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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ANTELOPE VALLEY HOSPITAL

Lancaster, CA · CCN 050056 · Rates published

8,716 distinct procedures filed
42 distinct payers
494,359 rate rows
2026-07-15 last MRF observed
Data quality

419,219 of 494,359 rate rows are consumer-grade (84.8%)

75,140 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 43,763
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,513
per-diem day rate — not a per-procedure price 9,577
exceeds 10× this hospital's gross charge — excluded from medians 5,185
template filing: same amount across many unrelated codes — excluded 4,081
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 16
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/f961a5b495c6b41f2fca90c83cc92dcf/charges/mrf
Found on page https://www.avmc.org/patients/billing-insurance-pricing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-13
Content fingerprint 3a082352ec2648fe… · 187,857,624 bytes · first seen 2026-05-18

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 18 $438,254.06 $657,381.09 $449,210.41 nat. median
$168,055
outlier · 2.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 18 $284,740.50 $427,110.75 $291,859.02 nat. median
$186,516
1.6× median
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 19 $215,890.33 $417,285.92 $224,525.95 nat. median
$145,435
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $217,159.25 $325,738.88 $222,588.23 nat. median
$131,925
1.7× median
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 19 $141,216.16 $212,863.26 $146,864.80 nat. median
$97,418
1.5× median
7
MS_DRG 		Lung Transplant 18 $132,089.75 $198,134.62 $135,391.99 nat. median
$70,649
1.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $122,648.40 $183,972.60 $125,714.61 nat. median
$72,715
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $115,700.28 $183,665.30 $118,592.79 nat. median
$65,418
1.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $115,568.62 $173,352.93 $117,879.99 nat. median
$2,110
outlier · 55.9×
426
MS_DRG 		Non-hypovolemic Sodium Disorders 17 $112,554.85 $168,832.28 $114,805.95 nat. median
$2,736
outlier · 42.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $111,065.17 $166,597.76 $113,286.47 nat. median
$74,509
1.5× median
5
MS_DRG 		Liver Transplant With Comorbity Or Intestinal Transplant 18 $105,357.62 $158,036.43 $107,991.56 nat. median
$69,922
1.5× median
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 19 $100,013.63 $150,020.44 $103,014.04 nat. median
$69,822
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 20 $8,078.00 $152,666.60 $102,795.51 nat. median
$73,023
1.4× median
224
MS_DRG 		Cardiac Defib Implant With Cardiac Cath Without Ami/hf/shock With Comorbity 1 $96,639.97 $96,639.97 $96,639.97 nat. median
$2,024
outlier · 47.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $92,183.45 $138,275.17 $94,027.12 nat. median
$2,596
outlier · 36.2×
850
MS_DRG 		Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 17 $88,638.01 $132,957.02 $90,410.77 nat. median
$2,633
outlier · 34.3×
231
MS_DRG 		Coronary Bypass With Ptca With Comorbity 18 $86,312.85 $129,469.28 $88,470.68 nat. median
$60,505
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $86,044.49 $129,066.74 $88,195.60 nat. median
$59,651
1.5× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Cath With Comorbity 1 $87,257.07 $87,257.07 $87,257.07 nat. median
$2,024
outlier · 43.1×
20
MS_DRG 		Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 19 $80,630.62 $143,302.43 $83,049.54 nat. median
$56,428
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Cath With Comorbity 19 $78,366.23 $117,549.34 $80,717.22 nat. median
$55,935
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Comorbity 19 $78,110.02 $117,165.03 $80,453.32 nat. median
$52,327
1.5× median
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 19 $64,982.58 $118,052.14 $80,275.46 nat. median
$55,923
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $74,046.08 $111,069.12 $75,527.00 nat. median
$9,905
outlier · 7.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 $73,581.25 $110,371.88 $75,420.79 nat. median
$37,013
outlier · 2.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $73,195.40 $109,793.10 $75,025.29 nat. median
$45,605
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 $73,152.86 $109,729.29 $74,615.92 nat. median
$51,518
1.4× median
10
MS_DRG 		Pancreas Transplant 18 $56,529.18 $110,417.43 $74,347.74 nat. median
$23,080
outlier · 3.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 $70,939.13 $106,408.70 $73,067.30 nat. median
$48,611
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 18 $70,595.82 $105,893.73 $72,360.71 nat. median
$49,569
