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

CHEYENNE REGIONAL MEDICAL CENTER

Cheyenne, WY · CCN 530014 · Rates published

14,103 distinct procedures filed
10 distinct payers
432,992 rate rows
2026-03-25 last MRF observed
Data quality

238,802 of 432,992 rate rows are consumer-grade (55.2%)

194,190 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
professional (physician) fee — not the facility price 193,922
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 168
placeholder amount (≤ $0.02) — excluded from medians 44
percent-of-charges filed in the dollar field — excluded from medians 43
exceeds 10× this hospital's gross charge — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10177/836000194_memorial-hospital-of-laramie-county_standardcharges.csv
Found on page https://cheyenneregional.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint a00aa79bd792288d… · 276,421,177 bytes · first seen 2026-05-14

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,730,250.00 $4,730,250.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,869,530.00 $3,869,530.00 $3,869,530.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 1 $3,502,611.00 $3,502,611.00 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,482,285.72 $3,482,285.72 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,410,868.00 $3,410,868.00 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 1 $3,244,500.00 $3,244,500.00 $3,244,500.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $3,093,027.00 $3,093,027.00 $3,093,027.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,577,866.14 $2,577,866.14 $2,577,866.14 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,448,600.00 $2,448,600.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $809,151.00 $809,151.00 $809,151.00 nat. median
$824,563
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $508,610.36 $818,644.79 $671,107.14 nat. median
$370,174
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $621,312.51 $621,312.51 $621,312.51 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $594,162.39 $594,162.39 $594,162.39 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $590,665.09 $590,665.09 $590,665.09 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $585,183.83 $585,183.83 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $559,891.68 $559,891.68 $559,891.68 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $513,769.84 $513,769.84 $513,769.84 nat. median
$619,808
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $330,094.46 $602,130.89 $470,967.01 nat. median
$265,286
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $251,506.41 $585,690.31 $422,296.98 nat. median
$206,474
outlier · 2.0×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 10 $5,103.71 $463,116.63 $420,181.86 nat. median
$8,223
outlier · 51.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 $250,030.85 $473,737.07 $365,560.88 nat. median
$202,976
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $292,162.50 $292,162.50 $292,162.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 1 $270,375.00 $270,375.00 $270,375.00 nat. median
$265,000
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 3 $163,194.70 $326,634.00 $247,314.27 nat. median
$133,161
1.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 1 $215,922.00 $215,922.00 $215,922.00 nat. median
$209,753
1.0× median
7
MS_DRG 		Lung Transplant 3 $152,581.89 $272,559.41 $214,814.50 nat. median
$122,708
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $133,523.12 $272,063.90 $204,757.09 nat. median
$108,660
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $141,602.84 $254,661.20 $200,214.42 nat. median
$117,357
1.7× median
453
MS_DRG 		Inpatient Ms-DRG 1 $196,900.31 $196,900.31 $196,900.31 nat. median
$87,428
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $128,133.10 $239,324.95 $185,613.34 nat. median
$102,358
1.8× median
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 10 $2,478.49 $234,053.39 $180,416.15 nat. median
$4,053
outlier · 44.5×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $121,495.97 $229,977.00 $177,523.20 nat. median
$100,136
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 3 $117,333.04 $226,972.86 $173,878.43 nat. median
$99,019
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $115,281.59 $215,651.77 $167,162.00 nat. median
$93,672
1.8× median
J2351
HCPCS 		Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 10 $48.18 $167,370.26 $151,853.64 nat. median
$78
outlier · 1948.1×
459
MS_DRG 		Inpatient Ms-DRG 1 $147,369.71 $147,369.71 $147,369.71 nat. median
$65,393
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $99,037.35 $187,301.27 $144,625.74 nat. median
