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

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Hospital

NAPLES COMMUNITY HOSPITAL

Naples, FL · CCN 100018 · Rates published

8,898 distinct procedures filed
31 distinct payers
139,233 rate rows
2026-07-01 last MRF observed
Data quality

102,228 of 139,233 rate rows are consumer-grade (73.4%)

37,005 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 30,434
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,530
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nchmd.org/wp-content/uploads/590694358_1720085317_naples-community-hospital-inc._standardcharges.json
Found on page https://nchmd.org/patients-and-visitors/compare-hospital-pricing/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-16
Content fingerprint dad608c94b3ad85a… · 37,315,052 bytes · first seen 2026-08-17

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 12 $343,445.45 $973,556.23 $606,545.61 nat. median
$168,055
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $170,102.69 $481,347.02 $299,889.12 nat. median
$131,925
outlier · 2.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $10,599.32 $1,309,348.11 $227,549.49 nat. median
$186,516
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $11,116.08 $1,206,959.92 $204,596.98 nat. median
$145,435
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $61,365.62 $348,497.44 $185,089.33 nat. median
$97,418
1.9× median
7
MS_DRG 		Lung Transplant 12 $103,406.50 $291,962.26 $181,898.51 nat. median
$70,649
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $96,004.28 $270,943.56 $168,803.42 nat. median
$72,715
outlier · 2.3×
209
MS_DRG 		Complex Aortic Arch Procedures 12 $84,739.93 $255,182.35 $151,247.46 nat. median
$2,110
outlier · 71.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $82,447.97 $232,450.22 $144,821.28 nat. median
$69,922
outlier · 2.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $45,550.41 $248,472.95 $139,737.79 nat. median
$2,736
outlier · 51.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $80,321.91 $245,156.58 $137,872.71 nat. median
$74,509
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $72,119.16 $203,121.43 $126,548.84 nat. median
$2,596
outlier · 48.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $63,877.30 $254,618.96 $120,265.17 nat. median
$60,505
2.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $3,466.30 $195,228.43 $109,793.80 nat. median
$2,633
outlier · 41.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $54,617.03 $171,790.65 $101,820.92 nat. median
$52,327
1.9× median
10
MS_DRG 		Pancreas Transplant 12 $57,558.47 $161,776.16 $100,789.88 nat. median
$23,080
outlier · 4.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $57,534.66 $161,708.52 $100,747.74 nat. median
$37,013
outlier · 2.7×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $57,232.15 $160,849.56 $100,212.59 nat. median
$45,605
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $2,872.17 $162,743.34 $96,458.55 nat. median
$9,905
outlier · 9.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $47,340.09 $160,754.87 $95,279.97 nat. median
$51,518
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $79,488.55 $255,475.43 $95,084.66 nat. median
$65,418
1.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $54,028.47 $151,752.65 $94,545.03 nat. median
$47,340
2.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $40,167.63 $148,240.14 $93,076.98 nat. median
$45,446
outlier · 2.0×
0100T
OTHER 		Prosth Retina Receive&Gen 1 $86,531.00 $86,531.00 $86,531.00 nat. median
$66,159
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $49,186.81 $138,004.71 $85,979.78 nat. median
$41,943
outlier · 2.0×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $48,720.75 $136,681.32 $85,155.28 nat. median
$43,803
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $3,128.88 $194,601.33 $84,403.85 nat. median
$55,923
1.5× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 12 $47,665.56 $133,685.09 $83,288.57 nat. median
$38,932
outlier · 2.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 $29,269.17 $147,701.31 $83,065.20 nat. median
$43,299
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $3,902.69 $220,553.23 $81,779.79 nat. median
$69,822
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 13 $1,100.00 $381,913.57 $81,475.60 nat. median
$73,023
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $2,342.66 $211,086.74 $80,641.99 nat. median
$55,935
1.4× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $6,745.79 $206,276.31 $79,541.35 nat. median
$40,584
