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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

ASPIRUS MERRILL HOSPITAL

Merrill, WI · CCN 521339 · Rates published

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You selected 93306 (HCPCS)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

8,037 distinct procedures filed
32 distinct payers
141,873 rate rows
2026-08-01 last MRF observed
Data quality

92,528 of 141,873 rate rows are consumer-grade (65.2%)

49,345 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 27,934
professional (physician) fee — not the facility price 16,784
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
exceeds 10× this hospital's gross charge — excluded from medians 120
placeholder amount (≤ $0.02) — excluded from medians 54
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.aspirus.org/Uploads/Public/Documents/PriceEstimate/TransparencyFY26/390808503_aspirus-merrill-hospital_standardcharges.json
Found on page https://www.aspirus.org/price-estimate
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 8ee21065ec60e772… · 150,465,439 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
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$2,994,107
1.6× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,466,282
1.7× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,401,960
1.6× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $924,744.00 $1,271,523.00 $1,028,777.70 nat. median
$809,217
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 1 $898,202.24 $898,202.24 $898,202.24 nat. median
$359,358
outlier · 2.5×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $737,016.97 $934,776.65 $819,931.38 nat. median
$738,272
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $706,193.77 $969,621.79 $785,640.57 nat. median
$646,415
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $674,713.00 $927,632.05 $750,618.22 nat. median
$640,950
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $671,737.30 $920,834.85 $747,307.74 nat. median
$622,245
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $638,218.94 $878,117.20 $710,018.57 nat. median
$608,101
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $587,148.72 $807,592.83 $653,202.95 nat. median
$591,650
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $582,897.12 $582,897.12 $582,897.12 nat. median
$249,124
outlier · 2.3×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$319,951
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $444,090.40 $444,090.40 $444,090.40 nat. median
$198,433
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $441,484.16 $441,484.16 $441,484.16 nat. median
$190,557
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $288,109.12 $288,109.12 $288,109.12 nat. median
$126,722
outlier · 2.3×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 5 $243,256.30 $332,753.88 $270,622.64 nat. median
$209,753
1.3× median
7
MS_DRG 		Lung Transplant 1 $269,364.16 $269,364.16 $269,364.16 nat. median
$117,894
outlier · 2.3×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $249,972.32 $249,972.32 $249,972.32 nat. median
$110,192
outlier · 2.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $235,701.44 $235,701.44 $235,701.44 nat. median
$103,967
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 1 $235,431.04 $235,431.04 $235,431.04 nat. median
$92,655
outlier · 2.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $229,240.96 $229,240.96 $229,240.96 nat. median
$93,270
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 1 $226,181.28 $226,181.28 $226,181.28 nat. median
$97,414
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $214,458.40 $214,458.40 $214,458.40 nat. median
$94,964
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 1 $207,105.60 $207,105.60 $207,105.60 nat. median
$93,917
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $203,482.24 $203,482.24 $203,482.24 nat. median
$90,581
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 $187,399.68 $187,399.68 $187,399.68 nat. median
$78,037
outlier · 2.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $180,117.60 $180,117.60 $180,117.60 nat. median
$78,262
outlier · 2.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $175,341.92 $175,341.92 $175,341.92 nat. median
$77,043
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $174,790.72 $174,790.72 $174,790.72 nat. median
$77,696
outlier · 2.2×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $163,671.04 $163,671.04 $163,671.04 nat. median
$74,460
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 $159,708.64 $159,708.64 $159,708.64 nat. median
$72,473
outlier · 2.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 $159,020.16 $159,020.16 $159,020.16 nat. median
$71,758
outlier · 2.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 $158,493.92 $158,493.92 $158,493.92 nat. median
$68,004
outlier · 2.3×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $150,146.88 $150,146.88 $150,146.88 nat. median
$63,648
