|
0870T
|
OTHER
|
Imp Subq Prtl Ascts Pmp Sys
|
7
|
5
|
—
|
—
|
$1,896.00
|
$39,161.40
|
$14,080.77
|
2026-10-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
37
|
10
|
—
|
—
|
$190,903.50
|
$255,946.64
|
$197,626.09
|
2026-10-01
|
|
10
|
MS_DRG
|
Pancreas Or Islet Cell Transplant
|
37
|
10
|
—
|
—
|
$48,882.07
|
$68,561.89
|
$50,959.29
|
2026-10-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
37
|
10
|
—
|
—
|
$37,154.24
|
$51,155.97
|
$38,620.58
|
2026-10-01
|
|
113
|
MS_DRG
|
Orbital Procedures With Cc/Mcc
|
37
|
10
|
—
|
—
|
$16,016.09
|
$19,391.86
|
$16,335.28
|
2026-10-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
37
|
10
|
—
|
—
|
$28,720.10
|
$39,911.12
|
$29,896.83
|
2026-10-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$19,631.30
|
$24,877.57
|
$20,152.94
|
2026-10-01
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/Mcc
|
37
|
10
|
—
|
—
|
$14,782.40
|
$19,862.14
|
$15,308.04
|
2026-10-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
37
|
10
|
—
|
—
|
$81,867.95
|
$107,445.86
|
$84,478.51
|
2026-10-01
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
37
|
10
|
—
|
—
|
$29,055.94
|
$39,280.43
|
$30,117.34
|
2026-10-01
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
37
|
10
|
—
|
—
|
$14,858.02
|
$20,368.88
|
$15,434.00
|
2026-10-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$25,522.47
|
$35,088.90
|
$26,523.65
|
2026-10-01
|
|
146
|
MS_DRG
|
Ear, Nose, Mouth And Throat Malignancy With Mcc
|
37
|
10
|
—
|
—
|
$14,424.08
|
$19,437.43
|
$14,943.65
|
2026-10-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
37
|
10
|
—
|
—
|
$40,394.11
|
$54,807.95
|
$41,893.16
|
2026-10-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
37
|
10
|
—
|
—
|
$30,530.77
|
$40,907.28
|
$31,602.88
|
2026-10-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
37
|
10
|
—
|
—
|
$17,193.91
|
$22,922.62
|
$17,784.16
|
2026-10-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$25,461.84
|
$35,302.17
|
$26,495.53
|
2026-10-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$37,005.74
|
$44,559.26
|
$37,714.26
|
2026-10-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
37
|
10
|
—
|
—
|
$20,275.74
|
$26,928.22
|
$20,959.66
|
2026-10-01
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
37
|
10
|
—
|
—
|
$294,168.47
|
$411,289.30
|
$306,514.83
|
2026-10-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis
|
37
|
10
|
—
|
—
|
$48,602.09
|
$68,775.16
|
$50,738.70
|
2026-10-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
37
|
10
|
—
|
—
|
$77,194.12
|
$100,289.54
|
$79,535.40
|
2026-10-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
37
|
10
|
—
|
—
|
$53,603.58
|
$72,541.97
|
$55,570.61
|
2026-10-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
37
|
10
|
—
|
—
|
$43,834.25
|
$58,305.90
|
$45,323.37
|
2026-10-01
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
37
|
10
|
—
|
—
|
$18,724.61
|
$25,072.61
|
$19,380.26
|
2026-10-01
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
37
|
10
|
—
|
—
|
$77,105.56
|
$104,958.65
|
$80,006.93
|
2026-10-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
37
|
10
|
—
|
—
|
$36,062.25
|
$49,856.31
|
$37,509.47
|
2026-10-01
|
|
210
|
MS_DRG
|
Cardiac Pacemaker Revision Or Device Replacement With Mcc
|
23
|
10
|
—
|
—
|
$26,256.23
|
$29,763.59
|
$28,009.91
|
2026-10-01
|
|
211
|
MS_DRG
|
Cardiac Pacemaker Revision Or Device Replacement Without Mcc
|
23
|
10
|
—
|
—
|
$14,549.18
|
$16,492.69
|
$15,520.93
|
2026-10-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
37
|
10
|
—
|
—
|
$74,076.19
|
$104,278.74
|
$77,268.68
|
2026-10-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
37
|
10
|
—
|
—
|
$38,876.36
|
$53,294.12
|
$40,383.26
|
2026-10-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
37
|
10
|
—
|
—
|
$67,828.75
|
$92,430.54
|
$70,392.79
|
2026-10-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
10
|
—
|
—
|
$66,642.07
|
$90,067.28
|
$69,073.48
|
2026-10-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
10
|
—
|
—
|
$44,792.05
|
$62,022.59
|
$46,601.05
|
2026-10-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
37
|
10
|
—
|
—
|
$44,792.05
|
$62,022.59
|
$46,601.05
|
2026-10-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
10
|
—
|
—
|
$52,305.87
|
$69,634.61
|
$54,089.87
|
2026-10-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
37
|
10
|
—
|
—
|
$21,644.98
|
$30,549.22
|
$22,587.13
|
2026-10-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
10
|
—
|
—
|
$36,327.93
|
$50,183.51
|
$37,781.09
|
