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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

40,566 distinct procedures filed
16 distinct payers
124,147 rate rows
2026-05-28 last MRF observed
Data quality

64,990 of 124,147 rate rows are consumer-grade (52.3%)

59,157 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 59,157
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https:/hospitalpricedisclosure.com/download.aspx?pi=Otpj5NZ6q61OUt0fcdE6WA*-*
Found on page https://urldefense.com/v3/__https:/hospitalpricedisclosure.com/default.aspx?ci=jZlMrXy92UZxgxqL*__*9*_*vqA*-*__;KioqKioq!!PA8yTw!tmmw67Yvc7ehtMfleRemJMwglCblMCXEoLxYH246xwMAmLPtJFDTqNQSUNJquWFXi_r33hea5Vm-x89eHcDnZoEK$
Discovered viaCMS hospital list
Last fetch — · 2026-05-18

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 6 $315,987.91 $552,978.84 $331,787.31 nat. median
$370,174
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $137,280.86 $482,214.13 $220,174.95 nat. median
$202,986
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $205,063.44 $358,861.02 $215,316.61 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $156,231.18 $297,559.35 $164,042.74 nat. median
$206,368
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $1,043.68 $227,284.90 $106,424.76 nat. median
$133,176
0.8× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 4 $39,094.02 $166,516.14 $102,315.24 nat. median
$16,303
outlier · 6.3×
7
MS_DRG 		Lung Transplant 6 $94,762.42 $165,834.23 $99,500.54 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $87,940.36 $164,326.95 $92,337.38 nat. median
$117,303
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 6 $72,859.83 $132,884.96 $91,074.79 nat. median
$99,019
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $82,919.86 $145,109.76 $87,065.85 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $82,824.74 $144,943.30 $86,137.73 nat. median
$98,017
0.9× median
5093
OTHER 		Level 3 Breast/Lymphatic Surgery And Related Procedures 7 $7,788.28 $306,265.73 $85,703.29 nat. median
$8,902
outlier · 9.6×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $80,647.06 $141,132.35 $84,679.41 nat. median
$98,905
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $71,585.13 $125,273.98 $83,746.92 nat. median
$93,672
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $79,570.67 $139,248.67 $83,549.20 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $75,446.55 $133,567.31 $79,218.88 nat. median
$100,136
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $10,182.69 $195,235.29 $78,630.55 nat. median
$73,807
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $56,185.56 $135,200.81 $70,231.95 nat. median
$74,915
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $567.98 $499,174.37 $69,697.79 nat. median
$72,138
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $65,927.28 $115,372.74 $69,223.64 nat. median
$82,712
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $27,082.90 $111,168.25 $68,424.98 nat. median
$66,526
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $63,365.44 $115,538.99 $66,533.71 nat. median
$83,442
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $44,844.25 $84,602.69 $65,024.16 nat. median
$60,726
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $14,222.75 $316,345.76 $64,769.63 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $61,491.45 $107,610.04 $64,566.02 nat. median
$81,118
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $47,085.59 $82,399.78 $62,196.68 nat. median
$62,134
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $39,973.03 $169,789.51 $61,521.53 nat. median
$53,268
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $57,579.54 $101,104.30 $60,458.52 nat. median
$77,576
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $52,821.73 $92,438.03 $55,462.82 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 6 $52,507.81 $100,001.76 $55,133.20 nat. median
$68,882
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 $52,485.86 $91,850.26 $55,110.15 nat. median
$64,027
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $52,207.07 $99,426.02 $54,817.42 nat. median
$71,240
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $52,176.33 $91,308.58 $54,785.15 nat. median
$68,887
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $43,952.99 $77,692.46 $54,142.65 nat. median
$59,099
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $42,943.18 $193,307.91 $53,678.97 nat. median
$57,424
0.9× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 7 $38,609.05 $175,177.24 $53,572.18 nat. median
$51,307
1.0× median
5055
OTHER 		Level 5 Skin Procedures 1 $53,513.16 $53,513.16 $53,513.16 nat. median
$3,738
outlier · 14.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $39,752.93 $88,075.19 $52,845.11 nat. median
$65,950
0.8× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $42,200.46 $115,351.93 $52,750.57 nat. median
$54,596
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 6 $43,965.43 $76,939.50 $51,967.85 nat. median
$57,823
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $49,254.48 $86,195.34 $51,717.20 nat. median
$64,732
0.8× median
5232
OTHER 		Level 2 Icd And Similar Procedures 4 $27,459.70 $242,845.30 $51,705.30 nat. median
$32,531
1.6× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $48,928.12 $85,624.21 $51,374.53 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $48,892.26 $85,561.46 $51,336.87 nat. median
$63,738
0.8× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 7 $40,730.38 $82,218.21 $50,912.98 nat. median
$50,270
1.0× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 6 $36,495.04 $91,288.19 $50,879.04 nat. median
$48,178
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $48,114.42 $84,200.24 $50,520.14 nat. median
$64,510
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $48,114.42 $84,200.24 $50,520.14 nat. median
$61,920
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $47,939.53 $83,894.18 $50,336.51 nat. median
$59,793
0.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 $31,510.69 $338,634.60 $50,078.77 nat. median
$48,170
1.0× median

