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

AdventHealth Littleton

Littleton, CO · CCN 060113 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $29,044 across 9 payers · range $1,371-$44,420

Source: https://urldefense.com/v3/__https://hospitalpricedisclosure.com/download.aspx?pi=5CP*__*EW2oEwbzwACrmTca*__*g*-*__;KioqKioq!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT728hmzzQ$ · observed 2026-04-01

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.

14,260 distinct procedures filed
18 distinct payers
216,913 rate rows
2026-04-01 last MRF observed
Data quality

203,052 of 216,913 rate rows are consumer-grade (93.6%)

13,861 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 13,535
placeholder amount (≤ $0.02) — excluded from medians 285
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://HospitalPriceDisclosure.com/download.aspx?pi=5CP*__*EW2oEwbzwACrmTca*__*g*-*
Found on page https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-10
Content fingerprint 6abc58c76cb35be4… · 41,029,383 bytes · first seen 2026-05-09

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $4,414,900.00 $4,595,100.00 $4,527,525.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,406,008.39 $4,541,954.62 $4,045,990.74 nat. median
$2,460,273
1.6× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,886,825.20 $4,868,633.01 $3,936,643.90 nat. median
$2,997,086
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,285,360.00 $4,314,200.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,611,561.33 $3,758,972.00 $3,703,693.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,250,133.34 $3,382,791.84 $3,333,044.90 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,183,476.80 $3,313,414.63 $3,264,687.95 nat. median
$3,286,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $755,207.60 $1,425,647.00 $1,271,523.00 nat. median
$809,151
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $579,891.68 $1,236,707.76 $954,235.56 nat. median
$691,418
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $554,551.57 $1,182,666.10 $913,075.07 nat. median
$631,793
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $551,287.42 $1,175,704.81 $893,698.84 nat. median
$624,417
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $546,171.58 $1,164,794.48 $893,079.74 nat. median
$610,161
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $522,565.57 $1,114,451.06 $879,576.19 nat. median
$588,565
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $479,518.52 $1,022,646.63 $808,038.00 nat. median
$577,541
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $272,685.00 $514,762.50 $446,118.75 nat. median
$302,242
1.5× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $201,527.20 $429,787.60 $351,850.04 nat. median
$209,736
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $323,564.90 $977,917.69 $333,469.95 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $210,218.69 $634,629.24 $216,653.96 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $160,320.31 $483,503.42 $165,228.07 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $147,668.86 $659,587.27 $164,262.50 nat. median
$199,832
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $105,652.21 $132,065.26 $123,185.87 nat. median
$75,807
1.6× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $101,489.61 $300,064.00 $117,847.76 nat. median
$83,623
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $104,247.99 $313,678.80 $107,439.26 nat. median
$132,706
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $62,075.44 $140,525.16 $104,661.23 nat. median
$69,291
1.5× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $63,687.60 $173,391.36 $101,825.12 nat. median
$58,534
1.7× median
7
MS_DRG 		Lung Transplant 18 $97,509.54 $293,270.23 $100,494.53 nat. median
$122,690
0.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $58,967.97 $160,542.02 $94,279.27 nat. median
$51,048
1.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $55,688.06 $125,024.90 $93,760.51 nat. median
$63,643
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $90,538.53 $272,157.36 $93,310.12 nat. median
$114,305
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $54,166.88 $106,707.50 $92,310.85 nat. median
$65,655
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $41,816.78 $150,195.07 $88,202.96 nat. median
$62,767
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $85,408.43 $256,619.94 $88,022.97 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 18 $85,311.22 $256,325.54 $87,922.79 nat. median
$96,134
0.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 7 $53,242.69 $144,954.78 $85,125.57 nat. median
$46,826
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $83,086.01 $126,225.80 $84,781.64 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $81,986.11 $269,155.72 $84,495.89 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $77,771.96 $233,491.58 $80,152.73 nat. median
