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

WAUPUN MEMORIAL HOSPITAL

Waupun, WI · CCN 521327 · Rates published

11,824 distinct procedures filed
27 distinct payers
96,634 rate rows
2026-04-01 last MRF observed
Data quality

69,896 of 96,634 rate rows are consumer-grade (72.3%)

26,738 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 26,460
template filing: same amount across many unrelated codes — excluded 204
placeholder amount (≤ $0.02) — excluded from medians 43
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=qrjjGipjrFx4NGWFLmvnSg*-*&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 · 2026-10-02
Content fingerprint ac0f994a8dd523da… · 24,864,549 bytes · first seen 2026-05-06

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
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $1,464,178.00 $1,464,178.00 $1,464,178.00 nat. median
$813,967
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $636,648.23 $1,539,910.91 $1,098,816.70 nat. median
$621,313
1.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $608,486.23 $1,500,964.18 $1,051,419.78 nat. median
$599,737
1.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $568,086.52 $1,406,133.05 $1,029,107.75 nat. median
$579,571
1.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $580,384.71 $1,438,330.59 $1,028,394.85 nat. median
$574,037
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $553,124.80 $1,332,710.45 $1,012,845.30 nat. median
$562,501
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $538,339.08 $1,328,720.23 $930,468.00 nat. median
$513,770
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $471,426.63 $888,350.52 $722,779.67 nat. median
$168,055
outlier · 4.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $305,936.92 $576,503.75 $469,054.93 nat. median
$186,516
outlier · 2.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $233,083.41 $439,219.50 $357,357.73 nat. median
$131,925
outlier · 2.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $231,715.51 $436,641.84 $355,260.50 nat. median
$145,435
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $151,215.73 $284,949.06 $231,840.23 nat. median
$97,418
outlier · 2.4×
7
MS_DRG 		Lung Transplant 10 $141,377.33 $266,409.70 $216,756.24 nat. median
$70,649
outlier · 3.1×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $131,199.41 $247,230.56 $201,151.71 nat. median
$72,715
outlier · 2.8×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $198,192.56 $198,192.56 $198,192.56 nat. median
$92,809
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $123,709.26 $233,116.20 $189,667.98 nat. median
$65,418
outlier · 2.9×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $123,567.34 $232,848.77 $189,450.40 nat. median
$2,110
outlier · 89.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $120,318.44 $226,726.58 $184,469.27 nat. median
$2,736
outlier · 67.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $118,712.55 $223,700.46 $182,007.15 nat. median
$74,509
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $112,559.73 $212,106.16 $172,573.80 nat. median
$69,922
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 10 $108,700.57 $204,834.01 $166,657.03 nat. median
$73,023
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $106,798.83 $201,250.39 $163,741.33 nat. median
$69,822
outlier · 2.3×
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $154,704.84 $154,704.84 $154,704.84 nat. median
$65,477
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $98,357.80 $185,344.23 $150,799.76 nat. median
$2,596
outlier · 58.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $94,535.76 $178,142.02 $144,939.90 nat. median
$2,633
outlier · 55.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $92,029.22 $173,418.72 $141,096.92 nat. median
$60,505
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $91,739.92 $172,873.57 $140,653.38 nat. median
$59,651
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $85,903.69 $161,875.85 $131,705.42 nat. median
$56,428
outlier · 2.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $83,824.00 $157,956.91 $128,516.89 nat. median
$55,923
outlier · 2.3×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $83,462.65 $157,275.98 $127,962.88 nat. median
$55,935
outlier · 2.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $83,186.45 $156,755.52 $127,539.41 nat. median
$52,327
outlier · 2.4×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $123,114.30 $123,114.30 $123,114.30 nat. median
$7,098
outlier · 17.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $78,805.46 $148,500.03 $120,822.58 nat. median
$9,905
outlier · 12.2×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $68,646.98 $172,612.06 $120,519.00 nat. median
$66,211
1.8× median
10
MS_DRG 		Pancreas Transplant 10 $78,337.12 $147,617.50 $120,104.54 nat. median
$23,080
outlier · 5.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $78,304.37 $147,555.78 $120,054.32 nat. median
$37,013
outlier · 3.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $77,888.43 $146,771.99 $119,416.61 nat. median
$45,605
outlier · 2.6×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $77,842.58 $146,685.59 $119,346.32 nat. median
