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Hospital

TAMPA GENERAL HOSPITAL CRYSTAL RIVER

Crystal River, FL · CCN 100249 · Rates published

11,582 distinct procedures filed
15 distinct payers
113,583 rate rows
2026-04-01 last MRF observed
Data quality

90,246 of 113,583 rate rows are consumer-grade (79.5%)

23,337 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 21,558
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.tghnorth.org/-/media/files/tgh-north-files/93-3085834_tampa-general-hospital-crystal-river_standardcharges.csv?rev=ed34afd9191341488fe45684872bfa7d&hash=7C088E15BFAD8BB158C086F6AD4645C2
Found on page https://www.tghnorth.org/patients-visitors/billing-insurance/pricing-information#chargemaster
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-20
Content fingerprint ab5219e27e4ab9dc… · 27,370,346 bytes · first seen 2026-05-05

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 10 $74,968.22 $873,458.50 $333,052.79 nat. median
$168,055
2.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $188,648.92 $566,839.43 $216,354.82 nat. median
$186,516
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $69,006.04 $429,322.12 $168,840.30 nat. median
$145,435
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $132,091.43 $431,856.56 $164,980.90 nat. median
$131,925
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $86,131.18 $237,045.86 $135,225.95 nat. median
$65,418
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $99,466.43 $280,172.27 $111,255.73 nat. median
$97,418
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 10 $75,755.06 $201,400.24 $108,558.43 nat. median
$73,023
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $78,423.06 $208,550.48 $102,344.78 nat. median
$69,922
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $82,676.75 $219,950.42 $100,382.92 nat. median
$74,509
1.3× median
7
MS_DRG 		Lung Transplant 10 $82,250.86 $261,943.70 $100,312.76 nat. median
$70,649
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $74,968.22 $243,086.06 $93,135.62 nat. median
$72,715
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $86,033.07 $228,945.37 $87,753.73 nat. median
$2,110
outlier · 41.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $47,182.99 $222,925.81 $85,462.71 nat. median
$2,736
outlier · 31.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $73,079.05 $197,876.70 $77,164.27 nat. median
$69,822
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $46,859.22 $123,959.15 $73,568.98 nat. median
$44,036
1.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $50,232.14 $132,998.59 $73,079.05 nat. median
$47,458
1.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $50,232.14 $132,998.59 $73,079.05 nat. median
$45,446
1.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 10 $45,359.56 $119,940.04 $71,214.51 nat. median
$38,932
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $68,604.69 $182,237.18 $69,976.78 nat. median
$2,596
outlier · 27.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $64,229.48 $170,511.59 $69,337.07 nat. median
$60,505
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 10 $46,362.60 $122,628.21 $69,337.07 nat. median
$43,803
1.6× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $7,086.00 $346,823.74 $68,970.63 nat. median
$28,331
outlier · 2.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $59,994.65 $159,162.22 $67,295.06 nat. median
$56,428
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $65,962.36 $175,155.71 $67,281.61 nat. median
$2,633
outlier · 25.6×
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 10 $41,605.50 $109,879.13 $65,320.64 nat. median
$29,295
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $47,288.75 $169,975.57 $65,310.07 nat. median
$59,651
1.1× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 $40,560.19 $107,077.69 $63,679.50 nat. median
$38,173
1.7× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $53,385.89 $67,081.78 $61,726.01 nat. median
$2,106
outlier · 29.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $53,385.89 $67,081.78 $61,726.01 nat. median
$2,106
outlier · 29.3×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $53,385.89 $67,081.78 $61,726.01 nat. median
$2,106
outlier · 29.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $53,225.51 $144,226.60 $61,358.21 nat. median
$51,518
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $57,735.54 $154,639.46 $60,963.03 nat. median
$55,935
1.1× median
64654
HCPCS 		1st Opn Implt Bat Modulj Sys 7 $44,415.00 $242,863.16 $60,255.82 nat. median
$36,847
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $52,933.87 $155,308.97 $59,728.02 nat. median
$55,923
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $49,291.62 $154,127.72 $59,278.43 nat. median
$52,327
1.1× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 $36,537.44 $96,296.70 $57,363.78 nat. median
$34,616
1.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $54,428.80 $144,311.55 $57,176.05 nat. median
$45,605
1.3× median
10
MS_DRG 		Pancreas Transplant 10 $53,881.72 $145,142.88 $56,893.77 nat. median
$23,080
outlier · 2.5×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $55,087.36 $146,010.62 $56,189.11 nat. median
$9,905
outlier · 5.7×
6
MS_DRG 		Liver Transplant Without Mcc 10 $35,603.08 $128,600.83 $55,896.84 nat. median
$31,278
1.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $45,885.16 $145,082.20 $55,835.75 nat. median
$37,013
1.5× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 10 $42,905.91 $113,364.24 $54,428.80 nat. median
$32,772
1.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $38,748.83 $139,119.28 $53,041.13 nat. median
