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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

PHOEBE PUTNEY MEMORIAL HOSPITAL

Albany, GA · CCN 110007 · Rates published

8,943 distinct procedures filed
16 distinct payers
124,147 rate rows
2026-04-01 last MRF observed
Data quality

64,645 of 124,147 rate rows are consumer-grade (52.1%)

59,502 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 55,057
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,445
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=Otpj5NZ6q61OUt0fcdE6WA*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://hospitalpricedisclosure.com/Default.aspx?ci=jZlMrXy92UZxgxqL*__*9*_*vqA*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-09
Content fingerprint 5461b360232c4bae… · 22,036,762 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 12 $315,987.91 $552,978.84 $397,102.51 nat. median
$168,055
outlier · 2.4×
500
MS_DRG 		Soft Tissue Procedures With Mcc 12 $23,158.26 $40,526.95 $343,681.13 nat. median
$22,181
outlier · 15.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $155,314.31 $271,800.04 $303,801.36 nat. median
$145,435
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $205,063.44 $358,861.02 $264,322.76 nat. median
$186,516
1.4× median
940
MS_DRG 		O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 12 $17,100.15 $29,925.26 $259,391.98 nat. median
$16,012
outlier · 16.2×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $55,758.23 $97,576.90 $209,784.75 nat. median
$52,327
outlier · 4.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $156,231.18 $297,559.35 $205,435.28 nat. median
$131,925
1.6× median
757
MS_DRG 		Infections, Female Reproductive System With Mcc 12 $10,477.85 $18,336.24 $202,404.81 nat. median
$10,071
outlier · 20.1×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 12 $42,943.18 $75,150.56 $193,307.91 nat. median
$43,023
outlier · 4.5×
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $36,881.40 $64,542.45 $178,051.27 nat. median
$35,297
outlier · 5.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $61,685.36 $107,949.38 $165,284.26 nat. median
$60,505
outlier · 2.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 12 $40,030.10 $70,052.68 $151,587.31 nat. median
$38,859
outlier · 3.9×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 12 $30,835.00 $53,961.25 $151,104.52 nat. median
$29,495
outlier · 5.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $56,185.56 $98,324.73 $135,200.81 nat. median
$55,923
outlier · 2.4×
7
MS_DRG 		Lung Transplant 12 $94,762.42 $165,834.23 $122,239.81 nat. median
$70,649
1.7× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 $42,200.46 $73,850.80 $115,351.93 nat. median
$2,596
outlier · 44.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $87,940.36 $164,326.95 $115,184.51 nat. median
$72,715
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 12 $72,859.83 $132,884.96 $114,781.92 nat. median
$73,023
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $101,356.91 $177,374.59 $112,296.72 nat. median
$97,418
1.2× median
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 12 $13,187.51 $23,078.14 $112,216.96 nat. median
$12,349
outlier · 9.1×
5093
OTHER 		Level 3 Breast/Lymphatic Surgery And Related Procedures 13 — — $111,629.13 nat. median
$8,851
outlier · 12.6×
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 $27,535.56 $48,187.23 $110,654.16 nat. median
$27,340
outlier · 4.0×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $82,919.86 $145,109.76 $106,219.58 nat. median
$65,418
1.6× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 $35,155.22 $62,801.19 $104,854.43 nat. median
$32,992
outlier · 3.2×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 12 $35,333.76 $61,834.08 $103,846.88 nat. median
$34,932
outlier · 3.0×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 12 $25,805.71 $45,159.99 $103,555.65 nat. median
$25,622
outlier · 4.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $80,647.06 $141,132.35 $102,885.16 nat. median
$2,736
outlier · 37.6×
656
MS_DRG 		Kidney And Ureter Procedures For Neoplasm With Mcc 12 $23,297.29 $40,861.92 $102,712.21 nat. median
$23,036
outlier · 4.5×
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 13 — — $102,560.16 nat. median
$16,222
outlier · 6.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $79,570.67 $139,248.67 $102,500.00 nat. median
$74,509
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $55,943.36 $98,034.99 $101,903.02 nat. median
$55,935
1.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $82,824.74 $144,943.30 $100,770.10 nat. median
$2,110
outlier · 47.7×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 $39,973.03 $69,952.80 $99,687.62 nat. median
$39,159
outlier · 2.5×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 12 $30,651.33 $53,639.83 $99,412.98 nat. median
$30,358