2.0× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 12 $45,084.35 $126,355.71 $78,722.21 nat. median
$32,772
outlier · 2.4×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 12 $44,779.46 $125,489.98 $78,182.85 nat. median
$35,985
outlier · 2.2×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 $44,436.47 $124,516.04 $77,576.06 nat. median
$38,844
2.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 $12,306.90 $130,019.27 $77,062.88 nat. median
$2,596
outlier · 29.7×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 12 $43,716.33 $122,471.20 $76,302.09 nat. median
$29,295
outlier · 2.6×
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 12 $42,821.63 $128,662.06 $76,258.45 nat. median
$2,222
outlier · 34.3×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 $2,144.62 $132,221.92 $74,359.80 nat. median
$40,726
1.8× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 $28,381.09 $122,962.68 $72,880.41 nat. median
$37,371
2.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 $3,001.07 $142,890.04 $72,654.47 nat. median
$40,301
1.8× median
0856
OTHER 		Porfimer Sodium Injection 1 $71,718.64 $71,718.64 $71,718.64 nat. median
$62,518
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $2,944.36 $126,747.99 $71,281.34 nat. median
$10,799
outlier · 6.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $60,604.81 $189,454.65 $70,671.39 nat. median
$59,651
1.2× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $1,734.48 $150,636.67 $70,516.61 nat. median
$2,958
outlier · 23.8×
576
MS_DRG 		Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 $39,499.54 $110,497.55 $68,842.26 nat. median
$33,583
outlier · 2.0×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 12 $16,498.15 $120,155.83 $67,574.00 nat. median
$2,736
outlier · 24.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 $40,119.97 $119,348.72 $67,120.09 nat. median
$38,173
1.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $3,033.28 $215,457.91 $66,214.59 nat. median
$56,428
1.2× median

Other procedures at this hospital

Browse this hospital's 8,898 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 23 12 — — $343,445.45 $973,556.23 $606,545.61 2026-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 12 — — $170,102.69 $481,347.02 $299,889.12 2026-07-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 13 — — $10,599.32 $1,309,348.11 $227,549.49 2026-07-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 44 14 — — $11,116.08 $1,206,959.92 $204,596.98 2026-07-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 13 — — $61,365.62 $348,497.44 $185,089.33 2026-07-01
7 MS_DRG Lung Transplant 23 12 — — $103,406.50 $291,962.26 $181,898.51 2026-07-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 12 — — $96,004.28 $270,943.56 $168,803.42 2026-07-01
209 MS_DRG Complex Aortic Arch Procedures 24 12 — — $84,739.93 $255,182.35 $151,247.46 2026-07-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 12 — — $82,447.97 $232,450.22 $144,821.28 2026-07-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 12 — — $45,550.41 $248,472.95 $139,737.79 2026-07-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 13 — — $80,321.91 $245,156.58 $137,872.71 2026-07-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 12 — — $72,119.16 $203,121.43 $126,548.84 2026-07-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 13 — — $63,877.30 $254,618.96 $120,265.17 2026-07-01
850 MS_DRG Acute Leukemia With Other Procedures 25 12 — — $3,466.30 $195,228.43 $109,793.80 2026-07-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 13 — — $54,617.03 $171,790.65 $101,820.92 2026-07-01
10 MS_DRG Pancreas Transplant 23 12 — — $57,558.47 $161,776.16 $100,789.88 2026-07-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 12 — — $57,534.66 $161,708.52 $100,747.74 2026-07-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 12 — — $57,232.15 $160,849.56 $100,212.59 2026-07-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 12 — — $2,872.17 $162,743.34 $96,458.55 2026-07-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 13 — — $47,340.09 $160,754.87 $95,279.97 2026-07-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 13 — — $79,488.55 $255,475.43 $95,084.66 2026-07-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 12 — — $54,028.47 $151,752.65 $94,545.03 2026-07-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 13 — — $40,167.63 $148,240.14 $93,076.98 2026-07-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $86,531.00 $86,531.00 $86,531.00 2026-07-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 12 — — $49,186.81 $138,004.71 $85,979.78 2026-07-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 12 — — $48,720.75 $136,681.32 $85,155.28 2026-07-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 14 — — $3,128.88 $194,601.33 $84,403.85 2026-07-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 12 — — $47,665.56 $133,685.09 $83,288.57 2026-07-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 13 — — $29,269.17 $147,701.31 $83,065.20 2026-07-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 13 — — $3,902.69 $220,553.23 $81,779.79 2026-07-01
