Price Transparencybeta Hospital negotiated rates

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

HENRY MAYO NEWHALL HOSPITAL

Valencia, CA · CCN 050624 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY

This hospital’s price: $6,921 across 11 payers · range $6,921-$10,575

Source: https://apim.services.craneware.com/api-pricing-transparency/api/public/fc339dd35c58584a4313b267cb170a7d/charges/mrf · observed 2026-08-01

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

5,499 distinct procedures filed
19 distinct payers
191,643 rate rows
2026-08-01 last MRF observed
Data quality

153,031 of 191,643 rate rows are consumer-grade (79.9%)

38,612 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
per-diem day rate — not a per-procedure price 13,713
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,680
exceeds 10× this hospital's gross charge — excluded from medians 6,656
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,556
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/fc339dd35c58584a4313b267cb170a7d/charges/mrf
Found on page https://www.henrymayo.com/patients-visitors/billing-insurance-and-financial-assistance/cost-of-care/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-19
Content fingerprint ad46b613d53c4898… · 2,663,340 bytes · first seen 2026-06-16

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 11 $406,207.07 $597,124.39 $406,207.07 nat. median
$370,165
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $263,818.67 $387,813.44 $263,818.67 nat. median
$261,939
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $201,135.06 $295,668.54 $201,135.06 nat. median
$205,166
1.0× median
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 11 $199,958.10 $293,938.41 $199,958.10 nat. median
$199,832
1.0× median
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 11 $130,695.59 $192,122.52 $130,695.59 nat. median
$132,706
1.0× median
7
MS_DRG 		Lung Transplant 11 $122,230.57 $179,678.94 $122,230.57 nat. median
$122,690
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $113,473.42 $166,805.93 $113,473.42 nat. median
$114,305
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $107,028.85 $157,332.41 $107,028.85 nat. median
$108,240
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $106,906.74 $157,152.91 $106,906.74 nat. median
$96,134
1.1× median
426
MS_DRG 		Non-hypovolemic Sodium Disorders 11 $104,111.38 $153,043.73 $104,111.38 nat. median
$96,835
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $102,729.66 $151,012.60 $102,729.66 nat. median
$100,978
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $97,435.73 $143,230.52 $97,435.73 nat. median
$99,646
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 11 $94,115.27 $138,349.45 $94,115.27 nat. median
$98,002
1.0× median
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 11 $92,479.01 $135,944.14 $92,479.01 nat. median
$92,900
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $85,216.30 $125,267.96 $85,216.30 nat. median
$81,124
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $81,927.79 $120,433.85 $81,927.79 nat. median
$81,364
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Comorbity 11 $6,812.15 $117,263.59 $79,771.15 nat. median
$79,040
1.0× median
456
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 11 $79,522.23 $116,897.68 $79,522.23 nat. median
$80,459
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $74,500.70 $109,516.03 $74,500.70 nat. median
$77,385
1.0× median
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 11 $72,711.32 $106,885.64 $72,711.32 nat. median
$74,472
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Cath With Comorbity 11 $72,400.41 $106,428.60 $72,400.41 nat. median
$73,475
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Comorbity 11 $72,162.76 $106,079.26 $72,162.76 nat. median
$71,485
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $68,393.33 $100,538.20 $68,393.33 nat. median
$66,640
1.0× median
10
MS_DRG 		Pancreas Transplant 11 $67,990.36 $99,945.83 $67,990.36 nat. median
$67,750
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 $67,962.18 $99,904.40 $67,962.18 nat. median
$62,911
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $67,604.32 $99,378.35 $67,604.32 nat. median
$69,153
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $67,564.87 $99,320.36 $67,564.87 nat. median
$68,581
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $65,511.54 $96,301.96 $65,511.54 nat. median
$65,958
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 11 $65,193.12 $95,833.89 $65,193.12 nat. median
$65,792
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $63,814.21 $93,806.89 $63,814.21 nat. median
$64,357
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $63,395.29 $93,191.08 $63,395.29 nat. median
$59,832
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $63,349.26 $259,934.11 $63,349.26 nat. median