$99,646
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 8 $42,243.41 $264,225.00 $79,814.65 nat. median
$57,648
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 18 $75,128.77 $246,455.66 $77,428.63 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $73,826.23 $274,988.47 $76,086.22 nat. median
$92,900
0.8× median
J9226
HCPCS 		Supprelin La Implant 8 $44,120.24 $100,934.48 $75,174.64 nat. median
$55,200
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $68,044.86 $103,186.95 $69,433.53 nat. median
$81,124
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $43,409.15 $118,182.68 $69,403.49 nat. median
$40,712
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 18 $65,427.09 $206,191.35 $67,429.96 nat. median
$81,364
0.8× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $42,069.95 $114,536.67 $67,262.35 nat. median
$45,104
1.5× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 7 $41,762.18 $113,698.77 $66,770.29 nat. median
$38,383
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $63,710.33 $208,656.88 $65,660.65 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $63,512.18 $134,454.40 $65,456.43 nat. median
$80,459
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $59,514.86 $179,093.89 $61,336.74 nat. median
$77,385
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 $1,300.00 $104,298.42 $61,249.87 nat. median
$46,399
1.3× median

Other procedures at this hospital

Browse this hospital's 14,260 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 4 4 — — $4,414,900.00 $4,595,100.00 $4,527,525.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 5 — — $2,406,008.39 $4,541,954.62 $4,045,990.74 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 4 — — $2,886,825.20 $4,868,633.01 $3,936,643.90 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 9 5 — — $2,285,360.00 $4,314,200.00 $3,847,800.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,611,561.33 $3,758,972.00 $3,703,693.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,250,133.34 $3,382,791.84 $3,333,044.90 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,183,476.80 $3,313,414.63 $3,264,687.95 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 8 — — $755,207.60 $1,425,647.00 $1,271,523.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 8 — — $579,891.68 $1,236,707.76 $954,235.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 14 8 — — $554,551.57 $1,182,666.10 $913,075.07 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 8 — — $551,287.42 $1,175,704.81 $893,698.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 14 8 — — $546,171.58 $1,164,794.48 $893,079.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 8 — — $522,565.57 $1,114,451.06 $879,576.19 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 14 8 — — $479,518.52 $1,022,646.63 $808,038.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 5 — — $272,685.00 $514,762.50 $446,118.75 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 8 — — $201,527.20 $429,787.60 $351,850.04 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 21 18 — — $323,564.90 $977,917.69 $333,469.95 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 18 — — $210,218.69 $634,629.24 $216,653.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 18 — — $160,320.31 $483,503.42 $165,228.07 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 18 — — $147,668.86 $659,587.27 $164,262.50 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $105,652.21 $132,065.26 $123,185.87 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 9 7 — — $101,489.61 $300,064.00 $117,847.76 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 18 — — $104,247.99 $313,678.80 $107,439.26 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 15 8 — — $62,075.44 $140,525.16 $104,661.23 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 7 — — $63,687.60 $173,391.36 $101,825.12 2026-04-01
7 MS_DRG Lung Transplant 21 18 — — $97,509.54 $293,270.23 $100,494.53 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 7 — — $58,967.97 $160,542.02 $94,279.27 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 5 — — $55,688.06 $125,024.90 $93,760.51 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 21 18 — — $90,538.53 $272,157.36 $93,310.12 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 8 — — $54,166.88 $106,707.50 $92,310.85 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 7 — — $41,816.78 $150,195.07 $88,202.96 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 18 — — $85,408.43 $256,619.94 $88,022.97 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 21 18 — — $85,311.22 $256,325.54 $87,922.79 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 7 — — $53,242.69 $144,954.78 $85,125.57 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $83,086.01 $126,225.80 $84,781.64 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 18 — — $81,986.11 $269,155.72 $84,495.89 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 18 — — $77,771.96 $233,491.58 $80,152.73 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 8 — — $42,243.41 $264,225.00 $79,814.65 2026-04-01
