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Hospital

BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE

Sunnyvale, TX · CCN 670060 · Rates published

11,171 distinct procedures filed
2 distinct payers
252,476 rate rows
2026-04-01 last MRF observed
Data quality

235,594 of 252,476 rate rows are consumer-grade (93.3%)

16,882 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,430
exceeds 10× this hospital's gross charge — excluded from medians 444
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/USPI/510570864_baylor-scott-&-white-medical-center---sunnyvale_standardcharges.json
Found on page https://bswhealthsunnyvale.com/hospital-pricing-information/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 2b9d5c318568e52c… · 21,998,255 bytes · first seen 2026-05-11

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,494,311.16 $3,494,311.16 $3,494,311.16 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,193,324.48 $3,193,324.48 $3,193,324.48 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,173,075.91 $2,173,075.91 $2,173,075.91 nat. median
$2,468,984
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $495,544.81 $495,544.81 $495,544.81 nat. median
$753,246
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $485,270.26 $485,270.26 $485,270.26 nat. median
$674,867
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $463,463.74 $463,463.74 $463,463.74 nat. median
$625,184
0.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $453,299.58 $453,299.58 $453,299.58 nat. median
$673,137
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $439,263.27 $439,263.27 $439,263.27 nat. median
$634,303
0.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $429,757.20 $429,757.20 $429,757.20 nat. median
$619,808
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $178,722.23 $350,755.22 $315,671.79 nat. median
$206,474
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $212,967.52 $345,186.66 $231,293.13 nat. median
$370,174
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $183,739.04 $183,739.04 $183,739.04 nat. median
$265,286
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $119,236.99 $283,709.23 $159,248.90 nat. median
$202,976
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $73,029.53 $143,325.70 $128,989.90 nat. median
$102,358
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $80,907.18 $195,612.90 $108,847.84 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 1 $83,170.96 $83,170.96 $83,170.96 nat. median
$122,708
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $83,019.76 $83,019.76 $83,019.76 nat. median
$108,660
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 $46,918.25 $92,080.45 $82,870.33 nat. median
$64,023
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 2 $60,706.45 $135,928.34 $78,908.15 nat. median
$99,019
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $77,709.36 $77,709.36 $77,709.36 nat. median
$117,357
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $57,399.27 $129,148.43 $74,768.67 nat. median
$93,672
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $42,107.57 $82,639.13 $74,373.36 nat. median
$59,099
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $47,705.46 $93,625.39 $70,665.43 nat. median
$68,886
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $70,177.02 $70,177.02 $70,177.02 nat. median
$100,136
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $54,815.04 $112,476.09 $69,746.84 nat. median
$77,570
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $53,940.08 $117,918.65 $69,384.62 nat. median
$87,428
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $49,782.69 $112,170.03 $64,887.74 nat. median
$81,118
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $49,452.73 $107,988.97 $63,581.88 nat. median
$79,312
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $62,609.10 $62,609.10 $62,609.10 nat. median
$62,507
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $47,891.94 $102,612.94 $61,073.84 nat. median
$74,915
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 1 $60,724.24 $60,724.24 $60,724.24 nat. median
$69,774
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $45,632.95 $103,789.28 $59,725.87 nat. median
$73,807
0.8× median
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 2 $32,426.53 $63,639.40 $57,274.02 nat. median
$46,109
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $43,662.67 $96,242.88 $56,366.21 nat. median
$72,135
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $42,702.86 $91,453.69 $54,446.01 nat. median
$60,185
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 $54,199.04 $54,199.04 $54,199.04 nat. median
$71,271
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $53,025.03 $53,025.03 $53,025.03 nat. median
$66,682
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $40,777.35 $91,215.49 $52,980.90 nat. median
$65,950