$62,262
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $62,350.79 $91,655.66 $62,350.79 nat. median
$63,840
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $62,350.79 $91,655.66 $62,350.79 nat. median
$60,895
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Comorbity 11 $62,126.29 $91,325.65 $62,126.29 nat. median
$59,159
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $61,030.11 $89,714.26 $61,030.11 nat. median
$62,218
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 11 $58,153.02 $85,484.94 $58,153.02 nat. median
$60,162
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $58,086.34 $85,386.92 $58,086.34 nat. median
$60,294
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $57,534.96 $84,576.39 $57,534.96 nat. median
$59,257
1.0× median
28
MS_DRG 		Spinal Procedures With Comorbity 11 $57,024.92 $83,826.63 $57,024.92 nat. median
$56,970
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $57,008.95 $83,803.16 $57,008.95 nat. median
$58,419
1.0× median
457
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 11 $56,600.36 $83,202.53 $56,600.36 nat. median
$57,394
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 11 $56,416.25 $82,931.89 $56,416.25 nat. median
$51,433
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 11 $56,286.62 $82,741.33 $56,286.62 nat. median
$55,867
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Cath With Comorbity 11 $55,712.71 $81,897.68 $55,712.71 nat. median
$57,082
1.0× median
820
MS_DRG 		Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 11 $55,677.03 $81,845.23 $55,677.03 nat. median
$56,397
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 $54,759.32 $80,496.20 $54,759.32 nat. median
$53,268
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or… 11 $54,413.66 $79,988.08 $54,413.66 nat. median
$55,685
1.0× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 11 $54,193.85 $79,664.96 $54,193.85 nat. median
$50,294
1.1× median
463
MS_DRG 		Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 11 $54,124.35 $79,562.79 $54,124.35 nat. median
$51,984
1.0× median

Other procedures at this hospital

Browse this hospital's 5,499 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 14 11 — — $406,207.07 $597,124.39 $406,207.07 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 11 — — $263,818.67 $387,813.44 $263,818.67 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 11 — — $201,135.06 $295,668.54 $201,135.06 2026-08-01
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 14 11 — — $199,958.10 $293,938.41 $199,958.10 2026-08-01
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 14 11 — — $130,695.59 $192,122.52 $130,695.59 2026-08-01
7 MS_DRG Lung Transplant 14 11 — — $122,230.57 $179,678.94 $122,230.57 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 11 — — $113,473.42 $166,805.93 $113,473.42 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 11 — — $107,028.85 $157,332.41 $107,028.85 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 14 11 — — $106,906.74 $157,152.91 $106,906.74 2026-08-01
426 MS_DRG Non-hypovolemic Sodium Disorders 14 11 — — $104,111.38 $153,043.73 $104,111.38 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 — — $102,729.66 $151,012.60 $102,729.66 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 11 — — $97,435.73 $143,230.52 $97,435.73 2026-08-01
215 MS_DRG Other Heart Assist System Implant 14 11 — — $94,115.27 $138,349.45 $94,115.27 2026-08-01
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 14 11 — — $92,479.01 $135,944.14 $92,479.01 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 11 — — $85,216.30 $125,267.96 $85,216.30 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 14 11 — — $81,927.79 $120,433.85 $81,927.79 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Comorbity 15 11 — — $6,812.15 $117,263.59 $79,771.15 2026-08-01
456 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 14 11 — — $79,522.23 $116,897.68 $79,522.23 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $74,500.70 $109,516.03 $74,500.70 2026-08-01
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 14 11 — — $72,711.32 $106,885.64 $72,711.32 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 14 11 — — $72,400.41 $106,428.60 $72,400.41 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Comorbity 14 11 — — $72,162.76 $106,079.26 $72,162.76 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $68,393.33 $100,538.20 $68,393.33 2026-08-01