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 1 $149,254.56 $149,254.56 $149,254.56 nat. median
$64,903
outlier · 2.3×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 1 $149,192.16 $149,192.16 $149,192.16 nat. median
$61,329
outlier · 2.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $148,399.68 $148,399.68 $148,399.68 nat. median
$66,660
outlier · 2.2×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $148,312.32 $148,312.32 $148,312.32 nat. median
$66,649
outlier · 2.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $143,765.44 $143,765.44 $143,765.44 nat. median
$62,721
outlier · 2.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 $143,060.32 $143,060.32 $143,060.32 nat. median
$63,896
outlier · 2.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $140,006.88 $140,006.88 $140,006.88 nat. median
$61,711
outlier · 2.3×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 1 $139,079.20 $139,079.20 $139,079.20 nat. median
$57,560
outlier · 2.4×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 $138,977.28 $138,977.28 $138,977.28 nat. median
$60,543
outlier · 2.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $138,148.31 $138,148.31 $138,148.31 nat. median
$75,037
1.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $136,766.24 $136,766.24 $136,766.24 nat. median
$59,558
outlier · 2.3×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $136,766.24 $136,766.24 $136,766.24 nat. median
$62,038
outlier · 2.2×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 $136,269.12 $136,269.12 $136,269.12 nat. median
$58,118
outlier · 2.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $133,841.76 $133,841.76 $133,841.76 nat. median
$59,384
outlier · 2.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 $127,470.72 $127,470.72 $127,470.72 nat. median
$58,331
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 8,037 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
             
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 6 5 — — $924,744.00 $1,271,523.00 $1,028,777.70 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 1 — — $898,202.24 $898,202.24 $898,202.24 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 5 — — $737,016.97 $934,776.65 $819,931.38 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 5 — — $706,193.77 $969,621.79 $785,640.57 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 5 — — $674,713.00 $927,632.05 $750,618.22 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 5 — — $671,737.30 $920,834.85 $747,307.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 5 — — $638,218.94 $878,117.20 $710,018.57 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 5 — — $587,148.72 $807,592.83 $653,202.95 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 1 — — $582,897.12 $582,897.12 $582,897.12 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 1 — — $444,090.40 $444,090.40 $444,090.40 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 1 — — $441,484.16 $441,484.16 $441,484.16 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 1 — — $288,109.12 $288,109.12 $288,109.12 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 5 — — $243,256.30 $332,753.88 $270,622.64 2026-04-01
7 MS_DRG Lung Transplant 4 1 — — $269,364.16 $269,364.16 $269,364.16 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 1 — — $249,972.32 $249,972.32 $249,972.32 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 1 — — $235,701.44 $235,701.44 $235,701.44 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 1 — — $235,431.04 $235,431.04 $235,431.04 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $229,240.96 $229,240.96 $229,240.96 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 1 — — $226,181.28 $226,181.28 $226,181.28 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 1 — — $214,458.40 $214,458.40 $214,458.40 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 1 — — $207,105.60 $207,105.60 $207,105.60 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 1 — — $203,482.24 $203,482.24 $203,482.24 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 1 — — $187,399.68 $187,399.68 $187,399.68 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 1 — — $180,117.60 $180,117.60 $180,117.60 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 1 — — $175,341.92 $175,341.92 $175,341.92 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 1 — — $174,790.72 $174,790.72 $174,790.72 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 1 — — $163,671.04 $163,671.04 $163,671.04 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 1 — — $159,708.64 $159,708.64 $159,708.64 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 1 — — $159,020.16 $159,020.16 $159,020.16 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 1 — — $158,493.92 $158,493.92 $158,493.92 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $150,146.88 $150,146.88 $150,146.88 2026-04-01