$49,569
1.1× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $38,646.17 $101,948.13 $52,933.87 nat. median
$35,297
1.5× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $40,854.53 $107,866.55 $52,933.87 nat. median
$38,832
1.4× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $13,106.62 $139,804.98 $52,771.82 nat. median
$48,611
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $49,361.52 $136,149.96 $52,436.18 nat. median
$47,340
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $51,071.40 $135,247.84 $52,092.83 nat. median
$2,633
outlier · 19.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $45,989.17 $135,148.72 $52,055.11 nat. median
$2,958
outlier · 17.6×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $45,463.71 $120,219.17 $51,762.35 nat. median
$40,584
1.3× median

Other procedures at this hospital

Browse this hospital's 11,582 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 17 10 — — $74,968.22 $873,458.50 $333,052.79 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 10 — — $188,648.92 $566,839.43 $216,354.82 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 10 — — $69,006.04 $429,322.12 $168,840.30 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 10 — — $132,091.43 $431,856.56 $164,980.90 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 10 — — $86,131.18 $237,045.86 $135,225.95 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 10 — — $99,466.43 $280,172.27 $111,255.73 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 10 — — $75,755.06 $201,400.24 $108,558.43 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 10 — — $78,423.06 $208,550.48 $102,344.78 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 10 — — $82,676.75 $219,950.42 $100,382.92 2026-04-01
7 MS_DRG Lung Transplant 17 10 — — $82,250.86 $261,943.70 $100,312.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 10 — — $74,968.22 $243,086.06 $93,135.62 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 10 — — $86,033.07 $228,945.37 $87,753.73 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $47,182.99 $222,925.81 $85,462.71 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 10 — — $73,079.05 $197,876.70 $77,164.27 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 10 — — $46,859.22 $123,959.15 $73,568.98 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 10 — — $50,232.14 $132,998.59 $73,079.05 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 10 — — $50,232.14 $132,998.59 $73,079.05 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 17 10 — — $45,359.56 $119,940.04 $71,214.51 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 10 — — $68,604.69 $182,237.18 $69,976.78 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 10 — — $64,229.48 $170,511.59 $69,337.07 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 10 — — $46,362.60 $122,628.21 $69,337.07 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 9 7 — — $7,086.00 $346,823.74 $68,970.63 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 10 — — $59,994.65 $159,162.22 $67,295.06 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 13 10 — — $65,962.36 $175,155.71 $67,281.61 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 17 10 — — $41,605.50 $109,879.13 $65,320.64 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 10 — — $47,288.75 $169,975.57 $65,310.07 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 10 — — $40,560.19 $107,077.69 $63,679.50 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 1 — — $53,385.89 $67,081.78 $61,726.01 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 1 — — $53,385.89 $67,081.78 $61,726.01 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 1 — — $53,385.89 $67,081.78 $61,726.01 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 10 — — $53,225.51 $144,226.60 $61,358.21 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 10 — — $57,735.54 $154,639.46 $60,963.03 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 8 7 — — $44,415.00 $242,863.16 $60,255.82 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 10 — — $52,933.87 $155,308.97 $59,728.02 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 10 — — $49,291.62 $154,127.72 $59,278.43 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 10 — — $36,537.44 $96,296.70 $57,363.78 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 10 — — $54,428.80 $144,311.55 $57,176.05 2026-04-01
10 MS_DRG Pancreas Transplant 17 10 — — $53,881.72 $145,142.88 $56,893.77 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $55,087.36 $146,010.62 $56,189.11 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 17 10 — — $35,603.08 $128,600.83 $55,896.84 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 10 — — $45,885.16 $145,082.20 $55,835.75 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 10 — — $42,905.91 $113,364.24 $54,428.80 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 10 — — $38,748.83 $139,119.28 $53,041.13 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 10 — — $38,646.17 $101,948.13 $52,933.87 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 10 — — $40,854.53 $107,866.55 $52,933.87 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 10 — — $13,106.62 $139,804.98 $52,771.82 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 10 — — $49,361.52 $136,149.96 $52,436.18 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 10 — — $51,071.40 $135,247.84 $52,092.83 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 10 — — $45,989.17 $135,148.72 $52,055.11 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 10 — — $45,463.71 $120,219.17 $51,762.35 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 