10 MS_DRG Pancreas Transplant 14 11 — — $67,990.36 $99,945.83 $67,990.36 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 11 — — $67,962.18 $99,904.40 $67,962.18 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 11 — — $67,604.32 $99,378.35 $67,604.32 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 11 — — $67,564.87 $99,320.36 $67,564.87 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 11 — — $65,511.54 $96,301.96 $65,511.54 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 14 11 — — $65,193.12 $95,833.89 $65,193.12 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 11 — — $63,814.21 $93,806.89 $63,814.21 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 11 — — $63,395.29 $93,191.08 $63,395.29 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 11 — — $63,349.26 $259,934.11 $63,349.26 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $62,350.79 $91,655.66 $62,350.79 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $62,350.79 $91,655.66 $62,350.79 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Comorbity 14 11 — — $62,126.29 $91,325.65 $62,126.29 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 11 — — $61,030.11 $89,714.26 $61,030.11 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 14 11 — — $58,153.02 $85,484.94 $58,153.02 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 11 — — $58,086.34 $85,386.92 $58,086.34 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 11 — — $57,534.96 $84,576.39 $57,534.96 2026-08-01
28 MS_DRG Spinal Procedures With Comorbity 14 11 — — $57,024.92 $83,826.63 $57,024.92 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 11 — — $57,008.95 $83,803.16 $57,008.95 2026-08-01
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 14 11 — — $56,600.36 $83,202.53 $56,600.36 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 14 11 — — $56,416.25 $82,931.89 $56,416.25 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 11 — — $56,286.62 $82,741.33 $56,286.62 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 14 11 — — $55,712.71 $81,897.68 $55,712.71 2026-08-01
820 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 14 11 — — $55,677.03 $81,845.23 $55,677.03 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 11 — — $54,759.32 $80,496.20 $54,759.32 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 14 11 — — $54,413.66 $79,988.08 $54,413.66 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 11 — — $54,193.85 $79,664.96 $54,193.85 2026-08-01
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 14 11 — — $54,124.35 $79,562.79 $54,124.35 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $53,396.39 $78,492.69 $53,396.39 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 11 — — $53,232.93 $78,252.41 $53,232.93 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 11 — — $52,872.26 $77,722.22 $52,872.26 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 11 — — $52,466.48 $77,125.73 $52,466.48 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 14 11 — — $52,155.56 $76,668.67 $52,155.56 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 11 — — $51,973.34 $76,400.81 $51,973.34 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 14 11 — — $51,900.08 $76,293.12 $51,900.08 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 11 — — $51,819.28 $76,174.34 $51,819.28 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 11 — — $51,614.52 $75,873.34 $51,614.52 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $50,679.91 $74,499.47 $50,679.91 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 11 — — $50,649.86 $74,455.29 $50,649.86 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 11 — — $50,313.58 $73,960.96 $50,313.58 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 14 11 — — $50,149.20 $73,719.32 $50,149.20 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 14 11 — — $49,483.24 $72,740.36 $49,483.24 2026-08-01
653 MS_DRG Major Bladder Procedures With Comorbity 14 11 — — $49,398.69 $72,616.07 $49,398.69 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $47,931.50 $70,459.30 $47,931.50 2026-08-01
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 14 11 — — $47,435.56 $69,730.27 $47,435.56 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 14 11 — — $47,059.82 $69,177.94 $47,059.82 2026-08-01
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 15 11 — — $46,977.18 $290,792.70 $46,977.18 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 11 — — $46,818.43 $68,823.09 $46,818.43 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $46,625.87 $68,540.03 $46,625.87 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 14 11 — — $45,944.88 $67,538.97 $45,944.88 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 11 — — $45,715.69 $67,202.06 $45,715.69 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 14 11 — — $45,307.08 $66,601.41 $45,307.08 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 11 — — $44,749.15 $65,781.25 $44,749.15 2026-08-01
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 14 11 — — $44,658.97 $65,648.69 $44,658.97 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 11 — — $44,527.45 $65,455.35 $44,527.45 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 14 11 — — $44,144.22 $64,892.00 $44,144.22 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 11 — — $43,970.46 $64,636.58 $43,970.46 2026-08-01