$51,518
outlier · 2.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $75,456.12 $142,188.58 $115,687.46 nat. median
$48,611
outlier · 2.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $75,086.03 $141,491.20 $115,120.05 nat. median
$49,569
outlier · 2.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $73,483.42 $138,471.25 $112,662.96 nat. median
$47,340
outlier · 2.4×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $72,996.52 $137,553.74 $111,916.46 nat. median
$2,633
outlier · 42.5×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $72,943.03 $137,452.94 $111,834.45 nat. median
$2,958
outlier · 37.8×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $71,782.55 $135,266.15 $110,055.24 nat. median
$47,458
outlier · 2.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $71,782.55 $135,266.15 $110,055.24 nat. median
$45,446
outlier · 2.4×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $71,521.63 $134,774.48 $109,655.21 nat. median
$43,299
outlier · 2.5×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $70,247.62 $132,373.75 $107,701.92 nat. median
$47,121
outlier · 2.3×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $62,718.81 $151,198.13 $106,297.34 nat. median
$63,499
1.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $66,903.74 $126,072.59 $102,575.17 nat. median
$44,036
outlier · 2.3×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $66,826.23 $125,926.53 $102,456.33 nat. median
$41,943
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 11,824 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
             
Q2057 HCPCS Afamitresgene Autoleucel 3 1 — — $1,464,178.00 $1,464,178.00 $1,464,178.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $636,648.23 $1,539,910.91 $1,098,816.70 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $608,486.23 $1,500,964.18 $1,051,419.78 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $568,086.52 $1,406,133.05 $1,029,107.75 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $580,384.71 $1,438,330.59 $1,028,394.85 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $553,124.80 $1,332,710.45 $1,012,845.30 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $538,339.08 $1,328,720.23 $930,468.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 10 — — $471,426.63 $888,350.52 $722,779.67 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 10 — — $305,936.92 $576,503.75 $469,054.93 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 10 — — $233,083.41 $439,219.50 $357,357.73 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 10 — — $231,715.51 $436,641.84 $355,260.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 10 — — $151,215.73 $284,949.06 $231,840.23 2026-04-01
7 MS_DRG Lung Transplant 12 10 — — $141,377.33 $266,409.70 $216,756.24 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 10 — — $131,199.41 $247,230.56 $201,151.71 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $198,192.56 $198,192.56 $198,192.56 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 10 — — $123,709.26 $233,116.20 $189,667.98 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $123,567.34 $232,848.77 $189,450.40 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $120,318.44 $226,726.58 $184,469.27 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 10 — — $118,712.55 $223,700.46 $182,007.15 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 10 — — $112,559.73 $212,106.16 $172,573.80 2026-04-01
215 MS_DRG Other Heart Assist System Implant 12 10 — — $108,700.57 $204,834.01 $166,657.03 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $106,798.83 $201,250.39 $163,741.33 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $154,704.84 $154,704.84 $154,704.84 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 10 — — $98,357.80 $185,344.23 $150,799.76 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 12 10 — — $94,535.76 $178,142.02 $144,939.90 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 10 — — $92,029.22 $173,418.72 $141,096.92 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $91,739.92 $172,873.57 $140,653.38 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 10 — — $85,903.69 $161,875.85 $131,705.42 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $83,824.00 $157,956.91 $128,516.89 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 10 — — $83,462.65 $157,275.98 $127,962.88 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 10 — — $83,186.45 $156,755.52 $127,539.41 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $123,114.30 $123,114.30 $123,114.30 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $78,805.46 $148,500.03 $120,822.58 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 5 — — $68,646.98 $172,612.06 $120,519.00 2026-04-01
