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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

MERCY WALWORTH HOSPITAL & MEDICAL CENTER

Lake Geneva, WI · CCN 521357 · Rates published

12,020 distinct procedures filed
18 distinct payers
49,831 rate rows
2026-03-01 last MRF observed
Data quality

30,685 of 49,831 rate rows are consumer-grade (61.6%)

19,146 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 18,126
template filing: same amount across many unrelated codes — excluded 952
placeholder amount (≤ $0.02) — excluded from medians 48
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/fl_attachment/mercyhealth-site-398/media/5014c1033bbf4dfd915202e2e2cd1dcf/390816848-mercywalworthhospital-standardcharges.json
Found on page https://www.mercyhealthsystem.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-01
Content fingerprint 25a708203d1fccb0… · 16,248,357 bytes · first seen 2026-05-23

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 $1,733,895.00 $1,733,895.00 $1,733,895.00 nat. median
$813,967
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $752,402.46 $1,274,695.43 $1,041,788.02 nat. median
$739,258
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $928,430.20 $1,227,341.54 $1,010,412.74 nat. median
$359,454
outlier · 2.8×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $719,120.09 $1,322,211.54 $995,704.74 nat. median
$646,415
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $685,909.20 $1,255,683.88 $949,720.43 nat. median
$622,450
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $671,374.97 $1,264,952.79 $929,596.12 nat. median
$640,950
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $653,692.95 $1,197,432.54 $905,113.31 nat. median
$608,239
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $636,218.90 $1,101,262.95 $880,918.49 nat. median
$591,721
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $602,513.85 $796,495.29 $655,717.22 nat. median
$249,036
outlier · 2.6×
J3403
HCPCS 		Revakinagene, Per Implant 1 $596,250.00 $596,250.00 $596,250.00 nat. median
$265,000
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $459,035.75 $606,823.91 $499,569.67 nat. median
$198,418
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $456,341.80 $603,262.63 $496,637.84 nat. median
$190,559
outlier · 2.6×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $453,755.30 $453,755.30 $453,755.30 nat. median
$209,753
outlier · 2.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $297,805.10 $393,684.49 $324,101.98 nat. median
$126,695
outlier · 2.6×
7
MS_DRG 		Lung Transplant 3 $278,429.30 $368,070.58 $303,015.26 nat. median
$117,974
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $258,384.85 $341,572.75 $281,200.83 nat. median
$110,307
outlier · 2.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $243,633.70 $322,072.42 $265,147.12 nat. median
$104,013
outlier · 2.5×
209
MS_DRG 		Complex Aortic Arch Procedures 3 $243,354.20 $321,702.93 $264,842.94 nat. median
$92,678
outlier · 2.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $236,955.80 $313,244.55 $257,879.55 nat. median
$93,276
outlier · 2.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $233,793.15 $309,063.67 $254,437.63 nat. median
$97,323
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $221,675.75 $293,045.03 $241,250.23 nat. median
$95,038
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 3 $214,075.50 $282,997.85 $232,978.86 nat. median
$93,901
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $210,330.20 $278,046.74 $228,902.85 nat. median
$90,551
outlier · 2.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $193,706.40 $256,070.85 $210,811.12 nat. median
$78,049
outlier · 2.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $186,179.25 $246,120.31 $202,619.31 nat. median
$78,268
outlier · 2.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $180,673.10 $238,841.43 $196,626.96 nat. median
$77,632
outlier · 2.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $37,481.32 $239,594.62 $192,176.43 nat. median
$77,028
outlier · 2.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $169,179.20 $223,647.03 $184,118.11 nat. median
$74,370
outlier · 2.5×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $165,083.45 $218,232.64 $179,660.71 nat. median
$72,398
outlier · 2.5×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $164,371.80 $217,291.87 $178,886.21 nat. median
$71,748
outlier · 2.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $163,827.85 $216,572.80 $178,294.23 nat. median
$67,976
outlier · 2.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $155,199.90 $205,167.05 $168,904.41 nat. median
$63,648
outlier · 2.7×
10
MS_DRG 		Pancreas Transplant 3 $154,277.55 $203,947.75 $167,900.61 nat. median
$64,933
outlier · 2.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 $154,213.05 $203,862.48 $167,830.42 nat. median
$61,308
outlier · 2.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $153,393.90 $202,779.60 $166,938.94 nat. median
$66,715
outlier · 2.5×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $153,303.60 $202,660.23 $166,840.67 nat. median
