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Hospital

SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER

Show Low, AZ · CCN 030062 · Rates published

8,424 distinct procedures filed
20 distinct payers
63,864 rate rows
2026-04-01 last MRF observed
Data quality

30,431 of 63,864 rate rows are consumer-grade (47.6%)

33,433 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 26,260
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,173
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=L*__*5isnkJWsT9OFJEKfZzfA*-*
Found on page https://www.summithealthcare.net/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-09
Content fingerprint 67b9317734208610… · 21,766,998 bytes · first seen 2026-10-08

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $80,390.74 $352,829.50 $349,336.14 nat. median
$168,055
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $211,880.86 $219,566.92 $217,392.99 nat. median
$186,516
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $215,463.90 $234,609.94 $215,463.90 nat. median
$131,925
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $164,684.32 $222,169.59 $164,684.32 nat. median
$145,435
1.1× median
7
MS_DRG 		Lung Transplant 15 $103,692.80 $116,265.04 $115,113.90 nat. median
$70,649
1.6× median
523
MS_DRG 		Extensive Or Complex Spinal Fusion Procedures Except Cervical With Mcc 15 $104,157.43 $107,413.65 $106,350.15 nat. median
$17,812
outlier · 6.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $105,182.79 $144,157.96 $105,182.79 nat. median
$97,418
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $91,261.12 $106,135.80 $91,261.12 nat. median
$72,715
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $86,787.19 $90,040.05 $89,148.56 nat. median
$2,110
outlier · 42.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $68,702.76 $89,456.78 $88,571.07 nat. median
$74,509
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $85,182.77 $149,190.37 $85,182.77 nat. median
$65,418
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $81,081.51 $107,324.47 $81,081.51 nat. median
$69,922
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 15 $78,507.58 $146,939.92 $78,507.58 nat. median
$73,023
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $76,785.18 $79,468.35 $76,785.18 nat. median
$2,736
outlier · 28.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $76,500.30 $92,687.82 $76,500.30 nat. median
$69,822
1.1× median
524
MS_DRG 		Extensive Or Complex Spinal Fusion Procedures Except Cervical With Cc 15 $61,945.11 $76,873.59 $76,112.47 —
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $68,441.77 $73,682.24 $68,441.77 nat. median
$2,596
outlier · 26.4×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $67,927.76 $79,786.55 $67,927.76 nat. median
$60,505
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $54,507.76 $65,735.28 $65,084.44 nat. median
$2,633
outlier · 24.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $62,049.91 $75,918.47 $62,049.91 nat. median
$55,935
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $61,614.86 $103,082.05 $61,614.86 nat. median
$56,428
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 $59,176.40 $59,768.16 $59,176.40 nat. median
$37,013
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $59,145.43 $80,073.87 $59,145.43 nat. median
$55,923
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 15 $58,996.03 $63,304.03 $58,996.03 nat. median
$59,651
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $58,447.18 $59,031.65 $58,447.18 nat. median
$52,327
1.1× median
19
MS_DRG 		Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 15 $58,415.44 $102,405.63 $58,415.44 nat. median
$45,605
1.3× median
10
MS_DRG 		Pancreas Or Islet Cell Transplant 15 $58,234.30 $66,555.29 $58,234.30 nat. median
$23,080
outlier · 2.5×
525
MS_DRG 		Extensive Or Complex Spinal Fusion Procedures Except Cervical Without Cc/Mcc 15 $53,493.13 $57,036.36 $56,471.64 —
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 15 $51,619.83 $56,093.44 $55,538.06 nat. median
$41,943
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $55,470.71 $56,025.42 $55,470.71 nat. median
$49,569
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $55,404.14 $100,103.83 $55,404.14 nat. median
$51,518
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $35,706.54 $55,425.74 $54,876.97 nat. median
$2,633
outlier · 20.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc 15 $49,209.67 $54,460.93 $53,921.71 nat. median
$2,958
outlier · 18.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $130.52 $71,114.57 $53,748.31 nat. median
$48,611
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $52,680.03 $75,524.44 $52,680.03 nat. median
$47,458
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $52,680.03 $68,335.00 $52,680.03 nat. median
$45,446
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $51,883.47 $74,143.77 $51,883.47 nat. median
$9,905
outlier · 5.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $50,516.38 $72,882.79 $50,516.38 nat. median