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $40,011.98 $92,681.92 $52,796.26 nat. median
$66,526
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $38,686.28 $91,924.76 $51,636.42 nat. median
$62,134
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $39,081.64 $88,256.02 $50,990.10 nat. median
$65,393
0.8× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $40,001.97 $81,723.61 $50,898.63 nat. median
$54,045
0.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 $37,798.36 $90,733.78 $50,685.36 nat. median
$55,736
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $39,688.51 $81,042.29 $50,499.79 nat. median
$64,732
0.8× median
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 $28,070.81 $55,090.98 $49,580.64 nat. median
$41,311
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $38,891.32 $83,116.85 $49,542.00 nat. median
$60,726
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $45,112.69 $73,120.53 $48,994.58 nat. median
$63,570
0.8× median
C9760
HCPCS 		Non-blind Interatrial Shunt 2 $26,296.14 $54,302.00 $48,872.00 nat. median
$28,405
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $37,407.13 $84,703.05 $48,863.57 nat. median
$64,508
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $35,887.58 $81,389.60 $46,911.09 nat. median
$62,372
0.8× median

Other procedures at this hospital

Browse this hospital's 11,171 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 1 — — $3,494,311.16 $3,494,311.16 $3,494,311.16 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 1 — — $3,193,324.48 $3,193,324.48 $3,193,324.48 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,173,075.91 $2,173,075.91 $2,173,075.91 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $495,544.81 $495,544.81 $495,544.81 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 2 1 — — $485,270.26 $485,270.26 $485,270.26 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 1 — — $463,463.74 $463,463.74 $463,463.74 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 1 — — $453,299.58 $453,299.58 $453,299.58 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 1 — — $439,263.27 $439,263.27 $439,263.27 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 1 — — $429,757.20 $429,757.20 $429,757.20 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 2 — — $178,722.23 $350,755.22 $315,671.79 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 1 — — $212,967.52 $345,186.66 $231,293.13 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $183,739.04 $183,739.04 $183,739.04 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 2 — — $119,236.99 $283,709.23 $159,248.90 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 2 — — $73,029.53 $143,325.70 $128,989.90 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 2 — — $80,907.18 $195,612.90 $108,847.84 2026-04-01
7 MS_DRG Lung Transplant 2 1 — — $83,170.96 $83,170.96 $83,170.96 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $83,019.76 $83,019.76 $83,019.76 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 2 — — $46,918.25 $92,080.45 $82,870.33 2026-04-01
215 MS_DRG Other Heart Assist System Implant 28 2 — — $60,706.45 $135,928.34 $78,908.15 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — — $77,709.36 $77,709.36 $77,709.36 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 2 — — $57,399.27 $129,148.43 $74,768.67 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 2 — — $42,107.57 $82,639.13 $74,373.36 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 2 — — $47,705.46 $93,625.39 $70,665.43 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $70,177.02 $70,177.02 $70,177.02 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 2 — — $54,815.04 $112,476.09 $69,746.84 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 28 2 — — $53,940.08 $117,918.65 $69,384.62 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 2 — — $49,782.69 $112,170.03 $64,887.74 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 2 — — $49,452.73 $107,988.97 $63,581.88 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 1 — — $62,609.10 $62,609.10 $62,609.10 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 2 — — $47,891.94 $102,612.94 $61,073.84 2026-04-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 2 1 — — $60,724.24 $60,724.24 $60,724.24 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 2 — — $45,632.95 $103,789.28 $59,725.87 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 2 — — $32,426.53 $63,639.40 $57,274.02 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 2 — — $43,662.67 $96,242.88 $56,366.21 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 2 — — $42,702.86 $91,453.69 $54,446.01 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $54,199.04 $54,199.04 $54,199.04 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $53,025.03 $53,025.03 $53,025.03 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 2 — — $40,777.35 $91,215.49 $52,980.90 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 2 — — $40,011.98 $92,681.92 $52,796.26 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 2 — — $38,686.28 $91,924.76 $51,636.42 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 28 2 — — $39,081.64 $88,256.02 $50,990.10 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 2 — — $40,001.97 $81,723.61 $50,898.63 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 2 — — $37,798.36 $90,733.78 $50,685.36 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 2 — — $39,688.51 $81,042.29 $50,499.79 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 2 — — $28,070.81 $55,090.98 $49,580.64 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 2 — — $38,891.32 $83,116.85 $49,542.