215 MS_DRG Other Heart Assist System Implant 21 18 — — $75,128.77 $246,455.66 $77,428.63 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 18 — — $73,826.23 $274,988.47 $76,086.22 2026-04-01
J9226 HCPCS Supprelin La Implant 17 8 — — $44,120.24 $100,934.48 $75,174.64 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 15 — — $68,044.86 $103,186.95 $69,433.53 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 7 — — $43,409.15 $118,182.68 $69,403.49 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 21 18 — — $65,427.09 $206,191.35 $67,429.96 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 7 — — $42,069.95 $114,536.67 $67,262.35 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 7 — — $41,762.18 $113,698.77 $66,770.29 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 18 — — $63,710.33 $208,656.88 $65,660.65 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — — $63,512.18 $134,454.40 $65,456.43 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 18 — — $59,514.86 $179,093.89 $61,336.74 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 7 — — $1,300.00 $104,298.42 $61,249.87 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 18 — — $57,842.96 $189,233.99 $59,613.66 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 15 — — $58,090.46 $190,053.28 $59,572.36 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 18 — — $57,653.79 $172,560.26 $59,418.70 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 5 2 — — $494.28 $75,623.00 $58,673.00 2026-04-01
10 MS_DRG Pancreas Transplant 21 18 — — $54,332.42 $162,500.90 $55,995.65 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 21 18 — — $54,309.98 $162,432.96 $55,972.53 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $54,653.19 $82,674.63 $55,768.56 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 18 — — $54,025.10 $161,570.15 $55,678.93 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 18 — — $53,993.70 $176,491.66 $55,646.57 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 18 — — $52,359.18 $156,524.62 $53,962.01 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 18 — — $52,105.70 $170,241.78 $53,700.77 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 18 — — $51,008.05 $152,432.49 $52,569.52 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 18 — — $50,674.57 $165,504.25 $52,225.83 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 18 — — $50,637.92 $88,858.60 $51,929.71 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 18 — — $48,071.69 $162,751.83 $51,368.90 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 18 — — $49,843.09 $162,751.83 $51,368.90 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 18 — — $49,664.39 $148,363.00 $51,184.73 2026-04-01
93644 HCPCS Electrophysiology Evaluation 9 4 — — $91.53 $75,623.00 $51,100.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 18 — — $48,791.80 $145,720.22 $50,285.43 2026-04-01
93631 HCPCS Heart Pacing Mapping 7 3 — — $664.79 $75,623.00 $50,198.00 2026-04-01
93623 HCPCS Stimulation Pacing Heart 7 3 — — $93.48 $75,623.00 $50,198.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 7 — — $31,242.81 $82,836.80 $48,646.41 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 18 — — $46,448.44 $138,622.96 $47,870.33 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 18 — — $45,369.10 $151,690.16 $47,687.81 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 9 — — $905.00 $215,631.00 $47,515.15 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 9 — — $1,546.00 $215,631.00 $47,515.15 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 18 — — $46,009.54 $150,061.48 $47,418.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 18 — — $45,603.53 $136,748.91 $46,999.55 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 18 — — $45,590.82 $148,675.36 $46,986.45 2026-04-01
J9266 HCPCS Pegaspargase Injection 17 8 — — $27,855.58 $62,970.66 $46,899.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — — $45,265.55 $95,409.60 $46,651.23 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 7 2 — — $1,142.00 $70,194.00 $46,594.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 18 — — $45,119.00 $134,596.50 $46,500.20 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 21 18 — — $45,015.81 $134,283.99 $46,393.84 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 18 — — $43,006.55 $145,259.59 $45,923.