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

TALLAHASSEE MEMORIAL HEALTHCARE

Tallahassee, FL · CCN 100135 · Rates published

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You selected 93306 (CPT)

Tte w/doppler complete

This hospital’s price: $585 across 2 payers · range $385-$1,524

Source: https://www.tmh.org/sites/default/files/price-transparency/591917016_tallahassee-memorial-hospital_standardcharges.csv · observed 2026-09-01

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.

14,340 distinct procedures filed
11 distinct payers
88,045 rate rows
2026-09-01 last MRF observed
Data quality

72,682 of 88,045 rate rows are consumer-grade (82.6%)

15,363 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 15,356
placeholder amount (≤ $0.02) — excluded from medians 5
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.tmh.org/sites/default/files/price-transparency/591917016_tallahassee-memorial-hospital_standardcharges.csv
Found on page https://www.tmh.org/patients-and-visitors/billing-and-financial-assistance-information#standardrates
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-16
Content fingerprint aec1fe8998ba2936… · 24,857,031 bytes · first seen 2026-10-16

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $813,967.38 $2,173,292.89 $854,665.74 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $611,693.17 $1,633,220.77 $642,277.83 nat. median
$739,258
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $587,977.76 $1,569,900.61 $617,376.64 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $579,570.61 $1,547,453.54 $608,549.14 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $567,977.78 $1,516,500.67 $596,376.67 nat. median
$622,450
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $562,500.89 $1,501,877.38 $590,625.94 nat. median
$608,239
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $510,103.92 $1,361,977.46 $535,609.11 nat. median
$591,721
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 8 $356,509.06 $951,879.19 $356,509.06 nat. median
$359,454
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $232,179.48 $619,919.21 $237,983.97 nat. median
$249,036
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $203,659.76 $543,771.57 $213,842.75 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $177,445.88 $473,780.50 $177,445.88 nat. median
$198,418
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $76,320.26 $575,081.49 $176,418.20 nat. median
$190,559
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $111,502.61 $297,711.97 $117,077.74 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $49,224.51 $309,560.07 $115,940.10 nat. median
$126,695
0.9× median
7
MS_DRG 		Lung Transplant 8 $108,548.68 $289,824.98 $108,548.68 nat. median
$117,974
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $100,902.18 $269,408.82 $100,902.18 nat. median
$110,307
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $95,274.96 $302,257.00 $95,274.96 nat. median
$104,013
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $19,975.08 $254,099.47 $95,168.34 nat. median
$92,678
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $90,418.48 $247,582.40 $92,727.49 nat. median
$93,276
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $91,521.02 $358,421.99 $91,521.02 nat. median
$97,323
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 9 $81,925.37 $236,324.24 $88,199.15 nat. median
$93,901
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $86,898.51 $232,658.02 $86,898.51 nat. median
$95,038
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $25,152.66 $227,057.83 $82,570.44 nat. median
$90,551
0.9× median
J9183
HCPCS 		Gemcitabine Intravesical Sys 2 $72,984.24 $194,867.92 $76,633.45 nat. median
$80,283
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $61,928.84 $203,531.00 $76,228.84 nat. median
$78,049
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $49,848.83 $195,864.28 $73,357.41 nat. median
$78,268
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 2 $68,801.71 $183,700.57 $72,241.80 nat. median
$70,178
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $69,028.90 $190,836.35 $71,474.29 nat. median
$77,028
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $70,705.13 $190,256.03 $71,256.94 nat. median
$77,632
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $64,331.61 $171,765.41 $67,548.19 nat. median
$68,423
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $59,360.61 $178,548.99 $66,872.28 nat. median
$74,370