outlier · 3.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $75,446.55 $133,567.31 $97,761.02 nat. median
$69,922
1.4× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $36,137.95 $63,241.41 $96,214.74 nat. median
$34,733
outlier · 2.8×
593
MS_DRG 		Skin Ulcers With Cc 12 $8,680.69 $15,335.29 $95,994.61 nat. median
$8,571
outlier · 11.2×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 12 $38,609.05 $67,565.84 $95,370.62 nat. median
$37,725
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $71,585.13 $125,273.98 $92,329.45 nat. median
$69,822
1.3× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 12 $13,646.31 $23,881.04 $91,564.12 nat. median
$13,403
outlier · 6.8×
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 12 $30,744.99 $53,803.73 $88,655.18 nat. median
$29,327
outlier · 3.0×
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 12 $23,638.29 $41,367.01 $88,545.20 nat. median
$21,019
outlier · 4.2×
245
MS_DRG 		Aicd Generator Procedures 12 $33,385.13 $61,292.25 $87,839.70 nat. median
$32,088
outlier · 2.7×
583
MS_DRG 		Mastectomy For Malignancy Without Cc/Mcc 12 $12,618.21 $22,081.87 $86,280.31 nat. median
$12,217
outlier · 7.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $65,927.28 $115,372.74 $83,697.04 nat. median
$2,596
outlier · 32.2×
473
MS_DRG 		Cervical Spinal Fusion Without Cc/Mcc 12 $17,864.09 $31,262.16 $83,267.55 nat. median
$17,580
outlier · 4.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $63,365.44 $115,538.99 $82,586.67 nat. median
$2,633
outlier · 31.4×
5232
OTHER 		Level 2 Icd And Similar Procedures 13 — — $82,465.87 nat. median
$32,102
outlier · 2.6×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 $23,614.14 $41,324.74 $82,265.39 nat. median
$23,038
outlier · 3.6×
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 12 $40,730.38 $71,278.16 $82,218.21 nat. median
$35,985
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 8,943 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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 24 12 — — $315,987.91 $552,978.84 $397,102.51 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 24 12 — — $23,158.26 $40,526.95 $343,681.13 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 12 — — $155,314.31 $271,800.04 $303,801.36 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 12 — — $205,063.44 $358,861.02 $264,322.76 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 24 12 — — $17,100.15 $29,925.26 $259,391.98 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 12 — — $55,758.23 $97,576.90 $209,784.75 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 12 — — $156,231.18 $297,559.35 $205,435.28 2026-04-01
757 MS_DRG Infections, Female Reproductive System With Mcc 24 12 — — $10,477.85 $18,336.24 $202,404.81 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 12 — — $42,943.18 $75,150.56 $193,307.91 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 12 — — $36,881.40 $64,542.45 $178,051.27 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 12 — — $61,685.36 $107,949.38 $165,284.26 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 12 — — $40,030.10 $70,052.68 $151,587.31 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 12 — — $30,835.00 $53,961.25 $151,104.52 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 12 — — $56,185.56 $98,324.73 $135,200.81 2026-04-01
7 MS_DRG Lung Transplant 24 12 — — $94,762.42 $165,834.23 $122,239.81 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 12 — — $42,200.46 $73,850.80 $115,351.93 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 12 — — $87,940.36 $164,326.95 $115,184.51 2026-04-01
215 MS_DRG Other Heart Assist System Implant 24 12 — — $72,859.83 $132,884.96 $114,781.92 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 12 — — $101,356.91 $177,374.59 $112,296.72 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 24 12 — — $13,187.51 $23,078.14 $112,216.96 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 19 13 — — — — $111,629.13 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 12 — — $27,535.56 $48,187.23 $110,654.16 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 12 — — $82,919.86 $145,109.76 $106,219.58 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 12 — — $35,155.22 $62,801.19 $104,854.43 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 12 — — $35,333.76 $61,834.08 $103,846.88 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 12 — — $25,805.71 $45,159.99 $103,555.65 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $80,647.06 $141,132.35 $102,885.16 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 12 — — $23,297.29 $40,861.92 $102,712.21 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 19 13 — — — — $102,560.16 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 12 — — $79,570.67 $139,248.67 $102,500.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 12 — — $55,943.36 $98,034.99 $101,903.02 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 23 12 — — $82,824.74 $144,943.30 $100,770.10 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 12 — — $39,973.03 $69,952.80 $99,687.62 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 12 — — $30,651.33 $53,639.83 $99,412.98 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 12 — — $75,446.55 $133,567.31 $97,761.02 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 12 — — $36,137.95 $63,241.41 $96,214.74 2026-04-01