$66,649
outlier · 2.5×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $148,603.70 $196,447.18 $161,725.75 nat. median
$62,655
outlier · 2.6×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $147,874.85 $195,483.67 $160,932.54 nat. median
$63,873
outlier · 2.5×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $144,718.65 $191,311.32 $157,497.65 nat. median
$61,728
outlier · 2.6×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $143,759.75 $190,043.70 $156,454.07 nat. median
$57,556
outlier · 2.7×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $143,654.40 $189,904.44 $156,339.42 nat. median
$60,596
outlier · 2.6×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $141,368.95 $186,883.18 $153,852.15 nat. median
$62,031
outlier · 2.5×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $141,368.95 $186,883.18 $153,852.15 nat. median
$59,546
outlier · 2.6×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $140,855.10 $186,203.89 $153,292.93 nat. median
$58,135
outlier · 2.6×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $138,346.05 $182,887.04 $150,562.33 nat. median
$59,371
outlier · 2.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $131,760.60 $174,181.38 $143,395.36 nat. median
$58,280
outlier · 2.5×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $131,607.95 $173,979.59 $143,229.24 nat. median
$58,251
outlier · 2.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $130,345.90 $172,311.22 $141,855.74 nat. median
$57,801
outlier · 2.5×
28
MS_DRG 		Spinal Procedures With Mcc 3 $129,178.45 $170,767.90 $140,585.21 nat. median
$54,460
outlier · 2.6×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $129,141.90 $170,719.59 $140,545.43 nat. median
$56,687
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 12,020 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 1 1 — — $1,733,895.00 $1,733,895.00 $1,733,895.00 2026-03-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $752,402.46 $1,274,695.43 $1,041,788.02 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 3 — — $928,430.20 $1,227,341.54 $1,010,412.74 2026-03-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $719,120.09 $1,322,211.54 $995,704.74 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $685,909.20 $1,255,683.88 $949,720.43 2026-03-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $671,374.97 $1,264,952.79 $929,596.12 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $653,692.95 $1,197,432.54 $905,113.31 2026-03-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $636,218.90 $1,101,262.95 $880,918.49 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $602,513.85 $796,495.29 $655,717.22 2026-03-01
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $596,250.00 $596,250.00 $596,250.00 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $459,035.75 $606,823.91 $499,569.67 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $456,341.80 $603,262.63 $496,637.84 2026-03-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $453,755.30 $453,755.30 $453,755.30 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 3 — — $297,805.10 $393,684.49 $324,101.98 2026-03-01
7 MS_DRG Lung Transplant 4 3 — — $278,429.30 $368,070.58 $303,015.26 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $258,384.85 $341,572.75 $281,200.83 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $243,633.70 $322,072.42 $265,147.12 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 4 3 — — $243,354.20 $321,702.93 $264,842.94 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $236,955.80 $313,244.55 $257,879.55 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 3 — — $233,793.15 $309,063.67 $254,437.63 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $221,675.75 $293,045.03 $241,250.23 2026-03-01
215 MS_DRG Other Heart Assist System Implant 4 3 — — $214,075.50 $282,997.85 $232,978.86 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $210,330.20 $278,046.74 $228,902.85 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 3 — — $193,706.40 $256,070.85 $210,811.12 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $186,179.25 $246,120.31 $202,619.31 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $180,673.10 $238,841.43 $196,626.96 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 4 — — $37,481.32 $239,594.62 $192,176.43 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $169,179.20 $223,647.03 $184,118.11 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $165,083.45 $218,232.64 $179,660.71 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 3 — — $164,371.80 $217,291.87 $178,886.21 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $163,827.85 $216,572.80 $178,294.23 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $155,199.90 $205,167.05 $168,904.41 2026-03-01
