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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

ST JOHNS MEDICAL CENTER

Jackson, WY · CCN 530015 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,917 across 1 payer

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbStJohnsJacksonWY&type=CDMWithoutLabel&fileType=CSV · observed 2026-07-17

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

11,792 distinct procedures filed
13 distinct payers
432,243 rate rows
2026-07-17 last MRF observed
Data quality

422,955 of 432,243 rate rows are consumer-grade (97.9%)

9,288 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,376
percent-of-charges filed in the dollar field — excluded from medians 732
exceeds 10× this hospital's gross charge — excluded from medians 160
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
exceeds 3× this hospital's gross charge for a DRG stay — excluded 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbStJohnsJacksonWY&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.stjohns.health/patients-visitors/billing-information/pricing-rates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 7868bd4e620f1122… · 115,117,155 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
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 13 $37,961.52 $279,751.21 $262,623.59 nat. median
$48,652
outlier · 5.4×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $43,487.22 $270,336.74 $253,785.51 nat. median
$57,394
outlier · 4.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $61,283.64 $235,643.03 $221,215.90 nat. median
$80,459
outlier · 2.7×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $50,405.82 $172,763.33 $162,185.98 nat. median
$65,958
outlier · 2.5×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 $23,534.34 $164,224.65 $154,170.08 nat. median
$31,836
outlier · 4.8×
581
MS_DRG 		Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 13 $10,524.12 $159,127.81 $149,385.29 nat. median
$14,735
outlier · 10.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 13 $48,367.51 $154,285.60 $144,839.55 nat. median
$62,767
outlier · 2.3×
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 13 $18,809.38 $151,658.14 $142,372.94 nat. median
$24,391
outlier · 5.8×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 13 $32,035.46 $145,639.61 $136,722.90 nat. median
$42,341
outlier · 3.2×
654
MS_DRG 		Major Bladder Procedures With Cc 13 $20,414.51 $138,101.14 $129,645.97 nat. median
$27,626
outlier · 4.7×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 13 $33,587.35 $137,561.74 $129,139.59 nat. median
$46,399
outlier · 2.8×
328
MS_DRG 		Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 13 $11,685.13 $125,829.31 $118,125.48 nat. median
$16,512
outlier · 7.2×
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 12 $110,912.17 $121,854.18 $114,393.72 nat. median
$75,807
1.5× median
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 $20,045.50 $121,618.59 $114,172.56 nat. median
$26,590
outlier · 4.3×
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 $25,193.43 $118,329.31 $111,084.65 nat. median
$33,473
outlier · 3.3×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 13 $25,718.51 $117,164.84 $109,991.48 nat. median
$34,366
outlier · 3.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 $36,015.83 $114,270.58 $107,274.42 nat. median
$47,707
outlier · 2.2×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 13 $16,941.72 $112,393.00 $105,511.79 nat. median
$21,951
outlier · 4.8×
862
MS_DRG 		Postoperative And Post-traumatic Infections With Mcc 13 $13,299.73 $112,278.47 $105,404.28 nat. median
$18,015
outlier · 5.9×
28
MS_DRG 		Spinal Procedures With Mcc 13 $43,816.85 $112,004.67 $105,147.24 nat. median
$56,970
1.8× median
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 $27,255.08 $105,536.93 $99,075.48 nat. median
$35,794
outlier · 2.8×
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 $20,214.69 $104,469.75 $98,073.65 nat. median
$26,451
outlier · 3.7×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 13 $26,676.04 $103,958.61 $97,593.80 nat. median
$37,051
outlier · 2.6×
496
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 $13,155.34 $103,386.63 $97,056.84 nat. median
$19,204
outlier · 5.1×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 13 $35,214.36 $136,181.14 $96,006.62 nat. median
$46,518
outlier · 2.1×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 $25,315.95 $99,736.03 $93,629.74 nat. median
$33,294
outlier · 2.8×
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 13 $17,803.72 $96,568.06 $90,655.73 nat. median
$24,413
outlier · 3.7×
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 13 $17,482.11 $96,180.21 $90,291.63 nat. median
$24,077
outlier · 3.8×
154
MS_DRG 		Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 13 $11,402.17 $95,824.33 $89,957.54 nat. median
$15,923
outlier · 5.6×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 13 $21,238.59 $94,797.03 $88,993.13 nat. median
$29,103
outlier · 3.1×
205
MS_DRG 		Other Respiratory System Diagnoses With Mcc 13 $13,352.97 $94,706.78 $88,908.40 nat. median
$18,041
outlier · 4.9×
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 13 $33,520.99 $94,585.44 $88,794.50 nat. median
$44,514
2.0× median
371
MS_DRG 		Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 13 $12,930.72 $94,460.24 $88,676.96 nat. median
$17,605
outlier · 5.0×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 13 $30,730.79 $92,587.81 $86,919.17 nat. median
$40,773
outlier · 2.1×
489
