Price Transparency 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

WILMINGTON VA MEDICAL CENTER

Wilmington, DE · CCN 08002F · Rates published

9,189 distinct procedures filed
14 distinct payers
290,976 rate rows
2026-04-01 last MRF observed
Data quality

116,491 of 290,976 rate rows are consumer-grade (40.0%)

174,485 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 174,485
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://documents.christianacare.org/Finance/510103684_christianacare_standardcharges.csv
Found on page https://billing.christianacare.org/transparency/chargemaster
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 426f854084556f13… · 149,664,560 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $299,433.63 $1,014,795.80 $394,568.73 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $236,900.77 $1,218,499.52 $259,344.00 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $180,592.16 $501,736.75 $195,799.92 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $142,188.90 $498,792.20 $193,708.71 nat. median
$202,986
1.0× median
5232
OTHER 		Level 2 Icd And Similar Procedures 5 $31,907.48 $152,456.42 $138,621.67 nat. median
$32,531
outlier · 4.3×
5213
OTHER 		Level 3 Electrophysiologic Procedures 5 $27,029.55 $215,274.77 $133,230.58 nat. median
$26,257
outlier · 5.1×
2038
OTHER 		Gen, Neuro, Clo Loop, Rechg 1 $39,404.19 $143,347.11 $129,477.96 nat. median
$1,192
outlier · 108.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $109,853.37 $409,421.17 $128,430.68 nat. median
$133,176
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $40,817.81 $155,229.09 $125,263.71 nat. median
$62,270
outlier · 2.0×
7
MS_DRG 		Lung Transplant 8 $109,712.36 $304,329.70 $118,951.30 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $101,845.83 $282,420.65 $111,494.39 nat. median
$117,303
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $96,056.68 $508,846.17 $105,156.79 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $95,946.99 $265,991.80 $104,026.73 nat. median
$98,017
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $93,435.91 $258,998.20 $101,304.20 nat. median
$98,905
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $92,194.72 $260,414.03 $100,928.95 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $87,439.19 $242,296.75 $94,802.49 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 9 $84,456.43 $996,629.83 $94,680.11 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $75,760.10 $234,279.47 $91,722.00 nat. median
$93,672
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $29,225.30 $188,661.21 $89,189.04 nat. median
$48,483
1.8× median
5166
OTHER 		Cochlear Implant Procedure 2 $31,654.93 $203,428.64 $85,921.18 nat. median
$33,509
outlier · 2.6×
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 4 $30,327.12 $139,385.22 $85,107.49 nat. median
$31,444
outlier · 2.7×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $76,462.50 $211,725.60 $82,901.45 nat. median
$82,712
1.0× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 5 $20.30 $149,146.98 $80,399.66 nat. median
$16,303
outlier · 4.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $73,508.44 $203,498.25 $79,698.62 nat. median
$83,442
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $42,369.23 $283,611.51 $79,104.92 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $63,427.55 $197,479.90 $77,167.98 nat. median
$81,118
1.0× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 1 $21,341.32 $92,226.09 $75,511.65 nat. median
$20,658
outlier · 3.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $54,054.48 $207,365.88 $73,837.89 nat. median
$73,807
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $60,565.45 $185,086.45 $73,125.46 nat. median
$74,915
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $20,758.25 $305,516.80 $72,573.05 nat. median
$72,138
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $35.00 $527,147.53 $72,289.15 nat. median
$77,576
0.9× median
2616
OTHER 		Brachytx, Non-str,yttrium-90 3 $31,541.95 $121,151.77 $70,666.82 nat. median
$17,692
outlier · 4.0×
5231
OTHER 		Level 1 Icd And Similar Procedures 3 $22,338.31 $124,824.36 $69,074.34 nat. median
$23,015
outlier · 3.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $60,606.24 $170,899.23 $67,942.78 nat. median
$68,887
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $61,350.45 $169,637.10 $66,516.80 nat. median
$68,090
1.0× median
10
MS_DRG 		Pancreas Transplant 8 $60,988.47 $168,628.95 $66,124.34 nat. median
$68,882
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $60,963.15 $168,558.45 $66,096.89 nat. median
$64,027
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $60,641.68 $167,663.10 $65,748.35 nat. median
$71,240
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $30,392.89 $110,252.70 $65,499.29 nat. median
$39,075
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $58,475.70 $161,630.65 $64,015.51 nat. median
$65,950
1.0× median
5212
OTHER 		Level 2 Electrophysiologic Procedures 2 $59,334.75 $68,134.03 $63,734.39 nat. median
$7,914
outlier · 8.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $44,762.68 $336,010.91 $63,400.83 nat. median
$66,526
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $57,237.03 $158,180.85 $62,659.49 nat. median
$64,732