10 MS_DRG Pancreas Transplant 4 3 — — $154,277.55 $203,947.75 $167,900.61 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 3 — — $154,213.05 $203,862.48 $167,830.42 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $153,393.90 $202,779.60 $166,938.94 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $153,303.60 $202,660.23 $166,840.67 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $148,603.70 $196,447.18 $161,725.75 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $147,874.85 $195,483.67 $160,932.54 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $144,718.65 $191,311.32 $157,497.65 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 3 — — $143,759.75 $190,043.70 $156,454.07 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 3 — — $143,654.40 $189,904.44 $156,339.42 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $141,368.95 $186,883.18 $153,852.15 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $141,368.95 $186,883.18 $153,852.15 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $140,855.10 $186,203.89 $153,292.93 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $138,346.05 $182,887.04 $150,562.33 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $131,760.60 $174,181.38 $143,395.36 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $131,607.95 $173,979.59 $143,229.24 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $130,345.90 $172,311.22 $141,855.74 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 4 3 — — $129,178.45 $170,767.90 $140,585.21 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $129,141.90 $170,719.59 $140,545.43 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $128,206.65 $169,483.23 $139,527.60 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $127,785.25 $168,926.16 $139,068.98 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 3 — — $127,488.55 $168,533.93 $138,746.08 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $126,174.90 $166,797.35 $137,316.43 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $126,093.20 $166,689.35 $137,227.53 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $123,992.65 $163,912.52 $134,941.49 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $123,201.45 $162,866.59 $134,080.42 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 3 — — $122,698.35 $162,201.51 $133,532.90 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $122,539.25 $161,991.19 $133,359.75 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 3 — — $120,873.00 $159,788.48 $131,546.36 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 3 — — $120,498.90 $159,293.94 $131,139.23 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $119,673.30 $158,202.54 $130,240.73 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 3 — — $118,744.50 $156,974.71 $129,229.92 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 4 3 — — $118,032.85 $156,033.94 $128,455.43 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $117,615.75 $155,482.55 $128,001.49 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $117,263.15 $155,016.43 $127,617.76 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 4 3 — — $116,794.45 $154,396.83 $127,107.67 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $114,655.20 $151,568.84 $124,779.52 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 3 — — $114,586.40 $151,477.89 $124,704.64 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 4 — — $19,244.70 $155,260.86 $124,533.17 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $113,816.70 $150,460.38 $123,866.98 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $113,440.45 $149,963.00 $123,457.51 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 4 3 — — $111,916.10 $147,947.88 $121,798.55 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 4 3 — — $111,722.60 $147,692.08 $121,587.96 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $108,364.30 $143,252.56 $117,933.12 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $106,369.10 $140,615.00 $115,761.74 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $106,179.90 $140,364.89 $115,555.83 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $105,816.55 $139,884.56 $115,160.40 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $105,375.80 $139,301.91 $114,680.73 2026-03-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 3 — — $82,206.29 $144,618.28 $113,824.10 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 4 — — $39,543.78 $141,751.88 $113,697.76 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $103,817.05 $137,241.31 $112,984.33 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 3 — — $103,292.45 $136,547.81 $112,413.42 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 3 — — $102,357.20 $135,311.46 $111,395.58 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $101,080.10 $133,623.19 $110,005.71 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $100,873.70 $133,350.34 $109,781.08 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $100,572.70 $132,952.43 $109,453.51 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $99,695.50 $131,792.81 $108,498.85 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $99,297.75 $131,267.01 $108,065.97 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $98,824.75 $130,641.72 $107,551.21 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $98,573.20 $130,309.19 $107,277.45 2026-03-01