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 20 1 — — $45,112.69 $73,120.53 $48,994.58 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 8 2 — — $26,296.14 $54,302.00 $48,872.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 2 — — $37,407.13 $84,703.05 $48,863.57 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 28 2 — — $35,887.58 $81,389.60 $46,911.09 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 2 — — $35,568.83 $80,844.02 $46,539.60 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 2 — — $34,588.99 $82,744.26 $46,309.04 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 2 — — $34,630.23 $80,189.31 $45,688.21 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 2 — — $35,293.08 $78,253.14 $45,678.40 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 20 1 — — $41,769.57 $67,701.86 $45,363.79 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 2 — — $34,514.16 $79,158.02 $45,340.81 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 2 — — $34,990.82 $75,805.99 $44,834.49 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 2 — — $30,243.25 $59,354.54 $44,798.89 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 2 — — $25,301.02 $49,655.07 $44,688.44 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 2 — — $33,769.41 $75,434.72 $43,849.02 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 2 — — $33,283.91 $75,625.01 $43,543.40 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 2 — — $31,331.30 $80,463.44 $43,351.88 2026-04-01
33276 CPT Insj Phrnc Nrv Stim Sys 2 1 — — $43,029.75 $43,029.75 $43,029.75 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 2 — — $32,582.76 $74,505.89 $42,746.88 2026-04-01
J9226 HCPCS Supprelin La Implant 2 1 — — $42,626.47 $42,626.47 $42,626.47 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 2 — — $32,652.87 $73,257.70 $42,480.01 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 28 2 — — $32,740.08 $72,038.78 $42,233.07 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $41,882.46 $41,882.46 $41,882.46 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 1 — — $41,882.46 $41,882.46 $41,882.46 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 2 — — $30,883.51 $75,366.86 $41,726.82 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 2 — — $32,023.61 $69,789.89 $41,137.56 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 20 1 — — $37,714.10 $61,128.60 $40,959.36 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 2 1 — — $40,683.01 $40,683.01 $40,683.01 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 2 — — $31,711.92 $64,459.11 $40,350.35 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 2 — — $30,904.13 $69,018.09 $40,124.40 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 2 — — $30,557.68 $69,168.46 $39,910.01 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 2 — — $30,433.36 $68,614.88 $39,678.31 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 2 — — $30,159.97 $67,586.25 $39,216.84 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 28 2 — — $30,683.77 $65,930.86 $39,177.15 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 2 — — $30,123.44 $67,292.17 $39,115.28 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 2 — — $30,406.26 $64,940.82 $38,722.51 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 2 — — $29,757.77 $61,580.80 $38,548.82 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 2 — — $21,802.34 $42,788.66 $38,508.83 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 2 — — $29,678.00 $65,457.13 $38,322.88 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 2 — — $29,037.54 $67,049.98 $38,261.54 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 2 — — $28,876.69 $66,525.69 $38,010.65 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 2 — — $20,849.69 $40,919.03 $36,826.20 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 28 2 — — $28,539.08 $62,723.88 $36,795.82 2026-04-01