593 MS_DRG Skin Ulcers With Cc 24 12 — — $8,680.69 $15,335.29 $95,994.61 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 12 — — $38,609.05 $67,565.84 $95,370.62 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 12 — — $71,585.13 $125,273.98 $92,329.45 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 24 12 — — $13,646.31 $23,881.04 $91,564.12 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 12 — — $30,744.99 $53,803.73 $88,655.18 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 12 — — $23,638.29 $41,367.01 $88,545.20 2026-04-01
245 MS_DRG Aicd Generator Procedures 24 12 — — $33,385.13 $61,292.25 $87,839.70 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 24 12 — — $12,618.21 $22,081.87 $86,280.31 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 12 — — $65,927.28 $115,372.74 $83,697.04 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 24 12 — — $17,864.09 $31,262.16 $83,267.55 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 12 — — $63,365.44 $115,538.99 $82,586.67 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 19 13 — — — — $82,465.87 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 12 — — $23,614.14 $41,324.74 $82,265.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 12 — — $40,730.38 $71,278.16 $82,218.21 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 12 — — $33,634.65 $58,860.64 $79,686.20 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 12 — — $61,491.45 $107,610.04 $79,301.54 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 12 — — $24,964.21 $43,687.37 $78,575.47 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 12 — — $30,903.05 $54,080.34 $78,132.99 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 24 12 — — $32,795.34 $57,810.26 $78,017.04 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 12 — — $44,844.25 $78,477.44 $76,583.22 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 12 — — $35,864.28 $67,669.20 $75,203.88 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 12 — — $57,579.54 $101,104.30 $74,490.71 2026-04-01
571 MS_DRG Skin Debridement With Cc 24 12 — — $12,362.83 $21,634.95 $72,262.25 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 12 — — $26,877.72 $48,427.96 $70,051.54 2026-04-01
121 MS_DRG Acute Major Eye Infections With Cc/Mcc 24 12 — — $8,512.39 $14,896.68 $69,989.74 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 12 — — $34,332.00 $60,081.00 $69,696.54 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 12 — — $50,576.74 $88,509.30 $69,136.63 2026-04-01
10 MS_DRG Pancreas Transplant 24 12 — — $52,507.81 $100,001.76 $69,044.11 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 12 — — $52,207.07 $99,426.02 $68,648.23 2026-04-01
597 MS_DRG Malignant Breast Disorders With Mcc 24 12 — — $12,198.92 $22,032.10 $68,586.33 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $52,821.73 $92,438.03 $67,805.56 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 12 — — $52,176.33 $91,308.58 $67,074.80 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 12 — — $52,485.86 $91,850.26 $66,702.35 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 12 — — $36,495.04 $63,866.32 $66,590.52 2026-04-01
791 MS_DRG Prematurity With Major Problems 24 12 — — $29,701.52 $51,977.66 $65,979.58 2026-04-01
297 MS_DRG Cardiac Arrest, Unexplained With Cc 24 12 — — $4,639.26 $8,835.42 $64,823.85 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 12 — — $49,254.48 $86,195.34 $63,600.18 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 24 12 — — $15,496.16 $27,118.28 $63,586.31 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 12 — — $30,188.13 $52,829.23 $63,556.47 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 12 — — $48,892.26 $85,561.46 $63,000.79 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 12 — — $23,057.28 $40,350.24 $62,884.40 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 12 — — $43,491.25 $76,109.69 $62,584.92 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 12 — — $43,952.99 $77,692.46 $62,134.65 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 12 — — $48,928.12 $85,624.21 $62,109.63 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 12 — — $18,557.78 $32,476.12 $61,790.68 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 12 — — $48,114.42 $84,200.24 $61,747.37 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 24 12 — — $6,077.87 $10,636.27 $61,535.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 12 — — $47,085.59 $82,399.78 $61,379.46 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 12 — — $47,939.53 $83,894.18 $61,028.14 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 12 — — $21,222.06 $37,138.61 $60,866.49 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 12 — — $48,114.42 $84,200.24 $60,836.56 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 24 12 — — $6,479.60 $11,493.32 $60,080.42 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 19 13 — — — — $59,612.65 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 12 — — $32,144.09 $56,252.16 $59,118.69 2026-04-01
