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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

Adventhealth Orlando

Orlando, FL · CCN 109802 · Rates published

10,187 distinct procedures filed
26 distinct payers
141,027 rate rows
2026-04-01 last MRF observed
Data quality

109,430 of 141,027 rate rows are consumer-grade (77.6%)

31,597 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 31,597
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/590724459_adventhealth-orlando_standardcharges.json
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint 0d81b8b08882b69c… · 36,565,578 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 $340,127.28 $1,568,367.22 $363,936.19 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $221,272.29 $1,171,440.58 $236,761.35 nat. median
$265,286
0.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $175,941.01 $244,459.92 $210,200.47 nat. median
$63,570
outlier · 3.3×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $162,902.73 $226,343.98 $194,623.36 nat. median
$54,196
outlier · 3.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $168,948.78 $986,631.25 $180,775.19 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $162,499.20 $891,282.02 $179,723.99 nat. median
$202,986
0.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $147,086.28 $204,367.94 $175,727.11 nat. median
$49,935
outlier · 3.5×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 8 $3,150.07 $325,177.93 $174,963.91 nat. median
$87,411
outlier · 2.0×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $119,920.51 $166,622.65 $143,271.58 nat. median
$44,728
outlier · 3.2×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $116,220.89 $161,482.25 $138,851.57 nat. median
$48,649
outlier · 2.9×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $115,370.67 $160,300.91 $137,835.79 nat. median
$39,020
outlier · 3.5×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 8 $4,208.80 $243,378.88 $130,951.45 nat. median
$65,381
outlier · 2.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 9 $4,563.87 $252,366.86 $119,736.70 nat. median
$62,270
1.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,502.61 $295,481.92 $118,192.77 nat. median
$111,989
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $20,315.99 $587,629.27 $117,861.86 nat. median
$133,176
0.9× median
7
MS_DRG 		Lung Transplant 20 $103,085.32 $543,493.96 $110,301.29 nat. median
$122,708
0.9× median
2039
OTHER 		Gen, Neuro, Imp Led, Ex Cntr 1 $102,642.44 $102,642.44 $102,642.44 nat. median
$293
outlier · 349.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $95,775.52 $544,866.43 $102,479.81 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $90,396.08 $458,309.32 $96,723.81 nat. median
$108,660
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $87,960.79 $435,929.74 $94,118.05 nat. median
$98,905
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 $6,060.88 $169,007.10 $93,226.56 nat. median
$48,483
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 20 $39,366.27 $453,044.03 $92,883.95 nat. median
$102,358
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $90,294.15 $239,279.50 $91,648.56 nat. median
$98,017
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $82,388.47 $442,875.27 $88,155.66 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 20 $78,346.96 $440,612.78 $85,189.99 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $76,909.48 $401,360.14 $83,728.55 nat. median
$93,672
0.9× median
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 $69,162.19 $96,096.89 $82,629.54 nat. median
$22,459
outlier · 3.7×
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 $68,831.30 $95,637.13 $82,234.21 nat. median
$26,892
outlier · 3.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 $72,188.62 $346,860.60 $77,241.82 nat. median
$82,712
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $69,443.62 $383,097.97 $74,304.67 nat. median
$83,442
0.9× median
338
MS_DRG 		Appendectomy With Complicated Principal Diagnosis With Mcc 1 $61,043.71 $84,816.73 $72,930.22 nat. median
$27,044
outlier · 2.7×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $182,324.53 $72,929.81 nat. median
$70,825
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 20 $67,643.42 $352,408.71 $72,378.46 nat. median
$79,312
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 8 $7,631.15 $184,286.08 $72,223.40 nat. median
$39,075
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 $944.26 $352,209.07 $72,156.13 nat. median
$81,118
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 $1,593.58 $335,236.20 $67,671.13 nat. median
$77,576
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 $24,183.46 $321,781.83 $66,072.95 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 $379.52 $325,059.12 $65,795.25 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 $58,273.19 $310,415.28 $65,583.01 nat. median
$72,138
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 $58,146.09 $295,234.93 $62,216.32 nat. median
$68,090
0.9× median
341
MS_DRG 		Appendectomy Without Complicated Principal Diagnosis With Mcc 1 $51,909.56 $72,125.35 $62,017.46 nat. median
$19,773
outlier · 3.1×
10
MS_DRG 		Pancreas Transplant 20 $57,809.73 $331,580.43 $61,856.41 nat. median
$68,882
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 $57,786.21 $277,758.82 $61,831.24 nat. median
$64,027
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 $57,487.48 $329,671.45 $61,511.60 nat. median
