.72 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 6 — — $30,016.18 $169,207.13 $110,102.66 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 6 — — $32,220.22 $181,779.89 $118,283.71 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 6 — — $23,098.89 $129,748.08 $84,426.75 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 6 — — $27,078.55 $152,449.66 $99,198.61 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 6 — — $21,595.32 $121,171.10 $78,845.73 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 6 — — $15,831.91 $88,294.24 $57,452.84 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 6 — — $17,690.60 $98,896.98 $64,352.02 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 6 — — $11,924.47 $66,004.63 $42,949.04 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 6 — — $25,127.54 $141,320.34 $91,956.79 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 6 — — $25,042.29 $140,834.03 $91,640.35 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 6 — — $12,204.66 $67,602.94 $43,989.06 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 16 6 — — $19,295.17 $108,050.09 $70,307.92 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 16 6 — — $14,447.80 $80,398.71 $52,315.24 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 6 — — $15,000.57 $83,551.97 $54,367.06 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 6 — — $17,415.30 $97,326.55 $63,330.14 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 16 6 — — $11,333.68 $62,634.55 $40,756.15 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 6 — — $17,236.65 $96,307.47 $62,667.03 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 6 — — $18,016.40 $100,755.48 $65,561.34 2026-04-01
263 MS_DRG Vein Ligation And Stripping 16 6 — — $16,955.38 $94,702.97 $61,622.99 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 6 — — $18,493.16 $103,475.09 $67,330.98 2026-04-01
265 MS_DRG Aicd Lead Procedures 16 6 — — $20,000.53 $112,073.75 $72,926.11 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 6 — — $33,630.94 $189,827.19 $123,520.08 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 6 — — $26,204.86 $147,465.78 $95,955.61 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 6 — — $37,700.74 $213,042.95 $138,626.52 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 6 — — $23,285.68 $130,813.62 $85,120.10 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 6 — — $14,053.04 $78,146.83 $50,849.94 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 6 — — $29,004.03 $163,433.39 $106,345.70 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 6 — — $19,664.41 $110,156.39 $71,678.49 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 16 6 — — $14,216.47 $79,079.18 $51,456.62 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 6 — — $22,755.17 $127,787.36 $83,150.91 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 6 — — $18,227.62 $101,960.41 $66,345.38 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 6 — — $39,071.81 $220,864.14 $143,715.74 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 6 — — $32,969.56 $186,054.44 $121,065.15 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 6 — — $25,432.17 $143,058.04 $93,087.51 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $30,578.19 $172,413.05 $112,188.74 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 6 — — $19,936.45 $111,708.24 $72,688.27 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 6 — — $32,978.80 $186,107.09 $121,099.42 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 6 — — $12,369.19 $68,541.48 $44,599.77 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 6 — — $15,048.35 $83,824.55 $54,544.42 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 6 — — $18,878.69 $105,674.31 $68,762.01 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 6 — — $115,606.76 $657,450.57 $427,801.44 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 16 6 — — $12,273.62 $67,996.32 $44,245.04 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 6 — — $24,682.82 $138,783.49 $90,306.07 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 6 — — $11,676.32 $64,589.07 $41,939.63 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 6 — — $36,661.43 $207,114.34 $134,768.78 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 16 6 — — $13,506.23 $75,027.65 $48,820.30 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 6 — — $24,587.26 $138,238.33 $89,951.33 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 16 6 — — $11,925.01 $66,007.73 $42,951.06 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 6 — — $13,414.46 $74,504.17 $48,479.68 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 6 — — $15,127.64 $84,276.78 $54,838.69 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 6 — — $23,851.49 $134,041.22 $87,220.29 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 6 — — $17,463.62 $97,602.23 $63,509.52 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 6 — — $17,786.17 $99,442.14 $64,706.76 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 6 — — $27,435.30 $154,484.72 $100,522.82 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 6 — — $13,625.69 $75,709.10 $49,263.71 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 6 — — $20,839.02 $142,376.59 $87,595.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 6 — — $13,370.48 $74,253.27 $48,417.95 2026-04-01
332 MS_DRG Rectal Resection With Mcc 16 6 — — $20,014.10 $112,151.18 $72,976.49 2026-04-01