2026-10-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
37
|
10
|
—
|
—
|
$34,334.69
|
$42,957.93
|
$35,182.04
|
2026-10-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
37
|
10
|
—
|
—
|
$33,702.52
|
$45,260.12
|
$34,898.13
|
2026-10-01
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
37
|
10
|
—
|
—
|
$21,454.92
|
$31,355.81
|
$22,515.23
|
2026-10-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
37
|
10
|
—
|
—
|
$39,035.76
|
$52,334.41
|
$40,410.24
|
2026-10-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
37
|
10
|
—
|
—
|
$57,425.89
|
$79,974.44
|
$59,799.01
|
2026-10-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
37
|
10
|
—
|
—
|
$41,299.45
|
$56,756.52
|
$42,916.82
|
2026-10-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
37
|
10
|
—
|
—
|
$52,080.38
|
$73,054.18
|
$54,294.26
|
2026-10-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
37
|
10
|
—
|
—
|
$37,212.83
|
$50,164.37
|
$38,555.34
|
2026-10-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
37
|
10
|
—
|
—
|
$39,977.89
|
$53,339.69
|
$41,355.21
|
2026-10-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
37
|
10
|
—
|
—
|
$28,534.81
|
$39,533.80
|
$29,689.85
|
2026-10-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
37
|
10
|
—
|
—
|
$33,527.45
|
$45,580.03
|
$34,782.14
|
2026-10-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
37
|
10
|
—
|
—
|
$26,648.52
|
$36,173.47
|
$27,639.34
|
2026-10-01
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
37
|
10
|
—
|
—
|
$19,418.08
|
$26,861.69
|
$20,199.24
|
2026-10-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
37
|
10
|
—
|
—
|
$21,749.89
|
$28,467.58
|
$22,434.31
|
2026-10-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
37
|
10
|
—
|
—
|
$14,516.05
|
$19,210.49
|
$14,997.66
|
2026-10-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
37
|
10
|
—
|
—
|
$31,079.83
|
$42,345.47
|
$32,253.86
|
2026-10-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
37
|
10
|
—
|
—
|
$30,972.88
|
$42,027.39
|
$32,122.59
|
2026-10-01
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
37
|
10
|
—
|
—
|
$14,867.56
|
$21,319.47
|
$15,554.20
|
2026-10-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
37
|
10
|
—
|
—
|
$23,762.88
|
$31,736.77
|
$24,585.28
|
2026-10-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
37
|
10
|
—
|
—
|
$17,681.66
|
$23,937.92
|
$18,331.59
|
2026-10-01
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
37
|
10
|
—
|
—
|
$18,375.14
|
$25,786.24
|
$19,157.55
|
2026-10-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
37
|
10
|
—
|
—
|
$21,404.51
|
$28,637.10
|
$22,151.18
|
2026-10-01
|
|
259
|
MS_DRG
|
Cardiac Pacemaker Device Replacement Without Mcc
|
37
|
10
|
—
|
—
|
$13,774.88
|
$18,429.42
|
$14,255.40
|
2026-10-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
37
|
10
|
—
|
—
|
$21,180.39
|
$29,080.95
|
$22,006.73
|
2026-10-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
37
|
10
|
—
|
—
|
$22,158.62
|
$29,646.02
|
$22,931.60
|
2026-10-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
37
|
10
|
—
|
—
|
$20,827.52
|
$29,547.59
|
$21,751.98
|
2026-10-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
37
|
10
|
—
|
—
|
$22,756.73
|
$30,446.23
|
$23,550.57
|
2026-10-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
37
|
10
|
—
|
—
|
$24,647.78
|
$29,678.83
|
$25,119.70
|
2026-10-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
37
|
10
|
—
|
—
|
$41,747.69
|
$54,113.46
|
$42,999.23
|
2026-10-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
37
|
10
|
—
|
—
|
$32,431.37
|
$43,028.11
|
$33,520.14
|
2026-10-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
37
|
10
|
—
|
—
|
$46,853.41
|
$65,308.19
|
$48,796.39
|
2026-10-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
37
|
10
|
—
|
—
|
$28,769.15
|
$38,813.79
|
$29,810.79
|
2026-10-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$17,186.42
|
$23,999.90
|
$17,904.31
|
2026-10-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
37
|
10
|
—
|
—
|
$35,943.04
|
$47,998.88
|
$37,186.36
|
2026-10-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
37
|
10
|
—
|
—
|
$24,226.11
|
$32,786.70
|
$25,115.27
|
2026-10-01
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$17,391.46
|
$22,651.94
|
$17,925.67
|
2026-10-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
37
|
10
|
—
|
—
|
$28,103.60
|
$39,175.62
|
$29,269.33
|
2026-10-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
37
|
10
|
—
|
—
|
$22,423.61
|
$30,367.85
|
$23,249.04
|
2026-10-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
37