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 19 $69,109.18 $553,452.13 $71,182.46 nat. median
$47,340
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 $68,607.90 $147,717.57 $70,323.10 nat. median
$2,958
outlier · 23.8×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 $68,657.52 $102,986.28 $70,030.67 nat. median
$2,633
outlier · 26.6×
218
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath Without Complication/… 19 $67,531.39 $101,297.08 $69,557.33 nat. median
$45,446
1.5× median
217
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 18 $67,531.39 $101,297.08 $69,219.68 nat. median
$47,458
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 $67,289.37 $100,934.06 $68,971.61 nat. median
$43,299
1.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $66,107.56 $99,161.34 $68,751.86 nat. median
$47,121
1.5× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Cath Without Comorbity 1 $68,442.18 $68,442.18 $68,442.18 nat. median
$2,024
outlier · 33.8×
266
MS_DRG 		Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 19 $63,005.66 $94,728.43 $64,895.83 nat. median
$44,036
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 18 $62,933.77 $98,799.28 $64,507.11 nat. median
$41,943
1.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 18 $62,339.31 $93,508.96 $63,897.79 nat. median
$43,803
1.5× median
28
MS_DRG 		Spinal Procedures With Comorbity 18 $61,789.41 $92,684.12 $63,334.14 nat. median
$41,895
1.5× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $61,331.68 $91,997.52 $62,864.97 nat. median
$42,674
1.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 18 $60,993.44 $91,490.16 $62,518.27 nat. median
$38,932
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 $35,527.31 $92,658.30 $62,389.92 nat. median
$43,533
1.4× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 19 $42,107.39 $95,037.92 $62,355.85 nat. median
$40,584
1.5× median
235
MS_DRG 		Coronary Bypass Without Cardiac Cath With Comorbity 19 $60,374.66 $90,561.99 $62,185.90 nat. median
$43,023
1.4× median
820
MS_DRG 		Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 19 $41,463.72 $90,504.30 $61,542.92 nat. median
$40,726
1.5× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 $59,346.79 $89,020.18 $60,533.73 nat. median
$2,596
outlier · 23.3×

Other procedures at this hospital

Browse this hospital's 8,716 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 20 18 — — $438,254.06 $657,381.09 $449,210.41 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 20 18 — — $284,740.50 $427,110.75 $291,859.02 2026-07-15
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 22 19 — — $215,890.33 $417,285.92 $224,525.95 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 18 — — $217,159.25 $325,738.88 $222,588.23 2026-07-15
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 22 19 — — $141,216.16 $212,863.26 $146,864.80 2026-07-15
7 MS_DRG Lung Transplant 20 18 — — $132,089.75 $198,134.62 $135,391.99 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 20 18 — — $122,648.40 $183,972.60 $125,714.61 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 18 — — $115,700.28 $183,665.30 $118,592.79 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 19 17 — — $115,568.62 $173,352.93 $117,879.99 2026-07-15
426 MS_DRG Non-hypovolemic Sodium Disorders 19 17 — — $112,554.85 $168,832.28 $114,805.95 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 17 — — $111,065.17 $166,597.76 $113,286.47 2026-07-15
5 MS_DRG Liver Transplant With Comorbity Or Intestinal Transplant 20 18 — — $105,357.62 $158,036.43 $107,991.56 2026-07-15
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 21 19 — — $100,013.63 $150,020.44 $103,014.04 2026-07-15
215 MS_DRG Other Heart Assist System Implant 22 20 — — $8,078.00 $152,666.60 $102,795.51 2026-07-15
224 MS_DRG Cardiac Defib Implant With Cardiac Cath Without Ami/hf/shock With Comorbity 1 1 — — $96,639.97 $96,639.97 $96,639.97 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 17 — — $92,183.45 $138,275.17 $94,027.12 2026-07-15
850 MS_DRG Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 19 17 — — $88,638.01 $132,957.02 $90,410.77 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Comorbity 20 18 — — $86,312.85 $129,469.28 $88,470.68 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — — $86,044.49 $129,066.74 $88,195.60 2026-07-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath With Comorbity 1 1 — — $87,257.07 $87,257.07 $87,257.07 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 21 19 — — $80,630.62 $143,302.43 $83,049.54 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 21 19 — — $78,366.23 $117,549.34 $80,717.22 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Comorbity 21 19 — — $78,110.02 $117,165.03 $80,453.32 2026-07-15