333 MS_DRG Rectal Resection With Cc 16 6 — — $13,071.83 $72,549.65 $47,207.88 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 6 — — $19,743.68 $110,608.63 $71,972.76 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 6 — — $11,803.92 $65,316.98 $42,501.60 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 6 — — $21,371.60 $119,894.93 $78,015.33 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 6 — — $14,378.29 $80,002.23 $52,057.26 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 16 6 — — $12,818.79 $71,106.21 $46,268.63 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 6 — — $13,334.10 $74,045.74 $48,181.38 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 6 — — $13,884.70 $77,186.60 $50,225.12 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 6 — — $16,111.55 $89,889.45 $58,490.84 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 6 — — $24,206.61 $136,066.98 $88,538.45 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 7 — — $8,993.06 $72,032.36 $46,772.78 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 6 — — $19,025.30 $106,510.64 $69,306.21 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 16 6 — — $13,463.33 $74,782.94 $48,661.07 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 6 — — $18,229.80 $101,972.80 $66,353.45 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 16 6 — — $11,966.82 $66,246.23 $43,106.25 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 16 6 — — $13,358.00 $74,182.03 $48,270.06 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 6 — — $75,566.92 $429,047.12 $279,179.89 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 6 — — $21,320.02 $119,600.67 $77,823.86 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 6 — — $22,185.02 $124,534.99 $81,034.61 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 6 — — $30,058.54 $169,448.74 $110,259.87 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 6 — — $16,101.78 $89,833.70 $58,454.56 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 16 6 — — $12,406.11 $68,752.11 $44,736.82 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $19,714.90 $110,444.46 $71,865.93 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 6 — — $12,176.42 $67,441.87 $43,884.25 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 6 — — $12,292.62 $68,104.73 $44,315.57 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 6 — — $18,290.62 $102,319.72 $66,579.18 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 6 — — $11,770.25 $65,124.94 $42,376.64 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 6 — — $19,698.61 $110,351.54 $71,805.46 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 16 6 — — $11,575.86 $64,016.03 $41,655.07 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 6 — — $13,311.84 $73,918.74 $48,098.74 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 6 — — $18,854.25 $105,534.92 $68,671.31 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 6 — — $22,904.50 $128,639.18 $83,705.19 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 6 — — $12,233.98 $67,770.20 $44,097.90 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $60,198.91 $341,381.67 $222,136.20 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $39,550.74 $223,596.14 $145,493.45 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 6 — — $30,881.18 $174,141.45 $113,313.41 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 6 — — $49,275.89 $279,072.36 $181,591.68 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 6 — — $31,669.08 $178,635.92 $116,237.95 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 6 — — $36,634.82 $206,962.56 $134,670.02 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $23,381.25 $131,358.78 $85,474.83 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 6 — — $29,293.45 $165,084.36 $107,419.98 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 6 — — $17,894.77 $100,061.64 $65,109.86 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $45,984.22 $260,295.32 $169,373.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $32,733.36 $184,707.02 $120,188.40 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 6 — — $23,010.92 $129,246.29 $84,100.23 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 6 — — $30,343.61 $171,074.93 $111,318.02 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 16 6 — — $14,797.48 $82,393.50 $53,613.25 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $31,302.01 $176,542.01 $114,875.45 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 6 — — $17,266.52 $96,477.83 $62,777.88 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 6 — — $28,619.04 $161,237.27 $104,916.68 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 6 — — $19,503.14 $109,236.44 $71,229.24 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 16 6 — — $15,275.32 $85,119.30 $55,386.91 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 6 — — $16,823.97 $93,953.37 $61,135.22 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 6 — — $26,573.56 $149,568.98 $97,324.16 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 6 — — $16,351.01 $91,255.45 $59,379.69 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 6 — — $13,609.94 $75,619.27 $49,205.27 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 6 — — $23,664.16 $132,972.58 $86,524.93 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 6 — — $12,710.74 $70,489.81 $45,867.54 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 6 — — $19,112.18 $107,006.24 $69,628.69 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 16 6 — — $13,707.14 $76,173.72 $49,566.05 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 6 — — $16,167.48 $90,208.49 $58,575.09 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 6 — — $11,726.81 $64,877.14 $42,126.68 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 6 — — $15,405.10 $85,859.60 $55,868.62 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 6 — — $17,876.85 $99,959.42 $65,043.35 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 16 6 — — $11,708.36 $64,771.82 $42,146.86 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 6 — — $20,290.48 $113,727.81 $74,002.40 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 7 — — $12,993.35 $78,555.70 $51,008.58 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 6 — — $20,041.25 $112,306.06 $73,077.27 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 6 — — $16,734.92 $93,445.38 $60,804.68 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 16 6 — — $11,294.04 $62,408.43 $40,609.01 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 6 — — $56,339.80 $319,367.74 $207,811.79 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 16 6 — — $17,538.56 $98,029.68 $63,787.67 2026-04-01