245 MS_DRG Aicd Generator Procedures 28 2 — — $28,729.39 $60,299.34 $36,555.37 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 2 — — $20,558.14 $40,346.82 $36,311.23 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 2 — — $27,398.39 $63,964.09 $36,279.79 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 28 2 — — $28,210.90 $61,286.72 $36,190.31 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 2 — — $27,878.59 $61,858.92 $36,093.71 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 2 — — $28,358.79 $60,294.02 $36,083.81 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 2 — — $26,987.72 $63,080.50 $35,755.15 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 2 1 — — $35,676.37 $35,676.37 $35,676.37 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 2 — — $20,128.26 $39,503.16 $35,551.95 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 2 — — $27,240.48 $60,105.06 $35,181.46 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 2 — — $26,752.63 $58,763.71 $34,483.90 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 2 — — $19,491.58 $38,253.63 $34,427.41 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 2 — — $25,999.63 $58,928.72 $33,976.72 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 2 — — $25,491.15 $59,906.78 $33,855.02 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 2 — — $25,916.55 $57,590.03 $33,575.07 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 20 1 — — $30,748.58 $49,838.59 $33,394.46 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 2 — — $25,374.49 $58,043.80 $33,295.31 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 2 1 — — $32,796.06 $32,796.06 $32,796.06 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 2 — — $23,573.38 $52,199.37 $32,675.67 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 2 — — $24,878.97 $56,936.66 $32,651.82 2026-04-01
10 MS_DRG Pancreas Transplant 2 1 — — $32,638.08 $32,638.08 $32,638.08 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 2 — — $25,195.96 $55,338.49 $32,475.86 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 20 1 — — $29,799.97 $48,301.04 $32,364.22 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 2 — — $24,138.93 $57,257.36 $32,193.76 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 2 — — $21,701.31 $42,590.38 $32,145.85 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 20 1 — — $29,581.96 $47,947.69 $32,127.46 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 2 — — $25,130.56 $51,726.97 $31,976.20 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 8 2 — — $17,929.38 $35,187.70 $31,668.14 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 2 — — $24,280.93 $54,779.60 $31,666.08 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 2 — — $24,572.59 $53,824.15 $31,635.38 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 48 2 — — $19,794.17 $43,125.33 $31,459.75 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 2 — — $24,029.93 $53,776.25 $31,227.38 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 28 2 — — $24,488.92 $50,275.18 $31,159.78 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 2 1 — — $30,494.80 $30,494.80 $30,494.80 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 2 — — $23,644.60 $51,857.38 $30,457.45 2026-04-01
332 MS_DRG Rectal Resection With Mcc 28 2 — — $23,923.29 $48,627.77 $30,440.07 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 2 — — $23,564.46 $51,915.93 $30,413.92 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 2 — — $23,034.77 $53,293.20 $30,378.47 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 2 — — $23,166.75 $52,042.35 $30,156.05 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 2 — — $23,266.33 $50,417.56 $29,814.74 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 2 — — $22,180.43 $52,665.11 $29,595.31 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 2 — — $21,598.89 $53,997.14 $29,510.50 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 2 — — $22,414.35 $51,607.21 $29,496.40 2026-04-01
93590 CPT Perc. Transcath Closure Paravalvular Leak Int. Occ. Dev. Mitral Valve 93590 - Cl 8 2 $74,379.00 $44,627.40 40% off $15,975.63 $32,611.00 $29,350.00 2026-04-01
93591 CPT Perq Transcath Cls Aortic 8 2 — — $15,975.63 $32,611.00 $29,350.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 2 — — $22,321.25 $51,238.60 $29,334.60 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 2 — — $21,475.16 $53,420.95 $29,273.47 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 2 — — $22,992.35 $48,122.10 $29,255.54 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 2 — — $22,776.70 $49,495.39 $29,222.68 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 2 — — $22,909.27 $48,396.23 $29,149.83 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 28 2 — — $22,189.27 $48,675.68 $28,585.38 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 2 — — $22,460.30 $45,653.66 $28,578.57 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 2 1 — — $28,540.69 $28,540.69 $28,540.69 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 2 — — $21,335.52 $50,907.26 $28,531.20 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 2 — — $21,963.61 $48,594.50 $28,400.10 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 2 — — $21,620.69 $49,531.32 $28,388.65 2026-04-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 2 1 — — $28,290.59 $28,290.59 $28,290.59 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 2 — — $21,885.24 $47,655.03 $28,103.60 2026-04-01