$81,118
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $92,741.75 $187,812.33 $141,640.89 nat. median
$77,570
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $99,349.44 $180,319.74 $141,295.61 nat. median
$79,312
1.8× median
454
MS_DRG 		Inpatient Ms-DRG 1 $135,904.19 $135,904.19 $135,904.19 nat. median
$62,372
outlier · 2.2×
209
MS_DRG 		Complex Aortic Arch Procedures 2 $133,370.02 $137,292.67 $135,331.35 nat. median
$98,047
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $90,108.54 $173,307.11 $133,032.95 nat. median
$73,807
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $90,498.37 $171,342.86 $132,251.47 nat. median
$74,915
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $84,095.57 $177,615.57 $132,092.27 nat. median
$71,271
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $129,865.39 $133,684.96 $131,775.17 nat. median
$98,894
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $89,810.62 $160,706.15 $126,579.13 nat. median
$72,135
1.8× median
L8699
HCPCS 		Hc Tag Tbe Aortic Component 12mm X 45mm X 15cm 10 $24,996.66 $165,580.80 $122,358.08 nat. median
$1,704
outlier · 71.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $84,046.12 $156,335.48 $121,426.78 nat. median
$68,886
1.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 $84,544.25 $153,755.73 $120,393.29 nat. median
$64,023
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $81,471.81 $154,760.08 $119,314.06 nat. median
$66,526
1.8× median

Other procedures at this hospital

Browse this hospital's 14,103 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
             
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 17 10 $482,413.16 $337,689.22 30% off $5,103.71 $463,116.63 $420,181.86 2026-03-25
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 28 10 $243,805.61 $170,663.93 30% off $2,478.49 $234,053.39 $180,416.15 2026-03-25
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 17 10 $174,344.02 $122,040.82 30% off $48.18 $167,370.26 $151,853.64 2026-03-25
L8699 HCPCS Hc Tag Tbe Aortic Component 12mm X 45mm X 15cm 40 10 $140,480.00 $98,336.00 30% off $24,996.66 $165,580.80 $122,358.08 2026-03-25
J3590 HCPCS Depemokimab-ulaa 100 Mg/ml Subcutaneous Syringe 16 10 $130,831.55 $91,582.09 30% off $95,507.03 $125,598.29 $113,954.28 2026-03-25
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 17 10 $128,487.15 $89,941.01 30% off $3,734.05 $123,347.66 $111,912.30 2026-03-25
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 17 10 $125,637.85 $87,946.50 30% off $201.79 $120,612.34 $109,430.57 2026-03-25
C1822 HCPCS Pulse Generator Implantable 301328 16 10 $122,838.10 $85,986.67 30% off $89,671.81 $117,924.58 $106,991.99 2026-03-25
A9543 HCPCS Hc Nm Yttruim 90 Zev To 40mci 18 10 $119,875.67 $83,912.97 30% off $57,961.04 $115,080.64 $104,411.71 2026-03-25
C1824 HCPCS Hc Generatr Optimizer Smart Mini Ccm 16 10 $114,086.70 $79,860.69 30% off $83,283.29 $109,523.23 $99,369.51 2026-03-25
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 18 10 $108,327.27 $75,829.09 30% off $28,992.54 $103,994.18 $94,353.05 2026-03-25
C1820 HCPCS Generator Pulse Restore Sensor Sure Scan 29408 220 10 $102,410.00 $71,687.00 30% off $53,290.00 $139,191.36 $83,718.02 2026-03-25
C1882 HCPCS Hc Icd Defib Unify Crt Cd3231-40q 448 10 $100,091.41 $70,063.99 30% off $47,068.12 $166,263.82 $84,438.99 2026-03-25
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 17 10 $96,755.63 $67,728.95 30% off $2,752.01 $92,885.40 $84,274.15 2026-03-25
C2624 HCPCS Hc Sensor Cardiomems Pa 16 10 $96,718.55 $67,702.99 30% off $70,604.54 $92,849.81 $84,241.86 2026-03-25
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 17 10 $89,539.46 $62,677.63 30% off $144.44 $85,957.88 $77,988.87 2026-03-25
C1767 HCPCS Interstim Ins 16370 292 10 $87,506.65 $61,254.66 30% off $30,670.99 $202,551.89 $75,318.30 2026-03-25
C1721 HCPCS Hc Icd Defib Fortify Dr 2231-40q 304 10 $87,110.47 $60,977.33 30% off $41,846.59 $129,360.00 $71,292.65 2026-03-25
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 17 10 $86,125.96 $60,288.18 30% off $60.60 $82,680.92 $75,015.71 2026-03-25
J9316 HCPCS Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln 28 10 $84,068.69 $58,848.09 30% off $63.34 $80,705.94 $62,210.83 2026-03-25
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution 28 10 $83,346.78 $58,342.75 30% off $93.17 $80,012.91 $61,676.62 2026-03-25
C1875 HCPCS Hc Stent Graft Relaypro Thoracic 200mm 40 10 $80,997.17 $56,698.02 30% off $56,069.48 $90,552.00 $68,223.93 2026-03-25
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution 28 10 $78,248.02 $54,773.62 30% off $139.40 $75,118.10 $57,903.54 2026-03-25