10 MS_DRG Pancreas Transplant 12 10 — — $78,337.12 $147,617.50 $120,104.54 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 10 — — $78,304.37 $147,555.78 $120,054.32 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 10 — — $77,888.43 $146,771.99 $119,416.61 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 10 — — $77,842.58 $146,685.59 $119,346.32 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 10 — — $75,456.12 $142,188.58 $115,687.46 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 10 — — $75,086.03 $141,491.20 $115,120.05 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 10 — — $73,483.42 $138,471.25 $112,662.96 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 10 — — $72,996.52 $137,553.74 $111,916.46 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 10 — — $72,943.03 $137,452.94 $111,834.45 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $71,782.55 $135,266.15 $110,055.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $71,782.55 $135,266.15 $110,055.24 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 10 — — $71,521.63 $134,774.48 $109,655.21 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 10 — — $70,247.62 $132,373.75 $107,701.92 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $62,718.81 $151,198.13 $106,297.34 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 10 — — $66,903.74 $126,072.59 $102,575.17 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 10 — — $66,826.23 $125,926.53 $102,456.33 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 10 — — $66,185.40 $124,718.96 $101,473.83 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 10 — — $65,592.61 $123,601.91 $100,564.98 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 10 — — $65,574.05 $123,566.93 $100,536.52 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $65,099.16 $122,672.06 $99,808.43 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 10 — — $64,885.19 $122,268.85 $99,480.37 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 10 — — $64,734.53 $121,984.96 $99,249.39 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 10 — — $64,067.51 $120,728.02 $98,226.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 10 — — $64,026.02 $120,649.84 $98,163.12 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 10 — — $62,959.43 $118,639.97 $96,527.85 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 10 — — $62,557.69 $117,882.93 $95,911.90 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 10 — — $62,302.23 $117,401.55 $95,520.24 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 10 — — $62,221.44 $117,249.32 $95,396.38 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $61,375.37 $115,655.00 $94,099.21 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 10 — — $61,185.42 $115,297.05 $93,807.98 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 10 — — $60,766.21 $114,507.09 $93,165.24 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 10 — — $60,294.59 $113,618.38 $92,442.18 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 10 — — $59,933.24 $112,937.45 $91,888.16 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 10 — — $59,721.45 $112,538.36 $91,563.45 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 10 — — $59,636.30 $112,377.90 $91,432.89 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 10 — — $59,542.41 $112,200.98 $91,288.96 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 10 — — $59,304.42 $111,752.52 $90,924.07 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $58,218.18 $109,705.62 $89,258.68 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 10 — — $58,183.24 $109,639.79 $89,205.11 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 10 — — $57,792.41 $108,903.31 $88,605.90 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 10 — — $57,601.37 $108,543.30 $88,312.99 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 10 — — $56,827.35 $107,084.76 $87,126.30 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 10 — — $56,729.10 $106,899.61 $86,975.65 2026-04-01
J9226 HCPCS Supprelin La Implant 7 5 — — $49,006.08 $123,225.25 $86,564.74 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $55,023.86 $103,686.29 $84,361.23 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 10 — — $54,010.77 $101,777.22 $82,807.98 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 10 — — $53,730.20 $101,248.52 $82,377.82 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 10 — — $53,506.40 $100,826.80 $82,034.70 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 10 — — $43,273.60 $102,600.09 $81,294.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 10 — — $52,714.92 $99,335.34 $80,821.21 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 10 — — $52,448.54 $98,833.39 $80,412.81 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 10 — — $51,973.65 $97,938.51 $79,684.73 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 11 — — $19,230.30 $101,596.19 $78,763.26 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 10 — — $51,325.18 $96,716.54 $78,690.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 10 — — $51,220.38 $96,519.05 $78,529.82 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 10 — — $51,067.54 $96,231.05 $78,295.49 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 10 — — $50,622.13 $95,391.71 $77,612.60 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 10 — — $50,420.16 $95,011.14 $77,302.95 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 10 — — $50,052.26 $94,317.86 $76,738.89 2026-04-01