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 14 11 — — $43,763.79 $64,332.77 $43,763.79 2026-08-01
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 14 11 — — $43,653.90 $64,171.23 $43,653.90 2026-08-01
245 MS_DRG Aicd Generator Procedures 14 11 — — $43,443.50 $63,861.94 $43,443.50 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 14 11 — — $43,314.82 $63,672.79 $43,314.82 2026-08-01
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 14 11 — — $43,296.05 $63,645.19 $43,296.05 2026-08-01
799 MS_DRG Splenectomy With Comorbity 14 11 — — $43,128.83 $63,399.38 $43,128.83 2026-08-01
163 MS_DRG Major Chest Procedures With Comorbity 14 11 — — $42,686.42 $62,749.04 $42,686.42 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Comorbity 14 11 — — $42,674.22 $62,731.10 $42,674.22 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Comorbity 14 11 — — $42,508.90 $62,488.08 $42,508.90 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 14 11 — — $41,850.44 $61,520.15 $41,850.44 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 11 — — $41,236.14 $60,617.13 $41,236.14 2026-08-01
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 14 11 — — $40,912.07 $60,140.74 $40,912.07 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 11 — — $40,652.84 $59,759.67 $40,652.84 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 11 — — $40,422.69 $59,421.35 $40,422.69 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 11 — — $40,257.36 $59,178.32 $40,257.36 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 11 — — $40,189.75 $59,078.93 $40,189.75 2026-08-01
33249 CPT Insertion Of Implantable Defibrillator System 29 16 $147,978.86 $147,978.86 $6,220.00 $72,312.30 $40,173.50 2026-08-01
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 29 16 $122,212.32 $122,212.32 $3,667.00 $72,312.30 $40,173.50 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Complication 14 11 — — $40,170.02 $59,049.93 $40,170.02 2026-08-01
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 14 11 — — $40,054.49 $58,880.10 $40,054.49 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 14 11 — — $40,007.52 $58,811.05 $40,007.52 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 11 — — $39,934.25 $58,703.35 $39,934.25 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $39,782.07 $58,479.64 $39,782.07 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 14 11 — — $39,753.91 $58,438.25 $39,753.91 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 14 11 — — $39,597.99 $58,209.05 $39,597.99 2026-08-01
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 23 13 $17,449.02 $17,449.02 $3,488.00 $71,088.64 $39,493.69 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 14 11 — — $39,339.68 $57,829.33 $39,339.68 2026-08-01
791 MS_DRG Prematurity With Major Problems 14 11 — — $38,715.03 $56,911.09 $38,715.03 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 11 — — $38,353.40 $56,379.50 $38,353.40 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 11 — — $38,011.49 $55,876.89 $38,011.49 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 11 — — $37,333.32 $54,879.98 $37,333.32 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 11 — — $37,167.07 $54,635.59 $37,167.07 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 11 — — $36,946.32 $54,311.09 $36,946.32 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 11 — — $36,891.85 $54,231.02 $36,891.85 2026-08-01
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 14 11 — — $36,857.10 $54,179.94 $36,857.10 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Comorbity 14 11 — — $36,651.39 $53,877.54 $36,651.39 2026-08-01
33289 CPT Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 60 16 $133,398.27 $133,398.27 $5,249.00 $66,079.48 $36,187.53 2026-08-01
956 MS_DRG Limb Reattachment; Hip & Femur Proc For Multiple Significant Trauma 14 11 — — $35,934.69 $52,823.99 $35,934.69 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 11 — — $35,780.63 $52,597.53 $35,780.63 2026-08-01
166 MS_DRG Other Resp System O.r. Procedures With Comorbity 14 11 — — $35,697.04 $52,474.65 $35,697.04 2026-08-01
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 14 11 — — $35,693.30 $52,469.15 $35,693.30 2026-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 11 — — $35,594.66 $52,324.15 $35,594.66 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 11 — — $35,397.42 $52,034.21 $35,397.42 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Complication/comorbity 14 11 — — $35,090.25 $51,582.67 $35,090.25 2026-08-01
492 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity 14 11 — — $35,076.17 $51,561.97 $35,076.17 2026-08-01