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 21 19 — — $64,982.58 $118,052.14 $80,275.46 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 17 — — $74,046.08 $111,069.12 $75,527.00 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 18 — — $73,581.25 $110,371.88 $75,420.79 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 18 — — $73,195.40 $109,793.10 $75,025.29 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 17 — — $73,152.86 $109,729.29 $74,615.92 2026-07-15
10 MS_DRG Pancreas Transplant 20 18 — — $56,529.18 $110,417.43 $74,347.74 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 19 — — $70,939.13 $106,408.70 $73,067.30 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 20 18 — — $70,595.82 $105,893.73 $72,360.71 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 19 — — $69,109.18 $553,452.13 $71,182.46 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 18 — — $68,607.90 $147,717.57 $70,323.10 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 17 — — $68,657.52 $102,986.28 $70,030.67 2026-07-15
218 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath Without Complication/… 21 19 — — $67,531.39 $101,297.08 $69,557.33 2026-07-15
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 20 18 — — $67,531.39 $101,297.08 $69,219.68 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 18 — — $67,289.37 $100,934.06 $68,971.61 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 19 — — $66,107.56 $99,161.34 $68,751.86 2026-07-15
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Comorbity 1 1 — — $68,442.18 $68,442.18 $68,442.18 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 21 19 — — $63,005.66 $94,728.43 $64,895.83 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 18 — — $62,933.77 $98,799.28 $64,507.11 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 18 — — $62,339.31 $93,508.96 $63,897.79 2026-07-15
28 MS_DRG Spinal Procedures With Comorbity 20 18 — — $61,789.41 $92,684.12 $63,334.14 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — — $61,331.68 $91,997.52 $62,864.97 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 18 — — $60,993.44 $91,490.16 $62,518.27 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 18 — — $35,527.31 $92,658.30 $62,389.92 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 21 19 — — $42,107.39 $95,037.92 $62,355.85 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 21 19 — — $60,374.66 $90,561.99 $62,185.90 2026-07-15
820 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 21 19 — — $41,463.72 $90,504.30 $61,542.92 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 17 — — $59,346.79 $89,020.18 $60,533.73 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 21 19 — — $42,501.98 $88,461.20 $60,153.61 2026-07-15
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 20 18 — — $58,662.21 $87,993.32 $60,128.76 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 17 — — $58,737.15 $88,105.72 $59,911.89 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 18 — — $57,701.15 $86,551.72 $59,143.68 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 17 — — $57,877.38 $86,816.07 $59,034.93 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 17 — — $57,312.30 $85,968.45 $58,458.55 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity With Comorbity 20 18 — — $56,874.81 $87,452.01 $58,296.68 2026-07-15
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 20 18 — — $56,539.60 $84,809.40 $57,953.09 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 21 19 — — $56,264.15 $84,396.22 $57,952.07 2026-07-15
405 MS_DRG Pancreas; Liver & Shunt Procedures With Comorbity 20 18 — — $56,343.15 $84,514.72 $57,751.73 2026-07-15
11 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 20 18 — — $56,177.05 $84,265.57 $57,581.47 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 18 — — $55,956.28 $83,934.42 $57,355.19 2026-07-15
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 20 18 — — $54,948.66 $82,422.99 $56,322.38 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 17 — — $54,916.25 $82,374.38 $56,014.58 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 21 19 — — $54,376.49 $106,484.55 $56,007.78 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 20 18 — — $54,553.70 $92,550.37 $55,917.54 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 20 18 — — $53,658.48 $80,487.72 $54,999.94 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 20 18 — — $53,567.34 $80,351.01 $54,906.53 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 18 — — $51,985.51 $77,978.26 $53,285.15 2026-07-15
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 21 19 — — $11,389.21 $77,176.18 $52,479.81 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 21 19 — — $8,078.00 $76,568.60 $52,066.64 2026-07-15