10 — — $37,945.78 $100,071.06 $51,562.90 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $17,161.39 $132,515.17 $50,552.26 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 10 — — $36,583.80 $130,154.68 $49,705.41 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 10 — — $32,409.79 $85,234.56 $49,291.62 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 10 — — $46,805.63 $123,815.54 $49,145.91 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 7 — — $4,276.00 $242,863.16 $48,296.65 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $12,419.00 $242,863.16 $48,296.65 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 7 — — $8,279.00 $242,863.16 $48,296.65 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 10 — — $45,939.95 $121,495.50 $48,236.95 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 8 7 — — $32,778.73 $173,071.70 $47,938.81 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $41,661.37 $120,615.62 $47,590.49 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 10 — — $44,898.41 $118,704.17 $47,513.36 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 10 — — $32,098.08 $84,399.18 $47,288.75 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 17 10 — — $28,474.46 $121,529.88 $46,871.84 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 8 6 — — $12,419.00 $188,894.17 $46,865.79 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 10 — — $35,463.45 $93,418.40 $46,511.46 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 10 — — $31,544.47 $118,627.31 $45,767.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 10 — — $36,865.75 $97,176.58 $45,561.75 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 10 — — $44,132.35 $116,651.13 $45,015.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 10 — — $41,547.63 $115,906.78 $44,731.70 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 10 — — $43,678.00 $115,433.47 $44,551.56 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 7 — — $13,799.00 $173,071.70 $44,415.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 9 7 — — $8,279.00 $170,142.97 $44,415.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 7 — — $8,279.00 $173,071.70 $44,415.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 7 — — $8,279.00 $173,071.70 $44,415.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 9 7 — — $13,799.00 $158,154.08 $44,415.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 7 — — $13,799.00 $173,071.70 $44,415.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 7 — — $13,799.00 $173,071.70 $44,415.00 2026-04-01
69930 HCPCS Implant Cochlear Device 9 7 — — $13,799.00 $181,801.46 $44,415.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 9 7 — — $8,279.00 $173,071.70 $44,415.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 7 — — $13,799.00 $148,417.43 $44,131.70 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 — — $18,893.09 $115,283.79 $44,058.37 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 10 — — $41,834.94 $110,494.03 $43,988.54 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 10 — — $41,893.81 $110,651.80 $43,988.50 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $41,341.27 $113,716.19 $43,897.97 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 10 — — $41,570.93 $112,587.53 $43,894.80 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 10 — — $28,022.44 $111,713.72 $43,135.84 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 7 — — $32,224.05 $170,142.97 $43,023.38 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 10 — — $36,649.97 $111,044.21 $42,881.02 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 10 — — $35,959.36 $110,320.08 $42,605.43 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 8 7 — — $2,018.00 $170,142.97 $42,213.50 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 8 7 — — $2,018.00 $170,142.97 $42,213.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 10 — — $40,830.38 $107,801.82 $41,646.99 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 10 — — $30,130.48 $79,126.00 $41,547.63 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 10 — — $11,995.87 $106,723.72 $41,236.67 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 10 — — $31,181.92 $105,107.58 $40,621.57 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 10 — — $31,881.75 $100,880.14 $40,359.88 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 8 7 — — $28,335.49 $149,611.38 $39,970.86 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 8 7 — — $28,335.49 $149,611.38 $39,970.86 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 10 — — $8,790.17 $105,289.63 $39,893.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 17 10 — — $24,586.94 $84,559.28 $38,601.50 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 10 — — $33,266.41 $87,530.32 $38,584.80 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 11 — — $9,662.83 $99,893.06 $38,543.02 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 10 — — $15,652.94 $99,136.57 $38,349.03 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 17 10 — — $24,376.37 $64,791.11 $38,270.90 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $24,897.45 $99,551.23 $38,129.33 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 10 — — $21,668.07 $97,670.11 $37,790.91 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 8 7 — — $23,228.50 $122,646.48 $36,817.17 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 8 7 — — $23,228.50 $122,646.48 $36,817.17 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 10 — — $31,015.10 $95,095.22 $36,810.91 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 10 — — $23,490.83 $94,901.04 $36,737.