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $56,819.37 $160,011.62 $62,202.26 nat. median
$63,738
1.0× median
5378
OTHER 		Level 8 Urology And Related Services 1 $20,031.81 $106,413.05 $61,898.39 nat. median
$20,900
outlier · 3.0×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $56,860.71 $157,132.75 $61,648.98 nat. median
$60,691
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $49,506.33 $276,028.57 $61,362.03 nat. median
$62,134
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $55,922.43 $157,465.94 $61,220.35 nat. median
$64,510
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $55,922.43 $157,465.94 $61,220.35 nat. median
$61,920
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 $55,720.77 $153,957.90 $60,413.04 nat. median
$59,793
1.0× median

Other procedures at this hospital

Browse this hospital's 9,189 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 8 — — $299,433.63 $1,014,795.80 $394,568.73 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 8 — — $236,900.77 $1,218,499.52 $259,344.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 8 — — $180,592.16 $501,736.75 $195,799.92 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 8 — — $142,188.90 $498,792.20 $193,708.71 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 7 5 — — $31,907.48 $152,456.42 $138,621.67 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 8 5 — — $27,029.55 $215,274.77 $133,230.58 2026-04-01
2038 OTHER Gen, Neuro, Clo Loop, Rechg 3 1 — — $39,404.19 $143,347.11 $129,477.96 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 9 — — $109,853.37 $409,421.17 $128,430.68 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 6 — — $40,817.81 $155,229.09 $125,263.71 2026-04-01
7 MS_DRG Lung Transplant 11 8 — — $109,712.36 $304,329.70 $118,951.30 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 8 — — $101,845.83 $282,420.65 $111,494.39 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 8 — — $96,056.68 $508,846.17 $105,156.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 11 8 — — $95,946.99 $265,991.80 $104,026.73 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $93,435.91 $258,998.20 $101,304.20 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 8 — — $92,194.72 $260,414.03 $100,928.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 8 — — $87,439.19 $242,296.75 $94,802.49 2026-04-01
215 MS_DRG Other Heart Assist System Implant 14 9 — — $84,456.43 $996,629.83 $94,680.11 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $75,760.10 $234,279.47 $91,722.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 5 — — $29,225.30 $188,661.21 $89,189.04 2026-04-01
5166 OTHER Cochlear Implant Procedure 4 2 — — $31,654.93 $203,428.64 $85,921.18 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 4 — — $30,327.12 $139,385.22 $85,107.49 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 8 — — $76,462.50 $211,725.60 $82,901.45 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 6 5 — — $20.30 $149,146.98 $80,399.66 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 11 8 — — $73,508.44 $203,498.25 $79,698.62 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 9 — — $42,369.23 $283,611.51 $79,104.92 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 8 — — $63,427.55 $197,479.90 $77,167.98 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 1 — — $21,341.32 $92,226.09 $75,511.65 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 9 — — $54,054.48 $207,365.88 $73,837.89 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 9 — — $60,565.45 $185,086.45 $73,125.46 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 9 — — $20,758.25 $305,516.80 $72,573.05 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 9 — — $35.00 $527,147.53 $72,289.15 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 4 3 — — $31,541.95 $121,151.77 $70,666.82 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 5 3 — — $22,338.31 $124,824.36 $69,074.34 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 8 — — $60,606.24 $170,899.23 $67,942.78 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $61,350.45 $169,637.10 $66,516.80 2026-04-01
10 MS_DRG Pancreas Transplant 11 8 — — $60,988.47 $168,628.95 $66,124.34 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 8 — — $60,963.15 $168,558.45 $66,096.89 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 8 — — $60,641.68 $167,663.10 $65,748.35 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 4 — — $30,392.89 $110,252.70 $65,499.29 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 8 — — $58,475.70 $161,630.65 $64,015.51 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 2 2 — — $59,334.75 $68,134.03 $63,734.39 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 9 — — $44,762.68 $336,010.91 $63,400.83 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 8 — — $57,237.03 $158,180.85 $62,659.49 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 8 — — $56,819.37 $160,011.62 $62,202.26 2026-04-01