$71,240
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 $56,256.67 $293,895.74 $61,476.37 nat. median
$68,887
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 20 $1,676.00 $289,320.84 $59,642.43 nat. median
$66,526
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 $55,474.80 $277,288.85 $59,358.04 nat. median
$65,950
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 20 $54,323.79 $283,972.36 $58,126.46 nat. median
$64,732
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 $53,974.10 $257,275.74 $57,752.29 nat. median
$60,691
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 $53,935.68 $278,827.68 $57,711.18 nat. median
$63,738
0.9× median

Other procedures at this hospital

Browse this hospital's 10,187 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 46 20 — — $340,127.28 $1,568,367.22 $363,936.19 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 20 — — $221,272.29 $1,171,440.58 $236,761.35 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $175,941.01 $244,459.92 $210,200.47 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 20 — — $168,948.78 $986,631.25 $180,775.19 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $162,902.73 $226,343.98 $194,623.36 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 53 20 — — $162,499.20 $891,282.02 $179,723.99 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 1 — — $147,086.28 $204,367.94 $175,727.11 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 1 — — $119,920.51 $166,622.65 $143,271.58 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 1 — — $116,220.89 $161,482.25 $138,851.57 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 1 — — $115,370.67 $160,300.91 $137,835.79 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $111,502.61 $295,481.92 $118,192.77 2026-04-01
7 MS_DRG Lung Transplant 46 20 — — $103,085.32 $543,493.96 $110,301.29 2026-04-01
2039 OTHER Gen, Neuro, Imp Led, Ex Cntr 1 1 — — $102,642.44 $102,642.44 $102,642.44 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 46 20 — — $95,775.52 $544,866.43 $102,479.81 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 20 — — $90,396.08 $458,309.32 $96,723.81 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 17 — — $90,294.15 $239,279.50 $91,648.56 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 20 — — $87,960.79 $435,929.74 $94,118.05 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 48 20 — — $82,388.47 $442,875.27 $88,155.66 2026-04-01
215 MS_DRG Other Heart Assist System Implant 52 20 — — $78,346.96 $440,612.78 $85,189.99 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 20 — — $76,909.48 $401,360.14 $83,728.55 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 46 20 — — $72,188.62 $346,860.60 $77,241.82 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 46 20 — — $69,443.62 $383,097.97 $74,304.67 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 2 1 — — $69,162.19 $96,096.89 $82,629.54 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 1 — — $68,831.30 $95,637.13 $82,234.21 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 6 — — $68,801.71 $182,324.53 $72,929.81 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 51 20 — — $67,643.42 $352,408.71 $72,378.46 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 1 — — $61,043.71 $84,816.73 $72,930.22 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 47 20 — — $58,273.19 $310,415.28 $65,583.01 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 20 — — $58,146.09 $295,234.93 $62,216.32 2026-04-01
10 MS_DRG Pancreas Transplant 46 20 — — $57,809.73 $331,580.43 $61,856.41 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 46 20 — — $57,786.21 $277,758.82 $61,831.24 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 46 20 — — $57,487.48 $329,671.45 $61,511.60 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 48 20 — — $56,256.67 $293,895.74 $61,476.37 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 51 20 — — $55,474.80 $277,288.85 $59,358.04 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 20 — — $54,323.79 $283,972.36 $58,126.46 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 20 — — $53,974.10 $257,275.74 $57,752.29 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 46 20 — — $53,935.68 $278,827.68 $57,711.18 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 20 — — $53,102.23 $247,423.07 $56,819.39 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 47 20 — — $52,914.84 $256,102.90 $56,618.88 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 2 1 — — $51,909.56 $72,125.35 $62,017.46 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 20 — — $50,719.75 $268,563.27 $56,819.39 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $49,605.45 $131,454.44 $52,581.78 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 20 — — $49,542.59 $385,299.74 $53,010.57 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 51 20 — — $49,082.35 $254,044.20 $52,518.11 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 46 20 — — $48,040.33 $251,016.45 $51,403.15 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 55 20 — — $47,161.81 $257,608.46 $52,048.30 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 20 — — $46,765.45 $227,501.46 $50,039.03 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 58 20 — — $46,306.30 $244,707.24 $50,890.56 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 