215 MS_DRG Other Heart Assist System Implant 40 13 — — $1,100.00 $381,913.57 $81,475.60 2026-07-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 13 — — $2,342.66 $211,086.74 $80,641.99 2026-07-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 16 — — $6,745.79 $206,276.31 $79,541.35 2026-07-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 12 — — $45,084.35 $126,355.71 $78,722.21 2026-07-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 12 — — $44,779.46 $125,489.98 $78,182.85 2026-07-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 12 — — $44,436.47 $124,516.04 $77,576.06 2026-07-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 12 — — $12,306.90 $130,019.27 $77,062.88 2026-07-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 12 — — $43,716.33 $122,471.20 $76,302.09 2026-07-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 12 — — $42,821.63 $128,662.06 $76,258.45 2026-07-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 13 — — $2,144.62 $132,221.92 $74,359.80 2026-07-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 13 — — $28,381.09 $122,962.68 $72,880.41 2026-07-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 41 13 — — $3,001.07 $142,890.04 $72,654.47 2026-07-01
0856 OTHER Porfimer Sodium Injection 1 1 — — $71,718.64 $71,718.64 $71,718.64 2025-11-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 12 — — $2,944.36 $126,747.99 $71,281.34 2026-07-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 — — $60,604.81 $189,454.65 $70,671.39 2026-07-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 12 — — $1,734.48 $150,636.67 $70,516.61 2026-07-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 12 — — $39,499.54 $110,497.55 $68,842.26 2026-07-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 12 — — $16,498.15 $120,155.83 $67,574.00 2026-07-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 13 — — $40,119.97 $119,348.72 $67,120.09 2026-07-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 13 — — $3,033.28 $215,457.91 $66,214.59 2026-07-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 12 — — $37,913.18 $105,993.06 $66,035.86 2026-07-01
38240 HCPCS Transplt Allo Hct/donor 12 8 — — $8,320.05 $147,794.21 $66,014.74 2026-07-01
6 MS_DRG Liver Transplant Without Mcc 23 12 — — $37,401.86 $104,541.17 $65,131.30 2026-07-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 13 — — $37,869.67 $108,312.94 $64,197.46 2026-07-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 12 — — $27,244.28 $113,631.31 $63,904.70 2026-07-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 13 — — $18,233.62 $105,461.00 $63,110.10 2026-07-01
799 MS_DRG Splenic Procedures With Mcc 25 13 — — $36,014.04 $102,104.05 $62,808.14 2026-07-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 13 — — $1,895.31 $110,959.73 $62,570.52 2026-07-01
245 MS_DRG Aicd Generator Procedures 26 13 — — $1,595.72 $102,859.31 $61,359.65 2026-07-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 5 — — $28,037.71 $102,284.88 $60,267.81 2026-07-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 12 — — $34,450.66 $96,161.19 $59,910.40 2026-07-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 13 — — $7,032.20 $101,012.87 $59,870.68 2026-07-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 13 — — $2,141.87 $120,227.98 $59,159.76 2026-07-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 12 — — $33,905.20 $94,612.35 $58,945.44 2026-07-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 16 — — $1,636.02 $385,408.21 $58,236.34 2026-07-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 14 — — $23,677.01 $123,332.42 $57,790.54 2026-07-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 13 — — $17,641.77 $155,062.26 $57,677.75 2026-07-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 13 — — $31,621.34 $100,616.08 $56,585.11 2026-07-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 37 12 — — $3,501.86 $150,747.14 $56,358.07 2026-07-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 13 — — $31,166.02 $95,002.38 $56,308.24 2026-07-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 13 — — $29,004.51 $87,134.17 $55,138.60 2026-07-01