5378 OTHER Level 8 Urology And Related Services 3 1 — — $20,031.81 $106,413.05 $61,898.39 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 8 — — $56,860.71 $157,132.75 $61,648.98 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 10 — — $49,506.33 $276,028.57 $61,362.03 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 8 — — $55,922.43 $157,465.94 $61,220.35 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 8 — — $55,922.43 $157,465.94 $61,220.35 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $55,720.77 $153,957.90 $60,413.04 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 7 5 — — $17,870.41 $146,841.05 $58,351.18 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 8 — — $52,151.60 $146,763.54 $57,092.27 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 8 — — $50,475.01 $245,849.01 $56,585.15 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 8 — — $51,596.39 $145,187.75 $56,484.47 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 9 — — $9,074.32 $143,850.55 $56,204.18 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 9 — — $44,640.02 $221,102.94 $55,982.88 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $43,170.68 $401,308.98 $55,565.37 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 8 — — $50,428.99 $202,654.02 $55,429.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 9 — — $6,404.69 $224,754.30 $54,851.78 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 9 7 — — $11,286.07 $116,003.62 $54,703.85 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 9 — — $2,700.00 $140,541.82 $54,692.47 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $2,034.23 $106,320.88 $54,177.56 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 8 — — $874.85 $137,822.80 $54,000.43 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 9 — — $44,561.03 $135,917.65 $53,414.98 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 8 — — $49,103.03 $135,526.85 $53,238.02 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 8 — — $48,595.07 $134,112.15 $52,687.29 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 9 — — $47,965.85 $148,639.93 $52,619.59 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 10 — — $46,600.39 $160,570.15 $52,241.49 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 8 — — $39,556.84 $254,752.14 $52,134.71 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $47,878.71 $132,117.00 $51,910.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 8 — — $47,731.90 $131,708.10 $51,751.42 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 13 8 — — $46,764.08 $358,792.54 $51,686.62 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 8 — — $46,462.01 $128,171.35 $51,352.75 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 8 — — $46,467.86 $130,805.70 $51,275.37 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 8 — — $47,043.37 $129,790.50 $51,004.92 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 9 — — $17,067.31 $130,821.29 $50,943.11 2026-04-01
5627 OTHER Level 7 Radiation Therapy 2 2 — — $47,869.70 $53,185.20 $50,527.45 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 11 8 — — $46,278.06 $127,659.05 $50,175.16 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 4 3 — — $10,385.33 $161,005.02 $50,009.87 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $49,926.28 $49,926.28 $49,926.28 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 8 — — $45,411.50 $127,633.79 $49,713.65 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 8 — — $37,837.61 $140,360.10 $49,694.59 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 8 — — $45,109.43 $332,367.73 $49,382.96 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $42,969.61 $140,569.72 $48,171.20 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 11 8 — — $44,287.59 $122,115.40 $48,017.08 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 8 — — $40,009.61 $122,326.90 $47,982.67 2026-04-01
1532 OTHER New Technology - Level 32 ($7001-$7500) 2 1 — — $41,830.71 $52,361.78 $47,096.24 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 9 — — $17,733.71 $223,445.98 $46,552.70 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 8 — — $42,186.59 $116,263.90 $45,739.15 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 10 — — $14,821.51 $220,978.40 $45,658.64 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 8 — — $40,612.10 $114,012.11 $45,528.31 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $41,796.76 $115,178.20 $45,316.49 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 9 — — $8,601.03 $115,659.95 $45,283.14 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 14 8 — — $38,017.88 $115,638.19 $45,086.76 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 8 — — $38,661.18 $153,983.90 $44,861.38 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 9 — — $33,523.01 $144,984.41 $44,524.29 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 8 — — $39,911.77 $109,928.30 $44,113.01 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 8 — — $40,110.90 $221,432.06 $43,910.88 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 8 — — $39,127.05 $426,886.48 $43,863.49 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 9 — — $35,959.97 $209,460.02 $43,295.49 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 9 — — $2,141.04 $180,179.78 $43,145.12 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 14 9 — — $38,655.39 $165,916.75 $43,128.14 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 11 8 — — $39,567.51 $108,969.50 $42,899.51 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 9 — — $19,713.46 $108,017.75 $42,425.78 2026-04-01