10 MS_DRG Pancreas Transplant 4 1 — — $149,254.56 $149,254.56 $149,254.56 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 1 — — $149,192.16 $149,192.16 $149,192.16 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 1 — — $148,399.68 $148,399.68 $148,399.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 1 — — $148,312.32 $148,312.32 $148,312.32 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 1 — — $143,765.44 $143,765.44 $143,765.44 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 1 — — $143,060.32 $143,060.32 $143,060.32 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 1 — — $140,006.88 $140,006.88 $140,006.88 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 1 — — $139,079.20 $139,079.20 $139,079.20 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 1 — — $138,977.28 $138,977.28 $138,977.28 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $138,148.31 $138,148.31 $138,148.31 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 1 — — $136,766.24 $136,766.24 $136,766.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 1 — — $136,766.24 $136,766.24 $136,766.24 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 1 — — $136,269.12 $136,269.12 $136,269.12 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 1 — — $133,841.76 $133,841.76 $133,841.76 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 1 — — $127,470.72 $127,470.72 $127,470.72 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 1 — — $127,323.04 $127,323.04 $127,323.04 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 1 — — $126,102.08 $126,102.08 $126,102.08 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 4 1 — — $124,972.64 $124,972.64 $124,972.64 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 1 — — $124,937.28 $124,937.28 $124,937.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 1 — — $124,032.48 $124,032.48 $124,032.48 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 1 — — $123,624.80 $123,624.80 $123,624.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 1 — — $123,337.76 $123,337.76 $123,337.76 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 1 — — $122,066.88 $122,066.88 $122,066.88 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 1 — — $121,987.84 $121,987.84 $121,987.84 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 1 — — $119,955.68 $119,955.68 $119,955.68 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 1 — — $119,190.24 $119,190.24 $119,190.24 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 1 — — $118,703.52 $118,703.52 $118,703.52 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $116,937.60 $116,937.60 $116,937.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 1 — — $116,575.68 $116,575.68 $116,575.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 1 — — $115,776.96 $115,776.96 $115,776.96 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 1 — — $114,878.40 $114,878.40 $114,878.40 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 4 1 — — $114,189.92 $114,189.92 $114,189.92 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 1 — — $113,786.40 $113,786.40 $113,786.40 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 1 — — $113,624.16 $113,624.16 $113,624.16 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 1 — — $113,445.28 $113,445.28 $113,445.28 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 4 1 — — $112,991.84 $112,991.84 $112,991.84 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 1 — — $110,922.24 $110,922.24 $110,922.24 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 1 — — $110,855.68 $110,855.68 $110,855.68 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 1 — — $110,111.04 $110,111.04 $110,111.04 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 1 — — $109,747.04 $109,747.04 $109,747.04 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 1 — — $108,272.32 $108,272.32 $108,272.32 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 1 — — $108,085.12 $108,085.12 $108,085.12 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 1 — — $104,836.16 $104,836.16 $104,836.16 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 1 — — $103,737.92 $103,737.92 $103,737.92 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 1 — — $102,905.92 $102,905.92 $102,905.92 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 1 — — $102,722.88 $102,722.88 $102,722.88 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 1 — — $102,371.36 $102,371.36 $102,371.36 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 1 — — $101,944.96 $101,944.96 $101,944.96 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 1 — — $100,436.96 $100,436.96 $100,436.96 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 1 — — $99,929.44 $99,929.44 $99,929.44 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 1 — — $99,024.64 $99,024.64 $99,024.64 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 1 — — $97,789.12 $97,789.12 $97,789.12 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 1 — — $97,589.44 $97,589.44 $97,589.44 