653 MS_DRG Major Bladder Procedures With Mcc 26 13 — — $31,526.76 $117,152.84 $54,910.34 2026-07-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 13 — — $1,950.00 $148,240.14 $54,375.21 2026-07-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 14 — — $18,925.58 $163,070.96 $54,234.42 2026-07-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 13 — — $23,974.46 $145,070.31 $53,742.14 2026-07-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 13 — — $1,544.17 $95,049.72 $53,454.66 2026-07-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 13 — — $30,994.27 $94,071.27 $53,308.82 2026-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 13 — — $27,693.12 $89,821.53 $53,237.54 2026-07-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 12 — — $1,536.56 $95,608.84 $53,116.49 2026-07-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 12 — — $30,332.32 $84,467.10 $52,624.74 2026-07-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 12 — — $30,008.37 $83,547.26 $52,051.67 2026-07-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 13 — — $1,075.37 $87,794.74 $52,036.24 2026-07-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 12 — — $28,031.89 $87,264.93 $51,722.23 2026-07-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 36 13 — — $2,010.72 $105,188.21 $51,302.65 2026-07-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 13 — — $25,161.74 $174,497.34 $50,985.55 2026-07-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 33 12 — — $6,336.79 $90,642.17 $50,975.92 2026-07-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 12 — — $29,394.63 $81,804.53 $50,965.91 2026-07-01
332 MS_DRG Rectal Resection With Mcc 23 12 — — $29,332.70 $81,628.68 $50,856.35 2026-07-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 12 — — $25,502.58 $81,428.03 $50,731.34 2026-07-01
28 MS_DRG Spinal Procedures With Mcc 28 13 — — $39,292.30 $135,457.12 $50,462.65 2026-07-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 12 — — $29,031.79 $80,774.23 $50,324.01 2026-07-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 12 — — $28,965.89 $80,587.10 $50,207.43 2026-07-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 13 — — $2,254.24 $138,164.78 $49,981.84 2026-07-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 13 — — $26,808.19 $84,020.71 $49,728.33 2026-07-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 12 — — $2,841.26 $135,418.80 $49,724.42 2026-07-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 13 — — $27,832.27 $132,307.59 $49,539.46 2026-07-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 13 — — $2,159.66 $168,452.71 $49,368.67 2026-07-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 12 — — $29,748.75 $82,810.04 $49,081.79 2026-07-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 13 — — $25,100.49 $81,741.41 $48,448.42 2026-07-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 23 12 — — $27,886.88 $77,523.24 $48,298.58 2026-07-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 9 7 — — $45,996.81 $103,492.82 $48,296.65 2026-07-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 13 — — $21,145.13 $81,306.29 $48,190.52 2026-07-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 12 7 — — $27,639.37 $129,176.80 $48,150.57 2026-07-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 13 — — $2,984.94 $128,495.23 $48,129.72 2026-07-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 14 — — $4,972.21 $102,550.44 $48,104.40 2026-07-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 13 — — $26,444.36 $80,386.45 $47,645.33 2026-07-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 13 — — $10,584.81 $80,242.16 $47,559.81 2026-07-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 8 — — $1,196.40 $103,492.82 $47,376.71 2026-07-01
64568 HCPCS Inc For Vagus N Elect Impl 12 8 — — $1,196.40 $103,492.82 $47,376.71 2026-07-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 12 8 — — $1,196.40 $103,492.82 $47,376.71 2026-07-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $34,339.00 $103,492.82 $46,916.75 2026-07-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 12 — — $1,226.46 $151,108.37 $46,916.15 2026-07-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 26 13 — — $25,823.88 $80,318.82 $46,521.38 2026-07-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 12 — — $26,812.63 $74,472.90 $46,398.15 2026-07-01
834 MS_DRG Acute Leukemia With Mcc 31 13 — — $2,875.17 $123,769.80 $46,277.90 2026-07-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 50 13 — — $2,001.91 $123,156.57 $45,935.79 2026-07-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 13 — — $13,063.92 $78,262.71 $45,887.03 2026-07-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 13 — — $1,687.53 $96,783.43 $45,416.49 2026-07-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 12 — — $1,691.82 $72,829.37 $45,374.20 2026-07-01