$47,340
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $49,523.19 $64,337.27 $49,523.19 nat. median
$47,121
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $30,194.34 $49,684.58 $49,192.65 nat. median
$43,299
1.1× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 15 $27,344.18 $49,632.97 $49,141.55 nat. median
$35,985
1.4× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 $48,346.54 $53,204.17 $48,346.54 nat. median
$40,726
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $48,207.20 $67,711.12 $48,207.20 nat. median
$43,803
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 $48,012.12 $60,446.15 $48,012.12 nat. median
$43,533
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 15 $47,607.26 $55,325.38 $47,607.26 nat. median
$41,895
1.1× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 2 $40,932.57 $52,916.38 $46,924.47 nat. median
$36,541
1.3× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 $5,004.92 $64,601.55 $46,556.79 nat. median
$40,584
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 15 $46,552.14 $76,371.61 $46,552.14 nat. median
$38,932
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $45,962.27 $87,512.87 $45,962.27 nat. median
$44,036
1.0× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $45,827.57 $67,339.95 $45,827.57 nat. median
$10,799
outlier · 4.2×

Other procedures at this hospital

Browse this hospital's 8,424 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 15 — — $80,390.74 $352,829.50 $349,336.14 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 15 — — $211,880.86 $219,566.92 $217,392.99 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 15 — — $215,463.90 $234,609.94 $215,463.90 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 15 — — $164,684.32 $222,169.59 $164,684.32 2026-04-01
7 MS_DRG Lung Transplant 17 15 — — $103,692.80 $116,265.04 $115,113.90 2026-04-01
523 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical With Mcc 17 15 — — $104,157.43 $107,413.65 $106,350.15 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 15 — — $105,182.79 $144,157.96 $105,182.79 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 15 — — $91,261.12 $106,135.80 $91,261.12 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 17 15 — — $86,787.19 $90,040.05 $89,148.56 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 15 — — $68,702.76 $89,456.78 $88,571.07 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 15 — — $85,182.77 $149,190.37 $85,182.77 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 15 — — $81,081.51 $107,324.47 $81,081.51 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 15 — — $78,507.58 $146,939.92 $78,507.58 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 15 — — $76,785.18 $79,468.35 $76,785.18 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 15 — — $76,500.30 $92,687.82 $76,500.30 2026-04-01
524 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical With Cc 17 15 — — $61,945.11 $76,873.59 $76,112.47 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 15 — — $68,441.77 $73,682.24 $68,441.77 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 15 — — $67,927.76 $79,786.55 $67,927.76 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 17 15 — — $54,507.76 $65,735.28 $65,084.44 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 15 — — $62,049.91 $75,918.47 $62,049.91 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 15 — — $61,614.86 $103,082.05 $61,614.86 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 15 — — $59,176.40 $59,768.16 $59,176.40 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 15 — — $59,145.43 $80,073.87 $59,145.43 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 17 15 — — $58,996.03 $63,304.03 $58,996.03 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 15 — — $58,447.18 $59,031.65 $58,447.18 2026-04-01
19 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 17 15 — — $58,415.44 $102,405.63 $58,415.44 2026-04-01
10 MS_DRG Pancreas Or Islet Cell Transplant 17 15 — — $58,234.30 $66,555.29 $58,234.30 2026-04-01
525 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical Without Cc/Mcc 17 15 — — $53,493.13 $57,036.36 $56,471.64 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 15 — — $51,619.83 $56,093.44 $55,538.06 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 15 — — $55,470.71 $56,025.42 $55,470.71 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 15 — — $55,404.14 $100,103.83 $55,404.14 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 15 — — $35,706.54 $55,425.74 $54,876.97 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 17 15 — — $49,209.67 $54,460.93 $53,921.71 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 16 — — $130.52 $71,114.57 $53,748.31 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 15 — — $52,680.03 $75,524.44 $52,680.03 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 15 — — $52,680.03 $68,335.00 $52,680.03 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 