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 10 — — $27,903.15 $94,617.86 $36,629.23 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 9 7 — — $13,799.00 $122,646.48 $36,468.74 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 9 7 — — $13,799.00 $122,646.48 $36,468.74 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 9 7 — — $13,799.00 $122,646.48 $36,468.74 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 9 7 — — $12,419.00 $122,646.48 $36,468.74 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 9 7 — — $8,279.00 $122,646.48 $36,468.74 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 9 7 — — $8,279.00 $122,646.48 $36,468.74 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 9 7 — — $8,279.00 $122,646.48 $36,468.74 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 9 7 — — $12,419.00 $122,646.48 $36,468.74 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 10 — — $30,537.37 $171,857.62 $36,410.44 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 10 — — $32,425.64 $85,277.03 $35,959.36 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 10 — — $27,871.46 $92,736.75 $35,913.28 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 17 10 — — $22,826.14 $61,937.14 $35,837.04 2026-04-01
245 MS_DRG Aicd Generator Procedures 18 10 — — $28,898.52 $92,283.66 $35,808.99 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 10 — — $31,570.57 $91,966.10 $35,619.98 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $31,587.34 $91,606.06 $35,482.95 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 7 — — $8,279.00 $170,142.97 $35,455.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 7 — — $4,276.00 $170,142.97 $35,455.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 9 7 — — $4,276.00 $170,142.97 $35,455.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 7 — — $8,279.00 $170,142.97 $35,455.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 9 7 — — $4,276.00 $170,142.97 $35,455.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 10 — — $31,950.15 $84,002.73 $35,402.95 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 17 10 — — $22,494.81 $58,662.35 $35,316.85 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 11 — — $9,936.39 $92,973.41 $35,297.41 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 22 10 — — $29,913.47 $90,653.37 $35,120.35 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 10 — — $20,997.03 $90,627.07 $35,110.35 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 17 10 — — $22,355.94 $58,290.17 $35,098.83 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 10 — — $25,140.70 $90,271.08 $34,974.86 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $30,125.97 $37,854.64 $34,832.35 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 10 — — $28,463.28 $88,853.17 $34,435.21 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 9 7 — — $8,279.00 $170,142.97 $33,835.25 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 10 — — $32,220.35 $84,726.86 $33,831.37 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 17 10 — — $16,448.87 $86,274.22 $33,453.67 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 10 — — $18,115.28 $86,832.49 $33,336.09 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $28,204.77 $85,778.66 $33,265.07 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 10 — — $19,391.19 $84,884.63 $32,924.80 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 17 10 — — $4,763.45 $84,338.50 $32,716.95 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 10 — — $27,516.83 $72,121.39 $32,699.22 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 10 — — $21,310.18 $85,422.67 $32,479.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 10 — — $25,140.70 $83,446.49 $32,377.45 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 10 — — $20,084.60 $84,985.76 $32,316.95 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 17 10 — — $20,511.36 $60,856.21 $32,202.84 2026-04-01
791 MS_DRG Prematurity With Major Problems 17 10 — — $22,779.01 $82,101.39 $31,865.51 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 9 7 — — $4,276.00 $106,968.22 $31,806.84 2026-04-01
800 MS_DRG Splenic Procedures With Cc 17 10 — — $21,809.51 $56,825.73 $31,587.34 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 9 7 — — $12,419.00 $106,204.99 $31,579.89 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 10 — — $24,072.21 $62,889.79 $31,570.57 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 10 — — $16,983.32 $81,322.65 $31,569.12 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 17 10 — — $28,574.97 $74,957.22 $31,015.10 2026-04-01
652 MS_DRG Kidney Transplant 17 10 — — $24,980.16 $65,323.10 $31,015.10 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 10 — — $16,991.29 $80,586.39 $30,982.15 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 10 — — $13,974.41 $78,767.98 $30,596.83 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 17 10 — — $19,647.19 $51,030.70 $30,488.52 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 10 — — $24,497.62 $78,100.49 $30,342.79 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 10 — — $22,850.78 $78,175.33 $30,073.50 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 9 7 — — $13,799.00 $101,076.85 $30,055.05 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 9 7 — — $13,799.00 $101,076.85 $30,055.05 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 9 7 — — $13,799.00 $101,076.85 $30,055.05 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 10 — — $16,581.15 $78,292.65 $29,819.53 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $26,408.81 $75,594.37 $29,764.99 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 9 7 — — $7,086.00 $149,611.38 $29,752.26 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 9 7 — — $12,419.00 $149,611.38 $29,752.26 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 9 7 — — $5,609.00 $149,611.38 $29,752.26 2026-04-01