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $11,950.40 $311,601.16 $66,451.63 nat. median
$67,976
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $62,715.35 $173,652.45 $65,804.20 nat. median
$71,748
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $63,042.53 $174,377.30 $65,772.97 nat. median
$72,398
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $16,399.59 $423,450.05 $61,539.50 nat. median
$63,648
1.0× median
10
MS_DRG 		Pancreas Transplant 8 $61,187.64 $163,371.00 $61,187.64 nat. median
$64,933
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $8,770.65 $163,305.32 $61,163.04 nat. median
$61,308
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $60,850.55 $162,470.97 $60,850.55 nat. median
$66,715
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $21,061.98 $162,379.01 $60,816.11 nat. median
$66,649
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $11,861.60 $157,591.94 $59,023.20 nat. median
$62,655
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $50,600.00 $156,849.58 $58,745.16 nat. median
$63,873
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $55,932.43 $149,339.58 $58,729.05 nat. median
$65,720
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $56,180.77 $153,634.84 $57,541.14 nat. median
$61,728
0.9× median
5801
OTHER 		Ventilation Initiation And Management 1 $57,383.54 $57,383.54 $57,383.54 nat. median
$652
outlier · 88.1×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $54,955.04 $152,658.18 $57,175.35 nat. median
$57,556
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $56,671.97 $152,550.88 $57,135.16 nat. median
$60,596
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $49,947.24 $150,223.04 $56,263.31 nat. median
$62,031
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $55,806.81 $150,223.04 $56,263.31 nat. median
$59,546
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 $49,044.60 $149,699.66 $56,067.29 nat. median
$58,135
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $24,032.30 $147,144.07 $55,110.14 nat. median
$59,371
0.9× median

Other procedures at this hospital

Browse this hospital's 14,340 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
             
Q2057 HCPCS Afamitresgene Autoleucel 5 2 — — $813,967.38 $2,173,292.89 $854,665.74 2026-09-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 2 — — $611,693.17 $1,633,220.77 $642,277.83 2026-09-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 2 — — $587,977.76 $1,569,900.61 $617,376.64 2026-09-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 2 — — $579,570.61 $1,547,453.54 $608,549.14 2026-09-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 2 — — $567,977.78 $1,516,500.67 $596,376.67 2026-09-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 2 — — $562,500.89 $1,501,877.38 $590,625.94 2026-09-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 2 — — $510,103.92 $1,361,977.46 $535,609.11 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 8 — — $356,509.06 $951,879.19 $356,509.06 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 8 — — $232,179.48 $619,919.21 $237,983.97 2026-09-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 2 — — $203,659.76 $543,771.57 $213,842.75 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 8 — — $177,445.88 $473,780.50 $177,445.88 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 9 — — $76,320.26 $575,081.49 $176,418.20 2026-09-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 2 — — $111,502.61 $297,711.97 $117,077.74 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 10 — — $49,224.51 $309,560.07 $115,940.10 2026-09-01
7 MS_DRG Lung Transplant 10 8 — — $108,548.68 $289,824.98 $108,548.68 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 9 8 — — $100,902.18 $269,408.82 $100,902.18 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 8 — — $95,274.96 $302,257.00 $95,274.96 2026-09-01
209 MS_DRG Complex Aortic Arch Procedures 10 9 — — $19,975.08 $254,099.47 $95,168.34 2026-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 8 — — $90,418.48 $247,582.40 $92,727.49 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 8 — — $91,521.02 $358,421.99 $91,521.02 2026-09-01
215 MS_DRG Other Heart Assist System Implant 17 9 — — $81,925.37 $236,324.24 $88,199.15 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 8 — — $86,898.51 $232,658.02 $86,898.51 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 10 — — $25,152.66 $227,057.83 $82,570.44 2026-09-01