15 — — $51,883.47 $74,143.77 $51,883.47 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 15 — — $50,516.38 $72,882.79 $50,516.38 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 16 — — $49,523.19 $64,337.27 $49,523.19 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 15 — — $30,194.34 $49,684.58 $49,192.65 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 15 — — $27,344.18 $49,632.97 $49,141.55 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 15 — — $48,346.54 $53,204.17 $48,346.54 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 15 — — $48,207.20 $67,711.12 $48,207.20 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 15 — — $48,012.12 $60,446.15 $48,012.12 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 15 — — $47,607.26 $55,325.38 $47,607.26 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 2 — — $40,932.57 $52,916.38 $46,924.47 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 15 — — $5,004.92 $64,601.55 $46,556.79 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 15 — — $46,552.14 $76,371.61 $46,552.14 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 15 — — $45,962.27 $87,512.87 $45,962.27 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 15 — — $45,827.57 $67,339.95 $45,827.57 2026-04-01
9378 OTHER Daratumumab, Hyaluronidase 1 1 — — $45,788.05 $45,788.05 $45,788.05 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 15 — — $45,627.08 $68,525.97 $45,627.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 15 — — $45,305.04 $62,978.59 $45,305.04 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 15 — — $34,765.11 $45,719.00 $45,266.34 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 15 — — $44,451.20 $58,574.50 $44,451.20 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 15 — — $40,984.25 $43,884.77 $43,450.27 2026-04-01
8 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant 17 15 — — $42,670.73 $86,353.75 $42,670.73 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 15 — — $42,635.90 $49,849.97 $42,635.90 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 15 — — $42,624.29 $61,464.07 $42,624.29 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 15 — — $42,608.03 $59,671.22 $42,608.03 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 15 — — $42,346.38 $89,635.71 $42,346.38 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 15 — — $41,659.74 $49,405.05 $41,659.74 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 17 15 — — $41,545.17 $51,257.00 $41,545.17 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 16 — — $40,768.73 $52,033.68 $40,768.73 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 17 15 — — $40,516.37 $48,078.47 $40,516.37 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 15 — — $40,364.65 $47,617.13 $40,364.65 2026-04-01
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 18 15 — — $36,860.53 $59,919.65 $39,708.97 2026-04-01
403 MS_DRG Hip Or Knee Procedures With Principal Diagnosis Of Periprosthetic Joint Infectio… 17 15 — — $34,618.99 $39,131.86 $38,744.42 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 15 — — $14,293.21 $50,094.12 $38,714.23 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 15 — — $30,800.17 $38,920.76 $38,535.41 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 15 — — $38,478.90 $56,760.31 $38,478.90 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 15 — — $38,442.52 $68,609.00 $38,442.52 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 16 — — $38,268.34 $52,781.76 $38,268.34 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 15 — — $35,116.46 $38,593.17 $38,211.06 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 16 — — $15,861.43 $52,256.85 $38,168.48 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 15 — — $37,847.23 $52,292.97 $37,847.23 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 17 15 — — $33,609.29 $37,887.15 $37,512.03 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 15 — — $36,816.88 $49,029.07 $36,816.88 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 16 — — $1,492.72 $38,340.96 $36,720.89 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 15 — — $36,546.71 $80,566.41 $36,546.71 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 15 — — $36,487.11 $58,287.18 $36,487.11 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 15 — — $36,463.88 $44,306.31 $36,463.88 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 15 — — $36,322.22 $44,566.73 $36,322.22 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 15 — — $36,313.71 $52,161.63 $36,313.71 2026-04-01