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 13 $8,144.51 $90,982.35 $85,412.00 nat. median
$12,786
outlier · 6.7×
799
MS_DRG 		Splenic Procedures With Mcc 13 $33,028.00 $88,426.64 $83,012.77 nat. median
$44,811
1.9× median
464
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 13 $22,714.64 $85,624.21 $80,381.91 nat. median
$30,061
outlier · 2.7×
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 $18,495.07 $85,293.58 $80,071.53 nat. median
$24,545
outlier · 3.3×
498
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 $22,000.68 $83,560.59 $78,444.64 nat. median
$27,389
outlier · 2.9×
488
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 13 $11,111.19 $118,214.24 $78,008.87 nat. median
$19,072
outlier · 4.1×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 13 $20,040.39 $81,411.76 $76,427.36 nat. median
$27,037
outlier · 2.8×
338
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Mcc 13 $19,373.11 $80,501.79 $75,573.11 nat. median
$23,850
outlier · 3.2×
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 13 $17,042.36 $79,939.24 $75,045.00 nat. median
$22,336
outlier · 3.4×
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 13 $15,274.60 $79,626.45 $74,751.36 nat. median
$21,418
outlier · 3.5×
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 13 $59.60 $77,111.20 $72,390.11 nat. median
$331
outlier · 218.8×
417
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. With Mcc 13 $17,403.35 $76,296.52 $71,625.30 nat. median
$23,528
outlier · 3.0×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 13 $9,740.16 $75,871.12 $71,225.95 nat. median
$13,243
outlier · 5.4×
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 13 $15,249.81 $75,866.02 $71,221.16 nat. median
$21,082
outlier · 3.4×
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/mcc 13 $12,272.92 $73,596.59 $69,090.68 nat. median
$17,453
outlier · 4.0×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 $27,442.51 $71,923.44 $67,519.97 nat. median
$37,383
1.8× median

Other procedures at this hospital

Browse this hospital's 11,792 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
             
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 13 $285,460.42 $285,460.42 $37,961.52 $279,751.21 $262,623.59 2026-07-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 13 $275,853.82 $275,853.82 $43,487.22 $270,336.74 $253,785.51 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 13 $240,452.07 $240,452.07 $61,283.64 $235,643.03 $221,215.90 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 13 $176,289.11 $176,289.11 $50,405.82 $172,763.33 $162,185.98 2026-07-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 13 $167,576.17 $167,576.17 $23,534.34 $164,224.65 $154,170.08 2026-07-17
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc 26 13 $162,375.32 $162,375.32 $10,524.12 $159,127.81 $149,385.29 2026-07-17
459 MS_DRG Spinal Fusion Except Cervical With Mcc 26 13 $157,434.29 $157,434.29 $48,367.51 $154,285.60 $144,839.55 2026-07-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 26 13 $154,753.20 $154,753.20 $18,809.38 $151,658.14 $142,372.94 2026-07-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 13 $148,611.85 $148,611.85 $32,035.46 $145,639.61 $136,722.90 2026-07-17
654 MS_DRG Major Bladder Procedures With Cc 26 13 $140,919.53 $140,919.53 $20,414.51 $138,101.14 $129,645.97 2026-07-17
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 26 13 $140,369.12 $140,369.12 $33,587.35 $137,561.74 $129,139.59 2026-07-17
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 26 13 $128,397.26 $128,397.26 $11,685.13 $125,829.31 $118,125.48 2026-07-17
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 24 12 $124,341.00 $124,341.00 $110,912.17 $121,854.18 $114,393.72 2026-07-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 13 $124,100.61 $124,100.61 $20,045.50 $121,618.59 $114,172.56 2026-07-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 13 $120,744.19 $120,744.19 $25,193.43 $118,329.31 $111,084.65 2026-07-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 26 13 $119,555.96 $119,555.96 $25,718.51 $117,164.84 $109,991.48 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 13 $116,602.64 $116,602.64 $36,015.83 $114,270.58 $107,274.42 2026-07-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 26 13 $114,686.73 $114,686.73 $16,941.72 $112,393.00 $105,511.79 2026-07-17
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 26 13 $114,569.87 $114,569.87 $13,299.73 $112,278.47 $105,404.28 2026-07-17
28 MS_DRG Spinal Procedures With Mcc 26 13 $114,290.48 $114,290.48 $43,816.85 $112,004.67 $105,147.24 2026-07-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 13 $107,690.74 $107,690.74 $27,255.08 $105,536.93 $99,075.48 2026-07-17
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 13 $106,601.79 $106,601.79 $20,214.69 $104,469.75 $98,073.65 2026-07-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 26 13 $106,080.21 $106,080.21 $26,676.04 $103,958.61 $97,593.80 2026-07-17
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 13 $105,496.56 $105,496.56 $13,155.34 $103,386.63 $97,056.84 2026-07-17
471 MS_DRG Cervical Spinal Fusion With Mcc 26 13 $118,463.15 $118,463.15 $35,214.36 $136,181.14 $96,006.62 2026-07-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 13 $101,771.46 $101,771.46 $25,315.95 $99,736.03 $93,629.74 2026-07-17
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 26 13 $98,538.84 $98,538.84 $17,803.72 $96,568.06 $90,655.73 2026-07-17
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 13 $98,143.08 $98,143.08 $17,482.11 $96,180.21 $90,291.63 2026-07-17