5061 OTHER Hyperbaric Oxygen 19 13 — — — — $58,617.96 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 12 — — $39,022.49 $68,289.36 $58,069.35 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 12 — — $44,792.30 $79,321.82 $58,043.66 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 12 — — $43,965.43 $76,939.50 $57,772.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 12 — — $23,697.56 $41,470.73 $57,322.45 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 12 — — $44,362.76 $77,634.83 $57,209.38 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 12 — — $33,284.88 $58,248.54 $57,189.99 2026-04-01
137 MS_DRG Mouth Procedures With Cc/Mcc 24 12 — — $10,926.41 $19,121.22 $57,139.14 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 12 — — $31,031.84 $54,305.72 $56,715.69 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 12 — — $43,390.27 $75,932.97 $56,064.76 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 12 — — $43,634.68 $76,360.69 $55,788.35 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 12 — — $28,093.88 $49,965.76 $55,563.89 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 24 12 — — $10,931.54 $19,130.20 $55,426.54 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 24 12 — — $15,670.32 $27,423.06 $55,403.93 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 12 — — $42,915.37 $75,101.90 $55,186.76 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 12 — — $41,931.17 $73,379.55 $55,017.03 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 12 — — $36,014.29 $63,173.73 $54,793.17 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 12 — — $24,444.67 $43,837.16 $54,718.39 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 12 — — $34,836.91 $60,964.59 $53,994.91 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 12 — — $50,328.68 $88,075.19 $53,876.20 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 12 — — $26,091.09 $45,659.41 $53,627.55 2026-04-01
5055 OTHER Level 5 Skin Procedures 19 13 — — — — $53,513.16 2026-04-01
682 MS_DRG Renal Failure With Mcc 24 12 — — $10,837.14 $18,965.00 $53,441.34 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 24 12 — — $14,620.99 $25,586.73 $53,348.50 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 12 — — $40,414.27 $76,973.73 $53,142.56 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 12 — — $20,113.47 $35,198.57 $52,767.40 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 12 — — $41,138.70 $71,992.72 $52,766.46 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 12 — — $41,011.37 $71,769.90 $52,518.28 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 24 12 — — $14,009.26 $24,516.20 $52,409.39 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 12 — — $39,750.58 $75,704.36 $52,269.09 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 12 — — $19,909.31 $35,706.67 $52,121.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 24 12 — — $40,172.06 $70,301.10 $51,797.28 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 24 12 — — $15,206.39 $26,611.18 $51,320.98 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 12 — — $39,910.10 $69,842.68 $51,288.82 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 12 — — $41,759.95 $73,079.91 $50,807.94 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 24 12 — — $33,139.99 $59,636.55 $50,650.27 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 12 — — $21,557.93 $37,726.38 $50,446.40 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 12 — — $36,202.34 $63,354.09 $50,419.31 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 12 — — $38,737.11 $69,329.92 $50,301.55 2026-04-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 24 12 — — $8,376.28 $14,658.49 $50,283.93 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 12 — — $26,023.04 $45,540.32 $50,246.21 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 12 — — $12,467.47 $21,818.07 $50,027.66 2026-04-01
627 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc 24 12 — — $9,719.77 $17,009.60 $49,988.51 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 12 — — $38,999.07 $68,248.37 $49,898.12 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 12 — — $38,024.39 $69,918.19 $49,642.32 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 12 — — $21,118.16 $37,453.94 $49,609.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 12 — — $26,129.88 $45,727.29 $49,439.23 2026-04-01