503 MS_DRG Foot Procedures With Mcc 16 6 — — $15,509.36 $86,454.32 $56,255.61 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 6 — — $16,755.01 $93,559.99 $60,879.25 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 16 6 — — $11,644.82 $64,409.42 $41,911.04 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 6 — — $17,658.56 $98,714.23 $64,233.10 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 16 6 — — $11,637.76 $64,369.15 $41,884.85 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 6 — — $20,647.24 $115,762.87 $75,326.60 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 6 — — $15,938.87 $88,904.45 $57,849.90 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 20 6 — — $11,852.79 $65,595.76 $42,683.00 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 16 6 — — $13,829.32 $76,870.66 $50,019.54 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 18 6 — — $12,968.12 $71,958.02 $46,921.30 2026-04-01
5626 OTHER Level 6 Radiation Therapy 10 4 — — $4,193.36 $72,853.67 $44,256.03 2026-04-01
570 MS_DRG Skin Debridement With Mcc 18 6 — — $16,323.86 $91,100.57 $59,154.34 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $35,927.84 $202,929.62 $132,045.79 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 6 — — $19,203.40 $107,526.62 $69,967.30 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 6 — — $26,967.23 $151,814.67 $98,785.43 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 6 — — $14,746.99 $82,105.43 $53,425.80 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 6 — — $17,938.75 $100,312.54 $65,273.11 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 16 6 — — $11,977.68 $66,308.18 $43,146.57 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 16 6 — — $11,869.08 $65,688.68 $42,743.46 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 6 — — $25,532.62 $143,631.08 $93,460.38 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 6 — — $15,324.74 $85,401.17 $55,570.33 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 16 6 — — $12,255.16 $67,891.01 $44,176.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 6 — — $19,290.28 $108,022.22 $70,289.79 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 6 — — $16,032.27 $89,437.22 $58,196.57 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 7 — — $12,448.08 $110,246.22 $71,586.19 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 6 — — $16,752.83 $93,547.60 $60,871.18 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 6 — — $20,590.22 $115,437.63 $75,114.98 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 16 6 — — $12,184.57 $67,488.33 $43,914.49 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 18 6 — — $11,273.41 $62,290.73 $40,447.24 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 6 — — $25,882.31 $145,625.87 $94,758.38 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 6 — — $20,476.19 $114,787.16 $74,691.71 2026-04-01
652 MS_DRG Kidney Transplant 16 6 — — $17,889.88 $100,033.76 $65,091.71 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 16 6 — — $28,570.17 $160,958.49 $104,735.29 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 16 6 — — $15,553.89 $86,708.32 $56,420.88 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 16 6 — — $11,846.82 $65,561.69 $42,660.82 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 6 — — $17,641.72 $98,618.21 $64,170.62 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 6 — — $14,150.78 $78,704.38 $51,105.12 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 16 6 — — $16,977.64 $94,829.96 $61,705.62 2026-04-01
665 MS_DRG Prostatectomy With Mcc 16 6 — — $17,301.81 $96,679.17 $62,908.89 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 16 6 — — $16,209.29 $90,447.00 $58,853.63 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 6 — — $23,168.39 $130,144.56 $84,506.78 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 6 — — $13,052.28 $72,438.14 $47,036.26 2026-04-01
7 MS_DRG Lung Transplant 16 6 — — $70,673.40 $401,132.45 $261,015.88 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 16 6 — — $12,989.84 $72,081.92 $46,903.52 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 16 6 — — $11,668.72 $64,545.71 $41,999.73 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 16 6 — — $12,502.22 $69,300.37 $45,093.57 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 16 6 — — $11,919.58 $65,976.75 $42,930.90 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 6 — — $19,763.24 $110,720.14 $72,045.32 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 6 — — $11,542.74 $63,827.09 $41,532.12 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 6 — — $19,808.30 $110,977.23 $72,212.61 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 16 6 — — $11,480.30 $63,470.87 $41,300.34 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 16 6 — — $14,295.76 $79,531.41 $51,750.89 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 16 6 — — $13,684.88 $76,046.72 $49,483.42 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 6 — — $2,096.00 $184,099.91 $113,265.28 2026-04-01
791 MS_DRG Prematurity With Major Problems 16 6 — — $22,394.08 $125,727.53 $81,810.58 2026-04-01
792 MS_DRG Prematurity Without Major Problems 22 7 — — $2,150.99 $75,863.97 $44,088.05 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 24 7 — — $3,930.00 $129,153.36 $52,858.24 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 16 6 — — $24,945.64 $140,282.68 $91,281.59 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 6 — — $30,786.70 $173,602.49 $112,962.71 2026-04-01