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 18 — — $44,530.54 $139,646.75 $45,893.72 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 8 3 — — $4,012.00 $71,683.00 $45,880.00 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 8 3 — — $1,120.88 $70,194.00 $45,385.50 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 15 — — $43,800.02 $66,050.60 $44,693.90 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 21 18 — — $43,349.90 $129,238.46 $44,676.94 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 18 — — $43,294.56 $129,070.88 $44,619.90 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 15 — — $41,977.94 $226,479.00 $44,413.12 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 9 3 — — $1,142.00 $71,683.00 $44,177.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 18 — — $42,584.98 $126,921.77 $43,888.60 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 18 — — $42,297.85 $137,774.58 $43,592.68 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $42,715.08 $64,388.77 $43,586.82 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 17 — — $41,974.83 $125,073.86 $43,045.61 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 21 18 — — $41,727.34 $130,720.01 $43,004.71 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 18 — — $41,582.28 $123,884.94 $42,855.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 18 — — $41,523.96 $135,212.75 $42,795.10 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 18 — — $39,979.70 $123,513.55 $42,728.83 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 21 18 — — $41,296.65 $123,019.87 $42,560.83 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 18 — — $40,528.74 $70,878.35 $41,562.64 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 18 — — $40,261.06 $120,486.89 $41,493.54 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 15 — — $40,552.67 $131,997.47 $41,380.28 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 18 — — $40,130.21 $131,121.33 $41,358.68 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 18 — — $38,235.98 $83,286.40 $40,812.32 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 21 18 — — $39,532.78 $117,677.67 $40,742.97 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 5 2 — — $30,892.00 $67,161.00 $40,120.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 5 2 — — $30,892.00 $67,161.00 $40,120.00 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 8 7 — — $25,035.52 $68,159.93 $40,027.33 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $23,743.85 $46,795.27 $39,976.89 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 7 — — $24,915.74 $67,833.83 $39,835.82 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 8 5 — — $23,682.66 $70,722.19 $39,477.26 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 15 — — $38,364.84 $124,755.03 $39,147.80 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 18 — — $36,622.05 $112,944.66 $39,132.39 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 18 — — $36,783.00 $122,458.04 $38,824.15 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 18 — — $37,605.16 $181,713.76 $38,756.34 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $30,951.80 $46,511.93 $38,731.86 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 18 — — $37,478.79 $121,821.92 $38,626.10 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 18 — — $37,325.50 $110,992.58 $38,468.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 18 — — $36,600.97 $114,395.19 $37,721.41 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 15 — — $36,783.41 $109,350.74 $37,534.09 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 18 — — $34,986.66 $118,310.64 $37,386.19 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 18 — — $35,831.56 $106,467.90 $36,928.45 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 18 — — $35,759.78 $106,250.50 $36,854.47 2026-04-01
5192 OTHER Level 2 Endovascular Procedures 2 2 — — $18,737.00 $54,787.58 $36,762.29 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 18 — — $35,655.10 $111,383.10 $36,746.59 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 21 18 — — $35,350.03 $105,009.50 $36,432.17 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 14 8 — — $521.43 $75,623.00 $36,351.00 2026-04-01
93616 HCPCS Esophageal Recording 14 5 — — $101.41 $75,623.00 $36,351.00 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 14 8 — — $522.04 $75,623.00 $36,351.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 18 — — $35,211.70 $114,317.11 $36,289.61 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 18 — — $34,959.72 $109,168.67 $36,029.91 2026-04-01