245 MS_DRG Aicd Generator Procedures 17 15 — — $35,966.90 $36,438.11 $35,966.90 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $35,866.11 $35,866.11 $35,866.11 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 15 — — $35,696.74 $64,913.49 $35,696.74 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 15 — — $35,648.74 $36,337.96 $35,648.74 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 15 — — $35,419.60 $73,385.18 $35,419.60 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 16 — — $18,881.91 $47,700.58 $35,202.08 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 22 16 — — $7,666.94 $46,347.38 $34,745.35 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 15 — — $17,490.11 $44,694.63 $34,697.35 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 17 15 — — $26,940.30 $34,980.22 $34,633.88 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $32,830.00 $35,236.58 $34,417.80 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 15 — — $32,947.64 $34,678.42 $34,335.07 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 4 — — $34,089.68 $119,516.84 $34,271.10 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 15 — — $32,082.41 $34,238.23 $33,899.24 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 15 — — $33,671.65 $35,249.45 $33,671.65 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 2 2 — — $33,494.51 $33,829.45 $33,661.98 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $33,494.51 $33,829.45 $33,661.98 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 2 — — $33,494.51 $33,829.45 $33,661.98 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 2 — — $33,494.51 $33,829.45 $33,661.98 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 2 — — $33,494.51 $33,829.45 $33,661.98 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 2 — — $33,494.51 $33,829.45 $33,661.98 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 2 — — $33,494.51 $33,829.45 $33,661.98 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 16 — — $32,140.50 $44,388.51 $33,581.08 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 15 — — $33,578.76 $44,525.62 $33,578.76 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 17 15 — — $32,947.64 $33,697.20 $33,363.56 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 15 — — $33,274.53 $35,265.86 $33,274.53 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
61886 HCPCS Implant Neurostim Arrays 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 2 — — $32,927.71 $33,256.99 $33,092.35 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 15 — — $33,026.82 $58,999.72 $33,026.82 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 15 — — $32,974.95 $46,771.60 $32,974.95 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 16 — — $32,967.21 $44,636.75 $32,967.21 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 15 — — $19,371.60 $41,660.24 $32,917.67 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 21 16 — — $100.00 $32,988.04 $32,661.43 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O… 18 16 — — $27,969.70 $45,290.66 $32,616.53 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 15 — — $32,253.48 $38,714.24 $32,253.48 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 15 — — $19,673.69 $32,300.80 $31,980.99 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 15 — — $4,397.43 $32,113.15 $31,795.20 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 15 — — $31,700.76 $56,477.92 $31,700.76 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 15 — — $31,545.16 $45,293.98 $31,545.16 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 17 15 — — $31,251.77 $47,817.42 $31,251.77 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 15 — — $30,724.60 $48,539.82 $30,724.60 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 16 — — $9,290.36 $40,039.37 $30,161.04 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 15 — — $30,125.43 $35,651.69 $30,125.43 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 16 — — $29,984.55 $37,792.00 $29,984.55 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 15 — — $24,301.92 $30,101.43 $29,803.40 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 15 — — $29,655.55 $45,156.07 $29,655.55 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 15 — — $21,881.91 $34,377.36 $29,577.36 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 15 — — $29,315.71 $33,016.60 $29,315.71 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 15 — — $26,459.25 $29,604.96 $29,311.84 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 15 — — $29,167.86 $35,736.93 $29,167.86 2026-04-01
361 MS_DRG Other Circulatory System O.r. Procedures With Mcc 17 15 — — $22,162.66 $29,382.91 $29,091.99 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 17 15 — — $17,606.66 $29,169.47 $28,880.66 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 15 — — $28,772.28 $30,744.35 $28,772.28 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 15 — — $22,734.00 $29,002.93 $28,715.77 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion… 17 15 — — $24,285.51 $28,946.64 $28,660.04 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 15 — — $27,654.48 $28,930.22 $28,643.78 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 20 16 — — $24,989.51 $38,017.27 $28,577.21 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 15 — — $22,609.81 $28,774.63 $28,489.73 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 15 — — $28,197.89 $30,205.84 $28,197.89 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 15 — — $13,467.68 $34,534.82 $27,847.99 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 15 — — $23,789.68 $27,880.18 $27,604.14 2026-04-01