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 20 18 — — $50,785.47 $76,178.20 $52,055.10 2026-07-15
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 21 19 — — $50,369.18 $76,434.91 $51,975.74 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 18 — — $50,577.86 $77,007.17 $51,842.31 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Comorbity 20 18 — — $49,843.66 $74,765.49 $51,089.75 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 18 — — $49,596.55 $74,394.82 $50,836.46 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 21 19 — — $49,156.02 $73,734.03 $50,630.70 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 18 — — $48,554.49 $72,831.74 $49,768.35 2026-07-15
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 21 19 — — $43,928.65 $72,685.92 $49,426.43 2026-07-15
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 21 19 — — $32,642.81 $72,473.24 $49,281.80 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 20 18 — — $47,902.32 $71,853.48 $49,099.88 2026-07-15
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 21 19 — — $47,492.16 $71,238.24 $48,916.92 2026-07-15
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 21 19 — — $47,373.70 $71,060.55 $48,794.91 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 17 — — $47,714.97 $71,572.46 $48,669.27 2026-07-15
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 21 19 — — $46,987.86 $70,481.79 $48,397.50 2026-07-15
245 MS_DRG Aicd Generator Procedures 21 19 — — $8,078.00 $70,720.24 $48,089.77 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 20 18 — — $46,807.59 $70,991.37 $47,977.78 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 21 19 — — $20,689.39 $70,512.16 $47,948.27 2026-07-15
163 MS_DRG Major Chest Procedures With Comorbity 21 19 — — $46,330.61 $102,264.75 $47,720.53 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Comorbity 20 18 — — $46,317.46 $69,476.19 $47,475.40 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 18 — — $46,139.21 $69,208.82 $47,292.69 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 21 19 — — $39,209.14 $68,144.00 $46,337.92 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 17 — — $44,767.01 $67,150.52 $45,662.35 2026-07-15
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 20 18 — — $44,417.64 $66,626.46 $45,528.08 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 21 19 — — $44,138.14 $88,784.92 $45,462.28 2026-07-15
12 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication 21 19 — — $43,638.87 $65,458.30 $44,948.04 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Complication 21 19 — — $43,617.62 $71,868.40 $44,926.15 2026-07-15
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 21 19 — — $43,493.05 $65,239.57 $44,797.84 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 21 19 — — $8,078.00 $65,567.67 $44,586.02 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 20 18 — — $43,442.40 $65,163.60 $44,528.46 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 18 — — $30,796.08 $65,835.03 $44,328.92 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — — $43,199.35 $65,612.18 $44,279.33 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Cath Without Comorbity 21 19 — — $8,078.00 $65,045.14 $44,230.70 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 18 — — $43,000.88 $64,501.32 $44,075.90 2026-07-15
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 20 18 — — $42,722.38 $64,083.57 $43,790.44 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 20 18 — — $14,051.63 $64,753.44 $43,600.65 2026-07-15
791 MS_DRG Prematurity With Major Problems 21 19 — — $28,675.37 $96,768.19 $42,889.90 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 18 — — $41,290.42 $61,935.63 $42,322.68 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 18 — — $37,598.83 $62,488.56 $42,075.63 2026-07-15
24 MS_DRG Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity 21 19 — — $40,559.26 $60,838.89 $41,776.04 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 18 — — $40,380.01 $60,570.02 $41,266.74 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 18 — — $40,083.31 $60,124.96 $41,085.40 2026-07-15
34 MS_DRG Carotid Artery Stent Procedure With Comorbity 21 19 — — $34,438.45 $60,213.03 $40,944.86 2026-07-15
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 21 19 — — $26,419.53 $60,068.74 $40,846.75 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 21 19 — — $15,967.48 $59,736.09 $40,620.54 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 22 19 $179,290.00 $179,290.00 $550.00 $60,260.25 $40,575.24 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 22 19 $179,245.00 $179,245.00 $550.00 $60,260.25 $40,575.24 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 22 19 $179,245.00 $179,245.00 $550.00 $60,260.25 $40,575.24 2026-07-15