|
10
|
—
|
—
|
$48,573.48
|
$65,229.81
|
$50,296.53
|
2026-10-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
37
|
10
|
—
|
—
|
$40,917.97
|
$56,526.85
|
$42,555.05
|
2026-10-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
37
|
10
|
—
|
—
|
$31,462.00
|
$42,753.77
|
$32,637.24
|
2026-10-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
37
|
10
|
—
|
—
|
$37,917.89
|
$57,856.58
|
$40,078.90
|
2026-10-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
37
|
10
|
—
|
—
|
$24,567.40
|
$37,652.67
|
$25,987.16
|
2026-10-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
37
|
10
|
—
|
—
|
$40,929.55
|
$56,050.19
|
$42,509.14
|
2026-10-01
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
37
|
10
|
—
|
—
|
$13,493.54
|
$17,877.11
|
$13,943.55
|
2026-10-01
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
37
|
10
|
—
|
—
|
$15,073.96
|
$20,212.12
|
$15,605.05
|
2026-10-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
37
|
10
|
—
|
—
|
$18,435.09
|
$23,973.47
|
$18,996.91
|
2026-10-01
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
37
|
10
|
—
|
—
|
$23,240.39
|
$32,053.03
|
$24,164.00
|
2026-10-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
37
|
10
|
—
|
—
|
$144,589.62
|
$193,890.32
|
$149,685.67
|
2026-10-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
37
|
10
|
—
|
—
|
$30,521.92
|
$38,822.91
|
$31,349.92
|
2026-10-01
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
37
|
10
|
—
|
—
|
$5,937.49
|
$7,891.81
|
$26,154.01
|
2026-10-01
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
37
|
10
|
—
|
—
|
$14,204.73
|
$19,021.83
|
$17,062.01
|
2026-10-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
37
|
10
|
—
|
—
|
$45,549.56
|
$64,609.15
|
$47,570.03
|
2026-10-01
|
|
318
|
MS_DRG
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
37
|
10
|
—
|
—
|
$16,500.43
|
$23,864.10
|
$17,286.38
|
2026-10-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
37
|
10
|
—
|
—
|
$30,402.02
|
$38,883.97
|
$31,251.89
|
2026-10-01
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
37
|
10
|
—
|
—
|
$14,516.73
|
$18,614.43
|
$14,928.14
|
2026-10-01
|
|
320
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
37
|
10
|
—
|
—
|
$16,385.31
|
$19,729.99
|
$16,699.05
|
2026-10-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
37
|
10
|
—
|
—
|
$18,534.55
|
$24,741.78
|
$19,174.57
|
2026-10-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
37
|
10
|
—
|
—
|
$29,478.97
|
$40,424.24
|
$30,623.10
|
2026-10-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
37
|
10
|
—
|
—
|
$21,465.14
|
$29,081.86
|
$22,256.70
|
2026-10-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
37
|
10
|
—
|
—
|
$21,869.78
|
$30,398.84
|
$22,766.70
|
2026-10-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
37
|
10
|
—
|
—
|
$33,975.00
|
$45,055.06
|
$35,113.11
|
2026-10-01
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
37
|
10
|
—
|
—
|
$16,650.30
|
$22,311.98
|
$17,235.31
|
2026-10-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$11,464.20
|
$15,920.34
|
$28,042.00
|
2026-10-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
37
|
10
|
—
|
—
|
$24,664.82
|
$34,514.72
|
$25,703.52
|
2026-10-01
|
|
33276
|
HCPCS
|
Insj Phrnc Nrv Stim Sys
|
7
|
5
|
—
|
—
|
$2,037.00
|
$39,161.40
|
$14,107.05
|
2026-10-01
|
|
333
|
MS_DRG
|
Rectal Resection With Cc
|
37
|
10
|
—
|
—
|
$15,955.46
|
$19,395.50
|
$16,282.50
|
2026-10-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
37
|
10
|
—
|
—
|
$24,325.57
|
$31,927.25
|
$25,101.45
|
2026-10-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
37
|
10
|
—
|
—
|
$14,364.82
|
$19,158.54
|
$14,858.84
|
2026-10-01
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$10,456.68
|
$13,894.29
|
$15,384.00
|
2026-10-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
37
|
10
|
—
|
—
|
$26,367.86
|
$35,468.04
|
$27,310.08
|
2026-10-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
37
|
10
|
—
|
—
|
$17,594.47
|
$25,706.04
|
$18,463.08
|
2026-10-01
|
|
347
|
MS_DRG
|
Anal And Stomal Procedures With Mcc
|
37
|
10
|
—
|
—
|
$15,638.01
|
$21,493.55
|
$16,250.75
|
2026-10-01
|
|
35
|
MS_DRG
|
Carotid Artery Stent Procedures With Cc
|
37
|
10
|
—
|
—
|
$16,284.49
|
$21,921.90
|
$16,868.42
|
2026-10-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
37
|
10
|
—
|
—
|
$16,975.24
|
$23,485.87
|
$17,658.53
|
2026-10-01
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
37
|
10
|
—
|
—
|
$19,768.91
|
$25,091.75
|
$20,298.89
|
2026-10-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$29,924.49
|