546 MS_DRG Connective Tissue Disorders With Cc 24 12 — — $8,439.95 $14,769.91 $48,694.06 2026-04-01
5694 OTHER Level 4 Drug Administration 19 13 — — — — $48,096.09 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 24 12 — — $16,578.41 $29,012.22 $48,005.32 2026-04-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 24 12 — — $9,572.69 $16,752.21 $47,483.73 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 12 — — $21,543.30 $37,700.78 $46,786.79 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 19 13 — — — — $46,750.13 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 12 — — $18,970.49 $33,198.36 $46,548.97 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 24 12 — — $18,159.71 $31,779.49 $46,526.49 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 24 12 — — $16,088.87 $28,330.03 $45,448.41 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 24 12 — — $17,524.56 $31,076.98 $45,008.88 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 24 12 — — $12,314.53 $21,550.43 $44,993.51 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 24 12 — — $13,242.39 $23,174.18 $44,641.69 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 24 12 — — $6,632.54 $11,606.94 $44,579.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 12 — — $33,795.64 $59,142.37 $44,485.76 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 12 — — $34,229.56 $59,901.73 $44,253.14 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 12 — — $33,931.01 $60,820.63 $44,073.86 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 12 — — $20,858.39 $36,525.74 $43,624.84 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 24 12 — — $18,873.16 $33,028.03 $43,492.75 2026-04-01
813 MS_DRG Coagulation Disorders 24 12 — — $11,161.30 $19,532.27 $43,481.45 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 12 — — $33,549.04 $58,710.82 $43,371.43 2026-04-01
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 24 12 — — $7,545.02 $13,203.78 $43,084.23 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 12 — — $33,270.24 $58,222.92 $42,803.82 2026-04-01
5622 OTHER Level 2 Radiation Therapy 19 13 — — — — $42,405.29 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 12 — — $32,657.04 $57,149.82 $41,927.47 2026-04-01
570 MS_DRG Skin Debridement With Mcc 24 12 — — $21,521.35 $37,759.99 $41,893.97 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 12 — — $17,462.36 $30,559.13 $41,751.59 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 19 13 — — — — $41,701.15 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 12 — — $32,785.83 $57,375.20 $41,699.46 2026-04-01
710 MS_DRG Penis Procedures Without Cc/Mcc 24 12 — — $10,253.21 $18,831.08 $41,569.42 2026-04-01
819 MS_DRG Other Antepartum Diagnoses With O.r. Procedures Without Cc/Mcc 24 12 — — $6,292.27 $11,011.47 $41,333.46 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 12 — — $28,281.21 $49,492.12 $40,823.89 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 12 — — $31,665.53 $55,414.68 $40,654.61 2026-04-01
5182 OTHER Level 2 Vascular Procedures 19 13 — — — — $40,634.17 2026-04-01
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 24 12 — — $11,937.69 $20,890.96 $40,322.94 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 24 12 — — $16,380.84 $28,666.47 $40,048.86 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 24 12 — — $16,724.76 $29,268.33 $40,023.50 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 12 — — $30,708.40 $55,568.80 $39,962.87 2026-04-01
504 MS_DRG Foot Procedures With Cc 24 12 — — $13,677.77 $23,936.10 $39,917.55 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 12 — — $27,350.43 $48,303.79 $39,661.87 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 24 12 — — $6,495.70 $11,367.48 $39,625.63 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 12 — — $30,532.79 $54,157.69 $39,578.15 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 12 — — $30,850.36 $53,988.13 $39,525.33 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 24 12 — — $18,993.17 $33,238.05 $39,414.18 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 19 13 — — — — $39,413.37 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 24 12 — — $17,885.31 $31,299.29 $39,366.42 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 24 12 — — $13,426.05 $23,495.59 $39,258.72 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 12 — — $24,086.84 $42,151.97 $39,068.42 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 12 — — $30,389.36 $53,181.38 $38,979.53 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 12 — — $27,415.55 $47,977.21 $38,975.11 2026-04-01