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 26 13 $97,779.93 $97,779.93 $11,402.17 $95,824.33 $89,957.54 2026-07-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 13 $96,731.67 $96,731.67 $21,238.59 $94,797.03 $88,993.13 2026-07-17
205 MS_DRG Other Respiratory System Diagnoses With Mcc 26 13 $96,639.57 $96,639.57 $13,352.97 $94,706.78 $88,908.40 2026-07-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 13 $96,515.76 $96,515.76 $33,520.99 $94,585.44 $88,794.50 2026-07-17
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 26 13 $96,388.00 $96,388.00 $12,930.72 $94,460.24 $88,676.96 2026-07-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 13 $94,477.36 $94,477.36 $30,730.79 $92,587.81 $86,919.17 2026-07-17
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 26 13 $92,839.13 $92,839.13 $8,144.51 $90,982.35 $85,412.00 2026-07-17
799 MS_DRG Splenic Procedures With Mcc 26 13 $90,231.27 $90,231.27 $33,028.00 $88,426.64 $83,012.77 2026-07-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 13 $87,371.64 $87,371.64 $22,714.64 $85,624.21 $80,381.91 2026-07-17
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 13 $87,034.27 $87,034.27 $18,495.07 $85,293.58 $80,071.53 2026-07-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 13 $85,265.91 $85,265.91 $22,000.68 $83,560.59 $78,444.64 2026-07-17
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 26 13 $100,113.83 $100,113.83 $11,111.19 $118,214.24 $78,008.87 2026-07-17
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 26 13 $83,073.22 $83,073.22 $20,040.39 $81,411.76 $76,427.36 2026-07-17
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 26 13 $82,144.68 $82,144.68 $19,373.11 $80,501.79 $75,573.11 2026-07-17
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 26 13 $81,570.65 $81,570.65 $17,042.36 $79,939.24 $75,045.00 2026-07-17
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 26 13 $81,251.48 $81,251.48 $15,274.60 $79,626.45 $74,751.36 2026-07-17
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 26 13 $78,684.90 $78,684.90 $59.60 $77,111.20 $72,390.11 2026-07-17
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 26 13 $77,853.59 $77,853.59 $17,403.35 $76,296.52 $71,625.30 2026-07-17
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 26 13 $77,419.51 $77,419.51 $9,740.16 $75,871.12 $71,225.95 2026-07-17
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 26 13 $77,414.31 $77,414.31 $15,249.81 $75,866.02 $71,221.16 2026-07-17
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 26 13 $75,098.56 $75,098.56 $12,272.92 $73,596.59 $69,090.68 2026-07-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 13 $73,391.27 $73,391.27 $27,442.51 $71,923.44 $67,519.97 2026-07-17
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 26 13 $71,013.66 $71,013.66 $15,443.79 $69,593.38 $65,332.56 2026-07-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 26 13 $70,660.35 $70,660.35 $27,998.94 $69,247.14 $65,007.52 2026-07-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 13 $70,598.10 $70,598.10 $26,041.57 $69,186.13 $64,950.25 2026-07-17
801 MS_DRG Splenic Procedures Without Cc/mcc 26 13 $70,460.25 $70,460.25 $13,921.07 $69,051.05 $64,823.43 2026-07-17
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 26 13 $69,576.81 $69,576.81 $10,597.78 $68,185.27 $64,010.67 2026-07-17
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 26 13 $68,486.61 $68,486.61 $14,586.90 $67,116.88 $63,007.68 2026-07-17
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 26 13 $68,343.04 $68,343.04 $12,336.37 $66,976.18 $62,875.60 2026-07-17
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 26 13 $66,871.76 $66,871.76 $15,617.36 $65,534.32 $61,522.02 2026-07-17
974 MS_DRG HIV With Major Related Condition With Mcc 26 13 $65,262.65 $65,262.65 $21,046.79 $63,957.40 $60,041.64 2026-07-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 13 $64,776.39 $64,776.39 $34,215.98 $63,480.86 $59,594.28 2026-07-17
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 26 13 $63,820.30 $63,820.30 $12,269.27 $62,543.89 $58,714.67 2026-07-17
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 26 13 $63,073.15 $63,073.15 $118.20 $61,811.69 $58,027.30 2026-07-17
549 MS_DRG Septic Arthritis With Cc 26 13 $61,284.27 $61,284.27 $8,803.77 $60,058.58 $56,381.53 2026-07-17
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 26 13 $60,055.10 $60,055.10 $15,164.48 $58,853.99 $55,250.69 2026-07-17
472 MS_DRG Cervical Spinal Fusion With Cc 26 13 $59,624.31 $59,624.31 $21,485.08 $58,431.82 $54,854.36 2026-07-17
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 26 13 $59,609.34 $59,609.34 $14,353.53 $58,417.15 $54,840.59 2026-07-17
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 26 13 $58,857.10 $58,857.10 $16,325.48 $57,679.95 $54,148.53 2026-07-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 13 $58,831.47 $58,831.47 $26,339.85 $57,654.84 $54,124.95 2026-07-17
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 26 13 $58,768.93 $58,768.93 $9,573.15 $57,593.55 $54,067.42 2026-07-17
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 26 13 $58,317.49 $58,317.49 $9,960.40 $57,151.14 $53,652.09 2026-07-17
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 26 13 $58,149.80 $58,149.80 $15,155.00 $56,986.80 $53,497.82 2026-07-17
J9298 HCPCS Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg 26 13 $58,075.81 $58,075.81 $201.76 $56,914.29 $53,429.75 2026-07-17
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 26 13 $57,980.25 $57,980.25 $14,632.84 $56,820.65 $53,341.83 2026-07-17