$39,536.53
|
$30,909.62
|
2026-10-01
|
|
357
|
MS_DRG
|
Other Digestive System O.r. Procedures With Cc
|
37
|
10
|
—
|
—
|
$15,841.70
|
$20,820.93
|
$16,350.36
|
2026-10-01
|
|
359
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
37
|
10
|
—
|
—
|
$23,424.32
|
$30,791.65
|
$24,177.02
|
2026-10-01
|
|
36
|
MS_DRG
|
Carotid Artery Stent Procedures Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$13,234.68
|
$17,495.23
|
$13,671.48
|
2026-10-01
|
|
360
|
MS_DRG
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
37
|
10
|
—
|
—
|
$16,446.62
|
$21,325.85
|
$16,940.57
|
2026-10-01
|
|
361
|
MS_DRG
|
Other Circulatory System O.r. Procedures With Mcc
|
23
|
10
|
—
|
—
|
$30,215.12
|
$34,251.32
|
$32,233.22
|
2026-10-01
|
|
362
|
MS_DRG
|
Other Circulatory System O.r. Procedures Without Mcc
|
23
|
10
|
—
|
—
|
$17,661.47
|
$20,020.72
|
$18,841.10
|
2026-10-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
37
|
10
|
—
|
—
|
$22,426.34
|
$31,198.13
|
$23,349.10
|
2026-10-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
37
|
10
|
—
|
—
|
$14,569.18
|
$19,231.45
|
$15,046.75
|
2026-10-01
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
37
|
10
|
—
|
—
|
$13,366.84
|
$17,538.07
|
$13,792.49
|
2026-10-01
|
|
38240
|
HCPCS
|
Transplt Allo Hct/donor
|
7
|
5
|
—
|
—
|
$2,037.00
|
$55,924.92
|
$18,034.81
|
2026-10-01
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
37
|
10
|
—
|
—
|
$16,314.46
|
$21,719.57
|
$16,870.92
|
2026-10-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
37
|
10
|
—
|
—
|
$94,358.06
|
$123,836.48
|
$97,366.70
|
2026-10-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
37
|
10
|
—
|
—
|
$26,303.14
|
$33,874.92
|
$27,065.88
|
2026-10-01
|
|
400
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection
|
23
|
10
|
—
|
—
|
$16,280.20
|
$18,454.94
|
$17,367.57
|
2026-10-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
38
|
10
|
—
|
—
|
$17,388.50
|
$37,322.74
|
$16,679.34
|
2026-10-01
|
|
403
|
MS_DRG
|
Hip Or Knee Procedures With Principal Diagnosis Of Periprosthetic Joint Infectio…
|
23
|
10
|
—
|
—
|
$40,240.20
|
$45,615.57
|
$42,927.89
|
2026-10-01
|
|
404
|
MS_DRG
|
Hip Or Knee Procedures With Principal Diagnosis Of Periprosthetic Joint Infectio…
|
23
|
10
|
—
|
—
|
$26,146.88
|
$29,639.64
|
$27,893.26
|
2026-10-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
37
|
10
|
—
|
—
|
$37,265.96
|
$49,047.90
|
$38,470.63
|
2026-10-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
37
|
10
|
—
|
—
|
$19,756.65
|
$26,868.07
|
$20,497.08
|
2026-10-01
|
|
407
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$15,120.29
|
$19,777.38
|
$15,594.57
|
2026-10-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
37
|
10
|
—
|
—
|
$24,289.46
|
$30,276.71
|
$24,875.60
|
2026-10-01
|
|
409
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
37
|
10
|
—
|
—
|
$14,832.13
|
$20,343.36
|
$15,408.28
|
2026-10-01
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
37
|
10
|
—
|
—
|
$14,977.91
|
$19,863.96
|
$15,479.81
|
2026-10-01
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
37
|
10
|
—
|
—
|
$22,502.63
|
$27,095.92
|
$22,933.49
|
2026-10-01
|
|
412
|
MS_DRG
|
Cholecystectomy With C.d.e. With Cc
|
37
|
10
|
—
|
—
|
$14,322.58
|
$19,616.97
|
$14,875.71
|
2026-10-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
37
|
10
|
—
|
—
|
$24,269.03
|
$33,198.66
|
$25,201.40
|
2026-10-01
|
|
415
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
37
|
10
|
—
|
—
|
$14,078.71
|
$18,298.18
|
$14,506.57
|
2026-10-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
37
|
10
|
—
|
—
|
$23,209.74
|
$27,947.17
|
$23,654.11
|
2026-10-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$28,290.93
|
$37,973.48
|
$29,292.30
|
2026-10-01
|
|
424
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
37
|
10
|
—
|
—
|
$14,904.34
|
$19,673.48
|
$15,392.85
|
2026-10-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
10
|
—
|
—
|
$17,388.50
|
$61,084.76
|
$27,407.11
|
2026-10-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
38
|
10
|
—
|
—
|
$17,388.50
|
$53,954.88
|
$20,570.92
|
2026-10-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
38
|
10
|
—
|
—
|
$17,388.50
|
$80,579.61
|
$60,632.70
|
2026-10-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
38
|
10
|
—
|
—
|
$17,388.50
|
$53,718.83
|
$17,547.00
|
2026-10-01
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
37
|
10
|
—
|
—
|
$13,407.71
|
$18,071.24
|
$13,891.07
|
2026-10-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc
|
37
|
10
|
—
|
—
|
$45,516.18
|
$63,484.48