245 MS_DRG Aicd Generator Procedures 12 10 — — $49,807.72 $93,857.05 $76,363.97 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 10 — — $49,658.16 $93,575.22 $76,134.66 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 10 — — $49,636.32 $93,534.08 $76,101.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 12 10 — — $49,442.00 $93,167.90 $75,803.26 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 12 10 — — $48,927.81 $92,198.96 $75,014.91 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 10 — — $48,913.62 $92,172.22 $74,993.15 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 10 — — $48,721.48 $91,810.15 $74,698.57 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 10 — — $47,956.20 $90,368.07 $73,525.26 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 10 — — $47,242.23 $89,022.67 $72,430.61 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 10 — — $46,865.59 $88,312.94 $71,853.17 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 11 — — $6,621.68 $94,558.55 $71,691.61 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 10 — — $46,564.28 $87,745.15 $71,391.21 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 10 — — $46,296.81 $87,241.14 $70,981.13 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 10 — — $46,104.67 $86,879.08 $70,686.55 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 10 — — $46,026.07 $86,730.96 $70,566.04 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 10 — — $46,003.15 $86,687.76 $70,530.89 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 10 — — $45,868.87 $86,434.73 $70,325.01 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 10 — — $45,814.28 $86,331.87 $70,241.33 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 10 — — $45,729.13 $86,171.41 $70,110.77 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $45,552.27 $85,838.14 $69,839.62 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 10 — — $45,338.30 $85,434.93 $69,511.57 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 10 — — $45,038.08 $84,869.21 $69,051.28 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 10 — — $43,891.80 $82,709.16 $67,293.82 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 10 — — $43,494.42 $81,960.35 $66,684.57 2026-04-01
791 MS_DRG Prematurity With Major Problems 13 11 — — $6,165.31 $83,501.18 $66,161.70 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $65,961.87 $65,961.87 $65,961.87 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 10 — — $42,706.21 $80,475.06 $65,476.11 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 10 — — $42,512.98 $80,110.94 $65,179.85 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 10 — — $42,256.43 $79,627.50 $64,786.52 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 10 — — $42,193.11 $79,508.18 $64,689.44 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 10 — — $42,152.72 $79,432.07 $64,627.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 10 — — $41,913.64 $78,981.54 $64,260.96 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 10 — — $915.98 $85,776.43 $63,919.96 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 10 — — $41,080.67 $77,411.91 $62,983.87 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 10 — — $40,901.63 $77,074.53 $62,709.38 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 10 — — $40,804.47 $76,891.44 $62,560.41 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 10 — — $40,800.10 $76,883.21 $62,553.71 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 10 — — $40,685.48 $76,667.21 $62,377.96 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 10 — — $40,456.22 $76,235.20 $62,026.48 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 10 — — $40,099.23 $75,562.50 $61,479.15 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 10 — — $40,082.86 $75,531.64 $61,454.05 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 10 — — $39,581.77 $74,587.39 $60,685.79 2026-04-01
332 MS_DRG Rectal Resection With Mcc 12 10 — — $39,527.18 $74,484.53 $60,602.10 2026-04-01
265 MS_DRG Aicd Lead Procedures 12 10 — — $39,499.89 $74,433.10 $60,560.26 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 10 — — $39,430.02 $74,301.44 $60,453.13 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 10 — — $39,371.07 $74,190.36 $60,362.75 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 10 — — $39,113.43 $73,704.86 $59,967.74 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 10 — — $39,022.82 $73,534.11 $59,828.