602 MS_DRG Cellulitis With Mcc 24 12 — — $10,400.29 $18,430.95 $38,864.56 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 24 12 — — $18,469.24 $32,321.17 $38,829.91 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 6 — — $30,236.96 $52,914.69 $38,228.16 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 6 — — $30,236.96 $52,914.69 $38,228.16 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 6 — — $30,236.96 $52,914.69 $38,228.16 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 6 — — $30,236.96 $52,914.69 $38,228.16 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 6 — — $30,236.96 $52,914.69 $38,228.16 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 6 — — $30,236.96 $52,914.69 $38,228.16 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 6 — — $30,236.96 $52,914.69 $38,228.16 2026-04-01
644 MS_DRG Endocrine Disorders With Cc 24 12 — — $7,500.38 $13,125.66 $38,203.87 2026-04-01
964 MS_DRG Other Multiple Significant Trauma With Cc 24 12 — — $11,214.72 $19,625.76 $37,788.71 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 6 — — $29,725.29 $52,019.26 $37,581.26 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 12 — — $16,912.09 $29,598.14 $37,471.09 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 12 — — $28,495.61 $54,270.58 $37,469.79 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 24 12 — — $14,682.46 $25,694.30 $37,012.75 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 12 — — $28,254.13 $49,444.73 $36,840.40 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 12 — — $29,153.45 $51,018.54 $36,826.07 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 24 12 — — $17,541.39 $30,697.43 $36,774.68 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 12 — — $28,625.13 $50,093.98 $36,663.58 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 24 12 — — $12,900.66 $22,691.87 $36,454.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 12 — — $29,419.80 $51,484.65 $36,344.78 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 24 12 — — $8,705.57 $15,234.75 $36,161.90 2026-04-01
5623 OTHER Level 3 Radiation Therapy 19 13 — — — — $36,093.04 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 24 12 — — $12,644.55 $22,237.80 $35,888.76 2026-04-01
398 MS_DRG Appendix Procedures With Cc 24 12 — — $11,075.69 $19,382.46 $35,813.10 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 12 — — $34,402.25 $60,203.94 $35,629.32 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 24 12 — — $15,493.97 $28,772.80 $35,049.94 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 12 — — $27,347.50 $47,858.12 $34,941.29 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 12 — — $27,117.00 $47,454.75 $34,500.93 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 12 — — $26,216.95 $49,930.64 $34,473.48 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 12 — — $26,866.74 $47,016.80 $34,381.15 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 12 — — $26,156.22 $49,386.26 $34,332.38 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 12 — — $26,069.14 $45,621.00 $34,087.88 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 12 — — $26,475.99 $46,332.98 $34,002.14 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 12 — — $26,530.87 $46,429.02 $33,975.87 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 12 — — $26,494.29 $46,365.01 $33,844.91 2026-04-01
375 MS_DRG Digestive Malignancy With Cc 24 12 — — $8,851.19 $15,489.58 $33,830.26 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 12 — — $23,363.15 $42,546.47 $33,808.73 2026-04-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 24 12 — — $10,880.31 $19,438.17 $33,799.04 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 12 — — $21,235.24 $37,161.67 $33,768.02 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 12 — — $25,087.14 $43,938.76 $33,764.31 2026-04-01
745 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc 24 12 — — $8,323.60 $14,566.30 $33,543.20 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 24 12 — — $13,376.30 $23,408.52 $33,532.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 12 — — $26,551.36 $46,464.88 $33,376.35 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 12 — — $20,174.94 $35,306.14 $33,338.38 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 12 — — $26,389.65 $46,181.89 $33,262.19 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 12 — — $27,270.67 $49,499.15 $32,812.15 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 12 — — $25,401.79 $44,453.13 $32,698.78 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 24 12 — — $11,519.86 $20,159.76 $32,526.35 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 12 — — $25,278.86 $44,238.00 $32,524.17 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 6 — — $25,178.66 $44,062.65 $31,833.02 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 6 — — $25,178.66 $44,062.65 $31,833.02 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 6 — — $25,178.66 $44,062.65 $31,833.02 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 24 12 — — $22,195.28 $40,997.38 $31,512.66 2026-04-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 24 12 — — $11,724.75 $20,518.31 $31,413.75 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 24 12 — — $12,378.20 $21,661.85 $31,318.55 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 24 12 — — $11,947.20 $20,907.60 $31,198.44 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 24 12 — — $24,089.77 $42,157.10 $31,072.