314 MS_DRG Other Circulatory System Diagnoses With Mcc 26 13 $56,535.13 $56,535.13 $15,206.78 $55,404.43 $52,012.32 2026-07-17
908 MS_DRG Other O.r. Procedures For Injuries With Cc 26 13 $56,072.56 $56,072.56 $14,550.43 $54,951.10 $51,586.75 2026-07-17
J3357 HCPCS Ustekinumab, For Subcutaneous Injection, 1 Mg 24 12 $55,375.95 $55,375.95 $49,395.35 $54,268.43 $50,945.88 2026-07-17
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 26 13 $54,498.78 $54,498.78 $13,600.19 $53,408.80 $50,138.88 2026-07-17
397 MS_DRG Appendix Procedures With Mcc 26 13 $54,059.11 $54,059.11 $17,465.34 $52,977.93 $49,734.38 2026-07-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 13 $107,013.35 $107,013.35 $22,120.28 $160,275.15 $49,471.01 2026-07-17
800 MS_DRG Splenic Procedures With Cc 26 13 $53,397.38 $53,397.38 $20,488.17 $52,329.43 $49,125.59 2026-07-17
200 MS_DRG Pneumothorax With Cc 26 13 $53,193.73 $53,193.73 $8,016.89 $52,129.86 $48,938.23 2026-07-17
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 26 13 $53,025.04 $53,025.04 $11,894.43 $51,964.54 $48,783.04 2026-07-17
722 MS_DRG Malignancy, Male Reproductive System With Mcc 26 13 $52,973.50 $52,973.50 $13,197.64 $51,914.03 $48,735.62 2026-07-17
374 MS_DRG Digestive Malignancy With Mcc 26 13 $52,390.73 $52,390.73 $15,596.94 $51,342.92 $48,199.47 2026-07-17
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 26 13 $52,131.40 $52,131.40 $12,323.24 $51,088.77 $47,960.89 2026-07-17
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 26 13 $51,940.39 $51,940.39 $9,808.71 $50,901.58 $47,785.16 2026-07-17
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 26 13 $51,902.04 $51,902.04 $8,399.03 $50,864.00 $47,749.88 2026-07-17
189 MS_DRG Pulmonary Edema And Respiratory Failure 26 13 $51,309.13 $51,309.13 $9,009.43 $50,282.94 $47,204.40 2026-07-17
444 MS_DRG Disorders Of The Biliary Tract With Mcc 26 13 $50,929.12 $50,929.12 $12,185.41 $49,910.53 $46,854.79 2026-07-17
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 48 12 $49,890.00 $49,890.00 $41,701.00 $51,969.40 $46,558.88 2026-07-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 13 $50,335.30 $50,335.30 $22,027.66 $49,328.59 $46,308.48 2026-07-17
L8688 HCPCS Implantable Neurostimulator Pulse Generator, Dual Array, Non-rechargeable, Inclu… 24 12 $50,119.00 $50,119.00 $44,706.15 $49,116.62 $46,109.48 2026-07-17
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 26 13 $49,975.99 $49,975.99 $14,066.93 $48,976.47 $45,977.92 2026-07-17
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 26 13 $70,562.88 $70,562.88 $11,117.75 $92,391.51 $45,911.72 2026-07-17
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 26 13 $49,842.91 $49,842.91 $12,726.53 $48,846.05 $45,855.47 2026-07-17
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 26 13 $49,593.10 $49,593.10 $12,466.90 $48,601.24 $45,625.65 2026-07-17
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 26 13 $49,412.12 $49,412.12 $12,601.82 $48,423.87 $45,459.15 2026-07-17
L8679 HCPCS Implantable Neurostimulator, Pulse Generator, Any Type 74 13 $47,575.00 $47,575.00 $10,314.60 $69,099.80 $45,434.12 2026-07-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 13 $49,206.60 $49,206.60 $20,787.90 $48,222.47 $45,270.07 2026-07-17
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 26 13 $48,468.31 $48,468.31 $13,331.09 $47,498.95 $44,590.85 2026-07-17
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 26 13 $48,000.29 $48,000.29 $15,611.53 $47,040.28 $44,160.27 2026-07-17
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 13 $47,673.84 $47,673.84 $13,639.57 $46,720.36 $43,859.93 2026-07-17
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 26 13 $47,273.23 $47,273.23 $14,166.11 $46,327.76 $43,491.37 2026-07-17
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 26 13 $45,580.78 $45,580.78 $7,277.41 $44,669.16 $41,934.32 2026-07-17
J9272 HCPCS Injection, Dostarlimab-gxly, 10 Mg 26 13 $45,323.67 $45,323.67 $247.08 $44,417.20 $41,697.78 2026-07-17
399 MS_DRG Appendix Procedures Without Cc/mcc 26 13 $44,925.26 $44,925.26 $8,347.98 $44,026.75 $41,331.24 2026-07-17
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 13 $44,762.75 $44,762.75 $11,986.31 $43,867.50 $41,181.73 2026-07-17
551 MS_DRG Medical Back Problems With Mcc 26 13 $44,741.59 $44,741.59 $12,223.33 $43,846.76 $41,162.26 2026-07-17
547 MS_DRG Connective Tissue Disorders Without Cc/mcc 26 13 $44,519.03 $44,519.03 $6,098.17 $43,628.65 $40,957.51 2026-07-17
708 MS_DRG Major Male Pelvic Procedures Without Cc/mcc 26 13 $44,019.31 $44,019.31 $11,188.49 $43,138.92 $40,497.77 2026-07-17
534 MS_DRG Fractures Of Femur Without Mcc 26 13 $43,629.32 $43,629.32 $5,878.66 $42,756.73 $40,138.97 2026-07-17
964 MS_DRG Other Multiple Significant Trauma With Cc 26 13 $43,548.25 $43,548.25 $11,176.82 $42,677.28 $40,064.39 2026-07-17
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 26 13 $42,380.26 $42,380.26 $13,556.44 $42,893.29 $40,000.75 2026-07-17
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 26 13 $43,427.15 $43,427.15 $15,509.43 $42,558.61 $39,952.98 2026-07-17
504 MS_DRG Foot Procedures With Cc 26 13 $42,981.07 $42,981.07 $13,631.55 $42,121.45 $39,542.58 2026-07-17
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 26 13 $42,968.80 $42,968.80 $12,065.08 $42,109.42 $39,531.29 2026-07-17
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 26 13 $47,613.29 $47,613.29 $11,316.84 $53,818.58 $39,503.47 2026-07-17
37227 HCPCS Removal Of Plaque And Insertion Of Stents In Arteries Of Leg 42 12 $80,132.00 $80,132.00 $1,266.00 $78,529.36 $39,264.68 2026-07-17