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 10 — — $38,983.52 $73,460.05 $59,768.57 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 10 — — $38,925.66 $73,351.02 $59,679.85 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 10 — — $38,892.90 $73,289.31 $59,629.64 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 10 — — $38,855.79 $73,219.36 $59,572.74 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 10 — — $38,824.13 $73,159.71 $59,524.19 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 11 — — $3,250.92 $74,644.99 $59,144.55 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 10 — — $38,421.29 $72,400.60 $58,906.57 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 12 10 — — $38,081.77 $71,760.82 $58,386.03 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 10 — — $38,071.95 $71,742.30 $58,370.97 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 10 — — $37,897.27 $71,413.15 $58,103.17 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 10 — — $37,539.20 $70,738.40 $57,554.17 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 10 — — $3,310.84 $72,548.72 $57,483.58 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 10 — — $37,427.84 $70,528.56 $57,383.44 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 10 — — $37,244.44 $70,182.96 $57,102.25 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 10 — — $37,195.31 $70,090.38 $57,026.93 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 10 — — $15,973.78 $71,067.55 $56,309.98 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 10 — — $36,062.13 $67,955.03 $55,289.56 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 12 10 — — $35,939.86 $67,724.62 $55,102.10 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 10 — — $35,935.49 $67,716.39 $55,095.40 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0520T CPT Rmvl&rplcmt Pg Wcs New Eltrd 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0424T CPT Insj/rplc Nstim Apnea Compl 3 1 — — $54,996.00 $54,996.00 $54,996.00 2026-04-01
0100T CPT Prosth Retina Receive&Gen 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 13 10 — — $14,281.41 $68,722.36 $54,451.78 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 10 — — $35,510.82 $66,916.15 $54,444.31 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 10 — — $35,354.70 $66,621.97 $54,204.96 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 10 — — $35,315.40 $66,547.91 $54,144.71 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 10 — — $35,266.28 $66,455.34 $54,069.38 2026-04-01
652 MS_DRG Kidney Transplant 12 10 — — $35,256.45 $66,436.82 $54,054.32 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 10 — — $35,230.25 $66,387.45 $54,014.15 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 5 — — $29,309.94 $73,699.51 $54,005.71 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 12 10 — — $35,161.47 $66,257.85 $53,908.71 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 10 — — $35,047.94 $66,043.90 $53,734.63 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 10 — — $34,855.80 $65,681.83 $53,440.05 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 10 — — $34,791.39 $65,560.46 $53,341.29 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 10 — — $34,757.54 $65,496.69 $53,289.41 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 10 — — $34,687.68 $65,365.03 $53,182.29 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 12 10 — — $34,550.12 $65,105.82 $52,971.40 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 10 — — $34,497.72 $65,007.08 $52,891.06 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 10 — — $34,399.47 $64,821.93 $52,740.42 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 10 — — $34,383.09 $64,791.07 $52,715.31 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 10 — — $34,302.31 $64,638.84 $52,591.45 2026-04-01
665 MS_DRG Prostatectomy With Mcc 12 10 — — $34,074.14 $64,208.89 $52,241.63 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 10 — — $34,003.18 $64,075.17 $52,132.83 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 10 — — $33,943.14 $63,962.03 $52,040.78 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 7 3 — — $7,609.00 $54,996.00 $51,942.00 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 7 3 — — $7,609.00 $54,996.00 $51,942.00 2026-04-01
69930 HCPCS Implant Cochlear Device 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 7 3 — — $1,666.16 $54,996.00 $51,942.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 12 10 — — $33,422.40 $62,980.75 $51,242.39 2026-04-01
263 MS_DRG Vein Ligation And Stripping 12 10 — — $33,377.64 $62,896.40 $51,173.77 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 10 — — $33,113.44 $62,398.57 $50,768.71 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 10 — — $32,974.80 $62,137.30 $50,556.15 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 10 — — $32,970.43 $62,129.07 $50,549.45 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 10 — — $32,934.41 $62,061.19 $50,494.22 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 10 — — $32,493.36 $61,230.08 $49,818.01 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 12 10 — — $32,162.57 $60,606.76 $49,310.87 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 12 10 — — $32,140.74 $60,565.61 $49,277.39 2026-04-01
570 MS_DRG Skin Debridement With Mcc 12 10 — — $32,107.99 $60,503.90 $49,227.18 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 12 10 — — $31,877.64 $60,069.83 $48,874.01 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $19,532.39 $66,804.60 $48,565.56 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 10 — — $31,661.48 $59,662.51 $48,542.60 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 10 — — $31,521.75 $59,399.19 $48,328.37 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 12 10 — — $31,506.46 $59,370.39 $48,304.93 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 12 10 — — $31,460.61 $59,283.99 $48,234.63 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 10 — — $31,118.91 $58,640.09 $47,710.74 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 11 — — $31,793.58 $59,911.43 $47,470.49 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 10 — — $9,526.42 $59,699.54 $47,302.60 2026-04-01