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 24 20 $170,752.00 $170,752.00 $550.00 $60,260.25 $40,455.47 2026-07-15
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 21 19 — — $39,051.35 $64,748.63 $40,222.89 2026-07-15
33249 CPT Insertion Of Implantable Defibrillator System 65 20 $180,000.00 $180,000.00 $550.00 $60,260.25 $40,173.50 2026-07-15
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 22 19 $15,912.00 $15,912.00 $550.00 $59,240.54 $39,888.62 2026-07-15
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 20 18 — — $38,795.14 $58,192.71 $39,765.01 2026-07-15
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 20 18 — — $38,791.09 $58,186.63 $39,760.87 2026-07-15
143 MS_DRG Other Ear; Nose; Mouth And Throat O.r. Procedures With Mcc 21 19 — — $2,042.00 $58,327.94 $39,663.00 2026-07-15
628 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Comorbity 20 18 — — $38,684.74 $58,027.11 $39,651.85 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 18 — — $38,472.09 $57,708.13 $39,433.89 2026-07-15
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 21 19 — — $38,125.75 $163,295.22 $39,269.52 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 18 — — $38,140.95 $57,211.43 $39,094.47 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 18 — — $37,689.29 $56,533.94 $38,631.53 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 18 — — $37,660.93 $56,491.40 $38,602.46 2026-07-15
332 MS_DRG Rectal Resection With Mcc 20 18 — — $37,610.29 $56,415.44 $38,550.55 2026-07-15
265 MS_DRG Aicd Lead Procedures 20 18 — — $37,584.96 $56,377.44 $38,524.59 2026-07-15
97 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Comorbity 21 19 — — $11,816.39 $56,280.26 $38,270.57 2026-07-15
279 MS_DRG Hepatic Coma And Other Major Acute Liver Disorders 19 17 — — $37,465.48 $56,198.22 $38,214.79 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 18 — — $37,226.47 $55,839.70 $38,157.13 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 18 — — $37,142.42 $58,143.21 $38,070.98 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 20 18 — — $37,105.96 $55,658.94 $38,033.61 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 18 — — $37,052.29 $55,578.44 $37,978.60 2026-07-15
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 20 18 — — $36,987.48 $55,481.22 $37,912.17 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Complication 22 20 — — $8,078.00 $55,437.16 $37,882.06 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Comorbity 21 19 — — $16,068.57 $55,532.87 $37,762.35 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 20 18 — — $36,657.33 $54,986.00 $37,573.76 2026-07-15
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 20 18 — — $36,584.42 $54,876.63 $37,499.03 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 18 — — $36,098.33 $54,147.50 $37,000.79 2026-07-15
252 MS_DRG Other Vascular Procedures With Comorbity 21 19 — — $28,250.54 $54,404.20 $36,994.86 2026-07-15
616 MS_DRG Amputat Of Lower Limb For Endocrine; Nutrit; & Metabol Dis With Comorbity 21 19 — — $2,002.00 $54,390.54 $36,985.57 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 18 — — $35,928.20 $53,892.30 $36,826.40 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 17 — — $35,766.17 $53,649.26 $36,481.49 2026-07-15
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 21 19 — — $28,907.04 $53,494.32 $36,376.14 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Comorbity 20 18 — — $35,447.18 $53,170.77 $36,333.36 2026-07-15
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 21 19 — — $31,742.59 $53,239.14 $36,202.62 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 21 19 — — $17,195.14 $52,160.60 $35,469.20 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 18 — — $34,395.99 $51,593.98 $35,255.89 2026-07-15
37 MS_DRG Extracranial Procedures With Comorbity 20 18 — — $34,282.56 $51,423.84 $35,139.62 2026-07-15
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 20 18 — — $34,278.52 $51,417.78 $35,135.49 2026-07-15
579 MS_DRG Other Skin; Subcut Tiss & Breast Proc With Comorbity 20 18 — — $33,739.76 $50,609.64 $34,583.25 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Comorbity 21 19 — — $8,078.00 $50,826.88 $34,562.28 2026-07-15
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 20 18 — — $33,703.30 $50,554.95 $34,545.89 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 18 — — $33,657.73 $50,486.60 $34,499.17 2026-07-15
652 MS_DRG Kidney Transplant 20 18 — — $33,648.61 $50,472.92 $34,489.82 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 20 18 — — $33,560.51 $50,340.76 $34,399.53 2026-07-15
485 MS_DRG Knee Procedures With Pdx Of Infection With Comorbity 21 19 — — $7,163.80 $50,436.48 $34,296.81 2026-07-15