731 MS_DRG Uterine And Adnexa Procedures For Malignancy With Mcc 17 15 — — $27,451.64 $28,662.54 $27,451.64 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 15 — — $27,224.83 $37,053.78 $27,224.83 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 15 — — $27,131.16 $31,509.43 $27,131.16 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 16 — — $27,118.00 $37,645.99 $27,118.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 23 16 — — $14,801.36 $35,378.07 $26,956.21 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 15 — — $26,632.63 $53,974.86 $26,632.63 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 16 — — $26,139.10 $32,673.46 $26,498.71 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 15 — — $13,342.41 $44,146.07 $26,405.04 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O… 17 15 — — $26,340.02 $27,569.11 $26,340.02 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 17 15 — — $26,153.45 $47,096.67 $26,153.45 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 17 15 — — $23,917.74 $26,271.13 $26,011.02 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 15 — — $24,804.31 $35,999.57 $25,949.09 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 15 — — $25,947.54 $75,012.20 $25,947.54 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 5 5 — — $13,298.00 $27,237.51 $25,932.38 2026-04-01
5801 OTHER Ventilation Initiation And Management 1 1 — — $25,928.49 $25,928.49 $25,928.49 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 15 — — $24,971.78 $26,082.70 $25,824.46 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 17 15 — — $21,244.89 $26,078.01 $25,819.81 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 15 — — $24,751.78 $26,051.42 $25,793.49 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 15 — — $25,716.08 $35,823.97 $25,716.08 2026-04-01
449 MS_DRG Revision Of Hip Or Knee Prosthesis 17 15 — — $25,548.87 $29,755.98 $25,548.87 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 17 15 — — $25,377.02 $29,028.67 $25,377.02 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 15 — — $24,707.45 $25,595.60 $25,342.18 2026-04-01
210 MS_DRG Cardiac Pacemaker Revision Or Device Replacement With Mcc 17 15 — — $19,913.39 $25,533.05 $25,280.25 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 15 — — $23,753.56 $25,533.05 $25,280.25 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 17 15 — — $25,233.03 $33,665.11 $25,233.03 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 15 — — $25,208.26 $36,438.11 $25,208.26 2026-04-01
404 MS_DRG Hip Or Knee Procedures With Principal Diagnosis Of Periprosthetic Joint Infectio… 17 15 — — $25,174.97 $29,792.10 $25,174.97 2026-04-01
665 MS_DRG Prostatectomy With Mcc 17 15 — — $20,051.30 $25,422.03 $25,170.33 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 15 — — $12,731.34 $25,400.92 $25,149.43 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 15 — — $9,033.18 $30,500.38 $25,096.79 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $24,742.23 $25,367.53 $25,054.88 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 17 15 — — $23,653.41 $24,948.23 $24,701.22 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 15 — — $24,700.44 $48,393.70 $24,700.44 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 15 — — $24,688.06 $29,209.26 $24,688.06 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 15 — — $15,964.86 $24,929.47 $24,682.64 2026-04-01
652 MS_DRG Kidney Transplant 17 15 — — $24,612.19 $30,073.11 $24,612.19 2026-04-01
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 19 16 — — $16,167.71 $31,797.14 $24,586.65 2026-04-01
5623 OTHER Level 3 Radiation Therapy 12 10 — — $11,785.35 $151,935.96 $24,402.81 2026-04-01
800 MS_DRG Splenic Procedures With Cc 17 15 — — $23,490.87 $24,619.06 $24,375.31 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 17 15 — — $24,349.77 $37,011.10 $24,349.77 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 16 — — $11,549.20 $38,464.20 $24,347.45 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 15 — — $19,181.15 $31,189.55 $24,215.85 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 15 — — $23,912.82 $24,447.06 $24,205.01 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 15 — — $24,179.46 $36,511.99 $24,179.46 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 15 — — $24,061.02 $34,016.95 $24,061.02 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 15 — — $17,889.05 $24,259.41 $24,019.22 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 2 — — $23,735.73 $23,973.09 $23,854.41 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 15 — — $23,737.44 $35,223.18 $23,737.44 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 15 — — $20,593.10 $23,837.21 $23,601.20 