|
$47,408.44
|
2026-10-01
|
|
449
|
MS_DRG
|
Revision Of Hip Or Knee Prosthesis
|
23
|
10
|
—
|
—
|
$26,535.22
|
$30,079.85
|
$28,307.53
|
2026-10-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc
|
37
|
10
|
—
|
—
|
$36,306.13
|
$47,701.76
|
$35,171.62
|
2026-10-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
37
|
10
|
—
|
—
|
$22,006.03
|
$29,707.99
|
$15,529.18
|
2026-10-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
23
|
10
|
—
|
—
|
$17,388.50
|
$54,687.00
|
$36,037.75
|
2026-10-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
23
|
10
|
—
|
—
|
$17,388.50
|
$38,914.00
|
$28,151.25
|
2026-10-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc
|
23
|
10
|
—
|
—
|
$17,388.50
|
$28,651.00
|
$23,019.75
|
2026-10-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
40
|
10
|
—
|
—
|
$19,782.05
|
$69,458.71
|
$54,086.89
|
2026-10-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
40
|
10
|
—
|
—
|
$16,422.04
|
$48,913.02
|
$38,524.44
|
2026-10-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi…
|
38
|
10
|
—
|
—
|
$26,027.00
|
$36,794.13
|
$18,037.41
|
2026-10-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
22
|
10
|
—
|
—
|
$33,166.00
|
$33,166.00
|
$33,166.00
|
2026-10-01
|
|
460
|
MS_DRG
|
Spinal Fusion Except Cervical Without Mcc
|
22
|
10
|
—
|
—
|
$19,819.00
|
$19,819.00
|
$19,819.00
|
2026-10-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
38
|
10
|
—
|
—
|
$25,280.00
|
$45,302.96
|
$37,575.45
|
2026-10-01
|
|
463
|
MS_DRG
|
Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T…
|
38
|
10
|
—
|
—
|
$28,492.00
|
$46,751.17
|
$20,365.62
|
2026-10-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
38
|
10
|
—
|
—
|
$25,287.00
|
$47,442.02
|
$23,798.01
|
2026-10-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
38
|
10
|
—
|
—
|
$17,048.00
|
$32,141.43
|
$17,255.36
|
2026-10-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
40
|
10
|
—
|
—
|
$9,746.12
|
$44,987.62
|
$14,656.60
|
2026-10-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O…
|
37
|
10
|
—
|
—
|
$29,243.95
|
$38,400.93
|
$30,178.86
|
2026-10-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
38
|
10
|
—
|
—
|
$12,882.00
|
$22,180.74
|
$17,049.09
|
2026-10-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
37
|
10
|
—
|
—
|
$21,983.55
|
$29,411.79
|
$22,750.42
|
2026-10-01
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc
|
40
|
10
|
—
|
—
|
$7,501.34
|
$20,233.99
|
$15,678.33
|
2026-10-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
40
|
10
|
—
|
—
|
$13,265.92
|
$30,404.30
|
$23,815.39
|
2026-10-01
|
|
496
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
40
|
10
|
—
|
—
|
$7,236.85
|
$16,205.60
|
$23,028.14
|
2026-10-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
37
|
10
|
—
|
—
|
$70,236.85
|
$95,460.95
|
$72,862.38
|
2026-10-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
38
|
10
|
—
|
—
|
$17,244.00
|
$30,623.95
|
$22,210.21
|
2026-10-01
|
|
509
|
MS_DRG
|
Arthroscopy
|
23
|
10
|
—
|
—
|
$14,122.26
|
$16,008.74
|
$15,065.50
|
2026-10-01
|
|
5116
|
OTHER
|
Level 6 Musculoskeletal Procedures
|
21
|
10
|
—
|
—
|
—
|
—
|
$16,762.24
|
2026-10-01
|
|
5117
|
OTHER
|
Level 7 Musculoskeletal Procedures
|
21
|
10
|
—
|
—
|
—
|
—
|
$19,474.45
|
2026-10-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$21,709.70
|
$29,066.37
|
$22,469.48
|
2026-10-01
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
37
|
10
|
—
|
—
|
$14,156.37
|
$19,303.45
|
$14,692.98
|
2026-10-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
39
|
10
|
—
|
—
|
$6,941.52
|
$34,002.51
|
$16,230.29
|
2026-10-01
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
37
|
10
|
—
|
—
|
$13,625.70
|
$18,552.46
|
$19,155.72
|
2026-10-01
|
|
523
|
MS_DRG
|
Extensive Or Complex Spinal Fusion Procedures Except Cervical With Mcc
|
23
|
10
|
—
|
—
|
$110,455.93
|
$125,210.87
|
$117,833.40
|
2026-10-01
|
|
524
|
MS_DRG
|
Extensive Or Complex Spinal Fusion Procedures Except Cervical With Cc
|
23
|
10
|
—
|
—
|
$79,050.89
|
$89,610.67
|
$84,330.78
|
2026-10-01
|
|
525
|
MS_DRG
|
Extensive Or Complex Spinal Fusion Procedures Except Cervical Without Cc/Mcc
|
23
|
10
|
—
|
—
|
$58,651.80
|
$66,486.63
|
$62,569.21
|
2026-10-01
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
37
|
10
|
—
|
—
|
$13,417.93
|
$17,659.29
|
$13,851.58
|
2026-10-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
37
|
10
|
—
|
—
|
$16,905.76
|
$21,785.19
|
$17,397.51
|
2026-10-01
|
|
5465
|
OTHER
|
Level 5 Neurostimulator And Related Procedures
|
21
|
10
|
—
|
—
|
—
|
—
|