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 1 — — $97,298.24 $97,298.24 $97,298.24 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 4 1 — — $96,449.60 $96,449.60 $96,449.60 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 1 — — $96,064.80 $96,064.80 $96,064.80 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 1 — — $95,607.20 $95,607.20 $95,607.20 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 1 — — $95,363.84 $95,363.84 $95,363.84 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 1 — — $94,897.92 $94,897.92 $94,897.92 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 1 — — $94,612.96 $94,612.96 $94,612.96 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 1 — — $94,571.36 $94,571.36 $94,571.36 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 1 — — $94,201.12 $94,201.12 $94,201.12 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $93,760.51 $93,760.51 $93,760.51 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 4 1 — — $93,221.44 $93,221.44 $93,221.44 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 1 — — $93,194.40 $93,194.40 $93,194.40 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 1 — — $92,828.32 $92,828.32 $92,828.32 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 1 — — $91,370.24 $91,370.24 $91,370.24 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 1 — — $90,009.92 $90,009.92 $90,009.92 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 1 — — $89,292.32 $89,292.32 $89,292.32 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 1 — — $88,718.24 $88,718.24 $88,718.24 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 1 — — $88,208.64 $88,208.64 $88,208.64 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 1 — — $87,842.56 $87,842.56 $87,842.56 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 1 — — $87,692.80 $87,692.80 $87,692.80 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 1 — — $87,649.12 $87,649.12 $87,649.12 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 1 — — $87,393.28 $87,393.28 $87,393.28 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 1 — — $87,289.28 $87,289.28 $87,289.28 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 1 — — $87,127.04 $87,127.04 $87,127.04 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 1 — — $86,790.08 $86,790.08 $86,790.08 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 4 1 — — $86,727.68 $86,727.68 $86,727.68 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 1 — — $86,382.40 $86,382.40 $86,382.40 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 5 — — $77,138.76 $106,053.40 $85,816.87 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 1 — — $85,810.40 $85,810.40 $85,810.40 2026-04-01
791 MS_DRG Prematurity With Major Problems 4 1 — — $84,427.20 $84,427.20 $84,427.20 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 1 — — $83,626.40 $83,626.40 $83,626.40 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 1 — — $82,869.28 $82,869.28 $82,869.28 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 1 — — $81,367.52 $81,367.52 $81,367.52 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 1 — — $80,999.36 $80,999.36 $80,999.36 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 1 — — $80,510.56 $80,510.56 $80,510.56 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 1 — — $80,389.92 $80,389.92 $80,389.92 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 1 — — $80,312.96 $80,312.96 $80,312.96 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 1 — — $79,857.44 $79,857.44 $79,857.44 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 1 — — $78,270.40 $78,270.40 $78,270.40 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 1 — — $77,929.28 $77,929.28 $77,929.28 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 1 — — $77,744.16 $77,744.16 $77,744.16 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 1 — — $77,735.84 $77,735.84 $77,735.84 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 1 — — $77,517.44 $77,517.44 $77,517.44 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 1 — — $77,080.64 $77,080.64 $77,080.64 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $77,046.96 $77,046.96 $77,046.96 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 1 — — $76,400.48 $76,400.48 $76,400.48 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 1 — — $76,369.28 $76,369.28 $76,369.28 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 1 — — $75,472.80 $75,472.80 $75,472.80 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 1 — — $75,414.56 $75,414.56 $75,414.56 2026-04-01
332 MS_DRG Rectal Resection With Mcc 4 1 — — $75,310.56 $75,310.56 $75,310.56 2026-04-01