245 MS_DRG Aicd Generator Procedures 4 3 — — $98,091.60 $129,672.53 $106,753.32 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $97,797.05 $129,283.15 $106,432.76 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $97,754.05 $129,226.31 $106,385.96 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $97,371.35 $128,720.40 $105,969.46 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $96,358.70 $127,381.72 $104,867.39 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $96,330.75 $127,344.77 $104,836.98 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $95,952.35 $126,844.54 $104,425.17 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $94,445.20 $124,852.16 $102,784.93 2026-03-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $74,122.23 $122,409.24 $102,630.78 2026-03-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 3 — — $93,039.10 $122,993.36 $101,254.67 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $92,297.35 $122,012.80 $100,447.42 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $91,703.95 $121,228.36 $99,801.62 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $91,177.20 $120,532.02 $99,228.36 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $90,798.80 $120,031.79 $98,816.54 2026-03-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 3 — — $90,644.00 $119,827.15 $98,648.07 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $90,598.85 $119,767.47 $98,598.94 2026-03-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $90,334.40 $119,417.88 $98,311.14 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $90,226.90 $119,275.77 $98,194.14 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $90,059.20 $119,054.07 $98,011.64 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $89,710.90 $118,593.64 $97,632.58 2026-03-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $89,289.50 $118,036.57 $97,173.97 2026-03-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $88,698.25 $117,254.96 $96,530.51 2026-03-01
793 MS_DRG Full Term Neonate With Major Problems 5 3 — — $3,752.19 $118,508.37 $95,054.37 2026-03-01
791 MS_DRG Prematurity With Major Problems 4 3 — — $87,268.50 $115,364.90 $94,974.51 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 3 — — $86,440.75 $114,270.65 $94,073.67 2026-03-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $85,658.15 $113,236.09 $93,221.96 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $84,105.85 $111,184.02 $91,532.59 2026-03-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 3 — — $83,725.30 $110,680.95 $91,118.44 2026-03-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 3 — — $83,220.05 $110,013.04 $90,568.58 2026-03-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 3 — — $83,095.35 $109,848.19 $90,432.87 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $83,015.80 $109,743.03 $90,346.29 2026-03-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $82,544.95 $109,120.58 $89,833.86 2026-03-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 3 — — $80,551.90 $106,485.87 $87,664.82 2026-03-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $80,360.55 $106,232.91 $87,456.58 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 3 — — $80,351.95 $106,221.54 $87,447.21 2026-03-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $80,126.20 $105,923.11 $87,201.53 2026-03-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $79,674.70 $105,326.25 $86,710.16 2026-03-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 3 — — $78,971.65 $104,396.85 $85,945.03 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 4 — — $14,693.45 $106,951.99 $85,785.11 2026-03-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 3 — — $78,012.75 $103,129.23 $84,901.46 2026-03-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 — — $77,952.55 $103,049.65 $84,835.94 2026-03-01
332 MS_DRG Rectal Resection With Mcc 4 3 — — $77,845.05 $102,907.54 $84,718.95 2026-03-01
265 MS_DRG Aicd Lead Procedures 4 3 — — $77,791.30 $102,836.48 $84,660.46 2026-03-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $77,537.60 $102,501.10 $84,384.35 2026-03-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 3 — — $77,030.20 $101,830.34 $83,832.14 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 3 — — $51,711.78 $104,354.22 $83,701.47 2026-03-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $76,851.75 $101,594.44 $83,637.94 2026-03-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 3 — — $76,774.35 $101,492.12 $83,553.71 2026-03-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $76,660.40 $101,341.48 $83,429.69 2026-03-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $76,595.90 $101,256.22 $83,359.49 2026-03-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $76,522.80 $101,159.58 $83,279.94 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 3 — — $76,460.45 $101,077.16 $83,212.08 2026-03-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $75,667.10 $100,028.39 $82,348.68 2026-03-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 4 — — $32,569.69 $102,654.58 $82,338.20 2026-03-01