22630 HCPCS Lumbar Spine Fusion 9 7 — — $12,419.00 $149,611.38 $29,752.26 2026-04-01
22558 HCPCS Lumbar Spine Fusion 9 7 — — $12,419.00 $149,611.38 $29,752.26 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 9 7 — — $8,744.00 $149,611.38 $29,752.26 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 17 10 — — $26,320.57 $68,915.41 $29,647.85 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 10 — — $19,277.64 $77,657.52 $29,633.51 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 10 — — $26,711.13 $76,114.20 $29,586.81 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 9 7 — — $4,276.00 $99,379.80 $29,550.43 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 9 7 — — $4,276.00 $99,379.80 $29,550.43 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $26,254.48 $72,946.65 $29,522.79 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 10 — — $12,785.18 $75,782.48 $29,460.56 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 10 — — $22,147.92 $75,602.46 $29,392.04 2026-04-01
265 MS_DRG Aicd Lead Procedures 17 10 — — $27,913.82 $73,185.33 $29,309.51 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 10 — — $9,875.39 $75,381.98 $29,308.13 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 2 — — $13,799.00 $44,415.00 $29,107.00 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 17 10 — — $18,017.42 $74,295.79 $28,894.73 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 11 — — $13,790.30 $143,858.11 $28,818.97 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 17 10 — — $25,537.15 $66,815.85 $28,764.32 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 9 7 — — $13,799.00 $144,118.74 $28,659.98 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 9 7 — — $13,799.00 $144,118.74 $28,659.98 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 9 7 — — $13,799.00 $144,118.74 $28,659.98 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 17 10 — — $23,069.92 $60,203.64 $28,659.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 17 10 — — $11,149.52 $73,393.67 $28,551.39 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 10 — — $16,948.42 $73,337.03 $28,529.83 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 10 — — $26,168.62 $72,228.59 $28,521.32 2026-04-01
332 MS_DRG Rectal Resection With Mcc 17 10 — — $25,876.05 $73,235.90 $28,491.34 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 10 — — $26,354.53 $69,006.43 $28,474.46 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 17 10 — — $25,876.05 $73,055.88 $28,422.83 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 10 — — $14,445.07 $74,265.45 $28,316.85 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 21 10 — — $7,654.24 $70,557.84 $28,280.09 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 10 — — $14,275.44 $72,469.30 $28,199.57 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 10 — — $22,722.16 $72,301.41 $28,135.68 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 9 7 — — $13,799.00 $94,448.43 $28,084.10 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 9 7 — — $11,039.00 $94,448.43 $28,084.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 10 — — $23,997.14 $72,060.71 $28,044.07 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 10 — — $19,838.77 $81,222.35 $28,022.44 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 10 — — $18,238.31 $71,991.94 $28,017.90 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 10 — — $18,049.41 $46,748.64 $27,903.15 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 10 — — $19,918.99 $71,332.54 $27,766.93 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 10 — — $13,129.08 $71,186.90 $27,711.50 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 17 10 — — $17,501.47 $45,280.16 $27,477.31 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 10 — — $19,848.80 $70,539.64 $27,465.15 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 10 — — $19,171.24 $70,216.01 $27,341.99 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 10 — — $21,596.30 $69,876.19 $27,212.65 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 10 — — $26,558.31 $69,552.56 $27,089.48 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 9 7 — — $4,276.00 $90,761.60 $26,987.82 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 17 10 — — $17,118.82 $44,485.40 $26,876.55 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 17 10 — — $17,038.82 $44,040.25 $26,750.95 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 8 7 — — $15,302.00 $106,968.22 $26,539.47 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 10 — — $18,157.34 $47,037.89 $26,511.81 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 10 — — $18,237.38 $69,346.25 $26,481.33 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 11 — — $8,553.01 $67,570.32 $26,076.85 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 17 10 — — $16,580.69 $42,812.47 $26,031.68 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 17 10 — — $24,644.88 $64,936.76 $26,022.56 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 17 10 — — $15,543.90 $66,589.31 $25,961.67 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 10 — — $15,716.32 $66,581.22 $25,958.59 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 10 — — $23,768.33 $65,274.55 $25,913.08 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 17 10 — — $20,072.11 $52,169.48 $25,876.05 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 17 10 — — $20,072.11 $52,169.48 $25,876.05 2026-04-01