33249 CPT Hc Insrt Pace Defib W Lead 20 10 $77,023.29 $53,916.31 30% off $32,710.10 $73,942.36 $67,087.29 2026-03-25
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 17 10 $74,256.33 $51,979.44 30% off $366.38 $71,286.08 $64,677.26 2026-03-25
93656 CPT Pr Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 19 10 $68,982.51 $48,287.76 30% off $27,238.07 $66,223.21 $60,083.76 2026-03-25
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 17 10 $65,878.86 $46,115.21 30% off $34.57 $63,243.71 $57,380.49 2026-03-25
33263 CPT Hc Remv Replc Cvd Gen Dual Lead 19 10 $65,333.24 $45,733.27 30% off $23,179.87 $62,719.91 $56,905.25 2026-03-25
33270 CPT Hc Insert/replace Subseq Defibrillator 18 10 $64,170.35 $44,919.25 30% off $32,710.10 $61,603.54 $55,892.38 2026-03-25
C1722 HCPCS Hc Intica Neo 7 Vr-t Dx Df-1 Promri 244 10 $62,209.75 $43,546.83 30% off $32,116.75 $116,015.82 $56,514.77 2026-03-25
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 18 10 $60,808.16 $42,565.72 30% off $56.68 $58,375.83 $52,963.90 2026-03-25
33262 CPT Hc Remv Replac Cvd Gen Single Lead 18 10 $60,617.61 $42,432.33 30% off $23,179.87 $58,192.91 $52,797.94 2026-03-25
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 17 10 $58,908.11 $41,235.68 30% off $231.82 $56,551.79 $51,308.96 2026-03-25
C1772 HCPCS Pump Synchromed Ii 40mm 16566 28 10 $57,953.28 $40,567.30 30% off $42,305.89 $60,809.55 $50,741.74 2026-03-25
33264 CPT Hc Remv Replc Cvd Gen Mult Lead 19 10 $57,711.12 $40,397.79 30% off $32,710.10 $55,402.68 $50,266.39 2026-03-25
93654 CPT Hc Ep & Ablate Ventric Tachy 18 10 $57,380.40 $40,166.28 30% off $27,238.07 $55,085.18 $49,978.32 2026-03-25
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 17 10 $52,237.16 $36,566.02 30% off $263.81 $50,147.67 $45,498.57 2026-03-25
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 18 10 $51,512.99 $36,059.10 30% off $15.24 $49,452.47 $44,867.82 2026-03-25
C1813 HCPCS Implant Penile Ambicore 72401450 208 10 $51,323.58 $35,926.51 30% off $10,486.57 $93,708.38 $42,367.50 2026-03-25
93653 CPT Pr Compre Ep Eval Abltj 3d Mapg Tx Svt 20 10 $50,759.18 $35,531.43 30% off $27,238.07 $48,728.81 $44,211.25 2026-03-25
C9767 HCPCS Hc Revasc Low Ext Lithotrip-stent-ather Incl Angiopl 18 10 $49,501.70 $34,651.19 30% off $19,103.26 $47,521.63 $43,115.98 2026-03-25
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 17 10 $48,670.31 $34,069.22 30% off $248.59 $46,723.50 $42,391.84 2026-03-25
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 17 10 $47,720.30 $33,404.21 30% off $61.50 $45,811.49 $41,564.38 2026-03-25
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 17 10 $46,930.15 $32,851.11 30% off $72.17 $45,052.94 $40,876.16 2026-03-25
37284 CPT Hc Revsc Evasc Tpvt St Sf 1st 18 10 $46,821.73 $32,775.22 30% off $19,103.26 $44,948.86 $40,781.72 2026-03-25
37292 CPT Hc Rvsc Evsc Tpvt St Athrc Sf 1 18 10 $46,821.73 $32,775.22 30% off $19,103.26 $44,948.86 $40,781.72 2026-03-25
37290 CPT Hc Revsc Evsc Tpvt Athrc Cplx 1 18 10 $46,821.73 $32,775.22 30% off $19,103.26 $44,948.86 $40,781.72 2026-03-25
J3391 HCPCS Inj, Atidarsagene Autotemcel 1 1 — — $4,730,250.00 $4,730,250.00 $4,730,250.00 2026-03-25
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,869,530.00 $3,869,530.00 $3,869,530.00 2026-03-25
J3389 HCPCS Topi Adm Prad Zami Per Treat 1 1 — — $3,502,611.00 $3,502,611.00 $3,502,611.00 2026-03-25
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,482,285.72 $3,482,285.72 $3,482,285.72 2026-03-25
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,410,868.00 $3,410,868.00 $3,410,868.00 2026-03-25
J3387 HCPCS Inj Elivaldogene Autotemecel 1 1 — — $3,244,500.00 $3,244,500.00 $3,244,500.00 2026-03-25
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $3,093,027.00 $3,093,027.00 $3,093,027.00 2026-03-25
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,577,866.14 $2,577,866.14 $2,577,866.14 2026-03-25
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,448,600.00 $2,448,600.00 $2,448,600.00 2026-03-25
Q2057 HCPCS Afamitresgene Autoleucel 1 1 — — $809,151.00 $809,151.00 $809,151.00 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 — — $508,610.36 $818,644.79 $671,107.14 2026-03-25
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $621,312.51 $621,312.51 $621,312.51 2026-03-25
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $594,162.39 $594,162.39 $594,162.39 2026-03-25
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $590,665.09 $590,665.09 $590,665.09 2026-03-25
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $585,183.83 $585,183.83 $585,183.83 2026-03-25
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $559,891.68 $559,891.68 $559,891.68 2026-03-25