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 28 15 $12,678.60 $12,678.60 $3,715.00 $62,510.20 $34,727.89 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 11 — — $34,671.33 $50,966.86 $34,671.33 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 11 — — $34,645.02 $50,928.18 $34,645.02 2026-08-01
332 MS_DRG Rectal Resection With Mcc 14 11 — — $34,598.05 $50,859.13 $34,598.05 2026-08-01
265 MS_DRG Aicd Lead Procedures 14 11 — — $34,574.57 $50,824.62 $34,574.57 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 11 — — $34,514.47 $50,736.27 $34,514.47 2026-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 11 — — $34,463.75 $50,661.71 $34,463.75 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 11 — — $34,242.05 $50,335.81 $34,242.05 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 11 — — $34,164.09 $50,221.21 $34,164.09 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Comorbity 14 11 — — $34,130.29 $50,171.53 $34,130.29 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 11 — — $34,080.50 $50,098.34 $34,080.50 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 11 — — $34,052.32 $50,056.91 $34,052.32 2026-08-01
622 MS_DRG Skin Grafts & Wound Debrid For Endoc; Nutrit & Metab Dis With Comorbity 14 11 — — $34,020.39 $50,009.97 $34,020.39 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Complication 14 11 — — $33,993.15 $49,969.93 $33,993.15 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 14 11 — — $33,714.18 $49,559.84 $33,714.18 2026-08-01
94 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Comorbity 14 11 — — $33,646.54 $49,460.41 $33,646.54 2026-08-01
93654 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 30 16 $105,197.32 $105,197.32 $6,220.00 $60,215.26 $33,452.92 2026-08-01
93653 CPT Compre Ep Eval Tx Svt 30 16 $99,937.45 $99,937.45 $6,220.00 $60,215.26 $33,452.92 2026-08-01
93656 CPT Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma… 30 16 $105,197.32 $105,197.32 $6,220.00 $60,215.26 $33,452.92 2026-08-01
252 MS_DRG Other Vascular Procedures With Comorbity 14 11 — — $33,354.41 $49,030.98 $33,354.41 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 11 — — $33,345.96 $49,018.56 $33,345.96 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Complication 14 11 — — $33,195.69 $48,797.66 $33,195.69 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 14 11 — — $33,037.87 $48,565.67 $33,037.87 2026-08-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 11 — — $32,887.58 $48,344.74 $32,887.58 2026-08-01
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 25 15 $96,381.59 $96,381.59 $23,462.02 $42,231.64 $32,846.83 2026-08-01
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 25 15 $96,381.59 $96,381.59 $23,462.02 $42,231.64 $32,846.83 2026-08-01
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 25 15 $96,381.59 $96,381.59 $23,462.02 $42,231.64 $32,846.83 2026-08-01
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 25 15 $96,381.59 $96,381.59 $23,462.02 $42,231.64 $32,846.83 2026-08-01
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 25 15 $153,193.76 $153,193.76 $23,462.02 $42,231.64 $32,846.83 2026-08-01
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 14 11 — — $32,791.77 $48,203.90 $32,791.77 2026-08-01
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 14 11 — — $32,633.98 $47,971.95 $32,633.98 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 11 — — $32,591.71 $47,909.81 $32,591.71 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 11 — — $31,967.07 $46,991.59 $31,967.07 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 11 — — $31,616.71 $46,476.56 $31,616.71 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 14 11 — — $31,511.49 $46,321.89 $31,511.49 2026-08-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Comorbity 14 11 — — $31,507.75 $46,316.39 $31,507.75 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 11 — — $31,142.35 $45,779.25 $31,142.35 2026-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 11 — — $31,008.03 $45,581.80 $31,008.03 2026-08-01
840 MS_DRG Lymphoma & Non-acute Leukemia With Comorbity 14 11 — — $30,974.21 $45,532.09 $30,974.21 2026-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 11 — — $30,931.95 $45,469.97 $30,931.95 2026-08-01
652 MS_DRG Kidney Transplant 14 11 — — $30,923.49 $45,457.53 $30,923.49 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 11 — — $30,900.96 $45,424.41 $30,900.96 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 14 11 — — $30,841.78 $45,337.42 $30,841.78 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 11 — — $30,744.09 $45,193.81 $30,744.09 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Comorbity 14 11 — — $30,578.77 $44,950.79 $30,578.77 2026-08-01
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 14 11 — — $30,523.36 $44,869.34 $30,523.36 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 11 — — $30,494.23 $44,826.52 $30,494.23 2026-08-01