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 26 13 $41,668.79 $41,668.79 $15,265.12 $42,642.00 $38,920.88 2026-07-17
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 26 13 $42,226.09 $42,226.09 $11,194.33 $41,381.57 $38,848.01 2026-07-17
501 MS_DRG Soft Tissue Procedures With Cc 26 13 $41,956.85 $41,956.85 $12,748.40 $41,117.71 $38,600.30 2026-07-17
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 26 13 $41,808.94 $41,808.94 $10,918.66 $40,972.76 $38,464.22 2026-07-17
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 13 $41,449.15 $41,449.15 $17,929.15 $40,620.17 $38,133.22 2026-07-17
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 26 13 $41,271.32 $41,271.32 $10,158.03 $40,445.89 $37,969.61 2026-07-17
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 26 13 $41,157.59 $41,157.59 $16,596.04 $40,334.44 $37,864.98 2026-07-17
398 MS_DRG Appendix Procedures With Cc 26 13 $41,122.10 $41,122.10 $11,038.26 $40,299.66 $37,832.33 2026-07-17
381 MS_DRG Complicated Peptic Ulcer With Cc 26 13 $40,938.86 $40,938.86 $7,901.66 $40,120.08 $37,663.75 2026-07-17
C1772 HCPCS Infusion Pump, Programmable (implantable) 48 12 $40,021.00 $40,021.00 $34,111.86 $40,964.00 $37,477.16 2026-07-17
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 26 13 $40,364.49 $40,364.49 $11,437.90 $39,557.20 $37,135.33 2026-07-17
707 MS_DRG Major Male Pelvic Procedures With Cc/mcc 26 13 $40,229.28 $40,229.28 $14,587.63 $39,424.69 $37,010.94 2026-07-17
J9042 HCPCS Injection, Brentuximab Vedotin, 1 Mg 26 13 $40,169.68 $40,169.68 $268.73 $39,366.29 $36,956.11 2026-07-17
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 26 13 $39,641.93 $39,641.93 $12,072.37 $38,849.09 $36,470.57 2026-07-17
J2327 HCPCS Injection, Risankizumab-rzaa, Intravenous, 1 Mg 26 13 $39,636.80 $39,636.80 $14.53 $38,844.07 $36,465.86 2026-07-17
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 26 13 $39,538.70 $39,538.70 $8,510.60 $38,747.93 $36,375.60 2026-07-17
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 26 13 $39,503.32 $39,503.32 $11,888.59 $38,713.25 $36,343.05 2026-07-17
637 MS_DRG Diabetes With Mcc 26 13 $39,500.74 $39,500.74 $10,477.45 $38,710.72 $36,340.68 2026-07-17
196 MS_DRG Interstitial Lung Disease With Mcc 26 13 $39,008.64 $39,008.64 $13,762.82 $38,228.46 $35,887.94 2026-07-17
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 26 13 $38,991.73 $38,991.73 $14,571.58 $38,211.90 $35,872.39 2026-07-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 13 $38,918.57 $38,918.57 $16,101.60 $38,140.20 $35,805.09 2026-07-17
164 MS_DRG Major Chest Procedures With Cc 26 13 $38,791.72 $38,791.72 $18,406.83 $38,015.89 $35,688.38 2026-07-17
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 26 13 $38,442.05 $38,442.05 $8,878.16 $37,673.21 $35,366.69 2026-07-17
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 26 13 $38,434.97 $38,434.97 $55.03 $37,666.27 $35,360.17 2026-07-17
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 26 13 $38,349.73 $38,349.73 $9,249.36 $37,582.73 $35,281.75 2026-07-17
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 26 13 $38,322.95 $38,322.95 $5,915.85 $37,556.49 $35,257.11 2026-07-17
949 MS_DRG Aftercare With Cc/mcc 26 13 $38,262.68 $38,262.68 $8,676.15 $37,497.42 $35,201.66 2026-07-17
37231 HCPCS Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel 42 12 $71,086.00 $71,086.00 $1,322.40 $69,664.28 $34,832.14 2026-07-17
787 MS_DRG Cesarean Section Without Sterilization With Cc 26 13 $37,824.62 $37,824.62 $8,144.51 $37,068.13 $34,798.65 2026-07-17
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 26 13 $37,300.61 $37,300.61 $12,882.59 $36,554.59 $34,316.56 2026-07-17
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 26 13 $37,173.46 $37,173.46 $12,382.31 $36,429.99 $34,199.58 2026-07-17
70 MS_DRG Other Cerebrovascular Disorders With Mcc 26 13 $37,152.30 $37,152.30 $12,140.92 $36,409.26 $34,180.12 2026-07-17
J1930 HCPCS Injection, Lanreotide, 1 Mg 26 13 $36,751.33 $36,751.33 $35.72 $36,016.30 $33,811.22 2026-07-17
682 MS_DRG Renal Failure With Mcc 26 13 $36,548.27 $36,548.27 $10,800.52 $35,817.30 $33,624.41 2026-07-17
186 MS_DRG Pleural Effusion With Mcc 26 13 $36,197.33 $36,197.33 $11,365.70 $35,473.38 $33,301.54 2026-07-17
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 26 13 $35,992.37 $35,992.37 $9,048.08 $35,272.52 $33,112.98 2026-07-17
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 26 13 $35,986.30 $35,986.30 $6,992.26 $35,266.57 $33,107.40 2026-07-17
J9316 HCPCS Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 26 13 $35,579.63 $35,579.63 $59.90 $34,868.03 $32,733.26 2026-07-17
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 26 13 $35,541.89 $35,541.89 $20.98 $34,831.05 $32,698.54 2026-07-17
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 26 13 $35,435.68 $35,435.68 $12,637.55 $34,726.97 $32,600.83 2026-07-17
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 26 13 $35,245.68 $35,245.68 $7,702.57 $34,540.77 $32,426.03 2026-07-17
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 26 13 $35,138.56 $35,138.56 $10,179.18 $34,435.79 $32,327.48 2026-07-17
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 26 13 $35,083.37 $35,083.37 $14,787.45 $34,381.70 $32,276.70 2026-07-17
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 26 13 $35,010.20 $35,010.20 $7,106.03 $34,309.99 $32,209.38 2026-07-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 13 $34,900.81 $34,900.81 $23,241.17 $34,202.79 $32,108.75 2026-07-17