245 MS_DRG Aicd Generator Procedures 21 18 — — $34,792.23 $112,928.52 $35,857.30 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 15 — — $33,830.32 $104,092.34 $35,762.45 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 18 — — $33,453.27 $103,009.86 $35,751.73 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 21 18 — — $34,541.75 $102,561.47 $35,599.15 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 14 5 — — $1,119.58 $70,194.00 $35,558.42 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 15 — — $16,042.20 $103,482.89 $35,382.49 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 8 7 — — $22,096.77 $60,159.10 $35,328.79 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 22 18 — — $25,536.00 $101,494.84 $35,236.19 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 18 — — $23,740.41 $101,976.18 $35,226.17 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 18 — — $34,048.25 $110,465.70 $35,090.54 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 18 — — $17,349.36 $99,479.35 $34,550.34 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 18 — — $31,869.09 $107,111.80 $33,877.82 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 18 — — $32,777.13 $97,217.01 $33,780.51 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 20 9 — — $622.80 $215,631.00 $33,671.40 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 21 18 — — $32,570.75 $96,591.98 $33,567.81 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 15 9 — — $1,546.00 $67,161.00 $33,442.72 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 18 — — $31,116.95 $104,532.65 $33,243.39 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 18 — — $32,202.12 $95,475.54 $33,187.90 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 18 — — $32,186.42 $95,427.98 $33,171.72 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 17 9 — — $1,546.00 $67,161.00 $33,111.61 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 18 — — $32,094.45 $95,149.43 $33,076.93 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 15 — — $32,387.56 $48,569.88 $33,048.53 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 21 18 — — $32,057.07 $95,036.20 $33,038.41 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 18 — — $31,998.74 $103,681.18 $32,978.30 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 18 — — $31,877.62 $66,761.60 $32,853.46 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 19 18 — — $31,855.18 $94,424.76 $32,830.34 2026-04-01
93610 HCPCS Intra-atrial Pacing 12 5 — — $273.92 $75,623.00 $32,709.66 2026-04-01
93602 HCPCS Intra-atrial Recording 12 5 — — $194.74 $75,623.00 $32,709.66 2026-04-01
93612 HCPCS Intraventricular Pacing 12 5 — — $271.37 $75,623.00 $32,709.66 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 18 — — $31,731.07 $94,048.84 $32,702.43 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 18 — — $31,525.44 $102,114.38 $32,490.51 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 19 9 — — $1,843.00 $67,161.00 $32,449.37 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 18 — — $31,028.20 $91,920.11 $31,978.04 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 15 9 — — $905.00 $60,219.88 $31,900.26 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 18 — — $30,468.16 $90,223.93 $31,400.86 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 15 — — $30,740.34 $46,046.79 $31,367.69 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 18 — — $29,795.96 $88,188.05 $30,708.08 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 15 — — $28,114.53 $89,034.84 $30,539.09 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 18 — — $29,620.25 $88,097.13 $30,526.99 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 18 — — $29,576.88 $61,838.40 $30,482.29 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 18 — — $29,549.21 $87,880.91 $30,453.78 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 18 — — $29,385.47 $86,944.79 $30,285.02 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 20 9 — — $1,546.00 $75,623.00 $30,217.92 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 20 9 — — $1,420.58 $75,623.00 $30,217.92 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 20 9 — — $1,546.00 $75,623.00 $30,217.92 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 8 7 — — $18,790.36 $51,157.31 $30,042.44 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 18 — — $28,814.95 $85,216.90 $29,697.04 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 18 — — $28,692.32 $84,845.50 $29,570.66 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 18 — — $28,625.78 $84,643.95 $29,502.08 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 18 — — $28,622.79 $84,634.90 $29,499.00 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 18 — — $28,544.27 $84,397.11 $29,418.08 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 18 — — $28,387.26 $83,921.55 $29,256.26 2026-04-01
27447 HCPCS Total Knee Arthroplasty 20 9 — — $1,371.00 $44,420.00 $29,044.50 2026-04-01
27130 HCPCS Total Hip Arthroplasty 20 9 — — $1,371.00 $44,420.00 $29,044.50 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 21 18 — — $28,142.75 $83,181.02 $29,004.26 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 18 — — $28,131.54 $83,147.05 $28,992.71 2026-04-01
22630 HCPCS Lumbar Spine Fusion 20 9 — — $1,371.00 $52,953.00 $28,766.36 2026-04-01