17 — — $46,293.44 $122,677.62 $46,987.84 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 20 — — $45,627.78 $228,961.27 $48,821.72 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 46 20 — — $45,491.35 $226,282.87 $48,675.74 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 52 20 — — $45,190.27 $208,070.61 $48,353.59 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 20 — — $44,958.91 $242,132.82 $50,858.68 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 20 — — $44,851.56 $255,225.35 $47,991.17 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 46 20 — — $44,140.41 $251,016.45 $47,230.24 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $43,878.40 $60,966.52 $52,422.46 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 46 20 — — $43,335.18 $214,176.02 $46,368.64 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 49 20 — — $42,953.16 $229,880.41 $46,068.30 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 20 — — $42,538.55 $221,254.64 $47,485.28 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 2 1 — — $41,745.95 $58,003.60 $49,874.77 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 48 20 — — $41,645.13 $252,829.77 $52,062.56 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 20 — — $41,066.11 $190,993.76 $43,940.74 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $39,992.59 $105,980.36 $42,392.15 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 20 — — $39,976.27 $224,373.89 $42,774.61 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 48 20 — — $39,366.27 $453,044.03 $92,883.95 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 55 20 — — $38,957.75 $207,238.81 $43,162.20 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 53 20 — — $38,537.64 $211,651.87 $42,166.37 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 47 20 — — $38,224.67 $198,600.57 $40,900.40 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 20 — — $37,730.39 $268,991.64 $55,639.83 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 57 20 — — $37,471.48 $195,656.00 $41,596.73 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 2 1 — — $37,419.00 $51,991.56 $44,705.28 2026-04-01
245 MS_DRG Aicd Generator Procedures 46 20 — — $37,319.87 $203,229.54 $39,932.26 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 47 20 — — $37,085.68 $201,665.75 $40,558.11 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 46 20 — — $37,057.21 $197,739.66 $39,651.21 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 49 20 — — $36,677.72 $174,274.58 $39,245.16 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 51 20 — — $36,539.73 $182,684.08 $39,097.51 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 46 20 — — $34,990.42 $175,884.11 $37,439.75 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 7 6 — — $34,970.13 $92,670.84 $37,068.34 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 46 20 — — $34,798.33 $169,820.29 $37,234.21 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 55 20 — — $34,660.33 $176,708.65 $37,086.55 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 47 20 — — $34,603.88 $170,660.41 $37,026.15 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 47 20 — — $34,587.42 $170,914.11 $37,008.54 2026-04-01
69930 HCPCS Implant Cochlear Device 7 6 — — $34,432.09 $91,245.05 $36,498.02 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 48 20 — — $34,264.87 $186,506.20 $37,671.30 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 20 — — $33,887.00 $177,140.13 $37,783.35 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 20 — — $33,436.91 $171,009.76 $36,797.96 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 2 1 — — $33,393.08 $46,397.77 $39,895.43 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 48 20 — — $33,126.79 $184,252.02 $36,863.39 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 46 20 — — $33,071.04 $163,415.43 $35,386.01 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 46 20 — — $32,785.65 $149,083.51 $35,080.65 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 6 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 6 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 6 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 6 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 6 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 7 6 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 7 6 — — $32,778.73 $86,863.64 $34,745.46 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 6 — — $32,224.05 $85,393.72 $34,157.49 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 20 — — $32,219.55 $158,100.23 $34,474.92 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 46 20 — — $32,080.77 $179,947.45 $34,326.42 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 61 20 — — $31,909.30 $185,990.48 $39,800.54 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 47 20 — — $31,896.52 $161,722.72 $34,129.28 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 46 20 — — $31,851.04 $163,423.75 $34,080.61 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 47 20 — — $31,052.09 $158,965.30 $33,225.74 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 49 20 — — $30,768.26 $164,126.62 $32,922.04 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 5 — — $30,588.78 $57,610.31 $31,652.86 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 49 20 — — $30,347.22 $160,574.83 $32,471.53 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 49 20 — — $29,997.53 $131,998.34 $32,097.36 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 46 20 — — $29,975.57 $146,409.28 $32,073.86 2026-04-01