333 MS_DRG Rectal Resection With Cc 17 10 — — $18,283.38 $47,375.68 $25,876.05 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 17 10 — — $17,926.39 $46,418.94 $25,876.05 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 17 10 — — $16,474.28 $42,527.27 $25,864.62 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 17 10 — — $16,360.31 $57,250.39 $25,685.69 2026-04-01
5184 OTHER Level 4 Vascular Procedures 1 1 — — $25,678.25 $25,678.25 $25,678.25 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 10 — — $16,388.24 $42,296.68 $25,672.78 2026-04-01
835 MS_DRG Acute Leukemia With Cc 17 10 — — $16,348.24 $46,052.34 $25,666.74 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 10 — — $22,375.83 $63,735.28 $25,607.07 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $22,347.00 $65,341.30 $25,486.69 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 17 10 — — $17,319.36 $65,147.12 $25,412.79 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 10 — — $13,373.25 $65,505.14 $25,298.56 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 10 — — $3,393.37 $65,432.32 $25,271.12 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 10 — — $8,975.89 $64,580.77 $25,197.23 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 10 — — $12,443.13 $65,794.39 $25,156.01 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 10 — — $22,866.25 $64,398.72 $25,127.94 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 28 10 — — $17,124.96 $48,488.16 $25,114.18 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 8 7 — — $15,302.00 $101,076.85 $25,077.78 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 17 10 — — $21,030.62 $54,738.31 $25,011.15 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 10 — — $20,638.21 $63,917.32 $24,944.73 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 10 — — $19,520.74 $64,461.43 $24,905.22 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $21,460.23 $26,965.75 $24,812.82 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 17 10 — — $13,363.95 $63,555.26 $24,806.93 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 10 — — $14,820.66 $64,014.41 $24,736.76 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 10 — — $12,104.82 $63,132.51 $24,646.04 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 11 — — $6,285.36 $63,001.04 $24,595.99 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 17 10 — — $15,747.07 $61,924.96 $24,186.44 2026-04-01
263 MS_DRG Vein Ligation And Stripping 17 10 — — $12,654.70 $61,842.03 $24,154.89 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 10 — — $21,111.07 $57,657.06 $24,061.58 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 17 10 — — $16,204.08 $41,803.14 $23,997.14 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 8 7 — — $15,302.00 $96,677.84 $23,986.36 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 10 — — $15,399.49 $61,352.54 $23,968.58 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 10 — — $7,173.60 $61,095.65 $23,870.82 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 17 10 — — $8,922.04 $61,087.56 $23,867.73 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 10 — — $12,673.34 $61,020.81 $23,842.33 2026-04-01
0888T OTHER Histotripsy Mal Renal Tissue 8 6 — — $12,419.00 $94,448.43 $23,433.23 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 21 10 — — $20,956.91 $59,590.76 $23,298.05 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 10 — — $11,820.06 $59,489.63 $23,259.57 2026-04-01
33967 HCPCS Insert I-aort Percut Device 2 2 — — $11,039.00 $35,455.00 $23,247.00 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 18 10 — — $11,483.12 $45,826.29 $23,193.88 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 10 — — $12,691.98 $58,698.75 $22,958.57 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 18 10 — — $10,593.11 $59,062.84 $22,870.69 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 10 — — $20,121.88 $58,403.44 $22,846.16 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 17 10 — — $17,659.54 $58,375.12 $22,835.39 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 9 7 — — $1,464.00 $114,279.56 $22,726.05 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 9 7 — — $1,059.00 $114,279.56 $22,726.05 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 9 7 — — $8,279.00 $114,279.56 $22,726.05 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 9 7 — — $8,279.00 $114,279.56 $22,726.05 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 9 7 — — $4,138.00 $114,279.56 $22,726.05 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 9 7 — — $4,138.00 $114,279.56 $22,726.05 2026-04-01
53444 HCPCS Insert Tandem Cuff 9 7 — — $4,276.00 $114,279.56 $22,726.05 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 9 7 — — $8,279.00 $114,279.56 $22,726.05 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 9 7 — — $8,279.00 $114,279.56 $22,726.05 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 17 10 — — $16,158.04 $41,679.76 $22,722.16 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 25 10 — — $290.00 $37,015.41 $22,635.66 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 10 — — $16,312.80 $58,907.09 $22,586.13 2026-04-01
66683 HCPCS Implantation Iris Prosthesis 8 7 — — $7,086.00 $90,761.60 $22,518.50 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 11 — — $5,196.45 $56,621.44 $22,493.94 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 11 — — $9,107.10 $58,055.54 $22,341.92 2026-04-01
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