22558 HCPCS Lumbar Spine Fusion 20 9 — — $1,371.00 $52,953.00 $28,766.36 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 18 — — $27,809.27 $82,171.01 $28,660.58 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 18 — — $27,788.33 $82,107.60 $28,638.99 2026-04-01
332 MS_DRG Rectal Resection With Mcc 21 18 — — $27,750.94 $81,994.37 $28,600.46 2026-04-01
265 MS_DRG Aicd Lead Procedures 21 18 — — $27,732.26 $89,557.69 $28,581.20 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 18 — — $27,684.40 $82,204.57 $28,531.88 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 18 — — $27,644.03 $89,265.61 $28,490.27 2026-04-01
22614 HCPCS Spine Fusion Extra Segment 14 8 — — $618.00 $36,907.00 $28,426.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 18 — — $27,467.56 $81,136.09 $28,308.40 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 18 — — $27,405.50 $85,112.42 $28,244.45 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 18 — — $27,378.58 $80,866.60 $28,216.70 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 18 — — $27,338.95 $80,746.58 $28,175.86 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 18 — — $27,316.52 $80,678.64 $28,152.74 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 18 — — $27,291.10 $80,601.64 $28,126.54 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 15 9 — — $1,064.00 $66,856.63 $28,126.13 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 18 — — $26,603.97 $88,025.54 $27,965.06 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 18 — — $26,993.50 $80,101.54 $27,819.83 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 14 — — $25,271.92 $40,390.15 $27,599.33 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 18 — — $26,754.24 $78,975.66 $27,573.24 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 18 — — $26,634.60 $78,613.32 $27,449.94 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 18 — — $25,815.54 $86,342.40 $27,443.65 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $27,443.53 $27,443.53 $27,443.53 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 7 2 — — $1,142.00 $38,909.00 $27,349.00 2026-04-01
92921 HCPCS Prq Cardiac Angio Addl Art 7 2 — — $1,142.00 $38,909.00 $27,349.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 18 — — $26,508.98 $78,232.87 $27,320.48 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 21 18 — — $26,389.35 $77,870.54 $27,197.19 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 18 — — $26,313.08 $77,639.55 $27,118.58 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 18 — — $26,187.46 $77,648.02 $26,989.12 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 18 — — $26,153.82 $77,157.19 $26,954.45 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 21 18 — — $25,656.59 $82,686.53 $26,441.99 2026-04-01
93603 HCPCS Right Ventricular Recording 12 5 — — $194.74 $75,623.00 $26,287.03 2026-04-01
93615 HCPCS Esophageal Recording 12 5 — — $62.87 $75,623.00 $26,287.03 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 18 — — $25,377.68 $74,806.53 $26,154.55 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 21 18 — — $25,293.94 $74,928.20 $26,068.24 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 18 — — $25,290.95 $110,405.58 $26,065.16 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 18 — — $25,000.08 $80,513.31 $25,765.39 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 18 — — $24,893.16 $73,339.07 $25,655.19 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 18 — — $24,866.25 $77,026.20 $25,627.46 2026-04-01
652 MS_DRG Kidney Transplant 21 18 — — $24,825.86 $73,135.26 $25,585.84 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 18 — — $24,695.05 $73,080.91 $25,567.34 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 21 18 — — $24,760.82 $72,938.24 $25,518.80 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 18 — — $24,683.05 $79,463.82 $25,438.66 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 8 7 — — $15,883.22 $43,242.54 $25,394.44 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 15 — — $24,832.59 $36,997.77 $25,339.38 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 18 — — $24,551.45 $79,028.19 $25,303.02 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 18 — — $24,507.33 $72,170.54 $25,257.55 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 18 — — $24,484.15 $72,100.33 $25,233.67 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 18 — — $24,436.30 $72,317.62 $25,184.35 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 18 — — $24,342.09 $71,670.06 $25,087.26 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 18 — — $24,306.20 $75,242.76 $25,050.26 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 18 — — $24,238.91 $77,993.55 $24,980.92 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 18 — — $23,376.34 $77,956.42 $24,969.35 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 18 — — $24,172.36 $77,773.26 $24,912.33 2026-04-01