245 MS_DRG Aicd Generator Procedures 13 8 — — $36,435.10 $107,216.40 $42,217.04 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 8 — — $474.31 $106,894.45 $41,887.38 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 8 — — $36,777.80 $105,291.75 $41,367.14 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 11 8 — — $38,098.49 $104,878.15 $41,306.78 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 16 9 — — $1,551.45 $105,322.30 $41,177.65 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 8 — — $36,955.17 $108,690.36 $40,456.19 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 9 — — $28,438.84 $100,234.55 $40,266.05 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 13 7 — — $21,875.88 $111,062.19 $39,982.39 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 4 3 — — $18,322.05 $75,581.51 $39,879.43 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 9 — — $20,371.37 $103,230.80 $39,875.86 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 8 — — $31,805.07 $157,337.80 $39,873.42 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 9 — — $31,094.55 $146,516.18 $39,786.69 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 8 — — $36,224.46 $101,559.10 $39,656.25 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 8 — — $35,262.40 $100,883.15 $39,655.08 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 13 8 — — $35,851.51 $238,668.75 $39,625.35 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 8 — — $32,210.05 $216,017.19 $39,427.17 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 8 — — $35,649.01 $98,056.10 $39,026.28 2026-04-01
69930 HCPCS Implant Cochlear Device 12 6 — — $33,849.12 $106,891.96 $38,837.41 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 8 — — $35,483.62 $97,595.50 $38,784.48 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 9 — — $1,160.00 $98,737.60 $38,632.96 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 15 9 — — $2,051.94 $99,887.53 $38,623.58 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 9 — — $13,260.45 $100,313.80 $38,610.89 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 9 — — $30,677.41 $127,514.79 $38,591.21 2026-04-01
791 MS_DRG Prematurity With Major Problems 12 8 — — $2,051.94 $95,386.50 $37,520.49 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 11 8 — — $34,365.62 $94,481.75 $37,259.57 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 10 8 — — $12,973.30 $108,650.01 $37,071.93 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 6 — — $32,223.75 $101,759.21 $36,972.51 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 6 — — $32,223.75 $101,759.21 $36,972.51 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 6 — — $32,223.75 $101,759.21 $36,972.51 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 6 — — $32,223.75 $101,759.21 $36,972.51 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 12 6 — — $32,223.75 $101,759.21 $36,972.51 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 6 — — $32,223.75 $101,759.21 $36,972.51 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 6 — — $32,223.75 $101,759.21 $36,972.51 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 8 — — $34,058.49 $93,626.35 $36,926.57 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 8 — — $33,021.49 $97,882.81 $36,497.43 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 6 — — $31,678.46 $100,037.23 $36,346.86 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $26,988.58 $107,452.39 $36,266.06 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 8 — — $33,299.93 $91,513.70 $36,104.14 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 8 — — $30,969.70 $90,961.45 $35,802.04 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 9 — — $4,787.41 $135,015.60 $35,662.13 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 3 3 — — $20,349.89 $91,587.60 $35,524.85 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 8 — — $21,004.83 $90,223.55 $35,515.47 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 8 — — $31,976.04 $106,979.07 $35,341.94 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 9 — — $23,587.41 $88,045.10 $34,753.85 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 8 — — $478.10 $263,077.29 $34,734.44 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 9 — — $28,841.72 $122,125.50 $34,588.27 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 8 — — $31,434.34 $86,317.85 $34,412.33 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 8 — — $16,264.28 $87,579.80 $34,404.87 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 9 — — $25,905.11 $173,747.77 $34,398.48 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 8 — — $31,710.26 $87,086.30 $34,380.60 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 8 — — $25,675.22 $83,573.05 $33,897.82 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 8 — — $30,871.54 $84,750.40 $33,796.21 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 9 — — $8,601.02 $107,104.75 $33,790.10 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 8 — — $31,058.02 $85,269.75 $33,673.43 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 11 8 — — $31,034.39 $85,203.95 $33,647.81 2026-04-01
332 MS_DRG Rectal Resection With Mcc 11 8 — — $30,992.20 $85,086.45 $33,602.07 2026-04-01