77371 CPT Srs Multisource 20 1 — — $7,094.70 $41,912.17 $28,081.16 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 2 — — $21,704.95 $47,572.53 $27,951.07 2026-04-01
791 MS_DRG Prematurity With Major Problems 2 1 — — $27,784.00 $27,784.00 $27,784.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 2 — — $21,055.06 $48,207.27 $27,638.77 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 2 — — $20,586.65 $49,209.29 $27,552.40 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 2 — — $21,363.80 $46,392.19 $27,401.54 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 2 — — $20,826.45 $46,909.84 $27,141.49 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 2 — — $21,238.30 $45,320.98 $27,037.10 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 8 2 — — $15,232.82 $29,895.51 $26,905.28 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 2 — — $20,538.92 $46,070.16 $26,717.85 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 2 — — $20,526.55 $45,991.65 $26,688.82 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 2 — — $20,465.86 $45,977.02 $26,640.82 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 28 2 — — $20,927.79 $43,330.25 $26,628.60 2026-04-01
265 MS_DRG Aicd Lead Procedures 28 2 — — $19,927.33 $47,028.27 $26,515.86 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 2 — — $20,136.50 $45,619.06 $26,309.40 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 2 — — $20,613.75 $44,115.37 $26,274.40 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 2 — — $20,049.30 $44,831.28 $26,045.10 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 28 2 — — $19,873.72 $44,919.11 $25,939.41 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 2 — — $19,698.72 $44,629.02 $25,737.86 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 2 — — $19,552.01 $44,933.75 $25,708.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 2 — — $19,530.91 $40,458.60 $25,326.36 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 2 — — $19,500.75 $43,460.66 $25,295.81 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 2 — — $19,039.41 $44,309.65 $25,175.61 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 2 — — $19,154.89 $43,833.26 $25,138.47 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 8 2 — — $14,187.96 $27,844.90 $25,059.78 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 2 — — $19,448.90 $42,310.94 $24,965.08 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 2 — — $18,692.96 $44,253.76 $24,908.68 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 2 — — $18,569.82 $44,474.66 $24,875.14 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 2 — — $19,214.99 $42,593.05 $24,866.34 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 2 — — $19,474.83 $41,752.04 $24,841.60 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 2 — — $18,880.91 $43,151.94 $24,765.06 2026-04-01
J9266 HCPCS Pegaspargase Injection 2 1 — — $24,652.38 $24,652.38 $24,652.38 2026-04-01
935 MS_DRG Non-extensive Burns 8 2 — — $13,839.45 $27,160.92 $24,444.21 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 2 — — $18,646.41 $41,967.62 $24,292.29 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 2 — — $18,248.11 $42,786.00 $24,210.28 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 2 — — $18,370.08 $42,070.08 $24,116.85 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 2 — — $18,306.44 $41,587.04 $23,947.37 2026-04-01
665 MS_DRG Prostatectomy With Mcc 28 2 — — $18,031.29 $41,106.65 $23,624.29 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 28 2 — — $15,289.78 $37,483.16 $23,464.11 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $23,449.30 $23,449.30 $23,449.30 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 28 2 — — $17,904.02 $39,877.09 $23,218.21 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 2 — — $18,094.33 $39,327.51 $23,217.00 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 28 2 — — $16,302.77 $36,988.14 $23,153.74 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 2 — — $17,789.13 $39,843.82 $23,125.93 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 2 — — $17,600.58 $39,939.63 $23,012.82 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 2 — — $17,814.46 $39,296.90 $23,005.07 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 2 — — $17,475.67 $39,241.01 $22,743.73 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 2 — — $17,591.16 $37,875.71 $22,480.12 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 8 2 — — $12,715.94 $24,955.95 $22,459.79 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 2 — — $17,187.55 $38,885.72 $22,443.06 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 2 — — $17,261.79 $38,422.63 $22,379.23 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 28 2 — — $16,952.46 $38,872.41 $22,268.20 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 2 — — $16,897.08 $38,913.66 $22,238.32 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 28 2 — — $16,927.72 $38,809.87 $22,234.22 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 2 1 — — $22,155.81 $22,155.81 $22,155.81 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 28 2 — — $17,278.88 $37,296.86 $22,104.89 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 8 2 — — $12,363.36 $24,263.98 $21,837.04 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 28 2 — — $16,632.53 $37,499.13 $21,684.99 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 2 — — $17,037.90 $34,631.47 $21,679.08 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 2 — — $17,016.69 $36,203.02 $21,652.08 2026-04-01
263 MS_DRG Vein Ligation And Stripping 28 2 — — $16,415.11 $37,594.94 $21,550.81 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 28 2 — — $16,748.01 $36,427.91 $21,496.30 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 2 — — $16,799.86 $36,043.34 $21,436.14 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 2 — — $12,056.21 $23,661.18 $21,294.53 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 28 2 — — $16,664.34 $35,738.61 $21,259.67 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 2 — — $15,992.07 $37,382.02 $21,188.01 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 28 2 — — $16,339.69 $36,385.33 $21,187.64 2026-04-01
884 MS_DRG Organic Disturbances And Intellectual Disability 8 2 — — $11,912.46 $23,379.07 $21,040.63 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 28 2 — — $16,434.56 $35,524.37 $21,037.48 2026-04-01
800 MS_DRG Splenic Procedures With Cc 28 2 — — $15,663.88 $37,495.13 $20,977.46 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 2 — — $15,510.69 $36,466.50 $20,603.66 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 2 — — $15,887.78 $34,505.05 $20,378.99 2026-04-01
652 MS_DRG Kidney Transplant 2 1 — — $20,371.00 $20,371.00 $20,371.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 2 — — $15,319.79 $35,979.47 $20,340.33 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 2 — — $15,116.52 $36,559.65 $20,339.89 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 2 — — $15,429.38 $35,251.57 $20,234.83 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 28 2 — — $15,755.21 $33,947.49 $20,140.24 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 8 2 — — $11,402.58 $22,378.38 $20,140.04 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 48 2 — — $12,446.26 $27,610.69 $20,028.47 2026-04-01
503 MS_DRG Foot Procedures With Mcc 28 2 — — $14,926.20 $35,688.04 $19,979.01 2026-04-01
816T CPT Opn Insj/rplcmt Ins Ptn Subq 2 1 — — $19,930.05 $19,930.05 $19,930.05 2026-04-01
817T CPT Opn Insj/rplcmt Ins Ptn Subf 2 1 — — $19,930.05 $19,930.05 $19,930.05 2026-04-01
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 2 1 — — $19,930.05 $19,930.05 $19,930.05 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 2 — — $15,101.79 $34,744.58 $19,866.72 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 28 2 — — $15,183.09 $34,450.49 $19,851.10 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 28 2 — — $15,217.27 $33,938.17 $19,745.51 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 28 2 — — $15,134.78 $33,698.65 $19,624.32 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 28 2 — — $14,955.07 $33,920.87 $19,549.86 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 28 2 — — $14,439.52 $35,291.49 $19,523.02 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 28 2 — — $15,091.18 $33,232.90 $19,473.85 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 28 2 — — $15,297.99 $32,462.43 $19,465.21 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 28 2 — — $14,884.37 $33,496.38 $19,390.14 2026-04-01
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 8 2 — — $10,908.29 $21,408.30 $19,266.99 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 20 1 — — $17,733.74 $28,743.59 $19,259.71 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 28 2 — — $14,936.81 $32,743.20 $19,236.50 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 28 2 — — $14,780.67 $33,177.01 $19,233.14 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 28 2 — — $14,778.31 $33,081.20 $19,207.01 2026-04-01
849 MS_DRG Radiotherapy 28 2 — — $13,780.80 $35,814.46 $19,175.79 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 2 — — $15,064.67 $31,726.55 $19,168.33 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 20 1 — — $17,648.90 $28,606.07 $19,167.56 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 28 2 — — $14,702.90 $32,374.60 $18,971.99 2026-04-01
93654 CPT Compre Ep Eval Tx Vt 8 2 — — $17,960.00 $21,638.17 $18,958.00 2026-04-01
93653 CPT Compre Ep Eval Tx Svt 8 2 — — $17,960.00 $21,638.17 $18,958.00 2026-04-01