$31,139.93
|
2026-10-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
37
|
10
|
—
|
—
|
$15,825.35
|
$20,642.30
|
$16,315.00
|
2026-10-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
37
|
10
|
—
|
—
|
$20,035.27
|
$26,055.10
|
$20,645.94
|
2026-10-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
37
|
10
|
—
|
—
|
$44,629.23
|
$57,916.74
|
$45,975.18
|
2026-10-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
37
|
10
|
—
|
—
|
$23,647.76
|
$32,499.61
|
$24,574.00
|
2026-10-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
37
|
10
|
—
|
—
|
$18,057.01
|
$25,737.02
|
$18,872.60
|
2026-10-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
37
|
10
|
—
|
—
|
$22,061.20
|
$29,609.56
|
$22,841.82
|
2026-10-01
|
|
581
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$9,830.64
|
$13,995.46
|
$39,004.00
|
2026-10-01
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
37
|
10
|
—
|
—
|
$14,446.56
|
$18,437.62
|
$14,845.76
|
2026-10-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
37
|
10
|
—
|
—
|
$31,588.02
|
$41,701.11
|
$32,624.00
|
2026-10-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
37
|
10
|
—
|
—
|
$18,781.83
|
$24,800.11
|
$19,398.42
|
2026-10-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc/Mcc
|
37
|
10
|
—
|
—
|
$14,930.91
|
$18,505.07
|
$15,278.72
|
2026-10-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
37
|
10
|
—
|
—
|
$23,756.75
|
$28,665.35
|
$24,218.60
|
2026-10-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
37
|
10
|
—
|
—
|
$19,669.45
|
$23,684.55
|
$20,046.07
|
2026-10-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
37
|
10
|
—
|
—
|
$24,245.87
|
$34,510.16
|
$25,335.35
|
2026-10-01
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
37
|
10
|
—
|
—
|
$20,573.43
|
$28,278.92
|
$21,379.77
|
2026-10-01
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion…
|
37
|
10
|
—
|
—
|
$25,387.59
|
$33,742.76
|
$26,246.94
|
2026-10-01
|
|
629
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
37
|
10
|
—
|
—
|
$14,842.35
|
$19,534.04
|
$14,778.66
|
2026-10-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
37
|
10
|
—
|
—
|
$13,699.27
|
$17,968.25
|
$14,134.80
|
2026-10-01
|
|
64568
|
HCPCS
|
Inc For Vagus N Elect Impl
|
7
|
5
|
—
|
—
|
$1,896.00
|
$39,161.40
|
$14,080.77
|
2026-10-01
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
5
|
4
|
—
|
—
|
$2,358.00
|
$39,161.40
|
$18,512.19
|
2026-10-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
37
|
10
|
—
|
—
|
$32,026.72
|
$42,763.80
|
$33,133.96
|
2026-10-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
37
|
10
|
—
|
—
|
$25,244.53
|
$34,340.64
|
$26,191.74
|
2026-10-01
|
|
652
|
MS_DRG
|
Kidney Transplant
|
37
|
10
|
—
|
—
|
$21,999.90
|
$28,977.05
|
$22,713.63
|
2026-10-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
37
|
10
|
—
|
—
|
$35,398.75
|
$47,523.13
|
$36,652.78
|
2026-10-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
37
|
10
|
—
|
—
|
$19,069.30
|
$25,697.83
|
$19,756.27
|
2026-10-01
|
|
655
|
MS_DRG
|
Major Bladder Procedures Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$14,418.63
|
$18,722.89
|
$14,854.81
|
2026-10-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
37
|
10
|
—
|
—
|
$21,688.58
|
$29,877.51
|
$22,546.37
|
2026-10-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
37
|
10
|
—
|
—
|
$17,309.04
|
$22,237.25
|
$17,804.56
|
2026-10-01
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
37
|
10
|
—
|
—
|
$20,855.45
|
$27,786.76
|
$21,569.35
|
2026-10-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
37
|
10
|
—
|
—
|
$21,262.14
|
$29,634.17
|
$22,143.54
|
2026-10-01
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
37
|
10
|
—
|
—
|
$19,891.53
|
$26,174.50
|
$20,533.85
|
2026-10-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
37
|
10
|
—
|
—
|
$28,622.00
|
$38,755.46
|
$29,674.80
|
2026-10-01
|
|
674
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Cc
|
37
|
10
|
—
|
—
|
$15,930.94
|
$20,510.15
|
$16,392.11
|
2026-10-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
37
|
10
|
—
|
—
|
$88,218.93
|
$135,528.83
|
$93,355.04
|
2026-10-01
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc/Mcc
|
37
|
10
|
—
|
—
|
$13,626.38
|
$18,649.98
|
$14,151.04
|
2026-10-01
|
|
709
|
MS_DRG
|
Penis Procedures With Cc/Mcc
|
37
|
10
|
—
|
—
|
$15,852.60
|
$19,088.36
|
$16,156.11
|
2026-10-01
|
|
711
|
MS_DRG
|
Testes Procedures With Cc/Mcc
|
37
|
10
|
—
|
—
|
$14,195.19
|
$17,803.29
|
$14,550.57
|
2026-10-01
|
|
715
|
MS_DRG
|
Male Reproductive System And Other O.r. Procedures For Malignancy With Cc/Mcc