800 MS_DRG Splenic Procedures With Cc 16 6 — — $15,608.73 $87,021.17 $56,624.46 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 6 — — $21,987.37 $123,407.50 $80,300.95 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 6 — — $12,342.58 $68,389.70 $44,501.00 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 16 6 — — $11,901.66 $65,874.53 $42,864.40 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 6 — — $12,742.77 $70,672.56 $45,986.46 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 6 — — $12,764.49 $70,796.46 $46,067.08 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 6 — — $32,199.59 $181,662.18 $118,207.12 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 6 — — $12,509.28 $69,340.64 $45,119.77 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 6 — — $25,249.18 $142,014.18 $92,408.27 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 6 — — $12,655.89 $70,176.96 $45,663.97 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $25,754.17 $144,894.86 $94,282.72 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 6 — — $12,903.50 $71,589.42 $46,583.06 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 6 — — $17,512.49 $97,881.00 $63,690.92 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 16 6 — — $30,163.88 $170,049.65 $110,650.89 2026-04-01
835 MS_DRG Acute Leukemia With Cc 16 6 — — $11,679.58 $64,607.66 $42,040.04 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 6 — — $26,441.06 $148,813.19 $96,832.38 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 16 6 — — $11,688.26 $64,657.22 $42,072.29 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 6 — — $17,919.20 $100,201.03 $65,200.56 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 6 — — $14,430.96 $80,302.69 $52,252.75 2026-04-01
849 MS_DRG Radiotherapy 16 6 — — $15,066.27 $83,926.76 $54,610.93 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 6 — — $12,690.10 $70,372.10 $45,790.95 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 16 6 — — $47,374.84 $268,228.01 $174,535.29 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 6 — — $19,358.21 $152,973.14 $88,899.74 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 6 — — $25,053.15 $140,895.98 $91,680.66 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 16 6 — — $11,982.03 $66,332.96 $43,162.69 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 16 6 — — $11,719.76 $64,836.87 $42,189.19 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 6 — — $37,884.82 $214,093.01 $139,017.03 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 6 — — $21,340.11 $119,715.28 $77,898.43 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 16 6 — — $11,622.56 $64,282.42 $41,828.41 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 6 — — $23,141.24 $129,989.69 $84,583.96 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 16 6 — — $20,298.63 $113,774.27 $74,032.64 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 6 — — $21,201.10 $118,922.32 $77,382.46 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 6 — — $116,287.13 $661,331.74 $430,326.91 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 6 — — $39,301.51 $222,174.38 $144,568.32 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 16 6 — — $17,842.64 $99,764.28 $64,916.36 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 6 — — $21,499.21 $120,622.85 $78,488.98 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 16 6 — — $12,357.24 $68,473.34 $44,555.43 2026-04-01
935 MS_DRG Non-extensive Burns 16 6 — — $11,539.48 $63,808.50 $41,520.03 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 6 — — $20,056.45 $112,392.79 $73,133.71 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 6 — — $19,464.04 $109,013.42 $70,934.76 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 6 — — $13,043.05 $72,385.48 $47,101.05 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 16 6 — — $11,364.09 $62,808.01 $40,869.01 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 6 — — $14,358.74 $79,890.72 $51,984.69 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 6 — — $36,903.61 $208,495.82 $135,667.71 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 6 — — $20,786.79 $116,558.93 $75,844.60 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 6 — — $41,729.80 $236,026.40 $153,581.79 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 6 — — $23,235.18 $130,525.55 $84,932.65 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 16 6 — — $16,340.15 $91,193.50 $59,339.38 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 16 6 — — $14,358.74 $79,890.72 $51,984.69 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 16 6 — — $15,198.22 $84,679.46 $55,100.71 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 6 — — $33,592.39 $189,607.27 $123,376.98 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 6 — — $19,965.77 $111,875.51 $72,644.13 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 6 — — $14,674.77 $81,693.47 $53,157.74 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 16 6 — — $16,024.67 $89,393.85 $58,168.35 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 6 — — $12,814.99 $71,084.53 $46,254.52 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $25,830.19 $145,328.51 $94,564.89 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 6 — — $13,703.34 $76,152.04 $49,551.94 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 6 — — $18,969.91 $106,194.69 $69,100.62 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 5 — — $47,506.71 $120,519.00 $91,691.63 2026-04-01
J9226 HCPCS Supprelin La Implant 14 5 — — $33,765.49 $86,564.74 $65,557.46 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 5 — — $399,922.63 $1,012,845.30 $729,119.06 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 5 — — $443,794.65 $1,098,816.70 $839,218.12 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 5 — — $41,454.24 $106,297.34 $82,674.80 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 14 5 — — $366,978.46 $930,468.00 $709,628.78 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 5 — — $421,903.64 $1,029,107.75 $748,841.32 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 14 5 — — $417,988.45 $1,028,394.85 $765,052.57 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 14 5 — — $424,401.71 $1,051,419.78 $802,095.49 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 3 — — $577,965.00 $1,464,178.00 $770,620.00 2026-04-01
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