265 MS_DRG Aicd Lead Procedures 11 8 — — $30,971.10 $85,027.70 $33,579.19 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 8 — — $30,917.10 $84,877.30 $33,520.65 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 9 — — $29,460.07 $84,000.75 $33,501.55 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 8 — — $30,501.96 $83,721.10 $33,391.62 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 8 — — $30,672.41 $84,195.80 $33,255.35 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 8 — — $30,527.28 $83,791.60 $33,098.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 8 — — $17,241.18 $83,641.20 $32,959.25 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 8 — — $17,568.21 $122,891.03 $32,675.35 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 9 — — $21,023.93 $83,861.16 $32,661.75 2026-04-01
5377 OTHER Level 7 Urology And Related Services 2 2 — — $13,864.78 $51,309.88 $32,587.33 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 8 — — $28,568.67 $165,070.68 $32,382.60 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 11 8 — — $29,732.44 $81,577.90 $32,236.23 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 8 — — $27,037.57 $80,567.40 $32,152.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 8 — — $8,601.03 $81,975.05 $32,076.36 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 8 — — $29,455.68 $80,807.10 $31,936.16 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 8 — — $971.30 $81,183.10 $31,926.79 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 8 — — $8,601.03 $202,067.30 $31,689.16 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 8 — — $29,189.89 $80,066.85 $31,647.99 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 9 — — $8,601.03 $144,542.70 $31,039.63 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 3 2 — — $12,832.07 $39,245.46 $30,988.12 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 6 — — $26,833.08 $84,736.03 $30,787.43 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 6 — — $26,833.08 $84,736.03 $30,787.43 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 6 — — $26,833.08 $84,736.03 $30,787.43 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 8 — — $28,314.06 $77,627.55 $30,698.40 2026-04-01
2641 OTHER Brachytx, Non-stranded,p-103 2 2 — — $11,178.78 $50,020.86 $30,599.82 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 8 — — $2,328.45 $77,354.95 $30,518.03 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 13 8 — — $1,084.36 $77,364.35 $30,447.41 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 8 — — $27,698.94 $77,361.94 $30,323.05 2026-04-01
652 MS_DRG Kidney Transplant 16 8 — — $23,511.03 $222,306.41 $30,314.73 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 11 8 — — $27,887.94 $76,440.80 $30,236.40 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 9 — — $5,272.46 $76,020.15 $30,072.65 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 2 1 — — $12,410.37 $47,592.30 $30,001.33 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 8 — — $27,671.10 $75,836.85 $30,001.29 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 11 8 — — $27,617.93 $75,688.80 $29,943.66 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 8 — — $27,331.90 $153,770.67 $29,921.24 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 8 — — $27,530.18 $75,444.40 $29,848.51 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 8 — — $3,888.46 $76,104.75 $29,813.29 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 9 — — $15,531.23 $118,973.07 $29,615.44 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 8 — — $27,305.74 $74,819.30 $29,605.17 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 9 — — $18,084.63 $116,474.88 $29,589.62 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 8 — — $27,251.74 $74,668.90 $29,546.62 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 9 — — $22,778.87 $104,907.80 $29,484.32 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 13 8 — — $15,377.40 $260,423.56 $29,431.35 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 9 — — $4,938.50 $74,260.00 $29,387.44 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 11 8 — — $27,016.33 $74,013.25 $29,291.39 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 11 8 — — $26,953.88 $73,839.35 $29,223.69 2026-04-01
665 MS_DRG Prostatectomy With Mcc 11 8 — — $26,777.54 $73,348.20 $29,032.49 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 9 — — $21,524.47 $88,399.19 $28,902.70 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 8 — — $26,035.01 $72,639.38 $28,775.53 2026-04-01
263 MS_DRG Vein Ligation And Stripping 11 8 — — $26,239.21 $71,848.90 $28,448.83 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 12 8 — — $26,158.32 $71,945.25 $28,417.19 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 9 — — $25,555.75 $88,290.98 $28,245.83 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 8 — — $25,927.86 $70,981.75 $28,111.25 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 8 — — $25,924.47 $70,972.35 $28,107.59 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 8 — — $2,273.72 $70,894.80 $27,941.10 2026-04-01
570 MS_DRG Skin Debridement With Mcc 12 8 — — $25,257.90 $89,591.48 $27,650.75 2026-04-01
5691 OTHER Level 1 Drug Administration 3 3 — — $3,786.74 $34,402.38 $27,648.62 2026-04-01