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 26 13 $34,385.63 $34,385.63 $10,934.70 $33,697.92 $31,634.78 2026-07-17
699 MS_DRG Other Kidney And Urinary Tract Diagnoses With Cc 26 13 $34,211.53 $34,211.53 $7,402.11 $33,527.29 $31,474.60 2026-07-17
J1932 HCPCS Injection, Lanreotide, (cipla), 1 Mg 26 13 $34,181.06 $34,181.06 $20.33 $33,497.44 $31,446.58 2026-07-17
291 MS_DRG Heart Failure And Shock With Mcc 26 13 $34,169.56 $34,169.56 $9,362.39 $33,486.17 $31,436.00 2026-07-17
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 84 12 $32,120.00 $32,120.00 $428.16 $58,212.00 $30,931.56 2026-07-17
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 26 13 $32,987.41 $32,987.41 $81.81 $32,327.66 $30,348.42 2026-07-17
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 26 13 $32,900.83 $32,900.83 $14,943.51 $32,242.81 $30,268.76 2026-07-17
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 26 13 $32,825.13 $32,825.13 $8,212.33 $32,168.63 $30,199.12 2026-07-17
177 MS_DRG Respiratory Infections And Inflammations With Mcc 26 13 $32,575.24 $32,575.24 $11,396.33 $31,923.73 $29,969.22 2026-07-17
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 26 13 $32,496.60 $32,496.60 $16,736.06 $31,846.67 $29,896.87 2026-07-17
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 26 13 $32,459.92 $32,459.92 $6,984.97 $31,810.73 $29,863.13 2026-07-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 26 13 $32,442.83 $32,442.83 $19,936.84 $33,967.33 $29,620.60 2026-07-17
393 MS_DRG Other Digestive System Diagnoses With Mcc 26 13 $32,009.00 $32,009.00 $11,663.25 $31,368.82 $29,448.28 2026-07-17
91 MS_DRG Other Disorders Of Nervous System With Mcc 26 13 $32,000.86 $32,000.86 $12,807.47 $31,360.84 $29,440.79 2026-07-17
J9022 HCPCS Injection, Atezolizumab, 10 Mg 50 13 $43,240.20 $43,240.20 $94.00 $42,375.40 $29,315.98 2026-07-17
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 26 13 $31,788.89 $31,788.89 $9,448.45 $31,153.11 $29,245.78 2026-07-17
369 MS_DRG Major Esophageal Disorders With Cc 26 13 $31,701.93 $31,701.93 $7,294.18 $31,067.89 $29,165.78 2026-07-17
37225 HCPCS Removal Of Plaque In Arteries Of Leg 42 12 $59,318.00 $59,318.00 $1,052.40 $58,131.64 $29,065.82 2026-07-17
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 26 13 $31,584.89 $31,584.89 $7,462.64 $30,953.20 $29,058.10 2026-07-17
313 MS_DRG Chest Pain 26 13 $31,533.21 $31,533.21 $5,250.76 $30,902.55 $29,010.55 2026-07-17
784 MS_DRG Cesarean Section With Sterilization With Cc 26 13 $31,485.46 $31,485.46 $7,731.01 $30,855.75 $28,966.62 2026-07-17
37229 HCPCS Removal Of Plaque In Artery Of Leg, Initial Vessel 42 12 $58,444.00 $58,444.00 $1,227.00 $57,275.12 $28,637.56 2026-07-17
832 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Cc 26 13 $30,860.26 $30,860.26 $5,262.43 $30,243.05 $28,391.43 2026-07-17
301 MS_DRG Peripheral Vascular Disorders Without Cc/mcc 26 13 $30,721.82 $30,721.82 $5,248.57 $30,107.38 $28,264.07 2026-07-17
811 MS_DRG Red Blood Cell Disorders With Mcc 26 13 $30,637.27 $30,637.27 $10,241.17 $30,024.52 $28,186.29 2026-07-17
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/mcc 26 13 $30,369.37 $30,369.37 $6,970.38 $29,761.98 $27,939.82 2026-07-17
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 26 13 $30,144.15 $30,144.15 $12,499.72 $29,541.27 $27,732.62 2026-07-17
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 26 13 $30,080.97 $30,080.97 $9,349.27 $29,479.35 $27,674.49 2026-07-17
J9999 HCPCS Not Otherwise Classified, Antineoplastic Drugs 24 12 $29,919.99 $29,919.99 $26,688.63 $29,321.59 $27,526.39 2026-07-17
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 26 13 $29,875.54 $29,875.54 $11,480.93 $29,278.03 $27,485.50 2026-07-17
J9299 HCPCS Injection, Nivolumab, 1 Mg 26 13 $29,867.19 $29,867.19 $33.62 $29,269.85 $27,477.81 2026-07-17
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 26 13 $29,815.74 $29,815.74 $9,638.79 $29,219.43 $27,430.48 2026-07-17
759 MS_DRG Infections, Female Reproductive System Without Cc/mcc 26 13 $29,766.76 $29,766.76 $4,839.45 $29,171.42 $27,385.42 2026-07-17
125 MS_DRG Other Disorders Of The Eye Without Mcc 26 13 $29,625.87 $29,625.87 $5,599.35 $29,033.35 $27,255.80 2026-07-17
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/mcc 26 13 $29,584.40 $29,584.40 $6,271.01 $28,992.71 $27,217.65 2026-07-17
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 26 13 $29,484.65 $29,484.65 $7,295.64 $28,894.96 $27,125.88 2026-07-17
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 26 13 $29,181.16 $29,181.16 $13,088.24 $28,597.53 $26,846.66 2026-07-17
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/mcc 26 13 $28,988.12 $28,988.12 $7,550.88 $28,408.36 $26,669.07 2026-07-17
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 26 13 $28,977.50 $28,977.50 $10,735.61 $28,397.95 $26,659.30 2026-07-17
602 MS_DRG Cellulitis With Mcc 26 13 $28,956.63 $28,956.63 $10,365.14 $28,377.50 $26,640.10 2026-07-17
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 26 13 $28,793.10 $28,793.10 $9,585.55 $28,217.24 $26,489.65 2026-07-17
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 26 13 $28,744.52 $28,744.52 $15,889.38 $28,169.63 $26,444.96 2026-07-17
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 26 13 $28,345.92 $28,345.92 $10,017.28 $27,779.01 $26,078.25 2026-07-17
638 MS_DRG Diabetes With Cc 26 13 $28,192.81 $28,192.81 $6,535.74 $27,628.96 $25,937.39 2026-07-17
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 26 13 $28,190.42 $28,190.42 $8,461.74 $27,626.62 $25,935.19 2026-07-17