652 MS_DRG Kidney Transplant 23 12 — — $26,226.68 $72,809.08 $45,361.56 2026-07-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 12 — — $26,157.60 $72,612.94 $45,239.36 2026-07-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 15 — — $1,931.47 $118,954.18 $44,601.62 2026-07-01
252 MS_DRG Other Vascular Procedures With Mcc 43 14 — — $1,387.18 $95,311.03 $44,228.16 2026-07-01
665 MS_DRG Prostatectomy With Mcc 23 12 — — $25,366.80 $70,367.45 $43,840.38 2026-07-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 13 — — $1,917.03 $117,355.74 $43,172.26 2026-07-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 13 — — $10,624.38 $72,378.47 $42,898.97 2026-07-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 12 — — $24,564.10 $68,088.15 $42,420.32 2026-07-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 13 — — $2,450.00 $112,440.93 $42,193.14 2026-07-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 12 — — $23,612.12 $65,385.01 $42,015.20 2026-07-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 12 — — $24,217.13 $67,102.94 $41,806.51 2026-07-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 23 12 — — $23,960.68 $66,374.73 $41,352.83 2026-07-01
974 MS_DRG HIV With Major Related Condition With Mcc 31 14 — — $5,798.56 $127,253.16 $41,161.78 2026-07-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 13 — — $12,049.92 $72,754.97 $40,916.40 2026-07-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 13 — — $21,961.78 $69,021.52 $40,909.29 2026-07-01
263 MS_DRG Vein Ligation And Stripping 24 13 — — $18,824.57 $68,929.08 $40,854.50 2026-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 31 14 — — $10,944.26 $65,425.59 $40,761.49 2026-07-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 14 — — $1,964.18 $108,863.04 $40,675.49 2026-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 56 17 — — $1,881.91 $111,340.74 $40,592.41 2026-07-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 12 — — $23,510.49 $65,096.43 $40,556.42 2026-07-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 12 — — $23,466.03 $64,970.18 $40,477.76 2026-07-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 38 13 — — $2,015.13 $194,355.94 $40,464.35 2026-07-01
2039 OTHER Gen, Neuro, Imp Led, Ex Cntr 5 3 — — $40,302.97 $41,075.36 $40,371.67 2026-07-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 13 — — $22,813.80 $84,257.43 $39,578.32 2026-07-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 44 14 — — $1,788.82 $105,776.63 $39,539.62 2026-07-01
800 MS_DRG Splenic Procedures With Cc 27 12 — — $1,096.42 $63,337.92 $39,460.83 2026-07-01
654 MS_DRG Major Bladder Procedures With Cc 26 13 — — $21,547.56 $63,110.22 $39,318.97 2026-07-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 44 13 — — $2,493.33 $194,105.41 $39,152.50 2026-07-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 14 — — $869.05 $135,862.23 $38,748.92 2026-07-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 13 — — $1,760.82 $103,364.32 $38,466.91 2026-07-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 14 — — $2,418.81 $104,124.08 $38,372.62 2026-07-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 37 14 — — $10,181.54 $102,505.35 $38,152.30 2026-07-01
849 MS_DRG Radiotherapy 23 12 — — $22,098.01 $61,085.68 $38,057.64 2026-07-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 12 — — $22,071.81 $61,011.28 $38,011.29 2026-07-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 13 — — $27,247.55 $88,193.79 $37,894.40 2026-07-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 12 — — $22,001.94 $60,812.88 $37,887.68 2026-07-01
163 MS_DRG Major Chest Procedures With Mcc 43 13 — — $1,734.37 $101,042.18 $37,616.39 2026-07-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 9 7 — — $35,775.41 $86,531.00 $37,564.18 2026-07-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 12 — — $21,525.56 $59,460.18 $37,044.92 2026-07-01
668 MS_DRG Transurethral Procedures With Mcc 25 12 — — $21,310.15 $65,831.40 $37,022.68 2026-07-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 13 — — $2,640.00 $183,101.02 $36,881.50 2026-07-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 35 14 — — $5,980.27 $58,148.06 $36,227.44 2026-07-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 13 — — $1,328.10 $76,813.07 $36,108.62 2026-07-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 12 — — $20,495.56 $68,013.76 $36,094.82 2026-07-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 23 12 — — $20,971.36 $57,886.54 $36,064.51 2026-07-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 37 12 — — $1,580.00 $94,436.50 $35,535.43 2026-07-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 4 — — $2,049.84 $40,568.76 $35,516.03 2026-07-01