J9183 HCPCS Gemcitabine Intravesical Sys 5 2 — — $72,984.24 $194,867.92 $76,633.45 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 9 — — $61,928.84 $203,531.00 $76,228.84 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 10 8 — — $49,848.83 $195,864.28 $73,357.41 2026-09-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 3 2 — — $68,801.71 $183,700.57 $72,241.80 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 9 — — $69,028.90 $190,836.35 $71,474.29 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 8 — — $70,705.13 $190,256.03 $71,256.94 2026-09-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 2 — — $64,331.61 $171,765.41 $67,548.19 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 9 — — $59,360.61 $178,548.99 $66,872.28 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 10 — — $11,950.40 $311,601.16 $66,451.63 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 9 — — $62,715.35 $173,652.45 $65,804.20 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 9 — — $63,042.53 $174,377.30 $65,772.97 2026-09-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — — $16,399.59 $423,450.05 $61,539.50 2026-09-01
10 MS_DRG Pancreas Transplant 10 8 — — $61,187.64 $163,371.00 $61,187.64 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 8 — — $8,770.65 $163,305.32 $61,163.04 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 8 — — $60,850.55 $162,470.97 $60,850.55 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 9 — — $21,061.98 $162,379.01 $60,816.11 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 10 — — $11,861.60 $157,591.94 $59,023.20 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 9 — — $50,600.00 $156,849.58 $58,745.16 2026-09-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 2 — — $55,932.43 $149,339.58 $58,729.05 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 8 — — $56,180.77 $153,634.84 $57,541.14 2026-09-01
5801 OTHER Ventilation Initiation And Management 1 1 — — $57,383.54 $57,383.54 $57,383.54 2026-09-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 9 — — $54,955.04 $152,658.18 $57,175.35 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 8 — — $56,671.97 $152,550.88 $57,135.16 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $49,947.24 $150,223.04 $56,263.31 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 8 — — $55,806.81 $150,223.04 $56,263.31 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $49,044.60 $149,699.66 $56,067.29 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 10 — — $24,032.30 $147,144.07 $55,110.14 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 8 — — $52,058.27 $149,509.64 $54,661.18 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 10 — — $17,441.63 $182,438.69 $52,597.95 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 8 — — $52,539.71 $140,281.03 $52,539.71 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 11 — — $11,362.17 $172,709.21 $52,358.48 2026-09-01
L7181 HCPCS Electronic Elbo Simultaneous 3 2 — — $49,605.45 $132,446.55 $52,085.72 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 13 8 — — $48,786.19 $137,806.50 $51,612.92 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 9 — — $51,183.25 $137,769.25 $51,598.97 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $16,580.77 $136,816.67 $51,242.20 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 9 8 — — $50,968.26 $136,085.25 $50,968.26 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 9 — — $44,559.40 $134,747.24 $50,467.13 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 8 — — $50,435.96 $134,664.01 $50,435.96 2026-09-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 8 — — $49,634.65 $132,524.52 $49,634.65 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 10 — — $10,413.30 $131,718.66 $49,332.83 2026-09-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $49,140.91 $131,206.23 $49,140.91 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 9 — — $11,359.66 $131,044.16 $49,080.21 2026-09-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $46,309.30 $144,721.13 $48,444.58 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $45,057.23 $125,858.57 $48,441.44 2026-09-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 8 — — $48,301.87 $128,965.99 $48,301.87 2026-09-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 9 — — $45,045.08 $128,125.08 $47,986.92 2026-09-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 8 — — $47,632.60 $127,179.04 $47,632.60 2026-09-01