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 21 19 — — $33,217.22 $52,513.41 $34,213.74 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 17 — — $33,455.21 $50,182.82 $34,124.31 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 18 — — $33,185.81 $49,778.72 $34,015.46 2026-07-15
500 MS_DRG Soft Tissue Procedures With Comorbity 21 19 — — $32,993.42 $58,775.09 $33,983.22 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage Without Complication/comorb… 20 18 — — $33,121.00 $59,415.07 $33,949.02 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Comorbity 21 19 — — $8,078.00 $49,915.46 $33,942.51 2026-07-15
93653 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 22 19 $137,151.00 $137,151.00 $550.00 $50,179.38 $33,787.45 2026-07-15
93654 CPT Compre Ep Eval Tx Vt 22 19 $137,151.00 $137,151.00 $550.00 $50,179.38 $33,787.45 2026-07-15
93656 CPT Compre Ep Eval Abltj Atr Fib 22 19 $137,151.00 $137,151.00 $550.00 $50,179.38 $33,787.45 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 18 — — $32,944.79 $49,417.18 $33,768.41 2026-07-15
324 MS_DRG Non-elective Or Complex Hip Joint Replacement 19 17 — — $32,853.65 $49,280.47 $33,510.72 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Comorbity 21 19 — — $8,078.00 $49,257.69 $33,495.23 2026-07-15
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 21 19 — — $32,486.06 $48,729.09 $33,460.64 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 19 — — $8,078.00 $49,145.30 $33,418.80 2026-07-15
665 MS_DRG Prostatectomy With Mcc 20 18 — — $32,551.87 $48,827.80 $33,365.67 2026-07-15
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 21 19 — — $30,138.14 $48,645.54 $33,078.97 2026-07-15
263 MS_DRG Vein Ligation & Stripping 21 19 — — $31,905.78 $59,823.55 $32,862.95 2026-07-15
662 MS_DRG Minor Bladder Procedures With Comorbity 20 18 — — $31,947.29 $47,920.94 $32,745.97 2026-07-15
510 MS_DRG Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity 21 19 — — $31,532.09 $63,886.03 $32,478.05 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 20 18 — — $31,660.70 $47,491.05 $32,452.22 2026-07-15
625 MS_DRG Thyroid; Parathyroid & Thyroglossal Procedures With Comorbity 20 18 — — $31,528.04 $47,292.06 $32,316.24 2026-07-15
498 MS_DRG Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb… 20 18 — — $31,494.61 $47,241.92 $32,281.97 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 17 — — $31,085.49 $46,628.24 $31,707.20 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Complication/comor… 21 19 — — $30,758.38 $76,533.23 $31,681.13 2026-07-15
570 MS_DRG Skin Debridement With Mcc 20 18 — — $30,728.01 $46,092.02 $31,496.21 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Complication 21 19 — — $25,131.72 $46,167.94 $31,394.20 2026-07-15
668 MS_DRG Transurethral Procedures With Comorbity 20 18 — — $30,514.32 $45,771.48 $31,277.18 2026-07-15
406 MS_DRG Pancreas; Liver & Shunt Procedures With Complication 21 19 — — $30,313.81 $46,833.56 $31,223.22 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal & Femoral With Comorbity 20 18 — — $30,332.06 $45,498.09 $31,090.36 2026-07-15
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 21 19 — — $27,814.14 $45,654.54 $31,045.09 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 18 — — $30,184.17 $45,276.26 $30,938.78 2026-07-15
974 MS_DRG HIV With Major Related Condition With Comorbity 20 18 — — $30,170.03 $45,255.04 $30,924.28 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 20 18 — — $30,127.49 $45,191.24 $30,880.68 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 18 — — $30,010.01 $45,015.02 $30,760.26 2026-07-15
240 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication 21 19 — — $11,753.59 $44,715.76 $30,406.72 2026-07-15
800 MS_DRG Splenic Procedures With Cc 26 22 — — $23,149.22 $44,091.43 $29,394.29 2026-07-15
654 MS_DRG Major Bladder Procedures With Complication 26 22 — — $23,072.50 $65,423.44 $29,292.00 2026-07-15
503 MS_DRG Foot Procedures With Mcc 26 22 — — $23,010.21 $43,813.42 $29,208.95 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 26 22 — — $15,854.52 $43,521.78 $29,014.52 2026-07-15
61 MS_DRG Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 22 — — $19,285.75 $43,296.99 $28,864.66 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 22 — — $22,688.19 $43,169.37 $28,779.58 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 26 22 — — $13,647.57 $43,158.75 $28,772.50 2026-07-15
33230 CPT Insrt Pulse Gen W/dual Leads 22 19 $125,489.00 $125,489.00 $550.00 $42,703.17 $28,753.47 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 22 19 $125,489.00 $125,489.00 $550.00 $42,703.17 $28,753.47 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Comorbity 26 22 — — $22,575.02 $85,653.51 $28,628.69 2026-07-15
321 MS_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 26 22 — — $8,078.00 $42,745.54 $28,497.03 2026-07-15