C1826 HCPCS Generator; Neurostimulator (implantable); Includes Closed Feedback Loop Leads An… 1 1 $87,000.00 $87,000.00 $30,450.00 $30,450.00 $30,450.00 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 11 — — $30,434.11 $44,738.14 $30,434.11 2026-08-01
500 MS_DRG Soft Tissue Procedures With Comorbity 14 11 — — $30,315.77 $44,564.18 $30,315.77 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 11 — — $30,270.67 $44,497.88 $30,270.67 2026-08-01
324 MS_DRG Non-elective Or Complex Hip Joint Replacement 15 11 — — $30,186.15 $145,792.10 $30,186.15 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 11 — — $30,172.05 $44,352.91 $30,172.05 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Comorbity 14 11 — — $30,102.55 $44,250.75 $30,102.55 2026-08-01
665 MS_DRG Prostatectomy With Mcc 14 11 — — $29,906.23 $43,962.16 $29,906.23 2026-08-01
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 14 11 — — $29,845.18 $43,872.41 $29,845.18 2026-08-01
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 14 11 — — $29,793.52 $43,796.47 $29,793.52 2026-08-01
662 MS_DRG Minor Bladder Procedures With Comorbity 14 11 — — $29,345.46 $43,137.83 $29,345.46 2026-08-01
263 MS_DRG Vein Ligation And Stripping 14 11 — — $29,306.95 $43,081.22 $29,306.95 2026-08-01
J9600 HCPCS Porfimer Sodium Injection 27 15 $25,553.50 $25,553.50 $22,083.00 $43,611.16 $29,167.23 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 21 14 — — $22,443.54 $42,747.09 $29,079.65 2026-08-01
510 MS_DRG Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Comorbity 21 14 — — $22,355.85 $42,571.71 $28,960.35 2026-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 14 — — $22,353.10 $42,566.19 $28,956.59 2026-08-01
498 MS_DRG Local Excision & Removal Int Fix Devices Of Hip & Femur With Complication/comorb… 21 14 — — $22,330.31 $42,520.63 $28,925.60 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 14 — — $22,051.40 $41,962.80 $28,546.12 2026-08-01
33263 CPT Removal And Replacement Of Dual Lead Defibrillator 29 16 $106,023.35 $106,023.35 $3,667.00 $51,243.80 $28,468.78 2026-08-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 29 16 $100,722.18 $100,722.18 $3,667.00 $51,243.80 $28,468.78 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Complication 21 14 — — $21,842.20 $41,544.40 $28,261.50 2026-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 21 14 — — $21,828.39 $41,516.78 $28,242.71 2026-08-01
570 MS_DRG Skin Debridement With Mcc 20 14 — — $21,807.69 $41,475.39 $28,214.55 2026-08-01
668 MS_DRG Transurethral Procedures With Mcc 21 14 — — $21,662.01 $41,184.02 $28,016.34 2026-08-01
480 MS_DRG Hip & Femur Procedures Except Major Joint With Comorbity 21 14 — — $21,608.86 $41,077.72 $27,944.03 2026-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 14 — — $21,537.75 $40,935.50 $27,847.28 2026-08-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 21 14 — — $21,525.31 $40,910.63 $27,830.36 2026-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 14 — — $21,436.94 $40,733.88 $27,710.12 2026-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 14 — — $21,427.29 $40,714.59 $27,697.00 2026-08-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 21 14 — — $21,398.28 $40,656.57 $27,657.53 2026-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 14 — — $21,318.21 $40,496.41 $27,548.58 2026-08-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 14 — — $21,182.19 $40,224.39 $27,363.53 2026-08-01
800 MS_DRG Splenic Procedures With Cc 21 14 — — $20,898.44 $39,656.88 $26,977.47 2026-08-01
654 MS_DRG Major Bladder Procedures With Cc 21 14 — — $20,828.71 $39,517.41 $26,882.59 2026-08-01
503 MS_DRG Foot Procedures With Mcc 21 14 — — $20,772.10 $39,404.20 $26,805.58 2026-08-01
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 21 14 — — $20,639.55 $39,139.10 $26,625.24 2026-08-01
54405 CPT Insertion Of Multicomponent Inflatable Penile Implant 29 16 $22,877.70 $22,877.70 $4,245.00 $47,747.95 $26,526.64 2026-08-01
53445 CPT Insertion Of Inflatable Urethra Or Bladder Neck Sphincter 29 16 $42,265.20 $42,265.20 $2,773.00 $47,747.95 $26,526.64 2026-08-01
61 MS_DRG Ischemic Stroke; Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 14 — — $20,537.37 $38,934.74 $26,486.22 2026-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 14 — — $20,479.38 $38,818.75 $26,407.31 2026-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 21 14 — — $20,474.55 $38,809.10 $26,400.75 2026-08-01
963 MS_DRG Other Multiple Significant Trauma With Comorbity 21 14 — — $20,376.50 $38,613.00 $26,267.35 2026-08-01
321 MS_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 22 14 — — $20,286.75 $38,433.50 $26,145.24 2026-08-01
849 MS_DRG Radiotherapy 20 14 — — $20,208.74 $38,277.49 $26,039.11 2026-08-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 14 — — $20,185.96 $38,231.92 $26,008.11 2026-08-01