69930 HCPCS Implant Cochlear Device 12 8 — — $8,320.05 $86,531.00 $35,465.06 2026-07-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 39 13 — — $2,266.35 $97,561.23 $35,293.16 2026-07-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 13 — — $26,595.41 $93,629.39 $35,236.98 2026-07-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 12 — — $18,545.25 $58,447.91 $35,201.58 2026-07-01
37 MS_DRG Extracranial Procedures With Mcc 28 13 — — $1,342.90 $74,220.39 $34,900.21 2026-07-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 46 14 — — $1,581.24 $199,050.47 $34,841.01 2026-07-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 28 13 — — $19,092.20 $61,633.52 $34,806.81 2026-07-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 14 — — $1,694.18 $94,725.07 $34,623.80 2026-07-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 14 — — $10,587.02 $95,212.04 $34,457.56 2026-07-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 7 — — $32,778.73 $86,531.00 $34,417.67 2026-07-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 7 — — $32,778.73 $86,531.00 $34,417.67 2026-07-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 7 — — $32,778.73 $86,531.00 $34,417.67 2026-07-01
793 MS_DRG Full Term Neonate With Major Problems 35 17 — — $915.15 $94,003.63 $34,364.65 2026-07-01
1014T OTHER Lap Rv/rmv Eso Sph Nstm Eltr 2 1 — — $34,339.00 $34,339.00 $34,339.00 2026-07-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 2 1 — — $34,339.00 $34,339.00 $34,339.00 2026-07-01
791 MS_DRG Prematurity With Major Problems 31 16 — — $44.58 $91,510.16 $34,125.20 2026-07-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 23 12 — — $19,816.93 $54,608.50 $34,022.22 2026-07-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 7 — — $32,224.05 $72,504.11 $33,835.25 2026-07-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 9 7 — — $32,224.05 $72,504.11 $33,835.25 2026-07-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 9 7 — — $32,224.05 $72,504.11 $33,835.25 2026-07-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 13 — — $12,017.60 $71,778.77 $33,762.21 2026-07-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 8 — — $8,320.05 $86,531.00 $33,762.10 2026-07-01
33270 HCPCS Ins/rep Subq Defibrillator 12 8 — — $8,320.05 $86,531.00 $33,762.10 2026-07-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 8 — — $8,320.05 $86,531.00 $33,762.10 2026-07-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 8 — — $8,320.05 $86,531.00 $33,762.10 2026-07-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 41 13 — — $1,393.10 $59,969.70 $33,726.14 2026-07-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 13 — — $1,328.44 $71,634.48 $33,694.96 2026-07-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 25 13 — — $18,680.13 $59,760.03 $33,608.23 2026-07-01
500 MS_DRG Soft Tissue Procedures With Mcc 30 13 — — $2,100.00 $71,350.42 $33,562.57 2026-07-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 7 6 — — $32,224.05 $72,504.11 $33,513.01 2026-07-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 7 6 — — $32,224.05 $72,504.11 $33,513.01 2026-07-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 8 — — $8,320.05 $72,504.11 $33,190.77 2026-07-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 12 8 — — $8,320.05 $72,504.11 $33,190.77 2026-07-01
63685 HCPCS Insrt/redo Spine N Generator 12 8 — — $8,320.05 $72,504.11 $33,190.77 2026-07-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 8 — — $8,320.05 $72,504.11 $33,190.77 2026-07-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 12 8 — — $8,320.05 $72,504.11 $33,190.77 2026-07-01
61886 HCPCS Implant Neurostim Arrays 12 8 — — $8,320.05 $86,531.00 $33,190.77 2026-07-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 8 — — $8,320.05 $72,504.11 $33,190.77 2026-07-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 14 — — $9,621.09 $70,220.91 $33,036.11 2026-07-01
113 MS_DRG Orbital Procedures With Cc/Mcc 23 12 — — $19,252.41 $53,005.55 $33,023.55 2026-07-01
333 MS_DRG Rectal Resection With Cc 23 12 — — $19,181.75 $52,804.90 $32,898.54 2026-07-01