332 MS_DRG Rectal Resection With Mcc 46 20 — — $29,936.37 $144,254.92 $32,031.92 2026-04-01
265 MS_DRG Aicd Lead Procedures 50 20 — — $29,916.77 $148,347.37 $32,010.94 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 47 20 — — $29,866.59 $163,305.82 $31,957.25 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 50 20 — — $29,824.25 $133,262.68 $31,911.95 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 4 4 — — $29,751.96 $52,945.70 $30,869.89 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 7 6 — — $29,719.96 $78,757.89 $31,503.16 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 47 20 — — $29,639.21 $165,557.31 $31,713.95 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 7 6 — — $29,579.67 $78,386.13 $31,354.45 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 46 20 — — $29,574.13 $163,752.31 $31,644.32 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 49 20 — — $29,545.91 $192,266.59 $31,614.12 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 6 — — $29,510.19 $78,202.00 $31,280.80 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 48 20 — — $29,480.83 $145,714.72 $31,544.49 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 20 — — $29,142.11 $151,736.96 $31,182.06 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 49 20 — — $28,891.22 $160,741.19 $30,913.61 2026-04-01
509 MS_DRG Arthroscopy 18 8 — — $28,778.50 $73,052.84 $36,404.35 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 54 20 — — $28,636.52 $149,050.24 $33,010.12 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 17 — — $28,508.59 $75,547.76 $28,936.22 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 48 20 — — $28,296.90 $139,596.84 $30,277.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 46 20 — — $28,261.61 $146,779.43 $30,239.92 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 2 1 — — $27,572.50 $38,310.41 $32,941.46 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 46 20 — — $27,447.76 $113,806.88 $29,369.10 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 20 — — $27,397.55 $169,150.69 $36,497.61 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 46 20 — — $27,359.94 $138,107.91 $29,275.14 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 20 — — $27,316.37 $236,237.10 $32,458.94 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 6 — — $27,295.22 $72,332.32 $28,932.93 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 6 — — $27,295.22 $72,332.32 $28,932.93 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 6 — — $27,295.22 $72,332.32 $28,932.93 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 50 20 — — $27,272.18 $145,689.77 $30,276.48 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 20 — — $27,240.76 $142,441.59 $31,242.47 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 50 20 — — $26,939.69 $135,545.97 $28,825.47 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 46 20 — — $26,876.18 $128,338.42 $28,757.51 2026-04-01
652 MS_DRG Kidney Transplant 47 20 — — $26,869.12 $127,731.21 $28,749.96 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 46 20 — — $26,800.91 $132,264.52 $28,676.97 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 48 20 — — $26,510.81 $135,487.74 $28,366.57 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 46 20 — — $26,460.63 $146,829.34 $28,312.87 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 20 — — $26,241.87 $129,182.70 $28,078.80 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 50 20 — — $26,183.85 $116,676.59 $28,016.72 2026-04-01
665 MS_DRG Prostatectomy With Mcc 46 20 — — $26,019.98 $142,795.11 $27,841.38 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 53 20 — — $26,012.55 $145,352.89 $29,682.02 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 52 20 — — $25,969.02 $122,632.27 $27,786.85 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 50 20 — — $25,925.90 $133,408.73 $27,740.71 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 47 20 — — $25,837.55 $134,069.52 $28,729.83 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 53 20 — — $25,696.66 $141,688.81 $28,945.44 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 47 20 — — $25,551.90 $155,779.20 $27,340.53 2026-04-01
263 MS_DRG Vein Ligation And Stripping 46 20 — — $25,519.75 $111,540.22 $27,306.13 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 18 8 — — $25,332.94 $64,306.46 $33,913.58 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 46 20 — — $25,227.30 $119,234.37 $26,993.21 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 49 20 — — $25,155.63 $412,303.75 $41,961.67 2026-04-01
343 MS_DRG Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc 2 1 — — $25,109.15 $34,887.73 $29,998.44 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 46 20 — — $24,884.66 $127,614.76 $26,626.59 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 49 20 — — $24,700.03 $155,712.96 $31,515.96 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 51 20 — — $24,673.34 $132,880.05 $28,091.39 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 46 20 — — $24,631.41 $109,951.48 $26,355.61 2026-04-01
570 MS_DRG Skin Debridement With Mcc 48 20 — — $24,607.89 $139,660.17 $26,330.44 2026-04-01