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders With Comorbity 21 14 — — $20,125.21 $38,110.41 $25,925.45 2026-08-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 14 — — $19,867.01 $37,594.02 $25,574.16 2026-08-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 14 — — $19,802.80 $37,465.60 $25,486.80 2026-08-01
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 26 16 $153,193.76 $153,193.76 $11,567.00 $42,231.64 $25,415.29 2026-08-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 14 — — $19,710.97 $37,281.93 $25,361.86 2026-08-01
253 MS_DRG Other Vascular Procedures With Complication 23 14 — — $19,422.40 $36,704.80 $24,969.25 2026-08-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity 20 14 — — $19,400.99 $36,661.98 $24,940.12 2026-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 14 — — $19,334.01 $36,528.03 $24,849.00 2026-08-01
64590 CPT Insertion Of Peripheral Or Gastric Neurostimulator Generator 29 16 $9,500.10 $9,500.10 $3,488.00 $44,693.15 $24,829.53 2026-08-01
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 29 16 $44,591.79 $44,591.79 $3,667.00 $44,693.15 $24,829.53 2026-08-01
95 MS_DRG Bacterial & Tuberculous Infections Of Nervous System With Complication 20 14 — — $19,309.17 $36,478.33 $24,815.19 2026-08-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 20 14 — — $19,309.17 $36,478.33 $24,815.19 2026-08-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 21 14 — — $19,229.08 $36,318.16 $24,706.23 2026-08-01
33229 CPT Remv&replc Pm Gen Mult Leads 29 16 $69,060.69 $69,060.69 $3,667.00 $44,374.25 $24,652.36 2026-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 23 14 — — $19,128.28 $36,116.56 $24,569.09 2026-08-01
659 MS_DRG Kidney & Ureter Procedures For Non-neoplasm With Comorbity 21 14 — — $19,044.75 $35,949.50 $24,455.44 2026-08-01
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 21 14 — — $19,011.60 $35,883.21 $24,410.35 2026-08-01
164 MS_DRG Major Chest Procedures With Complication 21 14 — — $18,928.08 $35,716.15 $24,296.70 2026-08-01
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 21 14 — — $18,920.47 $35,700.95 $24,286.36 2026-08-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 21 14 — — $18,706.46 $35,272.91 $23,995.18 2026-08-01
545 MS_DRG Connective Tissue Disorders With Comorbity 20 14 — — $18,636.03 $35,132.06 $23,899.36 2026-08-01
478 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Complication 21 14 — — $18,480.70 $34,821.40 $23,688.03 2026-08-01
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication 21 14 — — $18,475.87 $34,811.73 $23,681.45 2026-08-01
783 MS_DRG Cesarean Section With Sterilization With Comorbity 20 14 — — $10,575.00 $34,764.79 $23,649.52 2026-08-01
792 MS_DRG Prematurity Without Major Problems 20 14 — — $18,411.67 $34,683.33 $23,594.10 2026-08-01
C9767 HCPCS Revasc Lithotrip-stent-ather 26 15 $93,474.40 $93,474.40 $5,093.00 $42,231.64 $23,562.17 2026-08-01
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 21 14 — — $18,377.14 $34,614.28 $23,547.13 2026-08-01
473 MS_DRG Cervical Spinal Fusion Without Complication/comorbity 21 14 — — $18,357.12 $34,574.25 $23,519.90 2026-08-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 29 16 $69,608.08 $69,608.08 $7,470.00 $42,231.64 $23,462.02 2026-08-01
37184 CPT Prim Art M-thrmbc 1st Vsl 29 16 $78,018.53 $78,018.53 $4,245.00 $42,231.64 $23,462.02 2026-08-01
37242 CPT Vasc Embolize/occlude Artery 19 11 $110,324.08 $110,324.08 $777.00 $42,231.64 $23,462.02 2026-08-01
36906 CPT Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 19 11 $118,374.02 $118,374.02 $777.00 $42,231.64 $23,462.02 2026-08-01
93580 CPT Transcath Closure Of Asd 22 12 $101,936.52 $101,936.52 $2,102.94 $42,231.64 $23,462.02 2026-08-01
37182 CPT Insert Hepatic Shunt (tips) 19 11 $7,824.08 $7,824.08 $777.00 $42,231.64 $23,462.02 2026-08-01
92933 CPT Prq Trlml C Athrc St Angiop1 29 16 $54,788.90 $54,788.90 $7,470.00 $42,231.64 $23,462.02 2026-08-01
C9766 HCPCS Revasc Intra Lithotrip-ather 29 16 $58,438.59 $58,438.59 $5,093.00 $42,231.64 $23,462.02 2026-08-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy; With Drug Eluting Intracoronary … 29 16 $73,271.66 $73,271.66 $7,470.00 $42,231.64 $23,462.02 2026-08-01
C9765 HCPCS Revasc Intra Lithotrip-stent 29 16 $58,438.59 $58,438.59 $4,982.00 $42,231.64 $23,462.02 2026-08-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 20 14 — — $18,225.26 $34,310.52 $23,340.49 2026-08-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 20 14 — — $18,170.72 $34,201.45 $23,266.29 2026-08-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 23 14 — — $18,108.56 $34,077.13 $23,181.72 2026-08-01
330 MS_DRG Major Small & Large Bowel Procedures With Complication 21 14 — — $18,052.66 $33,965.32 $23,105.66 2026-08-01