709 MS_DRG Penis Procedures With Cc/Mcc 23 12 — — $19,061.86 $52,464.47 $32,686.45 2026-07-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 28 13 — — $12,273.83 $51,438.67 $32,550.44 2026-07-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 26 12 — — $774.23 $54,430.39 $32,261.08 2026-07-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 24 12 — — $4,401.00 $54,227.49 $32,140.82 2026-07-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 12 8 — — $12,306.90 $100,898.07 $32,095.93 2026-07-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 35 14 — — $928.60 $56,878.78 $31,987.85 2026-07-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 24 12 — — $18,359.19 $55,280.09 $31,936.99 2026-07-01
5232 OTHER Level 2 Icd And Similar Procedures 31 10 — — $3,548.98 $72,411.23 $31,861.51 2026-07-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 25 12 — — $17,601.16 $56,179.89 $31,594.80 2026-07-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 26 12 — — $20,078.14 $55,350.23 $31,437.31 2026-07-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 23 12 — — $18,348.87 $50,439.93 $31,425.12 2026-07-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 34 13 — — $1,970.76 $84,836.84 $31,376.40 2026-07-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 35 14 — — $15,896.71 $82,776.22 $31,223.68 2026-07-01
570 MS_DRG Skin Debridement With Mcc 26 13 — — $1,132.69 $66,307.10 $31,211.96 2026-07-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 23 12 — — $18,208.33 $50,040.88 $31,176.50 2026-07-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 23 12 — — $18,136.88 $49,837.98 $31,050.09 2026-07-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 37 13 — — $981.87 $55,220.20 $30,990.01 2026-07-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 12 — — $17,178.98 $52,106.00 $30,883.41 2026-07-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 37 13 — — $1,448.81 $195,071.09 $30,866.88 2026-07-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 8 — — $8,320.05 $86,531.00 $30,852.03 2026-07-01
141 MS_DRG Major Head And Neck Procedures With Cc 23 12 — — $17,902.65 $49,172.90 $30,635.73 2026-07-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 26 13 — — $14,117.19 $48,262.08 $30,540.29 2026-07-01
265 MS_DRG Aicd Lead Procedures 29 13 — — $1,442.50 $81,572.32 $30,485.36 2026-07-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 23 12 — — $17,814.52 $48,922.65 $30,479.82 2026-07-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 16 8 — — $7.94 $68,824.76 $30,240.97 2026-07-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 36 13 — — $1,007.78 $80,505.94 $30,239.47 2026-07-01
711 MS_DRG Testes Procedures With Cc/Mcc 25 12 — — $17,130.12 $46,979.27 $30,188.01 2026-07-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 52 14 — — $955.83 $54,044.87 $30,181.72 2026-07-01
886 MS_DRG Behavioral And Developmental Disorders 25 12 — — $17,062.63 $46,787.64 $30,064.87 2026-07-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 23 12 — — $17,496.93 $48,020.85 $29,917.98 2026-07-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 9 7 — — $28,335.49 $86,531.00 $29,752.26 2026-07-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 9 7 — — $28,335.49 $86,531.00 $29,752.26 2026-07-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 23 12 — — $17,396.89 $47,736.78 $29,741.00 2026-07-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 14 — — $1,019.54 $78,623.43 $29,688.06 2026-07-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 13 — — $1,296.08 $167,983.39 $29,686.03 2026-07-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 25 12 — — $16,854.61 $46,196.96 $29,685.31 2026-07-01
503 MS_DRG Foot Procedures With Mcc 26 12 — — $17,048.15 $62,925.35 $29,635.78 2026-07-01
C9760 HCPCS Non-blind Interatrial Shunt 9 7 — — $28,109.36 $86,531.00 $29,514.83 2026-07-01
935 MS_DRG Non-extensive Burns 24 12 — — $16,941.15 $46,442.70 $29,388.99 2026-07-01
7043 OTHER Infliximab Not Biosimil 10mg 1 1 — — $29,319.26 $29,319.26 $29,319.26 2025-11-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 29 12 — — $16,235.02 $49,326.21 $29,255.02 2026-07-01
22558 HCPCS Lumbar Spine Fusion 12 8 — — $8,320.05 $63,754.85 $29,185.56 2026-07-01
22630 HCPCS Lumbar Spine Fusion 12 8 — — $8,320.05 $63,754.85 $29,185.56 2026-07-01
22633 HCPCS Lumbar Spine Fusion Combined 12 8 — — $8,320.05 $63,754.85 $29,185.56 2026-07-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 13 — — $1,846.96 $199,974.20 $29,157.28 2026-07-01