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 12 — — $23,046.30 $40,331.02 $30,991.30 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 24 12 — — $17,112.58 $29,947.02 $30,977.06 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 24 12 — — $13,396.78 $23,444.36 $30,832.56 2026-04-01
182 MS_DRG Respiratory Neoplasms Without Cc/Mcc 24 12 — — $5,515.89 $10,504.91 $30,812.54 2026-04-01
5626 OTHER Level 6 Radiation Therapy 19 13 — — — — $30,723.15 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 23 12 — — $25,161.78 $44,033.12 $30,613.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 12 — — $23,250.46 $44,282.44 $30,572.97 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 24 12 — — $23,568.04 $41,244.07 $30,276.64 2026-04-01
652 MS_DRG Kidney Transplant 24 12 — — $23,631.70 $41,355.48 $30,147.72 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 24 12 — — $13,439.96 $23,519.93 $30,132.10 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 12 — — $24,171.73 $42,300.53 $30,110.97 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 24 12 — — $13,476.54 $23,583.94 $30,032.04 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 24 12 — — $13,132.62 $23,710.37 $30,016.34 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 12 — — $22,839.22 $43,065.75 $29,970.29 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 12 — — $20,283.24 $35,495.67 $29,909.12 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 12 — — $17,989.95 $31,482.41 $29,670.51 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 12 — — $23,319.98 $40,809.96 $29,644.97 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 12 — — $23,123.14 $40,465.49 $29,639.58 2026-04-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 24 12 — — $9,994.17 $17,489.80 $29,568.20 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 24 12 — — $17,965.07 $31,438.87 $29,532.03 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 12 — — $23,491.94 $41,110.89 $29,423.18 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 12 — — $22,751.41 $39,814.97 $29,206.76 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 19 13 — — — — $29,085.69 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 12 — — $22,992.15 $40,236.26 $29,004.48 2026-04-01
977 MS_DRG HIV With Or Without Other Related Condition 24 12 — — $9,495.85 $18,084.76 $28,652.82 2026-04-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 24 12 — — $11,926.71 $20,871.74 $28,564.94 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 12 — — $21,002.54 $36,754.44 $28,551.49 2026-04-01
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 24 12 — — $12,310.88 $21,544.04 $28,267.99 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 12 — — $21,779.65 $38,487.49 $28,211.28 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 12 — — $22,102.35 $38,679.11 $28,170.80 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 24 12 — — $21,366.95 $37,392.16 $28,128.82 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 12 — — $22,791.66 $39,885.40 $27,889.20 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 19 13 — — — — $27,831.70 2026-04-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 24 12 — — $10,745.67 $19,025.50 $27,734.96 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 12 — — $21,310.61 $37,293.57 $27,682.29 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 24 12 — — $15,326.40 $26,821.20 $27,624.24 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 12 — — $22,075.28 $38,631.74 $27,545.33 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 12 — — $25,753.03 $45,762.54 $27,543.41 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 24 12 — — $9,480.49 $16,741.38 $27,283.27 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 12 — — $18,592.90 $32,537.58 $27,274.66 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 7 6 — — $21,427.29 $37,497.75 $27,090.21 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 7 6 — — $21,427.29 $37,497.75 $27,090.21 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 7 6 — — $21,427.29 $37,497.75 $27,090.21 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 7 6 — — $21,427.29 $37,497.75 $27,090.21 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 7 6 — — $21,427.29 $37,497.75 $27,090.21 2026-04-01
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