93656 CPT Compre Ep Eval Abltj Atr Fib 8 2 — — $17,960.00 $21,638.17 $18,958.00 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 2 — — $14,193.83 $32,522.31 $18,638.32 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 28 2 — — $14,467.22 $31,565.53 $18,593.96 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 2 — — $13,890.98 $33,057.25 $18,553.71 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 28 2 — — $14,561.49 $29,621.38 $18,528.08 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 8 2 — — $10,468.24 $20,544.68 $18,489.75 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 28 2 — — $14,256.87 $31,282.10 $18,368.33 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 2 — — $13,998.21 $31,959.42 $18,352.23 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 2 — — $14,345.25 $30,834.98 $18,318.89 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 48 2 — — $11,749.24 $24,838.85 $18,294.04 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 28 2 — — $13,887.44 $31,936.80 $18,265.67 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 28 2 — — $13,966.99 $31,699.94 $18,263.35 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 28 2 — — $13,839.72 $31,719.90 $18,175.60 2026-04-01
113 MS_DRG Orbital Procedures With Cc/mcc 28 2 — — $13,229.31 $33,364.64 $18,149.41 2026-04-01
398 MS_DRG Appendix Procedures With Cc 8 2 — — $10,260.76 $20,137.48 $18,123.28 2026-04-01
709 MS_DRG Penis Procedures With Cc/mcc 28 2 — — $14,211.50 $28,886.84 $18,082.76 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 28 2 — — $14,009.41 $30,842.96 $18,075.96 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 28 2 — — $13,794.35 $30,858.93 $17,923.17 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 28 2 — — $13,810.85 $30,308.02 $17,794.85 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 28 2 — — $13,955.79 $28,366.53 $17,757.40 2026-04-01
825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 2 1 — — $17,752.30 $17,752.30 $17,752.30 2026-04-01
823T CPT Tcat Ins 1chmbr Ldls Pm Ra 2 1 — — $17,752.30 $17,752.30 $17,752.30 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 28 2 — — $13,761.94 $30,244.15 $17,742.90 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 28 2 — — $13,845.61 $29,972.69 $17,734.77 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 28 2 — — $13,143.87 $31,856.96 $17,702.99 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 28 2 — — $13,776.09 $29,683.92 $17,610.49 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 28 2 — — $13,456.15 $30,599.45 $17,610.38 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 28 2 — — $13,347.15 $30,317.34 $17,459.01 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 28 2 — — $13,494.45 $29,713.20 $17,412.53 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 28 2 — — $13,220.47 $30,111.08 $17,314.06 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 28 2 — — $13,526.26 $27,493.59 $17,210.86 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 28 2 — — $13,459.10 $29,005.27 $17,206.39 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 28 2 — — $13,234.61 $29,232.82 $17,100.62 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 28 2 — — $13,158.01 $29,375.20 $17,081.03 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 28 2 — — $13,370.13 $28,032.53 $17,012.19 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 20 1 — — $15,652.10 $25,369.58 $16,998.94 2026-04-01
27278 CPT Arthrd Si Jt Prq Wo Tfxj Dev 2 1 — — $16,978.66 $16,978.66 $16,978.66 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 28 2 — — $12,740.86 $29,702.55 $16,860.17 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 28 2 — — $13,113.82 $28,623.36 $16,857.26 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 28 2 — — $13,087.31 $28,539.52 $16,816.56 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 28 2 — — $12,981.84 $28,830.95 $16,813.88 2026-04-01
792 MS_DRG Prematurity Without Major Problems 2 1 — — $16,764.51 $16,764.51 $16,764.51 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 28 2 — — $12,875.20 $28,924.10 $16,759.82 2026-04-01
333 MS_DRG Rectal Resection With Cc 28 2 — — $13,157.43 $27,671.91 $16,741.55 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 28 2 — — $13,154.48 $27,568.11 $16,737.81 2026-04-01
C9790 HCPCS Kidney Histotripsy W/image 2 1 — — $16,734.08 $16,734.08 $16,734.08 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 28 2 — — $13,104.40 $26,636.62 $16,674.08 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 28 2 — — $12,614.77 $29,143.66 $16,625.82 2026-04-01
835 MS_DRG Acute Leukemia With Cc 28 2 — — $12,356.11 $29,747.80 $16,591.06 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 28 2 — — $12,617.13 $28,942.73 $16,576.34 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 2 1 — — $16,503.97 $16,503.97 $16,503.97 2026-04-01
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