252 MS_DRG Other Vascular Procedures With Mcc 4 3 — — $74,998.45 $99,144.46 $81,620.99 2026-03-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $74,979.10 $99,118.88 $81,599.93 2026-03-01
J9226 HCPCS Supprelin La Implant 4 3 — — $58,775.65 $97,167.01 $81,381.67 2026-03-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $74,635.10 $98,664.13 $81,225.55 2026-03-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $74,273.90 $98,186.64 $80,832.46 2026-03-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 3 — — $73,929.90 $97,731.89 $80,458.08 2026-03-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $73,710.60 $97,441.98 $80,219.42 2026-03-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 3 — — $73,349.40 $96,964.50 $79,826.32 2026-03-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 3 — — $73,252.65 $96,836.60 $79,721.03 2026-03-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $71,822.90 $94,946.53 $78,165.03 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 4 — — $3,748.33 $100,233.03 $78,108.90 2026-03-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 3 — — $71,020.95 $93,886.39 $77,292.26 2026-03-01
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $70,780.15 $93,568.07 $77,030.20 2026-03-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $70,771.55 $93,556.70 $77,020.84 2026-03-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $69,935.20 $92,451.08 $76,110.64 2026-03-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $69,627.75 $92,044.65 $75,776.04 2026-03-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 3 — — $69,550.35 $91,942.33 $75,691.81 2026-03-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 3 — — $69,453.60 $91,814.43 $75,586.51 2026-03-01
652 MS_DRG Kidney Transplant 4 3 — — $69,434.25 $91,788.85 $75,565.46 2026-03-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $69,382.65 $91,720.64 $75,509.30 2026-03-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 4 3 — — $69,247.20 $91,541.58 $75,361.89 2026-03-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 3 — — $69,023.60 $91,245.99 $75,118.55 2026-03-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $68,645.20 $90,745.76 $74,706.73 2026-03-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $68,518.35 $90,578.07 $74,568.68 2026-03-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $68,451.70 $90,489.96 $74,496.14 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 3 — — $68,314.10 $90,308.06 $74,346.40 2026-03-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $68,043.20 $89,949.95 $74,051.57 2026-03-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 3 — — $67,940.00 $89,813.52 $73,939.26 2026-03-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $67,714.25 $89,515.09 $73,693.57 2026-03-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $67,555.15 $89,304.77 $73,520.42 2026-03-01
665 MS_DRG Prostatectomy With Mcc 4 3 — — $67,105.80 $88,710.75 $73,031.40 2026-03-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $66,966.05 $88,526.00 $72,879.31 2026-03-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 3 — — $66,847.80 $88,369.68 $72,750.61 2026-03-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 5 4 — — $40,253.06 $89,557.72 $71,833.35 2026-03-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 3 — — $65,822.25 $87,013.95 $71,634.51 2026-03-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 3 — — $64,940.75 $85,848.65 $70,675.17 2026-03-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $64,932.15 $85,837.28 $70,665.81 2026-03-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 3 — — $64,861.20 $85,743.49 $70,588.60 2026-03-01
263 MS_DRG Vein Ligation And Stripping 5 4 — — $28,122.34 $86,897.42 $69,699.55 2026-03-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $63,992.60 $84,595.24 $69,643.30 2026-03-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 — — $9,369.99 $86,209.61 $69,147.86 2026-03-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 3 — — $63,341.15 $83,734.05 $68,934.32 2026-03-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 4 3 — — $63,298.15 $83,677.21 $68,887.52 2026-03-01
570 MS_DRG Skin Debridement With Mcc 4 3 — — $63,233.65 $83,591.94 $68,817.33 2026-03-01
668 MS_DRG Transurethral Procedures With Mcc 4 3 — — $62,780.00 $82,992.24 $68,323.62 2026-03-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $62,614.45 $82,773.39 $68,143.45 2026-03-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $62,393.00 $82,480.64 $67,902.45 2026-03-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 3 — — $62,354.30 $82,429.48 $67,860.33 2026-03-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 3 — — $62,079.10 $82,065.68 $67,560.83 2026-03-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $62,049.00 $82,025.89 $67,528.07 2026-03-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 4 3 — — $61,958.70 $81,906.52 $67,429.79 2026-03-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 5 — — $57,190.00 $76,002.96 $66,912.07 2026-03-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $61,285.75 $81,016.91 $66,697.43 2026-03-01