397 MS_DRG Appendix Procedures With Mcc 20 14 — — $18,036.78 $33,933.57 $23,084.06 2026-08-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 21 14 — — $18,006.40 $33,872.81 $23,042.73 2026-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Comorbity 21 14 — — $17,978.10 $33,816.19 $23,004.21 2026-08-01
113 MS_DRG Orbital Procedures With Cc/mcc 21 14 — — $17,734.38 $33,328.75 $22,672.62 2026-08-01
333 MS_DRG Rectal Resection With Cc 21 14 — — $17,672.94 $33,205.89 $22,589.04 2026-08-01
674 MS_DRG Other Kidney & Urinary Tract Procedures With Complication 21 14 — — $17,648.10 $33,156.19 $22,555.23 2026-08-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 21 14 — — $17,636.37 $33,132.73 $22,539.27 2026-08-01
709 MS_DRG Penis Procedures With Cc/mcc 21 14 — — $17,568.69 $32,997.38 $22,447.20 2026-08-01
27487 CPT Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 28 15 $15,704.17 $15,704.17 $5,249.00 $40,393.66 $22,440.92 2026-08-01
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 28 15 $34,898.04 $34,898.04 $4,245.00 $40,393.66 $22,440.92 2026-08-01
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 56 15 $31,020.54 $31,020.54 $4,245.00 $40,393.66 $22,440.92 2026-08-01
22857 CPT Insertion Of Artificial Lower Spine Disc; Anterior Approach 56 15 $26,173.53 $26,173.53 $3,715.00 $40,393.66 $22,440.92 2026-08-01
22856 CPT Insertion Of Artificial Upper Spine Disc; Anterior Approach 28 15 $36,836.79 $36,836.79 $3,715.00 $40,393.66 $22,440.92 2026-08-01
20982 CPT Ablate Bone Tumor(s) Perq 26 15 $33,298.10 $33,298.10 $2,773.00 $40,393.66 $22,440.92 2026-08-01
357 MS_DRG Other Digestive System O.r. Procedures With Complication 21 14 — — $17,557.64 $32,975.28 $22,432.16 2026-08-01
56 MS_DRG Degenerative Nervous System Disorders With Comorbity 20 14 — — $17,541.08 $32,942.16 $22,409.63 2026-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 14 — — $17,458.92 $32,777.84 $22,297.85 2026-08-01
347 MS_DRG Anal & Stomal Procedures With Comorbity 21 14 — — $17,351.23 $32,562.46 $22,151.33 2026-08-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 20 14 — — $17,346.39 $32,552.78 $22,144.75 2026-08-01
82 MS_DRG Traumatic Stupor & Coma; Coma >1 Hr With Comorbity 20 14 — — $17,282.18 $32,424.36 $22,057.39 2026-08-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 20 14 — — $17,254.57 $32,369.14 $22,019.82 2026-08-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 21 14 — — $17,213.84 $32,287.68 $21,964.41 2026-08-01
85 MS_DRG Traumatic Stupor & Coma; Coma <1 Hr With Comorbity 20 14 — — $17,187.60 $32,235.20 $21,928.71 2026-08-01
824 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Complication 21 14 — — $17,144.10 $32,148.21 $21,869.53 2026-08-01
821 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Complication 21 14 — — $16,957.71 $31,775.42 $21,615.93 2026-08-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 21 14 — — $16,948.72 $31,757.44 $21,603.70 2026-08-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 21 14 — — $16,826.53 $31,513.05 $21,437.45 2026-08-01
286 MS_DRG Circulatory Disorders Except Ami; With Card Cath With Comorbity 23 14 — — $16,779.59 $31,419.18 $21,373.59 2026-08-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 20 14 — — $16,764.39 $31,388.78 $21,352.91 2026-08-01
808 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul With Comorbity 20 14 — — $16,745.75 $31,351.50 $21,327.55 2026-08-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 21 14 — — $16,682.23 $31,224.46 $21,241.13 2026-08-01
30 MS_DRG Spinal Procedures Without Complication/comorbity 21 14 — — $16,658.07 $31,176.14 $21,208.26 2026-08-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 21 14 — — $16,634.60 $31,129.21 $21,176.33 2026-08-01
C1767 HCPCS Generator, Neuro Non-recharg 2 2 $38,544.00 $38,544.00 $19,526.27 $22,795.85 $21,161.06 2026-08-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Complication 21 14 — — $16,607.67 $31,075.34 $21,139.69 2026-08-01
250 MS_DRG Percutaneous Cardiovasc Proc Without Coronary Artery Stent With Comorbity 23 14 — — $16,570.40 $31,000.80 $21,088.98 2026-08-01
141 MS_DRG Major Head And Neck Procedures With Cc 21 14 — — $16,560.72 $30,981.44 $21,075.81 2026-08-01
629 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Complication 21 14 — — $16,544.85 $30,949.69 $21,054.21 2026-08-01
409 MS_DRG Biliary Tract Proc Except Only Cholecyst With Or Without C.d.e. With Complicatio… 21 14 — — $16,534.48 $30,928.96 $21,040.11 2026-08-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 21 14 — — $16,484.09 $30,828.18 $20,971.55 2026-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Complication 21 14 — — $16,287.33 $30,434.66 $20,703.85 2026-08-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 21 14 — — $16,281.82 $30,423.63 $20,696.35 2026-08-01
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