265 MS_DRG Aicd Lead Procedures 4 1 — — $75,258.56 $75,258.56 $75,258.56 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 1 — — $75,125.44 $75,125.44 $75,125.44 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 5 — — $67,523.03 $89,766.78 $75,119.37 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 1 — — $75,013.12 $75,013.12 $75,013.12 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 1 — — $74,522.24 $74,522.24 $74,522.24 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 1 — — $74,349.60 $74,349.60 $74,349.60 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 1 — — $74,274.72 $74,274.72 $74,274.72 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 1 — — $74,164.48 $74,164.48 $74,164.48 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 1 — — $74,102.08 $74,102.08 $74,102.08 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 1 — — $74,031.36 $74,031.36 $74,031.36 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 1 — — $73,971.04 $73,971.04 $73,971.04 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 1 — — $73,353.28 $73,353.28 $73,353.28 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 1 — — $73,203.52 $73,203.52 $73,203.52 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 4 1 — — $72,556.64 $72,556.64 $72,556.64 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 1 — — $72,537.92 $72,537.92 $72,537.92 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 1 — — $72,205.12 $72,205.12 $72,205.12 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 1 — — $71,855.68 $71,855.68 $71,855.68 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 1 — — $71,522.88 $71,522.88 $71,522.88 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 1 — — $71,310.72 $71,310.72 $71,310.72 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 1 — — $70,961.28 $70,961.28 $70,961.28 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 2 — — $10,536.92 $70,867.68 $70,867.68 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 1 — — $69,484.48 $69,484.48 $69,484.48 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 1 — — $68,708.64 $68,708.64 $68,708.64 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 3 — — $4,071.84 $118,549.60 $68,633.97 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 4 1 — — $68,475.68 $68,475.68 $68,475.68 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 1 — — $68,467.36 $68,467.36 $68,467.36 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 1 — — $67,658.24 $67,658.24 $67,658.24 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 1 — — $67,360.80 $67,360.80 $67,360.80 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 5 2 — — $20,201.29 $67,285.92 $67,285.92 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 1 — — $67,192.32 $67,192.32 $67,192.32 2026-04-01
652 MS_DRG Kidney Transplant 4 1 — — $67,173.60 $67,173.60 $67,173.60 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 1 — — $67,123.68 $67,123.68 $67,123.68 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 4 1 — — $66,992.64 $66,992.64 $66,992.64 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 1 — — $66,776.32 $66,776.32 $66,776.32 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 1 — — $66,410.24 $66,410.24 $66,410.24 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 1 — — $66,287.52 $66,287.52 $66,287.52 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 1 — — $66,223.04 $66,223.04 $66,223.04 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 1 — — $66,089.92 $66,089.92 $66,089.92 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 1 — — $65,827.84 $65,827.84 $65,827.84 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 1 — — $65,728.00 $65,728.00 $65,728.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 1 — — $65,540.80 $65,540.80 $65,540.80 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 1 — — $65,509.60 $65,509.60 $65,509.60 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 1 — — $65,355.68 $65,355.68 $65,355.68 2026-04-01
665 MS_DRG Prostatectomy With Mcc 4 1 — — $64,920.96 $64,920.96 $64,920.96 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 1 — — $64,785.76 $64,785.76 $64,785.76 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 1 — — $64,671.36 $64,671.36 $64,671.36 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 1 — — $63,679.20 $63,679.20 $63,679.20 2026-04-01
263 MS_DRG Vein Ligation And Stripping 4 1 — — $63,593.92 $63,593.92 $63,593.92 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 1 — — $25,495.99 $63,090.56 $63,090.56 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 1 — — $62,826.40 $62,826.40 $62,826.40 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 1 — — $62,818.08 $62,818.08 $62,818.08 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 1 — — $62,749.44 $62,749.44 $62,749.44 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 1 — — $61,909.12 $61,909.12 $61,909.12 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 1 — — $61,278.88 $61,278.88 $61,278.88 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 4 1 — — $61,237.28 $61,237.28 $61,237.28 2026-04-01