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $513,769.84 $513,769.84 $513,769.84 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 3 — — $330,094.46 $602,130.89 $470,967.01 2026-03-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 3 — — $251,506.41 $585,690.31 $422,296.98 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 4 3 — — $250,030.85 $473,737.07 $365,560.88 2026-03-25
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 1 1 — — $292,162.50 $292,162.50 $292,162.50 2026-03-25
J3403 HCPCS Revakinagene, Per Implant 1 1 — — $270,375.00 $270,375.00 $270,375.00 2026-03-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 4 3 — — $163,194.70 $326,634.00 $247,314.27 2026-03-25
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 1 1 — — $215,922.00 $215,922.00 $215,922.00 2026-03-25
7 MS_DRG Lung Transplant 4 3 — — $152,581.89 $272,559.41 $214,814.50 2026-03-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 3 — — $133,523.12 $272,063.90 $204,757.09 2026-03-25
14 MS_DRG Allogeneic Bone Marrow Transplant 4 3 — — $141,602.84 $254,661.20 $200,214.42 2026-03-25
453 MS_DRG Inpatient Ms-DRG 2 1 — — $196,900.31 $196,900.31 $196,900.31 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 3 — — $128,133.10 $239,324.95 $185,613.34 2026-03-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 3 — — $121,495.97 $229,977.00 $177,523.20 2026-03-25
215 MS_DRG Other Heart Assist System Implant 4 3 — — $117,333.04 $226,972.86 $173,878.43 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $115,281.59 $215,651.77 $167,162.00 2026-03-25
459 MS_DRG Inpatient Ms-DRG 2 1 — — $147,369.71 $147,369.71 $147,369.71 2026-03-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $99,037.35 $187,301.27 $144,625.74 2026-03-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 3 — — $92,741.75 $187,812.33 $141,640.89 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 3 — — $99,349.44 $180,319.74 $141,295.61 2026-03-25
454 MS_DRG Inpatient Ms-DRG 2 1 — — $135,904.19 $135,904.19 $135,904.19 2026-03-25
209 MS_DRG Complex Aortic Arch Procedures 2 2 — — $133,370.02 $137,292.67 $135,331.35 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 3 — — $90,108.54 $173,307.11 $133,032.95 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $90,498.37 $171,342.86 $132,251.47 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 3 — — $84,095.57 $177,615.57 $132,092.27 2026-03-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $129,865.39 $133,684.96 $131,775.17 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 3 — — $89,810.62 $160,706.15 $126,579.13 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 3 — — $84,046.12 $156,335.48 $121,426.78 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 3 — — $84,544.25 $153,755.73 $120,393.29 2026-03-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 3 — — $81,471.81 $154,760.08 $119,314.06 2026-03-25
Q0480 HCPCS Pr Driver Pneumatic Vad, Rep 1 1 — — $117,959.07 $117,959.07 $117,959.07 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 3 — — $81,072.59 $152,311.43 $117,884.26 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 3 — — $75,853.33 $153,495.76 $115,790.04 2026-03-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 3 — — $72,162.63 $152,709.17 $113,497.12 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $77,509.10 $141,436.97 $110,612.88 2026-03-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 3 — — $65,116.87 $151,507.07 $109,269.57 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $77,227.66 $138,166.18 $108,832.62 2026-03-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $79,343.84 $135,324.24 $108,500.86 2026-03-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $106,176.16 $109,298.98 $107,737.57 2026-03-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $72,246.25 $138,788.34 $106,579.74 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 3 — — $70,811.90 $137,990.64 $105,442.62 2026-03-25
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 3 — — $69,906.29 $137,252.94 $104,607.65 2026-03-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $70,299.63 $134,993.17 $103,680.22 2026-03-25
850 MS_DRG Acute Leukemia With Other Procedures 2 2 — — $102,053.28 $105,054.85 $103,554.07 2026-03-25
28 MS_DRG Spinal Procedures With Mcc 4 3 — — $70,831.91 $133,899.94 $103,407.57 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $77,509.10 $126,580.67 $103,184.73 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 3 — — $71,471.37 $132,177.89 $102,875.68 2026-03-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 3 — — $69,142.02 $134,357.67 $102,766.64 2026-03-25
455 MS_DRG Inpatient Ms-DRG 2 1 — — $102,336.43 $102,336.43 $102,336.43 2026-03-25