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 23 20 $120,135.00 $120,135.00 $550.00 $42,703.17 $28,468.78 2026-07-15
33262 CPT Removal And Replacement Of Single Lead Defibrillator 23 20 $117,434.00 $117,434.00 $550.00 $42,703.17 $28,468.78 2026-07-15
849 MS_DRG Radiotherapy 26 22 — — $22,390.46 $42,573.92 $28,382.61 2026-07-15
288 MS_DRG Acute & Subacute Endocarditis With Comorbity 26 22 — — $22,365.40 $86,063.72 $28,349.19 2026-07-15
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders With Comorbity 26 22 — — $22,298.55 $42,390.10 $28,260.07 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity 26 22 — — $21,078.93 $41,821.98 $27,881.32 2026-07-15
577 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis With Complication 26 22 — — $21,943.85 $41,680.71 $27,787.14 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 26 22 — — $22,154.03 $42,101.07 $27,652.45 2026-07-15
C1767 HCPCS Generator; Neurostimulator (implantable); Non-rechargeable 1 1 $110,000.00 $110,000.00 $27,500.00 $27,500.00 $27,500.00 2026-07-15
253 MS_DRG Other Vascular Procedures With Complication 26 22 — — $21,525.36 $40,843.72 $27,229.15 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 22 — — $21,501.81 $40,796.62 $27,197.75 2026-07-15
344 MS_DRG Minor Small & Large Bowel Procedures With Comorbity 26 22 — — $21,428.14 $40,649.28 $27,099.52 2026-07-15
96 MS_DRG Bacterial & Tuberculous Infections Of Nervous System Without Complication/comorb… 26 22 — — $21,400.81 $65,780.01 $27,063.07 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 22 — — $21,400.81 $40,594.61 $27,063.07 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Complication/comorbity 26 22 — — $8,343.14 $40,418.38 $26,945.59 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 27 23 — — $8,078.00 $40,196.60 $26,797.73 2026-07-15
54405 CPT Insertion Of Multicomponent Inflatable Penile Implant 22 19 $22,440.00 $22,440.00 $550.00 $39,789.96 $26,791.90 2026-07-15
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm With Comorbity 26 22 — — $21,109.90 $40,012.80 $26,675.20 2026-07-15
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 26 22 — — $21,073.44 $39,939.88 $26,626.59 2026-07-15
164 MS_DRG Major Chest Procedures With Complication 26 22 — — $20,981.53 $39,756.07 $26,504.05 2026-07-15
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 26 22 — — $20,973.17 $39,739.35 $26,492.90 2026-07-15
792 MS_DRG Prematurity Without Major Problems 20 18 — — $25,746.56 $38,619.84 $26,390.22 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 26 22 — — $20,737.74 $39,268.49 $26,178.99 2026-07-15
C1882 HCPCS Cardioverter-defibrillator; Other Than Single Or Dual Chamber (implantable) 1 1 $104,640.00 $104,640.00 $26,160.00 $26,160.00 $26,160.00 2026-07-15
545 MS_DRG Connective Tissue Disorders With Comorbity 26 22 — — $20,660.27 $227,972.73 $26,075.69 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 26 22 — — $20,489.35 $38,771.71 $25,847.81 2026-07-15
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 26 22 — — $18,170.92 $38,761.11 $25,840.74 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Comorbity 30 26 — — $9,170.97 $38,709.46 $25,806.31 2026-07-15
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 26 22 — — $20,375.44 $38,543.88 $25,695.92 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Complication/comorbity 26 22 — — $20,353.41 $115,044.29 $25,666.55 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 24 20 — — $20,208.35 $38,209.70 $25,473.13 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 24 20 — — $10,895.28 $38,089.70 $25,393.13 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Comorbity 26 22 — — $20,079.98 $37,952.96 $25,301.97 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures With Complication 26 22 — — $20,018.47 $37,829.93 $25,219.95 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 24 20 — — $16,159.53 $37,794.99 $25,196.66 2026-07-15
35 MS_DRG Carotid Artery Stent Procedure With Complication 26 22 — — $19,967.58 $37,728.16 $25,152.11 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Comorbity 27 23 — — $6,650.00 $37,665.87 $25,110.58 2026-07-15
33221 CPT Insert Pulse Gen Mult Leads 22 19 $106,620.00 $106,620.00 $550.00 $36,978.54 $24,898.89 2026-07-15
113 MS_DRG Orbital Procedures With Complication/comorbity 26 22 — — $19,668.32 $37,129.64 $24,753.09 2026-07-15
333 MS_DRG Rectal Resection With Cc 26 22 — — $19,600.74 $36,994.47 $24,662.98 2026-07-15
33229 CPT Removal And Replacement Of Multiple Lead Permanent Pacemaker 43 19 $106,620.00 $106,620.00 $550.00 $36,978.54 $24,652.36 2026-07-15
33274 CPT Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 43 19 $107,120.00 $107,120.00 $550.00 $36,978.54 $24,652.36 2026-07-15
674 MS_DRG Other Kidney & Urinary Tract Procedures With Complication 26 22 — — $19,573.40 $36,939.80 $24,626.53 2026-07-15