570 MS_DRG Skin Debridement With Mcc 4 1 — — $61,174.88 $61,174.88 $61,174.88 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 4 1 — — $60,736.00 $60,736.00 $60,736.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 1 — — $60,575.84 $60,575.84 $60,575.84 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 1 — — $60,361.60 $60,361.60 $60,361.60 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 1 — — $60,324.16 $60,324.16 $60,324.16 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 1 — — $60,057.92 $60,057.92 $60,057.92 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 1 — — $60,028.80 $60,028.80 $60,028.80 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 4 1 — — $59,941.44 $59,941.44 $59,941.44 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 1 — — $59,700.16 $59,700.16 $59,700.16 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 1 — — $59,290.40 $59,290.40 $59,290.40 2026-04-01
800 MS_DRG Splenic Procedures With Cc 4 1 — — $58,435.52 $58,435.52 $58,435.52 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 4 1 — — $58,225.44 $58,225.44 $58,225.44 2026-04-01
503 MS_DRG Foot Procedures With Mcc 4 1 — — $58,054.88 $58,054.88 $58,054.88 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 1 — — $57,655.52 $57,655.52 $57,655.52 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 1 — — $57,347.68 $57,347.68 $57,347.68 2026-04-01
MS DRG V39 (FY2022) 208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 10 $65,455.93 $42,546.35 35% off $42,546.35 $62,837.69 $57,273.94 2026-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 1 — — $57,172.96 $57,172.96 $57,172.96 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 1 — — $57,158.40 $57,158.40 $57,158.40 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 1 — — $56,863.04 $56,863.04 $56,863.04 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 2 — — $7,183.91 $56,592.64 $56,592.64 2026-04-01
849 MS_DRG Radiotherapy 4 1 — — $56,357.60 $56,357.60 $56,357.60 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 1 — — $56,288.96 $56,288.96 $56,288.96 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 1 — — $56,105.92 $56,105.92 $56,105.92 2026-04-01
J3357 HCPCS Ustekinumab 90 Mg/ml Sc Sosy 14 14 $75,569.24 $49,120.01 35% off $166.11 $72,546.47 $55,921.24 2026-08-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 1 — — $55,328.00 $55,328.00 $55,328.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 1 — — $55,134.56 $55,134.56 $55,134.56 2026-04-01
J9226 HCPCS Supprelin La Implant 6 5 — — $49,408.11 $71,255.81 $54,966.52 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 1 — — $54,857.92 $54,857.92 $54,857.92 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 4 1 — — $53,988.48 $53,988.48 $53,988.48 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 1 — — $53,924.00 $53,924.00 $53,924.00 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 1 — — $53,722.24 $53,722.24 $53,722.24 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 4 1 — — $53,647.36 $53,647.36 $53,647.36 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 1 — — $53,647.36 $53,647.36 $53,647.36 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 1 — — $53,406.08 $53,406.08 $53,406.08 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 4 1 — — $53,102.40 $53,102.40 $53,102.40 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 1 — — $52,850.72 $52,850.72 $52,850.72 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 1 — — $52,750.88 $52,750.88 $52,750.88 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 4 1 — — $52,499.20 $52,499.20 $52,499.20 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 4 1 — — $52,476.32 $52,476.32 $52,476.32 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 1 — — $51,831.52 $51,831.52 $51,831.52 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 1 — — $51,619.36 $51,619.36 $51,619.36 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 1 — — $51,151.36 $51,151.36 $51,151.36 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 1 — — $51,136.80 $51,136.80 $51,136.80 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 4 1 — — $51,066.08 $51,066.08 $51,066.08 2026-04-01
792 MS_DRG Prematurity Without Major Problems 4 1 — — $50,943.36 $50,943.36 $50,943.36 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 1 — — $50,839.36 $50,839.36 $50,839.36 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 4 1 — — $50,779.04 $50,779.04 $50,779.04 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 4 1 — — $50,381.76 $50,381.76 $50,381.76 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 4 1 — — $50,217.44 $50,217.44 $50,217.44 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 4 1 — — $50,030.24 $50,030.24 $50,030.24 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 1 — — $49,861.76 $49,861.76 $49,861.76 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 4 1 — — $49,813.92 $49,813.92 $49,813.92 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 1 — — $49,722.40 $49,722.40 $49,722.40 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 1 — — $49,637.12 $49,637.12 $49,637.12 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 4 1 — — $48,902.88 $48,902.88 $48,902.88 2026-04-01