5626 OTHER Level 6 Radiation Therapy 8 6 — — $2,647.48 $64,483.97 $27,505.57 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 15 8 — — $24,792.97 $139,303.51 $27,402.75 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 9 — — $1,038.22 $124,953.89 $27,364.03 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 13 8 — — $1,017.85 $69,186.35 $27,279.25 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 8 — — $24,912.79 $68,154.70 $27,272.95 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 13 8 — — $24,204.20 $68,620.00 $27,191.85 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 8 — — $22,381.28 $240,929.71 $27,121.40 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 8 — — $24,493.43 $115,926.81 $27,071.69 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 8 — — $21,763.43 $130,313.59 $26,995.83 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 8 — — $23,977.58 $68,197.00 $26,961.57 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 8 — — $24,804.78 $67,853.90 $26,893.61 2026-04-01
1508 OTHER New Technology - Level 8 ($601 - $700) 1 1 — — $26,856.58 $26,856.58 $26,856.58 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 11 8 — — $24,757.53 $67,722.30 $26,842.38 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 12 6 — — $22,835.21 $72,111.20 $26,200.40 2026-04-01
800 MS_DRG Splenic Procedures With Cc 11 8 — — $24,146.63 $66,020.90 $26,180.04 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 13 8 — — $21,354.25 $65,783.55 $26,087.64 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 8 — — $20,316.06 $139,073.80 $25,951.11 2026-04-01
503 MS_DRG Foot Procedures With Mcc 12 8 — — $23,992.23 $65,590.85 $25,949.49 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 16 9 — — $19,545.04 $97,548.81 $25,867.06 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 17 9 — — $21,416.88 $235,366.30 $25,862.11 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 8 — — $23,830.22 $65,139.65 $25,836.97 2026-04-01
849 MS_DRG Radiotherapy 13 8 — — $23,303.71 $182,313.42 $25,756.73 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 17 9 — — $725.52 $64,594.45 $25,500.35 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 8 — — $20,299.33 $86,836.10 $25,488.43 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 8 — — $23,275.86 $63,595.70 $25,480.95 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 8 — — $22,886.03 $506,326.82 $25,295.09 2026-04-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 3 2 — — $8,236.20 $25,723.72 $25,110.45 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 14 8 — — $8,601.03 $63,388.90 $24,972.26 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 9 — — $16,525.01 $62,291.45 $24,728.20 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 8 — — $22,695.34 $61,978.90 $24,606.52 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 8 — — $22,204.26 $78,576.62 $24,541.56 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 10 8 — — $10,361.18 $38,892.80 $24,507.74 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 9 — — $15,246.34 $96,463.21 $24,430.68 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
53444 HCPCS Insert Tandem Cuff 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 12 6 — — $21,277.40 $67,191.79 $24,413.01 2026-04-01
5111 OTHER Level 1 Musculoskeletal Procedures 2 1 — — $427.91 $48,222.45 $24,325.18 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 13 8 — — $21,983.19 $81,199.15 $24,297.21 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 17 9 — — $2,625.91 $145,291.95 $24,224.13 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 9 — — $8,601.02 $109,242.56 $24,184.37 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 8 — — $22,234.64 $60,695.80 $24,107.03 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 11 8 — — $22,204.26 $60,611.20 $24,074.10 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 13 8 — — $8,601.02 $60,338.60 $23,851.63 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 18 9 — — $8,601.03 $149,165.84 $23,797.93 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 7 5 — — $17,788.04 $186,324.24 $23,796.63 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 9 — — $15,709.94 $77,559.50 $23,622.32 2026-04-01
5376 OTHER Level 6 Urology And Related Services 5 3 — — $9,202.70 $27,942.05 $23,585.69 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 15 8 — — $639.40 $59,288.15 $23,559.05 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 19 9 — — $14,340.82 $150,000.74 $23,496.92 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 17 8 — — $17,852.95 $119,365.51 $23,422.44 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 14 8 — — $8,601.02 $188,607.00 $23,407.21 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 9 — — $8,601.02 $87,121.14 $23,384.20 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 8 — — $21,467.64 $58,559.65 $23,275.45 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 16 9 — — $17,704.36 $58,464.50 $23,034.02 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 8 — — $14,834.42 $57,774.75 $22,914.15 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 12 6 — — $19,916.12 $62,893.01 $22,851.13 2026-04-01
64580 HCPCS Implant Neuroelectrodes 12 6 — — $19,916.12 $62,893.01 $22,851.13 2026-04-01
63655 HCPCS Implant Neuroelectrodes 12 6 — — $19,916.12 $62,893.01 $22,851.13 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 6 — — $19,916.12 $62,893.01 $22,851.13 2026-04-01
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