800 MS_DRG Splenic Procedures With Cc 4 3 — — $60,402.10 $79,848.77 $65,735.74 2026-03-01
654 MS_DRG Major Bladder Procedures With Cc 4 3 — — $60,184.95 $79,561.70 $65,499.42 2026-03-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 5 4 — — $25,768.84 $81,576.82 $65,431.95 2026-03-01
503 MS_DRG Foot Procedures With Mcc 4 3 — — $60,008.65 $79,328.64 $65,307.55 2026-03-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 3 — — $59,595.85 $78,782.94 $64,858.30 2026-03-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $59,277.65 $78,362.30 $64,512.00 2026-03-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 4 — — $3,715.30 $81,736.56 $64,315.46 2026-03-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 3 — — $58,776.70 $77,700.06 $63,966.82 2026-03-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 3 — — $58,497.20 $77,330.58 $63,662.64 2026-03-01
849 MS_DRG Radiotherapy 4 3 — — $58,254.25 $77,009.41 $63,398.24 2026-03-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 3 — — $58,183.30 $76,915.62 $63,321.02 2026-03-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $57,994.10 $76,665.50 $63,115.11 2026-03-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 3 — — $56,990.05 $75,338.20 $62,022.40 2026-03-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 3 — — $56,704.10 $74,960.18 $61,711.21 2026-03-01
253 MS_DRG Other Vascular Procedures With Cc 4 3 — — $55,805.40 $73,772.14 $60,733.15 2026-03-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 7 4 — — $295.00 $78,103.66 $60,662.10 2026-03-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 3 — — $55,738.75 $73,684.04 $60,660.61 2026-03-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $55,530.20 $73,408.34 $60,433.64 2026-03-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 4 3 — — $55,452.80 $73,306.02 $60,349.41 2026-03-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 3 — — $55,452.80 $73,306.02 $60,349.41 2026-03-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 4 3 — — $55,203.40 $72,976.33 $60,077.99 2026-03-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 4 3 — — $54,889.50 $72,561.37 $59,736.37 2026-03-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $54,629.35 $72,217.46 $59,453.25 2026-03-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 3 — — $54,526.15 $72,081.03 $59,340.93 2026-03-01
164 MS_DRG Major Chest Procedures With Cc 4 3 — — $54,266.00 $71,737.13 $59,057.82 2026-03-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 4 3 — — $54,242.35 $71,705.86 $59,032.07 2026-03-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 3 — — $53,575.85 $70,824.78 $58,306.72 2026-03-01
545 MS_DRG Connective Tissue Disorders With Mcc 4 3 — — $53,356.55 $70,534.88 $58,068.06 2026-03-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $52,872.80 $69,895.38 $57,541.59 2026-03-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $52,857.75 $69,875.49 $57,525.21 2026-03-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 4 3 — — $52,784.65 $69,778.85 $57,445.65 2026-03-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 3 — — $52,550.30 $69,469.05 $57,190.62 2026-03-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 4 3 — — $52,487.95 $69,386.63 $57,122.76 2026-03-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 4 3 — — $52,077.30 $68,843.77 $56,675.85 2026-03-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 4 3 — — $51,907.45 $68,619.23 $56,491.00 2026-03-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 4 3 — — $51,713.95 $68,363.44 $56,280.41 2026-03-01
397 MS_DRG Appendix Procedures With Mcc 4 3 — — $51,490.35 $68,067.85 $56,037.07 2026-03-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 4 3 — — $51,395.75 $67,942.79 $55,934.12 2026-03-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 3 — — $51,307.60 $67,826.26 $55,838.18 2026-03-01
792 MS_DRG Prematurity Without Major Problems 5 3 — — $6,453.00 $69,611.16 $55,834.41 2026-03-01
113 MS_DRG Orbital Procedures With Cc/Mcc 4 3 — — $50,548.65 $66,822.96 $55,012.21 2026-03-01
333 MS_DRG Rectal Resection With Cc 4 3 — — $50,357.30 $66,570.01 $54,803.96 2026-03-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 3 — — $50,279.90 $66,467.69 $54,719.73 2026-03-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 4 3 — — $50,243.35 $66,419.37 $54,679.96 2026-03-01
709 MS_DRG Penis Procedures With Cc/Mcc 4 3 — — $50,032.65 $66,140.84 $54,450.65 2026-03-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 4 3 — — $49,998.25 $66,095.36 $54,413.21 2026-03-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 3 — — $49,946.65 $66,027.15 $54,357.06 2026-03-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $49,690.80 $65,688.93 $54,078.62 2026-03-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 3 — — $49,355.40 $65,245.54 $53,713.60 2026-03-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 4 3 — — $49,340.35 $65,225.65 $53,697.22 2026-03-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 4 3 — — $49,054.40 $64,847.64 $53,386.02 2026-03-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 4 3 — — $48,927.55 $64,679.95 $53,247.96 