834 MS_DRG Acute Leukemia With Mcc 13 8 — — $26,418.39 $126,454.22 $47,361.13 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 9 — — $44,145.22 $165,911.75 $47,224.44 2026-09-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 8 — — $47,202.01 $126,029.37 $47,202.01 2026-09-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 8 — — $47,067.50 $125,670.22 $47,067.50 2026-09-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 9 8 — — $46,888.70 $125,192.83 $46,888.70 2026-09-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 9 — — $43,024.67 $121,776.64 $46,512.00 2026-09-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 8 — — $46,046.38 $122,943.83 $46,046.38 2026-09-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 3 — — $10,805.00 $122,811.49 $45,996.81 2026-09-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 3 — — $10,474.00 $122,811.49 $45,996.81 2026-09-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 5 3 — — $8,269.00 $122,811.49 $45,996.81 2026-09-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 5 3 — — $14,333.00 $122,811.49 $45,996.81 2026-09-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 9 — — $43,348.42 $146,496.72 $45,752.76 2026-09-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 9 — — $28,595.27 $120,224.04 $45,027.73 2026-09-01
653 MS_DRG Major Bladder Procedures With Mcc 11 8 — — $44,953.91 $120,026.94 $44,953.91 2026-09-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 3 3 — — $12,733.27 $45,996.81 $44,862.30 2026-09-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 9 — — $42,669.89 $114,574.16 $44,476.05 2026-09-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $43,467.67 $128,607.91 $44,381.29 2026-09-01
G0291 HCPCS Drug-eluting Stents,each Add 1 1 — — $43,298.00 $43,298.00 $43,298.00 2026-09-01
G0290 HCPCS Drug-eluting Stents, Single 1 1 — — $43,298.00 $43,298.00 $43,298.00 2026-09-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 10 — — $3,251.34 $115,450.11 $43,239.74 2026-09-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 11 — — $12,959.35 $114,381.46 $42,839.50 2026-09-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 9 — — $21,018.45 $114,011.38 $42,700.89 2026-09-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 8 — — $28,337.65 $113,562.44 $42,532.75 2026-09-01
L7180 HCPCS Electronic Elbow Sequential 3 2 — — $39,992.59 $106,780.22 $41,992.22 2026-09-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 9 — — $38,842.82 $111,974.81 $41,938.13 2026-09-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 8 — — $41,393.25 $111,440.46 $41,738.00 2026-09-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 9 — — $37,772.32 $136,985.24 $41,381.23 2026-09-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 8 — — $40,894.04 $109,187.09 $40,894.04 2026-09-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 9 — — $25,796.47 $108,976.88 $40,815.31 2026-09-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 8 — — $40,700.48 $108,670.28 $40,700.48 2026-09-01
6 MS_DRG Liver Transplant Without Mcc 10 8 — — $40,365.85 $232,658.02 $40,365.85 2026-09-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 9 — — $27,145.02 $107,371.70 $40,214.12 2026-09-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 10 — — $8,682.70 $108,737.28 $40,033.68 2026-09-01
38240 HCPCS Transplt Allo Hct/donor 6 3 — — $717.38 $175,382.46 $40,009.65 2026-09-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 9 — — $39,212.55 $106,633.71 $39,937.72 2026-09-01
245 MS_DRG Aicd Generator Procedures 15 9 — — $3,104.28 $106,143.18 $39,754.00 2026-09-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 9 — — $37,040.13 $105,843.15 $39,641.63 2026-09-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 11 — — $14,519.84 $105,799.36 $39,625.23 2026-09-01
799 MS_DRG Splenic Procedures With Mcc 13 9 — — $13,644.00 $105,409.57 $39,479.24 2026-09-01
J9226 HCPCS Supprelin La Implant 5 2 — — $37,491.97 $100,103.57 $39,366.57 2026-09-01
163 MS_DRG Major Chest Procedures With Mcc 18 9 — — $2,910.40 $104,378.15 $39,092.94 2026-09-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 8 — — $38,752.94 $104,349.66 $39,082.27 2026-09-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 9 — — $15,667.63 $103,964.25 $38,937.92 2026-09-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 9 — — $36,461.35 $102,429.16 $38,362.98 2026-09-01
5661 OTHER Therapeutic Nuclear Medicine 9 8 — — $138.69 $110,285.90 $37,860.23 2026-09-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 10 — — $13,178.69 $100,997.00 $37,826.59 2026-09-01