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 17 15 — — $23,601.20 $27,736.57 $23,601.20 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 17 15 — — $23,362.77 $30,110.61 $23,362.77 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 17 15 — — $23,075.58 $25,099.84 $23,075.58 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 15 — — $23,014.42 $36,492.29 $23,014.42 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 15 — — $22,871.98 $28,130.60 $22,871.98 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 15 — — $22,820.89 $33,241.52 $22,820.89 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 16 — — $22,815.47 $29,768.99 $22,815.47 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-… 20 16 — — $17,155.14 $29,894.59 $22,600.27 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 16 — — $12,098.52 $28,974.46 $22,415.26 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 17 15 — — $17,462.18 $22,454.11 $22,231.79 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $22,177.00 $22,177.00 $22,177.00 2026-04-01
570 MS_DRG Skin Debridement With Mcc 17 15 — — $22,130.38 $22,844.01 $22,130.38 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 15 — — $22,083.16 $45,876.82 $22,083.16 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 16 — — $11,841.99 $30,425.73 $22,074.65 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 1 1 — — $22,054.86 $22,054.86 $22,054.86 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 16 — — $16,128.92 $22,165.94 $21,902.02 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 17 15 — — $15,973.07 $22,078.82 $21,860.22 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 15 — — $6,846.71 $27,518.21 $21,833.90 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 17 15 — — $21,826.93 $33,188.99 $21,826.93 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 15 — — $11,751.69 $29,495.86 $21,486.32 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 16 — — $21,312.14 $30,479.34 $21,312.14 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 21 15 — — $9,476.25 $26,267.54 $21,295.89 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 17 15 — — $21,130.23 $26,439.55 $21,130.23 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 17 15 — — $21,064.43 $29,690.31 $21,064.43 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 18 15 — — $21,014.88 $37,955.21 $21,014.88 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 17 15 — — $20,988.56 $37,406.77 $20,988.56 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $19,470.40 $22,028.57 $20,749.49 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 9 8 — — $13,208.75 $183,553.59 $20,579.77 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 17 15 — — $20,406.43 $24,943.87 $20,406.43 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 17 15 — — $20,384.75 $35,640.19 $20,384.75 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 17 15 — — $20,362.30 $22,476.24 $20,362.30 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 21 15 — — $17,994.74 $26,320.58 $20,332.11 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 17 15 — — $20,269.41 $22,390.87 $20,269.41 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 15 — — $20,116.91 $29,586.88 $20,116.91 2026-04-01
849 MS_DRG Radiotherapy 17 15 — — $12,072.16 $20,207.84 $20,007.76 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 17 15 — — $19,236.97 $20,147.63 $19,948.15 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 2 — — $19,779.19 $19,977.00 $19,878.10 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 16 — — $11,621.46 $25,886.03 $19,760.04 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
61624 HCPCS Transcath Occlusion Cns 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
93580 HCPCS Transcath Closure Of Asd 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 2 2 — — $19,561.37 $19,756.98 $19,659.17 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 17 15 — — $16,590.22 $19,773.91 $19,578.13 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 19 15 — — $19,469.75 $28,949.86 $19,469.75 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 2 2 — — $19,232.94 $19,425.27 $19,329.10 2026-04-01
62360 HCPCS Insert Spine Infusion Device 2 2 — — $19,232.94 $19,425.27 $19,329.10 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 2 2 — — $19,232.94 $19,425.27 $19,329.10 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 17 15 — — $19,239.84 $20,962.50 $19,239.84 2026-04-01
465 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 17 15 — — $19,215.07 $22,046.19 $19,215.07 2026-04-01
792 MS_DRG Prematurity Without Major Problems 20 15 — — $1,744.87 $19,376.73 $19,184.88 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 17 15 — — $15,097.99 $19,316.52 $19,125.27 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 17 15 — — $18,985.15 $19,665.48 $18,985.15 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 15 — — $18,951.09 $31,176.14 $18,951.09 2026-04-01
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