2026-03-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 4 3 — — $48,845.85 $64,571.94 $53,159.05 2026-03-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 5 — — $12,893.32 $68,133.22 $53,094.39 2026-03-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 4 3 — — $48,710.40 $64,392.88 $53,011.64 2026-03-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 4 3 — — $48,129.90 $63,625.49 $52,379.88 2026-03-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 4 3 — — $48,101.95 $63,588.54 $52,349.46 2026-03-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 5 4 — — $19,154.30 $64,961.32 $52,104.82 2026-03-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 4 3 — — $47,721.40 $63,085.47 $51,935.31 2026-03-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 4 3 — — $47,575.20 $62,892.20 $51,776.20 2026-03-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 4 3 — — $47,527.90 $62,829.67 $51,724.73 2026-03-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 3 — — $47,469.85 $62,752.93 $51,661.55 2026-03-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 4 3 — — $47,196.80 $62,391.97 $51,364.39 2026-03-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 4 3 — — $47,123.70 $62,295.34 $51,284.83 2026-03-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 4 3 — — $47,039.85 $62,184.49 $51,193.58 2026-03-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 4 3 — — $46,923.75 $62,031.02 $51,067.22 2026-03-01
141 MS_DRG Major Head And Neck Procedures With Cc 4 3 — — $46,893.65 $61,991.22 $51,034.47 2026-03-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 4 3 — — $46,844.20 $61,925.85 $50,980.65 2026-03-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $46,811.95 $61,883.22 $50,945.56 2026-03-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 6 — — $14,693.46 $67,031.44 $50,824.80 2026-03-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 4 3 — — $46,655.00 $61,675.74 $50,774.74 2026-03-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 5 4 — — $17,116.64 $62,491.45 $50,123.76 2026-03-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 4 3 — — $46,042.25 $60,865.71 $50,107.89 2026-03-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 4 3 — — $46,025.05 $60,842.98 $50,089.17 2026-03-01
374 MS_DRG Digestive Malignancy With Mcc 4 3 — — $45,982.05 $60,786.13 $50,042.37 2026-03-01
32 MS_DRG Ventricular Shunt Procedures With Cc 4 3 — — $45,816.50 $60,567.28 $49,862.21 2026-03-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 3 — — $45,814.35 $60,564.44 $49,859.86 2026-03-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 4 3 — — $45,795.00 $60,538.86 $49,838.81 2026-03-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 4 3 — — $45,724.05 $60,445.07 $49,761.59 2026-03-01
595 MS_DRG Major Skin Disorders With Mcc 4 3 — — $45,595.05 $60,274.54 $49,621.20 2026-03-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 4 3 — — $45,524.10 $60,180.74 $49,543.99 2026-03-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 4 3 — — $45,506.90 $60,158.01 $49,525.26 2026-03-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 4 3 — — $45,203.75 $59,757.26 $49,195.35 2026-03-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 4 3 — — $45,003.80 $59,492.93 $48,977.74 2026-03-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 4 3 — — $44,958.65 $59,433.24 $48,928.60 2026-03-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 4 3 — — $44,879.10 $59,328.08 $48,842.03 2026-03-01
835 MS_DRG Acute Leukemia With Cc 4 3 — — $44,844.70 $59,282.61 $48,804.59 2026-03-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 4 3 — — $44,831.80 $59,265.55 $48,790.55 2026-03-01
711 MS_DRG Testes Procedures With Cc/Mcc 4 3 — — $44,801.70 $59,225.76 $48,757.79 2026-03-01
J9266 HCPCS Pegaspargase Injection 4 3 — — $35,191.69 $63,954.13 $48,726.95 2026-03-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 3 — — $44,707.10 $59,100.71 $48,654.84 2026-03-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 4 3 — — $44,679.15 $59,063.76 $48,624.43 2026-03-01
886 MS_DRG Behavioral And Developmental Disorders 4 3 — — $44,618.95 $58,984.18 $48,558.90 2026-03-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 3 — — $44,434.05 $58,739.75 $48,357.68 2026-03-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 4 3 — — $44,302.90 $58,566.37 $48,214.95 2026-03-01
935 MS_DRG Non-extensive Burns 4 3 — — $44,290.00 $58,549.32 $48,200.91 2026-03-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 5 4 — — $13,556.66 $59,933.47 $48,072.03 2026-03-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 4 3 — — $44,055.65 $58,239.52 $47,945.87 2026-03-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 4 3 — — $43,595.55 $57,631.29 $47,445.14 2026-03-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 4 3 — — $43,475.15 $57,472.13 $47,314.10 2026-03-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 4 3 — — $43,318.20 $57,264.65 $47,143.30 2026-03-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 4 3 — — $43,006.45 $56,852.53 $46,804.02 2026-03-01
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