9109 OTHER Inj, Elahere, 1 Mg 1 1 — — $37,632.02 $37,632.02 $37,632.02 2026-09-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 10 — — $10,172.89 $100,241.47 $37,543.62 2026-09-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 9 — — $16,224.38 $99,637.08 $37,317.26 2026-09-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 8 — — $36,867.16 $99,100.55 $37,116.31 2026-09-01
92981 HCPCS Insert Intracoronary Stent 1 1 — — $37,113.00 $37,113.00 $37,113.00 2026-09-01
92980 HCPCS Insert Intracoronary Stent 1 1 — — $37,113.00 $37,113.00 $37,113.00 2026-09-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 9 — — $34,785.87 $98,715.13 $36,971.96 2026-09-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 8 — — $36,912.91 $98,557.47 $36,912.91 2026-09-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 9 — — $8,596.80 $100,639.53 $36,895.69 2026-09-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 9 — — $33,145.17 $98,242.12 $36,794.80 2026-09-01
901 MS_DRG Wound Debridements For Injuries With Mcc 11 9 — — $22,743.00 $98,132.65 $36,753.80 2026-09-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 3 2 — — $34,970.13 $93,370.25 $36,718.64 2026-09-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $189.89 $97,961.82 $36,689.82 2026-09-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 8 — — $36,387.52 $102,944.36 $36,556.95 2026-09-01
793 MS_DRG Full Term Neonate With Major Problems 17 11 — — $1,079.70 $97,541.37 $36,532.35 2026-09-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 8 — — $33,307.20 $97,177.85 $36,396.20 2026-09-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 9 — — $24,859.00 $96,575.64 $36,170.65 2026-09-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 5 3 — — $8,269.00 $95,520.35 $35,775.41 2026-09-01
791 MS_DRG Prematurity With Major Problems 18 11 — — $1,829.05 $95,119.36 $35,625.23 2026-09-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 9 — — $33,678.94 $94,276.28 $35,309.47 2026-09-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 8 — — $2,597.27 $93,479.16 $35,010.92 2026-09-01
92996 HCPCS Coronary Atherectomy Add-on 1 1 — — $34,638.00 $34,638.00 $34,638.00 2026-09-01
92995 HCPCS Coronary Atherectomy 1 1 — — $34,638.00 $34,638.00 $34,638.00 2026-09-01
92982 HCPCS Coronary Artery Dilation 1 1 — — $34,638.00 $34,638.00 $34,638.00 2026-09-01
92984 HCPCS Coronary Artery Dilation 1 1 — — $34,638.00 $34,638.00 $34,638.00 2026-09-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 9 — — $31,985.42 $91,898.09 $34,418.76 2026-09-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 8 — — $34,273.59 $91,510.49 $34,273.59 2026-09-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 10 — — $11,942.44 $125,375.82 $34,080.84 2026-09-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 8 — — $34,033.27 $90,868.83 $34,033.27 2026-09-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 9 — — $28,132.73 $90,787.82 $34,002.93 2026-09-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 10 — — $6,139.80 $237,176.73 $33,823.31 2026-09-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 3 — — $2,902.16 $87,519.21 $33,598.20 2026-09-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 10 — — $2,728.80 $113,889.81 $33,197.51 2026-09-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 9 — — $7,468.00 $88,278.24 $33,063.01 2026-09-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 10 — — $5,930.17 $88,083.33 $32,990.01 2026-09-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 11 9 — — $30,885.68 $88,074.57 $32,986.73 2026-09-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 9 — — $10,613.49 $87,844.63 $32,900.61 2026-09-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 5 3 — — $16,079.00 $87,519.21 $32,778.73 2026-09-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 3 — — $16,079.00 $87,519.21 $32,778.73 2026-09-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 3 — — $16,079.00 $87,519.21 $32,778.73 2026-09-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 8 — — $32,728.37 $93,871.12 $32,728.37 2026-09-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 11 8 — — $32,460.18 $86,668.68 $32,460.18 2026-09-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 11 — — $7,560.00 $86,635.81 $32,447.87 2026-09-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 9 — — $30,805.88 $82,251.70 $32,346.17 2026-09-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 3 — — $10,474.00 $86,038.21 $32,224.05 2026-09-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 5 3 — — $3,599.00 $86,038.21 $32,224.05 2026-09-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 3 — — $10,474.00 $86,038.21 $32,224.05 2026-09-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 