9494 OTHER Injection, Ocrelizumab 2 2 — — $37,139.06 $60,587.75 $48,863.40 2025-07-01
333 MS_DRG Rectal Resection With Cc 4 1 — — $48,717.76 $48,717.76 $48,717.76 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 1 — — $48,642.88 $48,642.88 $48,642.88 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 1 — — $48,607.52 $48,607.52 $48,607.52 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 4 1 — — $48,403.68 $48,403.68 $48,403.68 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 1 — — $48,370.40 $48,370.40 $48,370.40 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 5 1 — — $13,648.37 $48,320.48 $48,320.48 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 1 — — $48,072.96 $48,072.96 $48,072.96 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 1 — — $47,748.48 $47,748.48 $47,748.48 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 1 — — $47,733.92 $47,733.92 $47,733.92 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 4 1 — — $47,540.48 $47,540.48 $47,540.48 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 1 — — $47,457.28 $47,457.28 $47,457.28 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 1 — — $47,334.56 $47,334.56 $47,334.56 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 1 — — $47,255.52 $47,255.52 $47,255.52 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 1 — — $47,124.48 $47,124.48 $47,124.48 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 1 — — $46,562.88 $46,562.88 $46,562.88 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 4 1 — — $46,535.84 $46,535.84 $46,535.84 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 4 1 — — $46,167.68 $46,167.68 $46,167.68 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 1 — — $46,026.24 $46,026.24 $46,026.24 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 4 1 — — $45,980.48 $45,980.48 $45,980.48 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 1 — — $45,924.32 $45,924.32 $45,924.32 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 4 1 — — $45,732.96 $45,732.96 $45,732.96 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 4 1 — — $45,660.16 $45,660.16 $45,660.16 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 4 1 — — $45,589.44 $45,589.44 $45,589.44 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 1 — — $45,508.32 $45,508.32 $45,508.32 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 1 — — $45,396.00 $45,396.00 $45,396.00 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 4 1 — — $45,366.88 $45,366.88 $45,366.88 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 1 — — $45,319.04 $45,319.04 $45,319.04 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 1 — — $45,287.84 $45,287.84 $45,287.84 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 4 1 — — $45,136.00 $45,136.00 $45,136.00 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 1 — — $44,543.20 $44,543.20 $44,543.20 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 4 1 — — $44,526.56 $44,526.56 $44,526.56 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 4 1 — — $44,484.96 $44,484.96 $44,484.96 2026-04-01
MS DRG V39 (FY2022) 154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With McC 10 10 $50,744.39 $32,983.85 35% off $32,983.85 $48,714.61 $44,401.34 2026-08-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 1 — — $44,324.80 $44,324.80 $44,324.80 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 1 — — $44,322.72 $44,322.72 $44,322.72 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 4 1 — — $44,304.00 $44,304.00 $44,304.00 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 6 2 — — $12,531.71 $44,235.36 $44,235.36 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 4 1 — — $44,110.56 $44,110.56 $44,110.56 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 1 — — $44,048.16 $44,048.16 $44,048.16 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 1 — — $44,041.92 $44,041.92 $44,041.92 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 4 1 — — $44,025.28 $44,025.28 $44,025.28 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 4 1 — — $43,860.96 $43,860.96 $43,860.96 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 4 1 — — $43,732.00 $43,732.00 $43,732.00 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 4 1 — — $43,565.60 $43,565.60 $43,565.60 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 1 — — $43,538.56 $43,538.56 $43,538.56 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 1 — — $43,494.88 $43,494.88 $43,494.88 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 1 — — $43,417.92 $43,417.92 $43,417.92 2026-04-01
835 MS_DRG Acute Leukemia With Cc 4 1 — — $43,384.64 $43,384.64 $43,384.64 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 6 2 — — $9,359.23 $43,372.16 $43,372.16 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 4 1 — — $43,343.04 $43,343.04 $43,343.04 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 1 — — $43,251.52 $43,251.52 $43,251.52 2026-04-01
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