442 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc 26 13 $28,057.18 $28,057.18 $7,039.66 $27,496.04 $25,812.61 2026-07-17
336 MS_DRG Peritoneal Adhesiolysis With Cc 26 13 $27,488.81 $27,488.81 $15,378.16 $26,939.03 $25,289.71 2026-07-17
786 MS_DRG Cesarean Section Without Sterilization With Mcc 26 13 $27,488.18 $27,488.18 $12,029.34 $26,938.42 $25,289.13 2026-07-17
75 MS_DRG Viral Meningitis With Cc/mcc 26 13 $49,489.32 $49,489.32 $13,983.79 $71,721.44 $25,277.64 2026-07-17
508 MS_DRG Major Shoulder Or Elbow Joint Procedures Without Cc/mcc 26 13 $27,218.73 $27,218.73 $11,044.10 $26,674.36 $25,041.23 2026-07-17
389 MS_DRG Gastrointestinal Obstruction With Cc 26 13 $27,142.91 $27,142.91 $5,759.79 $26,600.05 $24,971.48 2026-07-17
643 MS_DRG Endocrine Disorders With Mcc 26 13 $27,121.39 $27,121.39 $12,004.55 $26,578.96 $24,951.68 2026-07-17
183 MS_DRG Major Chest Trauma With Mcc 26 13 $26,949.21 $26,949.21 $11,157.13 $26,410.23 $24,793.27 2026-07-17
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 26 13 $26,869.86 $26,869.86 $7,367.84 $26,332.47 $24,720.27 2026-07-17
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 26 13 $26,446.00 $26,446.00 $9,500.23 $26,170.40 $24,568.13 2026-07-17
921 MS_DRG Complications Of Treatment Without Cc/mcc 26 13 $40,841.74 $40,841.74 $5,020.31 $55,634.55 $24,415.25 2026-07-17
711 MS_DRG Testes Procedures With Cc/mcc 26 13 $26,349.13 $26,349.13 $15,196.57 $25,822.15 $24,241.20 2026-07-17
347 MS_DRG Anal And Stomal Procedures With Mcc 26 13 $26,319.20 $26,319.20 $16,741.17 $25,792.82 $24,213.66 2026-07-17
570 MS_DRG Skin Debridement With Mcc 26 13 $26,317.26 $26,317.26 $21,448.62 $25,790.91 $24,211.88 2026-07-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 13 $26,251.90 $26,251.90 $23,416.69 $31,306.92 $24,151.75 2026-07-17
J9306 HCPCS Injection, Pertuzumab, 1 Mg 26 13 $26,218.06 $26,218.06 $17.02 $25,693.70 $24,120.62 2026-07-17
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 26 13 $26,057.01 $26,057.01 $188.35 $25,535.87 $23,972.45 2026-07-17
37226 HCPCS Insertion Of Stent In Arteries Of Leg 42 12 $48,718.00 $48,718.00 $908.40 $47,743.64 $23,871.82 2026-07-17
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 26 13 $25,937.70 $25,937.70 $4,991.14 $25,418.94 $23,862.68 2026-07-17
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 26 13 $25,924.68 $25,924.68 $7,445.87 $25,406.19 $23,850.71 2026-07-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 13 $22,804.17 $22,804.17 $9,709.05 $34,029.28 $23,591.22 2026-07-17
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 26 13 $25,506.59 $25,506.59 $11,699.71 $24,996.46 $23,466.06 2026-07-17
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 26 13 $25,419.49 $25,419.49 $6,863.18 $24,911.10 $23,385.93 2026-07-17
683 MS_DRG Renal Failure With Cc 26 13 $25,399.03 $25,399.03 $6,386.96 $24,891.05 $23,367.11 2026-07-17
292 MS_DRG Heart Failure And Shock With Cc 26 13 $25,389.69 $25,389.69 $6,191.52 $24,881.90 $23,358.52 2026-07-17
J9311 HCPCS Injection, Rituximab 10 Mg And Hyaluronidase 26 13 $25,287.31 $25,287.31 $36.28 $24,781.56 $23,264.33 2026-07-17
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 26 13 $25,153.29 $25,153.29 $5,903.46 $24,650.23 $23,141.03 2026-07-17
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 26 13 $25,022.74 $25,022.74 $8,078.15 $24,522.28 $23,020.92 2026-07-17
600 MS_DRG Non-malignant Breast Disorders With Cc/mcc 26 13 $24,905.05 $24,905.05 $7,596.10 $24,406.95 $22,912.65 2026-07-17
394 MS_DRG Other Digestive System Diagnoses With Cc 26 13 $24,900.06 $24,900.06 $6,823.80 $24,402.05 $22,908.05 2026-07-17
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 26 13 $24,870.79 $24,870.79 $11,715.03 $24,373.37 $22,881.13 2026-07-17
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 26 13 $24,678.34 $24,678.34 $127.38 $24,184.77 $22,704.07 2026-07-17
121 MS_DRG Acute Major Eye Infections With Cc/mcc 26 13 $24,047.08 $24,047.08 $8,483.62 $23,566.14 $22,123.31 2026-07-17
950 MS_DRG Aftercare Without Cc/mcc 26 13 $23,937.66 $23,937.66 $4,577.64 $23,458.91 $22,022.65 2026-07-17
155 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Cc 26 13 $23,550.76 $23,550.76 $6,683.78 $23,426.53 $21,992.25 2026-07-17
913 MS_DRG Traumatic Injury With Mcc 26 13 $23,831.38 $23,831.38 $11,920.68 $23,354.75 $21,924.87 2026-07-17
202 MS_DRG Bronchitis And Asthma With Cc/mcc 26 13 $23,817.46 $23,817.46 $7,082.69 $23,341.11 $21,912.06 2026-07-17
J9332 HCPCS Injection, Efgartigimod Alfa-fcab, 2mg 26 13 $23,787.68 $23,787.68 $32.55 $23,311.93 $21,884.67 2026-07-17
60 MS_DRG Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 26 13 $31,119.98 $31,119.98 $6,707.84 $39,152.78 $21,842.37 2026-07-17
37230 HCPCS Insertion Of Stent In Artery Of Leg, Initial Vessel 42 12 $44,562.00 $44,562.00 $1,219.80 $43,670.76 $21,835.38 2026-07-17
500 MS_DRG Soft Tissue Procedures With Mcc 26 13 $23,578.97 $23,578.97 $21,032.44 $23,107.39 $21,692.65 2026-07-17
71 MS_DRG Other Cerebrovascular Disorders With Cc 26 13 $23,478.92 $23,478.92 $7,482.33 $23,009.34 $21,600.61 2026-07-17
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 26 13 $23,447.96 $23,447.96 $5,862.62 $22,979.00 $21,572.12 2026-07-17
571 MS_DRG Skin Debridement With Cc 26 13 $23,405.17 $23,405.17 $12,321.05 $22,937.07 $21,532.76 2026-07-17
87 MS_DRG Traumatic Stupor And Coma <1 Hour Without Cc/mcc 26 13 $23,336.09 $23,336.09 $6,670.65 $22,869.37 $21,469.20 2026-07-17
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 26 13 $23,312.92 $23,312.92 $6,438.01 $22,846.67 $21,447.89 2026-07-17