3 — — $8,269.00 $86,038.21 $32,224.05 2026-09-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 5 3 — — $3,599.00 $86,038.21 $32,224.05 2026-09-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 3 — — $10,474.00 $86,038.21 $32,224.05 2026-09-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 3 — — $8,269.00 $86,038.21 $32,224.05 2026-09-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 3 — — $8,269.00 $86,038.21 $32,224.05 2026-09-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 3 — — $10,474.00 $86,038.21 $32,224.05 2026-09-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 8 — — $27,487.54 $85,691.99 $32,094.38 2026-09-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 8 — — $32,071.41 $85,630.66 $32,071.41 2026-09-01
332 MS_DRG Rectal Resection With Mcc 10 8 — — $32,030.41 $85,521.19 $32,030.41 2026-09-01
265 MS_DRG Aicd Lead Procedures 10 8 — — $32,009.90 $85,466.43 $32,009.90 2026-09-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 8 — — $28,581.11 $85,326.28 $31,957.41 2026-09-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 9 — — $29,788.52 $85,208.03 $31,913.12 2026-09-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 8 — — $27,517.97 $84,691.23 $31,719.56 2026-09-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 8 — — $31,651.48 $84,509.45 $31,651.48 2026-09-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 9 — — $30,018.95 $84,430.63 $31,621.96 2026-09-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 8 — — $31,578.49 $84,314.57 $31,578.49 2026-09-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 11 9 — — $29,513.56 $84,248.86 $31,553.88 2026-09-01
5232 OTHER Level 2 Icd And Similar Procedures 11 8 — — $14,679.39 $82,573.89 $31,548.48 2026-09-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 9 — — $10,896.09 $84,174.42 $31,526.00 2026-09-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 9 — — $23,757.60 $84,110.90 $31,502.21 2026-09-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 9 — — $21,295.68 $83,460.52 $31,258.62 2026-09-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 2 — — $29,719.96 $79,352.29 $31,205.96 2026-09-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 8 — — $28,581.11 $83,302.85 $31,199.57 2026-09-01
J9266 HCPCS Pegaspargase Injection 5 2 — — $29,663.96 $79,202.79 $31,147.16 2026-09-01
5433 OTHER Level 3 Nerve Procedures 1 1 — — $31,098.65 $31,098.65 $31,098.65 2026-09-01
L6880 HCPCS Elec Hand Ind Art Digits 3 2 — — $29,579.67 $78,977.72 $31,058.65 2026-09-01
64568 HCPCS Inc For Vagus N Elect Impl 6 3 — — $1,948.59 $122,811.49 $31,037.90 2026-09-01
L6700 HCPCS Ue Add Ext Power Myoel 3 2 — — $29,510.19 $78,792.21 $30,985.70 2026-09-01
252 MS_DRG Other Vascular Procedures With Mcc 20 10 — — $11,397.54 $82,621.79 $30,944.49 2026-09-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 10 — — $8,576.74 $82,602.08 $30,937.11 2026-09-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 7 — — $12,733.27 $82,334.56 $30,738.78 2026-09-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 9 — — $28,306.98 $81,883.80 $30,668.09 2026-09-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 9 — — $277.99 $81,533.44 $30,536.87 2026-09-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $7,179.95 $81,310.07 $30,453.21 2026-09-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 11 — — $6,184.41 $80,942.17 $30,315.42 2026-09-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 9 — — $30,278.51 $80,843.62 $30,278.51 2026-09-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 10 — — $678.07 $79,387.35 $29,733.09 2026-09-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 8 — — $28,165.74 $96,987.51 $29,623.56 2026-09-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 8 — — $29,427.17 $78,570.54 $29,427.17 2026-09-01
37 MS_DRG Extracranial Procedures With Mcc 14 9 — — $26,339.13 $78,325.28 $29,335.31 2026-09-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 9 — — $23,972.33 $79,957.93 $29,332.03 2026-09-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 10 — — $20,165.58 $77,464.66 $29,012.98 2026-09-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 9 — — $22,995.55 $77,151.49 $28,895.69 2026-09-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 9 — — $5,496.56 $77,072.67 $28,866.17 2026-09-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 10 — — $10,201.79 $76,974.12 $28,829.26 2026-09-01