5166 OTHER Cochlear Implant Procedure 6 6 — — $24,193.38 $138,277.02 $33,345.43 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 20 — — $24,183.46 $321,781.83 $66,072.95 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 46 20 — — $24,142.94 $110,205.18 $25,832.95 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 47 20 — — $24,085.37 $105,002.27 $26,965.53 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 50 20 — — $23,935.17 $122,316.19 $25,966.92 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 50 20 — — $23,678.80 $216,893.93 $38,509.41 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 52 20 — — $23,578.94 $135,936.92 $27,103.11 2026-04-01
800 MS_DRG Splenic Procedures With Cc 46 20 — — $23,575.28 $121,176.62 $25,225.55 2026-04-01
503 MS_DRG Foot Procedures With Mcc 46 20 — — $23,431.80 $110,067.94 $25,072.03 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 51 20 — — $23,374.15 $116,793.04 $25,987.31 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 4 — — $23,295.58 $44,424.69 $23,927.58 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 7 6 — — $23,228.50 $61,555.52 $24,622.21 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 6 — — $23,212.40 $61,512.86 $24,605.14 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 58 20 — — $23,175.06 $120,486.23 $26,372.39 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 47 20 — — $23,165.22 $112,426.09 $24,786.79 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 47 20 — — $23,087.66 $119,030.58 $28,589.73 2026-04-01
L5858 HCPCS Stance Phase Only 7 6 — — $23,009.05 $60,973.98 $24,389.59 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 46 20 — — $22,982.53 $112,983.39 $24,591.31 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 49 20 — — $22,928.60 $105,975.48 $24,910.95 2026-04-01
849 MS_DRG Radiotherapy 46 20 — — $22,792.01 $111,082.73 $24,387.45 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 52 20 — — $22,769.57 $128,604.60 $28,259.90 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 46 20 — — $22,766.13 $113,594.77 $24,359.76 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 47 20 — — $22,697.14 $108,811.92 $24,285.94 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 50 20 — — $22,403.90 $119,097.12 $23,972.17 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 50 20 — — $22,239.83 $121,110.08 $25,570.36 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 46 20 — — $22,226.70 $110,346.59 $23,782.57 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 54 20 — — $21,938.04 $109,098.89 $24,710.44 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 48 20 — — $21,798.60 $112,060.10 $23,324.50 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 47 20 — — $21,770.38 $99,691.23 $23,294.31 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 47 20 — — $21,770.38 $99,691.23 $23,294.31 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 54 20 — — $21,732.30 $118,394.25 $24,482.25 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
53444 HCPCS Insert Tandem Cuff 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 7 6 — — $21,643.86 $57,356.22 $22,942.49 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 49 20 — — $21,596.56 $194,607.93 $40,120.19 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 53 20 — — $21,564.95 $104,058.18 $23,074.50 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 55 20 — — $21,333.41 $121,218.21 $25,735.63 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 11 7 — — $21,250.85 $94,804.84 $36,848.67 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 53 20 — — $21,249.06 $247,252.55 $51,037.44 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 52 20 — — $21,203.73 $174,262.10 $36,905.35 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 48 20 — — $20,845.48 $110,737.53 $23,894.15 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 20 — — $20,315.99 $587,629.27 $117,861.86 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 48 20 — — $20,204.00 $117,362.82 $25,140.82 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 18 8 — — $20,117.91 $51,068.36 $27,042.04 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 52 20 — — $18,991.36 $132,647.15 $28,795.26 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 53 20 — — $18,579.32 $237,258.47 $49,730.29 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 53 20 — — $18,118.62 $280,981.64 $51,683.36 2026-04-01
0888T HCPCS Histotripsy Mal Renal Tissue 11 7 — — $17,887.96 $47,403.10 $29,750.85 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 62 20 — — $17,611.87 $171,695.48 $31,491.63 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 52 20 — — $16,293.93 $111,631.72 $24,716.32 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 53 20 — — $15,856.56 $395,296.13 $47,413.13 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 20 — — $15,837.31 $193,485.00 $40,402.91 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 55 20 — — $15,713.19 $249,140.74 $53,070.14 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 20 — — $15,684.51 $179,573.14 $36,662.05 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 58 20 — — $15,469.63 $106,175.11 $23,431.89 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 2 2 — — $15,089.88 $55,728.63 $35,409.25 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 50 20 — — $14,496.67 $106,204.22 $23,405.89 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 