940 MS_DRG O.r. Proc With Diagnoses Of Other Contact With Health Services With Complication 26 22 — — $19,560.48 $36,913.96 $24,609.31 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 26 22 — — $15,700.16 $36,765.07 $24,510.05 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Complication 26 22 — — $19,473.89 $36,740.78 $24,493.85 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Comorbity 26 22 — — $19,455.65 $36,704.31 $24,469.54 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 22 — — $19,365.27 $36,523.54 $24,349.03 2026-07-15
347 MS_DRG Anal & Stomal Procedures With Comorbity 26 22 — — $15,945.25 $36,286.57 $24,191.05 2026-07-15
98 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis With Complication 26 22 — — $16,193.94 $36,275.94 $24,183.96 2026-07-15
82 MS_DRG Traumatic Stupor & Coma; Coma >1 Hr With Comorbity 26 22 — — $19,170.84 $36,134.68 $24,089.79 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedure With Comorbity 26 22 — — $22,436.22 $42,665.43 $24,049.28 2026-07-15
475 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Complication 26 22 — — $19,095.64 $35,984.28 $23,989.52 2026-07-15
85 MS_DRG Traumatic Stupor & Coma; Coma <1 Hr With Comorbity 26 22 — — $19,066.78 $73,611.34 $23,951.05 2026-07-15
93582 CPT Perq Transcath Closure Pda 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,931.26 2026-07-15
93580 CPT Transcath Closure Of Asd 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,931.26 2026-07-15
824 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Complication 26 22 — — $19,018.93 $35,830.86 $23,887.24 2026-07-15
92930 CPT Prq Tcat Plmt Ntrac St 2+les 20 18 $32,162.00 $32,162.00 $550.00 $35,193.03 $23,696.64 2026-07-15
92933 CPT Prq Trlml C Athrc St Angiop1 22 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,696.64 2026-07-15
0238T CPT Trluml Perip Athrc Iliac Art 22 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,696.64 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 26 22 — — $18,813.88 $35,420.75 $23,613.83 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 26 22 — — $18,803.99 $35,400.98 $23,600.65 2026-07-15
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37184 CPT Prim Art M-thrmbc 1st Vsl 22 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy; With Drug Eluting Intracoronary … 65 20 $88,528.00 $88,528.00 $550.00 $35,193.03 $23,462.02 2026-07-15
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion; Coronary… 22 20 $84,312.00 $84,312.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37242 CPT Vasc Embolize/occlude Artery 22 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37286 CPT Revsc Evasc Tpvt St Cplx 1st 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
61624 CPT Tcat Perm Occls/embolj Cns 21 19 $8,247.00 $8,247.00 $550.00 $35,193.03 $23,462.02 2026-07-15
C9765 HCPCS Revascularization; Endovascular; Open Or Percutaneous; Lower Extremity Artery(ie… 21 19 $89,051.00 $89,051.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37182 CPT Insert Hepatic Shunt (tips) 21 19 $4,221.00 $4,221.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37284 CPT Revsc Evasc Tpvt St Sf 1st 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 21 19 $100,390.00 $100,390.00 $550.00 $35,193.03 $23,462.02 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 26 22 — — $18,669.56 $35,132.12 $23,421.41 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami; With Card Cath With Comorbity 27 23 — — $8,078.00 $35,028.82 $23,352.55 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 26 22 — — $18,601.20 $34,995.40 $23,330.27 2026-07-15
808 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity 26 22 — — $17,114.39 $34,954.38 $23,302.92 2026-07-15
41 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Complication Or Periph Neurosti… 26 22 — — $18,510.81 $34,814.62 $23,209.75 2026-07-15
30 MS_DRG Spinal Procedures Without Complication/comorbity 26 22 — — $18,484.23 $34,761.46 $23,174.31 2026-07-15
614 MS_DRG Adrenal & Pituitary Procedures With Complication/comorbity 26 22 — — $18,458.40 $44,078.65 $23,139.87 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Complication 26 22 — — $18,428.78 $34,650.57 $23,100.38 2026-07-15
250 MS_DRG Percutaneous Cardiovasc Proc Without Coronary Artery Stent With Comorbity 27 23 — — $8,078.00 $34,568.55 $23,045.70 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 26 22 — — $18,377.15 $37,630.62 $23,031.53 2026-07-15
629 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Complication 26 22 — — $16,204.76 $34,512.33 $23,008.22 2026-07-15
409 MS_DRG Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Complicatio… 26 22 — — $18,348.27 $34,489.54 $22,993.03 2026-07-15
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