652 MS_DRG Kidney Transplant 10 8 — — $28,821.88 $93,871.12 $28,821.88 2026-09-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 9 — — $25,548.15 $76,901.85 $28,802.19 2026-09-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 8 — — $28,394.57 $146,496.72 $28,759.12 2026-09-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 10 8 — — $28,750.52 $76,763.89 $28,750.52 2026-09-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 8 — — $28,665.22 $76,536.14 $28,665.22 2026-09-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 17 9 — — $17,838.98 $76,150.72 $28,520.87 2026-09-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 9 — — $22,984.90 $76,021.52 $28,472.48 2026-09-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 11 8 — — $28,014.60 $75,953.65 $28,447.06 2026-09-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 5 3 — — $8,269.00 $75,655.76 $28,335.49 2026-09-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 5 3 — — $10,474.00 $75,655.76 $28,335.49 2026-09-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 9 — — $8,736.51 $75,537.56 $28,291.22 2026-09-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 9 — — $20,966.87 $75,432.47 $28,251.86 2026-09-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 9 — — $26,065.66 $75,235.37 $28,178.04 2026-09-01
C9760 HCPCS Non-blind Interatrial Shunt 5 3 — — $11,576.00 $75,051.99 $28,109.36 2026-09-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 8 — — $26,673.00 $75,040.48 $28,105.05 2026-09-01
665 MS_DRG Prostatectomy With Mcc 11 8 — — $25,549.94 $74,582.79 $27,933.63 2026-09-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 9 — — $2,150.85 $72,655.69 $27,892.17 2026-09-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 10 — — $2,728.80 $74,440.45 $27,880.32 2026-09-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 10 — — $10,413.30 $77,323.41 $27,835.21 2026-09-01
5117 OTHER Level 7 Musculoskeletal Procedures 8 6 — — $2,833.85 $72,183.42 $27,635.22 2026-09-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 8 — — $23,305.97 $73,275.43 $27,443.98 2026-09-01
263 MS_DRG Vein Ligation And Stripping 12 9 — — $10,577.06 $73,185.66 $27,410.36 2026-09-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 2 — — $2,649.52 $72,878.23 $27,295.22 2026-09-01
570 MS_DRG Skin Debridement With Mcc 12 9 — — $26,456.49 $70,638.83 $27,117.90 2026-09-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 9 — — $13,987.24 $72,377.59 $27,107.71 2026-09-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 9 — — $19,795.02 $72,368.83 $27,104.43 2026-09-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 10 — — $9,198.26 $72,296.58 $27,077.37 2026-09-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 8 — — $26,746.01 $71,411.85 $26,746.01 2026-09-01
5213 OTHER Level 3 Electrophysiologic Procedures 13 10 — — $17,793.72 $78,367.26 $26,622.24 2026-09-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 9 — — $15,628.27 $70,748.32 $26,497.50 2026-09-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 13 9 — — $8,207.34 $100,639.53 $26,481.10 2026-09-01
668 MS_DRG Transurethral Procedures With Mcc 10 8 — — $14,739.96 $70,176.78 $26,283.44 2026-09-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 9 — — $18,640.55 $70,008.15 $26,220.28 2026-09-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 9 — — $2,039.13 $69,782.59 $26,135.80 2026-09-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 8 — — $26,121.04 $90,495.03 $26,121.04 2026-09-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 9 — — $23,827.23 $69,462.88 $26,016.06 2026-09-01
974 MS_DRG HIV With Major Related Condition With Mcc 14 9 — — $25,775.82 $69,432.23 $26,004.58 2026-09-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 10 8 — — $25,970.13 $69,340.25 $25,970.13 2026-09-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 9 — — $18,019.55 $69,086.22 $25,874.99 2026-09-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 11 — — $4,881.43 $68,654.80 $25,713.41 2026-09-01
800 MS_DRG Splenic Procedures With Cc 10 8 — — $25,376.32 $67,754.77 $25,376.32 2026-09-01
654 MS_DRG Major Bladder Procedures With Cc 10 8 — — $25,293.48 $67,880.91 $25,293.48 2026-09-01
503 MS_DRG Foot Procedures With Mcc 11 9 — — $13,293.35 $67,354.03 $25,226.23 2026-09-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 9 — — $22,495.20 $66,933.59 $25,068.76 2026-09-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 18 9 — — $22,084.91 $66,410.19 $25,048.09 2026-09-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 9 — — $6,481.30 $66,609.48 $24,947.37 2026-09-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 21 10 — — $9,444.77 $67,105.72 $24,878.47 2026-09-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 8 — — $15,489.92 $66,099.24 $24,756.27 2026-09-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 10 — — $11,885.06 $65,814.57 $24,649.65 2026-09-01