|
37
|
10
|
—
|
—
|
$15,240.86
|
$20,867.41
|
$15,828.59
|
2026-10-01
|
|
731
|
MS_DRG
|
Uterine And Adnexa Procedures For Malignancy With Mcc
|
23
|
10
|
—
|
—
|
$28,511.45
|
$32,320.07
|
$30,415.76
|
2026-10-01
|
|
732
|
MS_DRG
|
Uterine And Adnexa Procedures For Malignancy With Cc
|
23
|
10
|
—
|
—
|
$15,436.80
|
$17,498.88
|
$16,467.84
|
2026-10-01
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc
|
37
|
10
|
—
|
—
|
$14,509.92
|
$17,471.54
|
$14,787.72
|
2026-10-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
37
|
10
|
—
|
—
|
$24,350.09
|
$32,577.99
|
$25,199.51
|
2026-10-01
|
|
737
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
37
|
10
|
—
|
—
|
$14,037.15
|
$18,780.31
|
$14,526.82
|
2026-10-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
37
|
10
|
—
|
—
|
$24,406.63
|
$32,653.64
|
$25,258.03
|
2026-10-01
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc
|
37
|
10
|
—
|
—
|
$13,958.81
|
$18,793.98
|
$14,459.68
|
2026-10-01
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/Mcc
|
37
|
10
|
—
|
—
|
$17,490.92
|
$22,517.05
|
$17,997.07
|
2026-10-01
|
|
783
|
MS_DRG
|
Cesarean Section With Sterilization With Mcc
|
37
|
10
|
—
|
—
|
$16,724.55
|
$20,483.72
|
$17,085.39
|
2026-10-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
37
|
10
|
—
|
—
|
$40,488.12
|
$54,813.42
|
$41,976.30
|
2026-10-01
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
37
|
10
|
—
|
—
|
$27,650.59
|
$37,433.93
|
$28,666.93
|
2026-10-01
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
37
|
10
|
—
|
—
|
$16,684.36
|
$22,587.23
|
$17,297.57
|
2026-10-01
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
37
|
10
|
—
|
—
|
$28,404.01
|
$38,453.79
|
$29,448.03
|
2026-10-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
37
|
10
|
—
|
—
|
$30,851.63
|
$44,164.62
|
$32,267.61
|
2026-10-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas, Islet Cell And Kidney Transplant
|
37
|
10
|
—
|
—
|
$38,179.47
|
$50,238.19
|
$39,412.25
|
2026-10-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
37
|
10
|
—
|
—
|
$19,138.10
|
$28,698.16
|
$20,169.59
|
2026-10-01
|
|
801
|
MS_DRG
|
Splenic Procedures Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$13,003.75
|
$19,985.18
|
$13,761.75
|
2026-10-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
37
|
10
|
—
|
—
|
$27,140.36
|
$33,723.62
|
$27,782.74
|
2026-10-01
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
37
|
10
|
—
|
—
|
$15,040.58
|
$19,782.85
|
$15,525.26
|
2026-10-01
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Mcc
|
37
|
10
|
—
|
—
|
$14,487.44
|
$18,890.59
|
$14,934.92
|
2026-10-01
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$15,542.64
|
$18,714.69
|
$15,840.17
|
2026-10-01
|
|
82
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
37
|
10
|
—
|
—
|
$15,569.89
|
$20,900.22
|
$16,121.18
|
2026-10-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$39,952.00
|
$56,920.58
|
$41,753.73
|
2026-10-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
37
|
10
|
—
|
—
|
$15,249.72
|
$20,076.32
|
$15,743.31
|
2026-10-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
37
|
10
|
—
|
—
|
$31,232.43
|
$41,970.88
|
$32,343.70
|
2026-10-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
37
|
10
|
—
|
—
|
$15,433.65
|
$20,519.26
|
$15,956.81
|
2026-10-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
37
|
10
|
—
|
—
|
$31,865.96
|
$43,346.18
|
$33,061.41
|
2026-10-01
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
37
|
10
|
—
|
—
|
$15,744.28
|
$21,769.70
|
$16,376.48
|
2026-10-01
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
37
|
10
|
—
|
—
|
$21,526.45
|
$28,497.66
|
$22,241.78
|
2026-10-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
37
|
10
|
—
|
—
|
$37,398.12
|
$50,197.18
|
$38,721.79
|
2026-10-01
|
|
835
|
MS_DRG
|
Acute Leukemia With Cc
|
37
|
10
|
—
|
—
|
$14,208.82
|
$20,992.28
|
$14,937.67
|
2026-10-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
37
|
10
|
—
|
—
|
$32,727.70
|
$42,930.59
|
$33,768.69
|
2026-10-01
|
|
838
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
37
|
10
|
—
|
—
|
$14,219.72
|
$19,664.37
|
$14,791.02
|
2026-10-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
37
|
10
|
—
|
—
|
$22,036.68
|
$29,836.50
|
$22,847.00
|
2026-10-01
|
|
843
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
37
|
10
|
—
|
—
|
$13,588.91
|
$17,728.55
|
$14,009.77
|
2026-10-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
37
|
10
|
—
|
—
|
$17,660.54
|
$23,050.22
|
$18,208.63
|
2026-10-01
|