800 MS_DRG Splenic Procedures With Cc 12 10 — — $30,670.22 $57,794.58 $47,022.82 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 12 10 — — $30,559.96 $57,586.81 $46,853.77 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 11 — — $14,793.56 $59,045.35 $46,784.26 2026-04-01
503 MS_DRG Foot Procedures With Mcc 12 10 — — $30,470.44 $57,418.12 $46,716.53 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 10 — — $30,260.83 $57,023.14 $46,395.16 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 10 — — $30,099.26 $56,718.68 $46,147.45 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 10 — — $30,007.56 $56,545.87 $46,006.85 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 12 10 — — $29,999.92 $56,531.47 $45,995.13 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 10 — — $29,844.89 $56,239.35 $45,757.46 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 10 — — $29,702.97 $55,971.92 $45,539.87 2026-04-01
849 MS_DRG Radiotherapy 12 10 — — $29,579.61 $55,739.45 $45,350.73 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 10 — — $29,543.59 $55,671.57 $45,295.49 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 10 — — $29,447.52 $55,490.54 $45,148.21 2026-04-01
0308T CPT Insj Ocular Telescope Prosth 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 3 1 — — $44,873.00 $44,873.00 $44,873.00 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 3 1 — — $44,873.00 $44,873.00 $44,873.00 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 10 — — $29,039.22 $54,721.15 $44,522.21 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 10 — — $28,937.69 $54,529.83 $44,366.56 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 10 — — $28,792.50 $54,256.22 $44,143.94 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93580 HCPCS Transcath Closure Of Asd 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 12 10 — — $28,336.17 $53,396.32 $43,444.31 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 12 10 — — $28,302.32 $53,332.55 $43,392.42 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 7 3 — — $7,609.00 $44,873.00 $43,285.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 7 3 — — $3,735.00 $44,873.00 $43,285.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 7 3 — — $3,735.00 $44,873.00 $43,285.00 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 10 — — $28,196.43 $53,133.00 $43,230.07 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 12 10 — — $28,157.13 $53,058.94 $43,169.81 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 10 — — $28,157.13 $53,058.94 $43,169.81 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 12 10 — — $28,030.49 $52,820.31 $42,975.65 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 12 10 — — $27,871.10 $52,519.96 $42,731.29 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 10 — — $27,739.01 $52,271.04 $42,528.76 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 10 — — $27,686.60 $52,172.29 $42,448.42 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 12 10 — — $27,554.51 $51,923.37 $42,245.89 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 12 10 — — $27,542.50 $51,900.75 $42,227.48 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 10 — — $27,204.07 $51,263.02 $41,708.61 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 12 10 — — $27,092.72 $51,053.18 $41,537.89 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 10 — — $26,847.09 $50,590.32 $41,161.29 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 10 — — $26,839.44 $50,575.92 $41,149.57 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 7 3 — — $7,609.00 $43,643.00 $41,120.00 2026-04-01
33820 HCPCS Revise Major Vessel 7 3 — — $6,019.00 $43,643.00 $41,120.00 2026-04-01
33824 HCPCS Revise Major Vessel 7 3 — — $6,019.00 $43,643.00 $41,120.00 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 7 3 — — $7,609.00 $43,643.00 $41,120.00 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 7 3 — — $7,609.00 $43,643.00 $41,120.00 2026-04-01
33224 HCPCS Insert Pacing Lead & Connect 7 3 — — $7,609.00 $43,643.00 $41,120.00 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 7 3 — — $5,512.00 $43,643.00 $41,120.00 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 12 10 — — $26,802.33 $50,505.97 $41,092.66 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 10 — — $26,683.33 $50,281.74 $40,910.22 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 12 10 — — $26,651.67 $50,222.08 $40,861.68 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 12 10 — — $26,443.16 $49,829.16 $40,541.99 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 12 10 — — $26,356.91 $49,666.64 $40,409.77 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 10 — — $26,258.66 $49,481.49 $40,259.13 2026-04-01
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