849 MS_DRG Radiotherapy 10 8 — — $19,994.81 $65,567.11 $24,556.97 2026-09-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 8 — — $942.92 $65,494.83 $24,529.90 2026-09-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 8 — — $24,457.72 $65,302.11 $24,457.72 2026-09-01
33270 HCPCS Ins/rep Subq Defibrillator 6 3 — — $1,780.70 $87,519.21 $24,428.87 2026-09-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 3 — — $1,282.29 $87,519.21 $24,428.87 2026-09-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 3 — — $1,267.07 $87,519.21 $24,428.87 2026-09-01
Q0483 HCPCS Monitor Elec Vad, Rep 3 2 — — $23,212.40 $61,977.11 $24,373.02 2026-09-01
L5858 HCPCS Stance Phase Only 3 2 — — $23,009.05 $61,434.16 $24,159.50 2026-09-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 11 8 — — $24,150.98 $75,051.04 $24,150.98 2026-09-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 8 — — $23,517.80 $62,792.53 $24,105.74 2026-09-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 9 — — $23,860.80 $64,279.45 $24,074.70 2026-09-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 9 — — $6,296.11 $91,458.75 $23,965.62 2026-09-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 6 3 — — $1,153.98 $62,020.09 $23,809.21 2026-09-01
253 MS_DRG Other Vascular Procedures With Cc 22 11 — — $7,698.46 $63,072.85 $23,622.79 2026-09-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 9 — — $8,691.81 $63,004.95 $23,597.36 2026-09-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 15 9 — — $8,541.06 $62,713.71 $23,488.28 2026-09-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 9 — — $1,962.00 $62,713.71 $23,488.28 2026-09-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 14 9 — — $21,530.20 $62,459.68 $23,393.14 2026-09-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 19 9 — — $22,095.45 $62,139.95 $23,273.39 2026-09-01
0515T OTHER Insj Wcs Lv Compl Sys 5 3 — — $10,805.00 $62,020.09 $23,228.50 2026-09-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 5 3 — — $16,079.00 $62,020.09 $23,228.50 2026-09-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 5 3 — — $15,104.00 $62,020.09 $23,228.50 2026-09-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 5 3 — — $10,474.00 $62,020.09 $23,228.50 2026-09-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 5 3 — — $16,079.00 $62,020.09 $23,228.50 2026-09-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 5 3 — — $10,474.00 $62,020.09 $23,228.50 2026-09-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 17 9 — — $17,389.39 $61,874.98 $23,174.15 2026-09-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 10 — — $8,289.00 $61,769.86 $23,134.78 2026-09-01
164 MS_DRG Major Chest Procedures With Cc 19 10 — — $7,008.73 $62,919.67 $23,035.54 2026-09-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 17 9 — — $4,755.07 $72,249.13 $23,026.52 2026-09-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 3 — — $1,058.17 $79,975.64 $23,025.21 2026-09-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 10 8 — — $19,572.80 $60,801.93 $22,772.26 2026-09-01
545 MS_DRG Connective Tissue Disorders With Mcc 14 9 — — $17,590.68 $60,578.59 $22,688.61 2026-09-01
5231 OTHER Level 1 Icd And Similar Procedures 7 6 — — $14,956.94 $64,299.73 $22,531.04 2026-09-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 13 8 — — $19,838.52 $60,085.87 $22,504.07 2026-09-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 9 — — $7,276.00 $104,816.10 $22,498.33 2026-09-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 10 — — $4,716.48 $59,996.07 $22,470.44 2026-09-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 16 10 — — $3,753.95 $59,757.38 $22,381.04 2026-09-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 2 — — $21,299.94 $56,870.84 $22,364.94 2026-09-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 19 10 — — $7,436.70 $59,693.86 $22,357.25 2026-09-01
93652 HCPCS Ablate Heart Dysrhythm Focus 1 1 — — $22,266.00 $22,266.00 $22,266.00 2026-09-01
93651 HCPCS Ablate Heart Dysrhythm Focus 1 1 — — $22,266.00 $22,266.00 $22,266.00 2026-09-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 7 5 — — $14,034.23 $51,281.42 $22,208.71 2026-09-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 11 9 — — $9,127.08 $59,275.60 $22,200.60 2026-09-01
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