|
849
|
MS_DRG
|
Radiotherapy
|
37
|
10
|
—
|
—
|
$18,457.57
|
$23,556.04
|
$18,967.53
|
2026-10-01
|
|
85
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
37
|
10
|
—
|
—
|
$15,476.56
|
$20,455.46
|
$15,986.96
|
2026-10-01
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
37
|
10
|
—
|
—
|
$58,989.97
|
$76,626.87
|
$60,777.70
|
2026-10-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$33,642.57
|
$44,937.49
|
$34,807.57
|
2026-10-01
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Mcc
|
37
|
10
|
—
|
—
|
$14,259.23
|
$19,918.65
|
$14,855.60
|
2026-10-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
37
|
10
|
—
|
—
|
$47,084.34
|
$63,280.32
|
$48,760.49
|
2026-10-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
37
|
10
|
—
|
—
|
$26,328.35
|
$33,542.25
|
$27,048.87
|
2026-10-01
|
|
883
|
MS_DRG
|
Disorders Of Personality And Impulse Control
|
37
|
10
|
—
|
—
|
$13,394.77
|
$16,129.05
|
$13,651.25
|
2026-10-01
|
|
886
|
MS_DRG
|
Behavioral And Developmental Disorders
|
37
|
10
|
—
|
—
|
$14,137.29
|
$17,023.13
|
$14,407.99
|
2026-10-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
37
|
10
|
—
|
—
|
$25,021.77
|
$33,808.38
|
$25,933.65
|
2026-10-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
37
|
10
|
—
|
—
|
$26,153.96
|
$35,509.97
|
$27,127.31
|
2026-10-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
37
|
10
|
—
|
—
|
$145,443.18
|
$253,675.43
|
$157,467.49
|
2026-10-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
37
|
10
|
—
|
—
|
$48,861.63
|
$69,671.06
|
$51,071.83
|
2026-10-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$21,940.63
|
$27,506.05
|
$22,488.58
|
2026-10-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
37
|
10
|
—
|
—
|
$26,527.94
|
$31,942.75
|
$27,035.85
|
2026-10-01
|
|
934
|
MS_DRG
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
37
|
10
|
—
|
—
|
$15,058.98
|
$18,132.30
|
$15,347.25
|
2026-10-01
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
37
|
10
|
—
|
—
|
$14,033.07
|
$22,085.04
|
$14,911.99
|
2026-10-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
37
|
10
|
—
|
—
|
$24,717.95
|
$29,763.59
|
$25,191.24
|
2026-10-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
37
|
10
|
—
|
—
|
$23,974.74
|
$31,087.85
|
$24,694.85
|
2026-10-01
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
37
|
10
|
—
|
—
|
$13,813.03
|
$17,716.70
|
$14,205.04
|
2026-10-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
37
|
10
|
—
|
—
|
$17,569.94
|
$21,415.17
|
$17,936.79
|
2026-10-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
37
|
10
|
—
|
—
|
$45,853.38
|
$59,475.23
|
$47,232.71
|
2026-10-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
37
|
10
|
—
|
—
|
$25,634.19
|
$34,914.82
|
$26,601.21
|
2026-10-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
37
|
10
|
—
|
—
|
$51,908.04
|
$68,812.52
|
$53,644.06
|
2026-10-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
37
|
10
|
—
|
—
|
$28,705.79
|
$37,139.55
|
$29,558.24
|
2026-10-01
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$20,055.70
|
$24,710.79
|
$20,505.73
|
2026-10-01
|
|
96
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc
|
37
|
10
|
—
|
—
|
$17,569.94
|
$21,156.33
|
$17,906.35
|
2026-10-01
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
37
|
10
|
—
|
—
|
$18,623.10
|
$24,025.42
|
$19,168.00
|
2026-10-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
37
|
10
|
—
|
—
|
$41,699.32
|
$65,387.48
|
$44,283.01
|
2026-10-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
37
|
10
|
—
|
—
|
$24,604.19
|
$34,822.77
|
$25,686.55
|
2026-10-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
37
|
10
|
—
|
—
|
$17,966.41
|
$28,668.09
|
$19,137.89
|
2026-10-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
37
|
10
|
—
|
—
|
$19,659.92
|
$27,786.76
|
$17,909.61
|
2026-10-01
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
37
|
10
|
—
|
—
|
$15,633.24
|
$20,698.81
|
$16,153.07
|
2026-10-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
37
|
10
|
—
|
—
|
$31,961.33
|
$43,233.17
|
$33,131.80
|
2026-10-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
37
|
10
|
—
|
—
|
$16,747.71
|
$22,103.27
|
$17,296.23
|
2026-10-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
37
|
10
|
—
|
—
|
$23,354.84
|
$30,551.04
|
$24,087.74
|
2026-10-01
|
|
C8007
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Ps Gn
|
4
|
3
|
—
|
—
|
$1,896.00
|
$27,435.35
|
$16,303.69
|
2026-10-01
|
|
C8011
|
HCPCS
|
Opn Mplnt Hpgls Ns Ary Rec
|
4
|
3
|
—
|
—
|
$1,896.00
|
$27,435.35
|
$16,303.69
|
2026-10-01
|