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 3 — — $64,048.77 $137,252.94 $101,592.75 2026-03-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 3 — — $69,186.77 $130,666.93 $100,944.30 2026-03-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 3 — — $62,417.75 $136,461.91 $100,357.74 2026-03-25
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $99,835.08 $99,835.08 $99,835.08 2026-03-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $67,558.10 $125,960.74 $97,752.92 2026-03-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $67,195.40 $125,847.41 $97,509.57 2026-03-25
10 MS_DRG Pancreas Transplant 4 3 — — $84,579.56 $106,958.19 $97,012.70 2026-03-25
834 MS_DRG Acute Leukemia With Mcc 4 3 — — $64,727.06 $124,409.78 $95,520.29 2026-03-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 3 — — $64,498.62 $122,325.54 $94,360.59 2026-03-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 3 — — $57,794.34 $126,278.48 $92,886.33 2026-03-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 3 — — $66,077.84 $116,914.97 $92,468.14 2026-03-25
653 MS_DRG Major Bladder Procedures With Mcc 4 3 — — $61,270.73 $120,290.19 $91,681.50 2026-03-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 3 — — $64,406.75 $115,497.34 $90,899.20 2026-03-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $62,877.02 $116,535.01 $90,630.68 2026-03-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $64,305.49 $114,572.99 $90,384.91 2026-03-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $62,211.67 $112,364.32 $88,202.87 2026-03-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 — — $58,809.50 $112,855.38 $86,697.29 2026-03-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $85,084.78 $87,587.27 $86,336.02 2026-03-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $58,338.43 $111,959.91 $86,007.09 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 3 — — $58,234.79 $111,084.45 $85,516.01 2026-03-25
471 MS_DRG Cervical Spinal Fusion With Mcc 4 3 — — $56,940.59 $109,300.18 $83,957.75 2026-03-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $65,625.61 $99,110.09 $83,332.93 2026-03-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 3 — — $58,035.78 $106,807.10 $83,274.90 2026-03-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 3 — — $56,140.97 $108,438.04 $83,115.11 2026-03-25
799 MS_DRG Splenic Procedures With Mcc 4 3 — — $53,410.06 $110,091.21 $82,536.08 2026-03-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $59,431.26 $103,291.89 $82,235.57 2026-03-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 3 — — $56,653.24 $105,691.65 $82,005.58 2026-03-25
6 MS_DRG Liver Transplant Without Mcc 4 3 — — $54,683.06 $107,475.92 $81,883.65 2026-03-25
460 MS_DRG Inpatient Ms-DRG 2 1 — — $81,278.54 $81,278.54 $81,278.54 2026-03-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 3 — — $54,465.21 $106,264.93 $81,166.02 2026-03-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $55,328.41 $105,331.69 $81,143.71 2026-03-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $78,818.62 $81,136.82 $79,977.72 2026-03-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $78,760.90 $81,077.40 $79,919.15 2026-03-25
163 MS_DRG Major Chest Procedures With Mcc 4 3 — — $52,855.39 $104,736.19 $79,573.07 2026-03-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 3 — — $55,441.45 $99,934.45 $78,503.26 2026-03-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 3 — — $54,206.13 $100,363.30 $78,081.86 2026-03-25
245 MS_DRG Aicd Generator Procedures 4 3 — — $53,804.55 $100,687.71 $78,037.38 2026-03-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 3 — — $54,068.34 $100,032.22 $77,845.40 2026-03-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 3 — — $55,163.56 $97,519.14 $77,152.58 2026-03-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $53,643.22 $98,399.05 $76,810.01 2026-03-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 3 — — $53,619.67 $98,123.52 $76,660.12 2026-03-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 3 — — $49,214.13 $100,678.82 $75,670.21 2026-03-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 3 — — $52,632.81 $96,921.42 $75,551.12 2026-03-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 3 — — $51,807.29 $95,072.71 $74,201.87 2026-03-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 3 — — $50,630.83 $95,608.22 $73,864.10 2026-03-25
901 MS_DRG Wound Debridements For Injuries With Mcc 4 3 — — $49,496.78 $96,163.72 $73,558.14 2026-03-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $52,840.07 $91,470.85 $72,932.52 2026-03-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 3 — — $51,037.13 $91,990.80 $72,264.51 2026-03-25