347 MS_DRG Anal And Stomal Procedures With Mcc 25 14 — — $6,039.76 $51,754.30 $29,105.91 2026-07-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 13 — — $16,100.78 $49,087.23 $29,094.18 2026-07-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 37 14 — — $1,263.07 $76,914.52 $29,056.12 2026-07-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 23 12 — — $16,994.35 $46,593.75 $29,028.87 2026-07-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 8 — — $22,951.72 $63,315.00 $28,850.12 2026-07-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 8 — — $22,951.72 $63,315.00 $28,850.12 2026-07-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 8 — — $22,951.72 $63,315.00 $28,850.12 2026-07-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 37 13 — — $1,294.04 $77,883.96 $28,574.19 2026-07-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 23 12 — — $16,684.70 $45,714.50 $28,481.07 2026-07-01
27702 HCPCS Reconstruct Ankle Joint 12 8 — — $8,320.05 $63,754.85 $28,477.17 2026-07-01
20696 HCPCS Comp Multiplane Ext Fixation 12 8 — — $8,320.05 $63,754.85 $28,477.17 2026-07-01
21243 HCPCS Reconstruction Of Jaw Joint 12 8 — — $8,320.05 $63,754.85 $28,477.17 2026-07-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 23 12 — — $16,640.24 $45,588.24 $28,402.42 2026-07-01
2616 OTHER Brachytx, Non-str,yttrium-90 3 2 — — $28,296.67 $54,608.24 $28,358.21 2026-07-01
264 MS_DRG Other Circulatory System O.r. Procedures 38 14 — — $6,767.64 $76,458.95 $28,328.68 2026-07-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 23 12 — — $16,582.28 $45,423.67 $28,299.88 2026-07-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 28 13 — — $14,109.17 $47,191.19 $28,294.33 2026-07-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 24 13 — — $15,094.92 $47,718.75 $28,283.06 2026-07-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $28,248.62 $28,248.62 $28,248.62 2026-07-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 24 12 — — $17,158.70 $47,060.43 $28,156.51 2026-07-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 14 — — $1,416.41 $77,293.28 $28,083.95 2026-07-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 31 12 — — $919.88 $53,893.82 $27,796.31 2026-07-01
883 MS_DRG Disorders Of Personality And Impulse Control 25 13 — — $10,897.52 $44,330.23 $27,618.65 2026-07-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 13 — — $1,377.39 $140,481.93 $27,600.19 2026-07-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 24 12 — — $16,945.92 $46,456.23 $27,534.77 2026-07-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 26 13 — — $18,925.99 $58,229.23 $27,446.99 2026-07-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 26 13 — — $15,918.13 $58,148.06 $27,409.15 2026-07-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 51 14 — — $1,723.93 $213,139.55 $27,254.94 2026-07-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 23 12 — — $15,901.84 $43,491.56 $27,096.14 2026-07-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 23 12 — — $15,881.99 $43,435.20 $27,061.02 2026-07-01
595 MS_DRG Major Skin Disorders With Mcc 27 12 — — $700.00 $47,811.18 $26,888.36 2026-07-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 50 14 — — $810.33 $109,092.70 $26,871.24 2026-07-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 23 12 — — $15,741.46 $43,036.15 $26,812.41 2026-07-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 34 14 — — $1,895.24 $62,158.82 $26,799.87 2026-07-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 39 14 — — $1,247.02 $71,242.20 $26,701.86 2026-07-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 13 — — $17,715.34 $70,838.64 $26,681.72 2026-07-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 32 12 — — $1,163.62 $71,848.66 $26,665.10 2026-07-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 25 12 — — $861.97 $47,400.86 $26,657.60 2026-07-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 43 13 — — $1,202.27 $86,904.62 $26,627.55 2026-07-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 37 13 — — $7,392.78 $42,050.48 $26,580.75 2026-07-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 39 13 — — $1,044.10 $72,930.82 $26,532.25 2026-07-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 38 14 — — $1,353.16 $71,981.68 $26,324.32 2026-07-01
906 MS_DRG Hand Procedures For Injuries 24 12 — — $1,028.75 $44,285.14 $26,247.96 2026-07-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 41 14 — — $1,256.12 $71,005.48 $26,103.33 2026-07-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 13 — — $1,150.90 $70,096.91 $26,029.67 2026-07-01
C9602 HCPCS Perc D-e Cor Stent Ather S 12 8 — — $19,143.34 $43,072.52 $25,996.00 2026-07-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 12 8 — — $19,143.34 $43,072.52 $25,996.00 2026-07-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 12 8 — — $19,143.34 $43,072.52 $25,996.00 2026-07-01
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