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 26 13 $23,253.28 $23,253.28 $7,517.34 $22,788.21 $21,393.02 2026-07-17
694 MS_DRG Urinary Stones Without Mcc 26 13 $23,123.16 $23,123.16 $5,700.72 $22,660.70 $21,273.31 2026-07-17
178 MS_DRG Respiratory Infections And Inflammations With Cc 26 13 $23,116.24 $23,116.24 $7,117.69 $22,653.92 $21,266.94 2026-07-17
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 26 13 $23,078.11 $23,078.11 $7,814.88 $22,616.55 $21,231.86 2026-07-17
812 MS_DRG Red Blood Cell Disorders Without Mcc 26 13 $22,990.74 $22,990.74 $6,696.18 $22,530.93 $21,151.48 2026-07-17
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 26 13 $22,693.48 $22,693.48 $9,231.85 $22,239.61 $20,878.00 2026-07-17
E0749 HCPCS Osteogenesis Stimulator, Electrical, Surgically Implanted 74 13 $22,545.00 $22,545.00 $397.31 $23,270.10 $20,741.40 2026-07-17
866 MS_DRG Viral Illness Without Mcc 26 13 $22,314.89 $22,314.89 $6,341.75 $21,868.59 $20,529.70 2026-07-17
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 26 13 $22,293.88 $22,293.88 $7,002.47 $21,848.00 $20,510.37 2026-07-17
90 MS_DRG Concussion Without Cc/mcc 26 13 $22,177.04 $22,177.04 $6,003.37 $21,733.50 $20,402.88 2026-07-17
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 26 13 $22,174.08 $22,174.08 $60.65 $21,730.60 $20,400.15 2026-07-17
666 MS_DRG Prostatectomy With Cc 26 13 $21,671.24 $21,671.24 $12,757.16 $21,237.81 $19,937.54 2026-07-17
552 MS_DRG Medical Back Problems Without Mcc 26 13 $21,609.31 $21,609.31 $7,010.49 $21,177.12 $19,880.56 2026-07-17
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 26 13 $21,455.90 $21,455.90 $11,698.25 $21,026.78 $19,739.43 2026-07-17
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 26 13 $21,444.84 $21,444.84 $8,780.43 $21,015.94 $19,729.25 2026-07-17
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 26 13 $21,351.27 $21,351.27 $5,365.25 $20,924.24 $19,643.17 2026-07-17
546 MS_DRG Connective Tissue Disorders With Cc 26 13 $21,263.02 $21,263.02 $8,411.42 $20,837.76 $19,561.98 2026-07-17
865 MS_DRG Viral Illness With Mcc 26 13 $20,789.51 $20,789.51 $10,926.68 $20,902.86 $19,531.33 2026-07-17
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 26 13 $21,217.25 $21,217.25 $7,870.30 $20,792.90 $19,519.87 2026-07-17
816 MS_DRG Reticuloendothelial And Immunity Disorders Without Cc/mcc 26 13 $21,030.20 $21,030.20 $4,609.00 $20,609.60 $19,347.78 2026-07-17
345 MS_DRG Minor Small And Large Bowel Procedures With Cc 26 13 $20,981.44 $20,981.44 $10,973.36 $20,561.81 $19,302.92 2026-07-17
197 MS_DRG Interstitial Lung Disease With Cc 26 13 $31,324.50 $31,324.50 $6,921.52 $42,096.54 $19,299.47 2026-07-17
639 MS_DRG Diabetes Without Cc/mcc 26 13 $20,774.95 $20,774.95 $4,530.24 $20,359.45 $19,112.95 2026-07-17
92 MS_DRG Other Disorders Of Nervous System With Cc 26 13 $20,716.88 $20,716.88 $7,460.45 $20,302.54 $19,059.53 2026-07-17
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 26 13 $20,647.38 $20,647.38 $9,815.27 $20,234.43 $18,995.59 2026-07-17
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 26 13 $20,641.74 $20,641.74 $6,250.59 $20,228.90 $18,990.40 2026-07-17
445 MS_DRG Disorders Of The Biliary Tract With Cc 26 13 $20,605.00 $20,605.00 $7,981.15 $20,192.90 $18,956.60 2026-07-17
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 26 13 $20,602.60 $20,602.60 $5,506.00 $20,190.55 $18,954.39 2026-07-17
101 MS_DRG Seizures Without Mcc 26 13 $20,585.95 $20,585.95 $6,582.41 $20,174.23 $18,939.08 2026-07-17
885 MS_DRG Psychoses 26 13 $20,540.55 $20,540.55 $10,186.47 $20,129.73 $18,897.30 2026-07-17
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 26 13 $20,500.09 $20,500.09 $5,877.20 $20,090.09 $18,860.08 2026-07-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 13 $20,460.13 $20,460.13 $18,250.44 $25,666.00 $18,823.32 2026-07-17
22523 HCPCS 22523 Percut Kyphoplasty Thor 20 10 $20,020.00 $20,020.00 $15,015.00 $19,619.60 $18,818.80 2026-07-17
434 MS_DRG Cirrhosis And Alcoholic Hepatitis Without Cc/mcc 26 13 $20,379.65 $20,379.65 $5,196.06 $19,972.06 $18,749.28 2026-07-17
22524 HCPCS 22524 Percut Kyphoplasty Lumbar 20 10 $19,899.00 $19,899.00 $14,924.25 $19,501.02 $18,705.06 2026-07-17
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 26 13 $20,049.81 $20,049.81 $6,530.63 $19,648.81 $18,445.82 2026-07-17
C1831 HCPCS Interbody Cage, Anterior, Lateral Or Posterior, Personalized (implantable) 48 12 $19,456.50 $19,456.50 $4,047.90 $20,212.50 $18,362.33 2026-07-17
54 MS_DRG Nervous System Neoplasms With Mcc 26 13 $19,510.32 $19,510.32 $11,135.25 $19,493.25 $18,299.78 2026-07-17
919 MS_DRG Complications Of Treatment With Mcc 26 13 $23,665.35 $23,665.35 $13,351.51 $28,184.27 $18,199.81 2026-07-17
100 MS_DRG Seizures With Mcc 26 13 $19,520.77 $19,520.77 $14,124.54 $19,130.35 $17,959.11 2026-07-17
300 MS_DRG Peripheral Vascular Disorders With Cc 26 13 $19,485.87 $19,485.87 $7,784.98 $19,096.15 $17,927.00 2026-07-17
761 MS_DRG Menstrual And Other Female Reproductive System Disorders Without Cc/mcc 26 13 $19,239.46 $19,239.46 $4,153.93 $18,854.67 $17,700.30 2026-07-17
311 MS_DRG Angina Pectoris 26 13 $19,347.81 $19,347.81 $5,118.76 $20,269.55 $17,652.15 2026-07-17
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 26 13 $19,128.71 $19,128.71 $5,273.37 $18,746.13 $17,598.41 2026-07-17
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 26 13 $19,041.96 $19,041.96 $12,310.11 $18,661.12 $17,518.60 2026-07-17
378 MS_DRG Gastrointestinal Hemorrhage With Cc 26 13 $19,004.14 $19,004.14 $7,151.97 $18,624.05 $17,483.81 2026-07-17
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