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $72,241.80 $72,241.80 $72,241.80 2026-03-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 3 — — $49,810.03 $92,404.09 $71,839.56 2026-03-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 3 — — $49,700.50 $89,875.46 $70,518.87 2026-03-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 3 — — $49,404.92 $89,795.46 $70,326.74 2026-03-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 3 — — $49,725.24 $88,988.88 $70,088.32 2026-03-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $67,991.48 $69,991.23 $68,991.35 2026-03-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 3 — — $48,983.33 $86,900.20 $68,662.10 2026-03-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $48,659.48 $86,591.34 $68,340.99 2026-03-25
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $67,282.54 $69,261.43 $68,271.98 2026-03-25
140 MS_DRG Major Head And Neck Procedures With Mcc 4 3 — — $50,305.80 $83,949.38 $67,867.38 2026-03-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $44,092.63 $90,164.32 $67,776.90 2026-03-25
38240 CPT Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 1 1 — — $67,476.70 $67,476.70 $67,476.70 2026-03-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 2 — — $66,282.73 $68,232.22 $67,257.48 2026-03-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 3 — — $43,964.26 $89,202.19 $67,229.76 2026-03-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 3 — — $45,658.88 $86,689.11 $66,845.45 2026-03-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 3 — — $49,555.65 $82,169.56 $66,591.36 2026-03-25
J9029 HCPCS Instill Adstiladrin, Tx Dose 1 1 — — $66,509.40 $66,509.40 $66,509.40 2026-03-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 3 — — $45,547.00 $85,558.11 $66,222.37 2026-03-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 3 — — $44,390.57 $86,173.60 $65,934.89 2026-03-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 3 — — $46,144.07 $84,187.14 $65,844.19 2026-03-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $41,145.03 $87,940.09 $65,147.63 2026-03-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 3 — — $45,590.57 $82,913.93 $64,922.70 2026-03-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $42,170.75 $86,373.58 $64,892.32 2026-03-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 3 — — $45,289.11 $82,647.29 $64,634.21 2026-03-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 3 — — $41,990.56 $85,004.83 $64,115.21 2026-03-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 2 — — $62,839.33 $64,687.55 $63,763.44 2026-03-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 3 — — $44,087.93 $81,143.00 $63,263.82 2026-03-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $36,700.00 $115,246.25 $63,181.92 2026-03-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 3 — — $42,065.93 $82,707.28 $63,005.22 2026-03-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $42,610.00 $80,811.92 $62,337.58 2026-03-25
332 MS_DRG Rectal Resection With Mcc 4 3 — — $42,714.80 $80,605.27 $62,288.19 2026-03-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 3 — — $42,268.47 $80,354.19 $61,932.93 2026-03-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 3 — — $46,994.32 $75,332.47 $61,854.49 2026-03-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 3 — — $42,773.69 $79,574.26 $61,803.00 2026-03-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 3 — — $41,521.85 $80,496.39 $61,619.74 2026-03-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 3 — — $42,128.35 $79,436.50 $61,401.96 2026-03-25
265 MS_DRG Aicd Lead Procedures 4 3 — — $42,685.36 $78,527.70 $61,234.25 2026-03-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 3 — — $43,716.98 $76,845.65 $60,924.21 2026-03-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 3 — — $42,030.62 $78,329.94 $60,798.38 2026-03-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $43,314.21 $76,927.86 $60,758.01 2026-03-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 3 — — $41,956.40 $76,796.76 $59,993.59 2026-03-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 3 — — $44,197.44 $73,894.83 $59,696.10 2026-03-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 3 — — $40,956.58 $75,676.88 $58,919.04 2026-03-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 3 — — $40,252.38 $76,174.60 $58,805.44 2026-03-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 3 — — $43,331.88 $72,352.76 $58,479.55 2026-03-25
252 MS_DRG Other Vascular Procedures With Mcc 4 3 — — $41,155.62 $74,521.44 $58,443.76 2026-03-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $40,758.77 $74,859.18 $58,408.37 2026-03-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $40,450.23 $75,030.27 $58,335.11 2026-03-25