50 20 — — $13,890.10 $231,830.98 $45,251.17 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 49 20 — — $13,444.35 $225,767.16 $47,550.71 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 48 20 — — $11,902.00 $113,390.98 $25,879.93 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 61 20 — — $11,786.28 $208,012.39 $43,088.38 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 59 20 — — $11,739.43 $191,684.15 $39,256.07 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 58 20 — — $10,866.49 $183,169.50 $36,266.91 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 63 20 — — $10,866.49 $173,681.59 $29,271.79 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 49 20 — — $10,606.27 $128,246.92 $28,166.89 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 20 — — $10,396.34 $187,624.97 $39,817.32 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 52 20 — — $10,379.42 $211,871.94 $45,326.68 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 60 20 — — $10,268.06 $603,336.47 $30,921.15 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 49 20 — — $9,164.77 $209,468.04 $42,946.59 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 54 20 — — $8,746.32 $107,476.88 $22,972.99 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 48 20 — — $8,680.67 $144,096.87 $30,779.37 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 53 20 — — $8,541.06 $143,019.69 $30,638.42 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 59 20 — — $7,822.26 $190,968.80 $40,218.34 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 22 8 — — $7,631.15 $184,286.08 $72,223.40 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 60 20 — — $7,538.70 $99,857.59 $22,932.72 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 48 20 — — $7,369.85 $121,280.60 $26,153.42 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 51 20 — — $7,237.03 $124,187.74 $25,868.18 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 47 20 — — $7,158.21 $144,408.80 $32,745.85 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 48 20 — — $7,112.13 $121,975.15 $26,002.41 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 20 — — $6,870.95 $215,677.91 $41,017.85 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 7 7 — — $6,572.93 $65,031.19 $28,534.33 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 47 20 — — $6,431.83 $145,610.75 $31,569.65 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 15 9 — — $6,406.90 $118,733.90 $25,825.93 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 49 20 — — $6,217.63 $137,317.70 $33,088.15 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 49 20 — — $6,129.31 $107,651.56 $23,196.98 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 19 8 — — $6,060.88 $169,007.10 $93,226.56 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 52 20 — — $5,725.10 $269,552.67 $43,497.78 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 8 6 — — $5,201.63 $50,576.44 $36,625.42 2026-04-01
791 MS_DRG Prematurity With Major Problems 52 21 — — $4,976.12 $168,859.56 $35,542.15 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 53 20 — — $4,960.65 $436,070.88 $33,013.48 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 22 9 — — $4,563.87 $252,366.86 $119,736.70 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 52 20 — — $4,517.69 $165,673.77 $33,865.85 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 16 8 — — $4,208.80 $243,378.88 $130,951.45 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 49 20 — — $4,122.47 $189,778.37 $34,049.57 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 48 20 — — $3,218.11 $131,777.92 $28,207.17 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 16 8 — — $3,150.07 $325,177.93 $174,963.91 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 47 20 — — $2,615.45 $118,864.22 $26,996.57 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 4 4 — — $2,583.33 $64,717.97 $26,627.14 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 48 20 — — $2,104.42 $191,605.13 $41,098.39 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 53 21 — — $1,770.76 $173,455.25 $35,952.08 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 59 20 — — $1,676.00 $289,320.84 $59,642.43 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 51 20 — — $1,593.58 $335,236.20 $67,671.13 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 12 8 — — $1,318.52 $64,437.78 $33,618.68 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 20 — — $944.26 $352,209.07 $72,156.13 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 55 20 — — $863.54 $220,273.12 $46,395.49 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 7 5 — — $769.69 $121,663.58 $52,883.18 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 60 20 — — $379.52 $325,059.12 $65,795.25 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 50 20 — — $362.75 $224,615.11 $49,471.90 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 63 20 — — $344.76 $297,670.89 $45,921.49 2026-04-01
2051 OTHER Cath Renal Denerv Radiofreq 2 2 — — $221.22 $66,054.78 $33,138.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 57 20 — — $125.00 $1,353,228.73 $47,713.47 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 52 20 — — $125.00 $141,073.28 $28,442.07 2026-04-01
2038 OTHER Gen, Neuro, Clo Loop, Rechg 3 3 — — $33.22 $83,497.54 $42,651.30 2026-04-01
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