665 MS_DRG Prostatectomy With Mcc 21 18 — — $24,016.09 $70,682.70 $24,751.27 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 18 — — $23,967.48 $70,535.50 $24,701.18 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 15 — — $23,926.36 $71,048.33 $24,414.65 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 5 4 — — $6,478.69 $30,423.00 $24,319.46 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 21 18 — — $23,569.70 $69,330.73 $24,291.22 2026-04-01
263 MS_DRG Vein Ligation And Stripping 22 18 — — $7,117.62 $75,676.76 $24,259.62 2026-04-01
22634 HCPCS Spine Fusion Extra Segment 14 8 — — $618.00 $33,009.00 $24,241.00 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 8 7 — — $15,111.31 $41,140.99 $24,160.29 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 18 — — $23,263.13 $68,402.24 $23,975.27 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 18 — — $23,260.13 $68,393.18 $23,972.18 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 18 — — $23,235.47 $48,268.80 $23,946.76 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 20 9 — — $1,371.00 $52,953.00 $23,900.50 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 15 — — $23,287.60 $68,689.85 $23,834.78 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 15 9 — — $1,064.00 $67,161.00 $23,699.03 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 15 9 — — $1,546.00 $67,161.00 $23,699.03 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 15 9 — — $1,546.00 $67,161.00 $23,699.03 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 18 — — $22,933.38 $67,403.55 $23,635.42 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $23,624.00 $23,624.00 $23,624.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 19 9 — — $1,843.00 $54,754.00 $23,415.00 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 1 1 — — $23,415.00 $23,415.00 $23,415.00 2026-04-01
22600 HCPCS Neck Spine Fusion 20 9 — — $1,371.00 $44,124.00 $23,391.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 21 18 — — $22,691.87 $66,672.09 $23,386.52 2026-04-01
570 MS_DRG Skin Debridement With Mcc 21 18 — — $22,669.44 $66,604.15 $23,363.40 2026-04-01
509 MS_DRG Arthroscopy 8 7 — — $14,610.57 $39,777.70 $23,359.69 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 18 — — $22,511.67 $66,126.32 $23,200.80 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 16 15 — — $18,648.18 $33,741.68 $23,170.23 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 18 — — $22,454.09 $65,951.95 $23,141.46 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 18 — — $21,845.05 $65,718.69 $23,062.09 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 21 18 — — $22,363.62 $65,677.93 $23,048.22 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 19 9 — — $1,440.00 $67,161.00 $22,995.10 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 19 9 — — $1,371.00 $54,754.00 $22,995.10 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 19 9 — — $1,440.00 $67,161.00 $22,995.10 2026-04-01
92928 HCPCS Prq Card Stent W/angio 1 Vsl 14 5 — — $997.49 $70,194.00 $22,971.94 2026-04-01
92937 HCPCS Prq Revasc Byp Graft 1 Vsl 14 5 — — $996.91 $70,194.00 $22,971.94 2026-04-01
92943 HCPCS Prq Card Revasc Chronic 1vsl 14 5 — — $1,120.75 $70,194.00 $22,971.94 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 21 18 — — $22,257.45 $65,356.36 $22,938.80 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 21 18 — — $22,226.04 $65,261.24 $22,906.43 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 15 — — $22,267.91 $33,069.39 $22,722.36 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 18 — — $21,992.00 $70,555.58 $22,665.23 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 15 — — $22,139.31 $64,998.55 $22,591.13 2026-04-01
22552 HCPCS Addl Neck Spine Fusion 14 8 — — $618.00 $30,336.00 $22,477.50 2026-04-01
800 MS_DRG Splenic Procedures With Cc 21 18 — — $21,684.69 $63,621.67 $22,348.50 2026-04-01
22551 HCPCS Neck Spine Fuse&remov Bel C2 20 9 — — $1,371.00 $34,245.00 $22,333.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 22 18 — — $21,609.17 $63,647.68 $22,270.67 2026-04-01
503 MS_DRG Foot Procedures With Mcc 21 18 — — $21,547.86 $63,207.25 $22,207.49 2026-04-01
92924 HCPCS Prq Card Angio/athrect 1 Art 14 5 — — $1,069.22 $38,909.00 $22,203.94 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 18 — — $20,797.17 $62,751.60 $21,945.48 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 21 18 — — $21,230.83 $62,247.06 $21,880.75 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 15 — — $21,404.30 $62,772.45 $21,841.12 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 18 — — $21,119.41 $61,909.63 $21,765.92 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 14 14 — — $21,225.58 $31,472.84 $21,658.76 2026-04-01
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