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $58,035.94 $58,035.94 $58,035.94 2026-03-25
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 3 — — $37,494.36 $77,252.27 $57,924.71 2026-03-25
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 3 — — $37,675.72 $76,772.32 $57,778.08 2026-03-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 3 — — $42,806.68 $71,443.97 $57,754.83 2026-03-25
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $38,845.11 $75,005.83 $57,496.72 2026-03-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $42,546.38 $71,117.33 $57,457.54 2026-03-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 3 — — $45,935.63 $67,371.04 $57,328.86 2026-03-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $38,213.90 $74,263.68 $56,800.76 2026-03-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 3 — — $38,382.30 $73,663.74 $56,587.47 2026-03-25
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $39,416.26 $72,570.52 $56,573.04 2026-03-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 3 — — $40,199.38 $71,121.78 $56,251.75 2026-03-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 3 — — $38,079.64 $73,192.68 $56,196.15 2026-03-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 3 — — $38,840.40 $72,010.58 $55,996.67 2026-03-25
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 3 — — $38,005.46 $71,448.41 $55,285.84 2026-03-25
500 MS_DRG Soft Tissue Procedures With Mcc 4 3 — — $37,345.98 $72,055.02 $55,249.71 2026-03-25
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 3 — — $37,606.22 $70,248.53 $54,480.40 2026-03-25
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $37,165.81 $70,650.71 $54,454.82 2026-03-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 3 — — $38,171.51 $69,441.94 $54,368.07 2026-03-25
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 3 — — $37,289.45 $70,077.44 $54,231.82 2026-03-25
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $37,569.75 $69,717.47 $54,196.10 2026-03-25
665 MS_DRG Prostatectomy With Mcc 4 3 — — $36,832.54 $68,639.80 $53,277.82 2026-03-25
652 MS_DRG Kidney Transplant 4 3 — — $38,107.91 $66,757.77 $52,993.26 2026-03-25
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $52,373.10 $52,373.10 $52,373.10 2026-03-25
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $36,755.99 $66,691.11 $52,264.07 2026-03-25
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $35,127.33 $68,326.50 $52,243.49 2026-03-25
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 3 — — $37,183.48 $65,962.29 $52,119.70 2026-03-25
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 3 — — $38,976.98 $64,004.71 $52,064.04 2026-03-25
662 MS_DRG Minor Bladder Procedures With Mcc 4 3 — — $36,129.50 $66,586.67 $51,889.40 2026-03-25
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 3 — — $36,691.22 $65,617.88 $51,694.12 2026-03-25
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $35,641.96 $64,909.06 $50,799.66 2026-03-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 2 — — $50,017.30 $51,488.40 $50,752.85 2026-03-25
472 MS_DRG Cervical Spinal Fusion With Cc 4 3 — — $34,770.50 $65,668.99 $50,731.08 2026-03-25
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 3 — — $33,876.68 $66,531.12 $50,702.08 2026-03-25
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $34,372.47 $65,524.56 $50,453.99 2026-03-25
570 MS_DRG Skin Debridement With Mcc 4 3 — — $34,711.62 $64,931.28 $50,331.92 2026-03-25
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 3 — — $34,251.16 $64,977.95 $50,118.25 2026-03-25
263 MS_DRG Vein Ligation And Stripping 4 3 — — $36,081.20 $62,775.94 $49,959.18 2026-03-25
974 MS_DRG HIV With Major Related Condition With Mcc 4 3 — — $34,062.75 $64,804.63 $49,934.61 2026-03-25
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 3 — — $34,229.99 $64,158.03 $49,697.39 2026-03-25
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 3 — — $37,078.67 $60,185.09 $49,177.15 2026-03-25
668 MS_DRG Transurethral Procedures With Mcc 4 3 — — $34,463.13 $62,615.96 $49,046.35 2026-03-25
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 3 — — $37,882.98 $58,756.35 $48,876.77 2026-03-25
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 3 — — $35,646.66 $60,451.73 $48,573.42 2026-03-25
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $33,644.69 $62,420.42 $48,527.33 2026-03-25
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 4 3 — — $32,117.29 $63,875.83 $48,468.88 2026-03-25
800 MS_DRG Splenic Procedures With Cc 4 3 — — $33,160.68 $62,609.29 $48,372.64 2026-03-25
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $47,422.99 $48,817.79 $48,120.39 2026-03-25
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 4 3 — — $32,544.77 $62,278.22 $47,890.10 2026-03-25
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 4 3 — — $31,401.30 $63,244.79 $47,784.83 2026-03-25
654 MS_DRG Major Bladder Procedures With Cc 4 3 — — $33,041.73 $60,827.25 $47,420.40 2026-03-25
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 4 3 — — $34,013.29 $59,676.25 $47,344.96 2026-03-25
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 3 — — $35,603.08 $58,016.42 $47,333.32 2026-03-25
J9226 HCPCS Pr Supprelin La Implant 1 1 — — $47,271.68 $47,271.68 $47,271.68 2026-03-25
33276 CPT Pr Insertion Phrenic Nerve Stimulator System 1 1 — — $47,250.53 $47,250.53 $47,250.53 2026-03-25
64654 CPT Pr Initial Open Implantation Bat Modulation System 1 1 — — $47,250.53 $47,250.53 $47,250.53 2026-03-25
64568 CPT Pr Open Implantation Cranial Nerve Nea & Pulse Gen 1 1 — — $47,250.53 $47,250.53 $47,250.53 2026-03-25
963 MS_DRG Other Multiple Significant Trauma With Mcc 4 3 — — $32,270.39 $60,756.15 $46,987.83 2026-03-25
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $31,841.74 $61,047.23 $46,912.75 2026-03-25
503 MS_DRG Foot Procedures With Mcc 4 3 — — $32,945.17 $59,591.82 $46,752.99 2026-03-25
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 3 — — $32,445.86 $60,078.44 $46,739.29 2026-03-25
849 MS_DRG Radiotherapy 4 3 — — $31,984.23 $59,802.91 $46,363.93 2026-03-25
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 3 — — $34,079.24 $57,516.47 $46,299.02 2026-03-25
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 4 3 — — $30,492.18 $60,891.69 $46,140.35 2026-03-25
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 4 3 — — $34,746.94 $56,269.93 $46,019.42 2026-03-25
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $45,896.54 $45,896.54 $45,896.54 2026-03-25
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 4 3 — — $31,291.77 $58,863.00 $45,537.56 2026-03-25
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 3 — — $31,945.36 $57,616.46 $45,250.69 2026-03-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $19,331.40 $72,129.68 $44,700.12 2026-03-25
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 3 — — $32,719.06 $55,198.92 $44,440.15 2026-03-25
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 4 3 — — $29,998.74 $57,525.36 $44,203.21 2026-03-25
253 MS_DRG Other Vascular Procedures With Cc 4 3 — — $30,642.89 $56,685.44 $44,114.79 2026-03-25
164 MS_DRG Major Chest Procedures With Cc 4 3 — — $29,799.72 $56,669.89 $43,673.04 2026-03-25
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 4 3 — — $30,313.16 $55,932.18 $43,568.45 2026-03-25
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 3 — — $30,606.40 $54,305.68 $42,906.13 2026-03-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 4 — — $36,700.00 $77,465.59 $42,830.38 2026-03-25
545 MS_DRG Connective Tissue Disorders With Mcc 4 3 — — $29,301.58 $55,398.90 $42,781.15 2026-03-25
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 3 — — $31,135.15 $53,425.77 $42,738.33 2026-03-25
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 4 3 — — $25,630.92 $58,929.66 $42,657.22 2026-03-25
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 4 3 — — $30,141.22 $54,205.69 $42,616.71 2026-03-25
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 4 3 — — $28,859.98 $55,492.23 $42,600.52 2026-03-25
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 4 3 — — $29,028.37 $55,238.92 $42,560.54 2026-03-25
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 3 — — $29,786.77 $54,059.04 $42,360.95 2026-03-25
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $42,285.65 $42,285.65 $42,285.65 2026-03-25
347 MS_DRG Anal And Stomal Procedures With Mcc 4 3 — — $27,110.00 $56,641.00 $42,274.18 2026-03-25
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 4 3 — — $28,825.83 $54,674.53 $42,174.09 2026-03-25
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 4 3 — — $30,449.77 $52,976.92 $42,161.14 2026-03-25
113 MS_DRG Orbital Procedures With Cc/mcc 4 3 — — $27,763.58 $55,712.21 $42,146.18 2026-03-25
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 4 3 — — $29,942.22 $53,365.77 $42,094.32 2026-03-25
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 4 3 — — $29,421.71 $53,328.00 $41,807.53 2026-03-25
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $29,036.61 $52,965.81 $41,428.21 2026-03-25
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 2 2 — — $40,570.33 $41,763.57 $41,166.95 2026-03-25
330 MS_DRG Major Small And Large Bowel Procedures With Cc 4 3 — — $28,306.48 $52,708.06 $40,923.54 2026-03-25
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