Other procedures at this hospital

Browse this hospital's 40,566 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 7 6 — — $315,987.91 $552,978.84 $331,787.31 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 6 — — $137,280.86 $482,214.13 $220,174.95 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 6 — — $205,063.44 $358,861.02 $215,316.61 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 6 — — $156,231.18 $297,559.35 $164,042.74 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 8 — — $1,043.68 $227,284.90 $106,424.76 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 4 — — $39,094.02 $166,516.14 $102,315.24 2026-04-01
7 MS_DRG Lung Transplant 7 6 — — $94,762.42 $165,834.23 $99,500.54 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 7 6 — — $87,940.36 $164,326.95 $92,337.38 2026-04-01
215 MS_DRG Other Heart Assist System Implant 8 6 — — $72,859.83 $132,884.96 $91,074.79 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 6 — — $82,919.86 $145,109.76 $87,065.85 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 6 — — $82,824.74 $144,943.30 $86,137.73 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 7 7 — — $7,788.28 $306,265.73 $85,703.29 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 6 — — $80,647.06 $141,132.35 $84,679.41 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 6 — — $71,585.13 $125,273.98 $83,746.92 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 6 — — $79,570.67 $139,248.67 $83,549.20 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 6 — — $75,446.55 $133,567.31 $79,218.88 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 8 — — $10,182.69 $195,235.29 $78,630.55 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 6 — — $56,185.56 $135,200.81 $70,231.95 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 8 — — $567.98 $499,174.37 $69,697.79 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 6 — — $65,927.28 $115,372.74 $69,223.64 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 7 — — $27,082.90 $111,168.25 $68,424.98 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 7 6 — — $63,365.44 $115,538.99 $66,533.71 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 6 — — $44,844.25 $84,602.69 $65,024.16 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 7 — — $14,222.75 $316,345.76 $64,769.63 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $61,491.45 $107,610.04 $64,566.02 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 7 — — $47,085.59 $82,399.78 $62,196.68 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 7 — — $39,973.03 $169,789.51 $61,521.53 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 6 — — $57,579.54 $101,104.30 $60,458.52 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 6 — — $52,821.73 $92,438.03 $55,462.82 2026-04-01
10 MS_DRG Pancreas Transplant 7 6 — — $52,507.81 $100,001.76 $55,133.20 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 6 — — $52,485.86 $91,850.26 $55,110.15 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 6 — — $52,207.07 $99,426.02 $54,817.42 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 6 — — $52,176.33 $91,308.58 $54,785.15 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 6 — — $43,952.99 $77,692.46 $54,142.65 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 7 — — $42,943.18 $193,307.91 $53,678.97 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 7 — — $38,609.05 $175,177.24 $53,572.18 2026-04-01
5055 OTHER Level 5 Skin Procedures 1 1 — — $53,513.16 $53,513.16 $53,513.16 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 6 — — $39,752.93 $88,075.19 $52,845.11 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 6 — — $42,200.46 $115,351.93 $52,750.57 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 8 6 — — $43,965.43 $76,939.50 $51,967.85 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $49,254.48 $86,195.34 $51,717.20 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 5 4 — — $27,459.70 $242,845.30 $51,705.30 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 6 — — $48,928.12 $85,624.21 $51,374.53 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 6 — — $48,892.26 $85,561.46 $51,336.87 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 7 — — $40,730.38 $82,218.21 $50,912.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 6 — — $36,495.04 $91,288.19 $50,879.04 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $48,114.42 $84,200.24 $50,520.14 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 6 — — $48,114.42 $84,200.24 $50,520.14 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 6 — — $47,939.53 $83,894.18 $50,336.51 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 10 — — $31,510.69 $338,634.60 $50,078.77 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 7 — — $40,030.10 $151,587.31 $50,037.62 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 8 — — $727.55 $118,185.29 $49,806.55 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 6 — — $41,931.17 $73,379.55 $49,522.38 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 7 — — $34,902.81 $89,804.41 $49,029.64 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 11 6 — — $293.30 $101,210.90 $48,629.84 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 9 6 — — $33,284.88 $63,286.25 $48,263.08 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 7 — — $33,634.65 $140,539.45 $47,221.93 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 6 — — $44,792.30 $79,321.82 $47,031.92 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 14 7 — — $32,795.34 $141,260.45 $46,751.02 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 6 — — $44,362.76 $77,634.83 $46,580.90 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 7 — — $36,881.40 $178,051.27 $46,101.75 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $43,634.68 $76,360.69 $45,816.41 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 13 — — $7,394.64 $229,018.30 $45,665.81 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 7 6 — — $43,390.27 $75,932.97 $45,559.78 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 6 — — $42,915.37 $75,101.90 $45,061.14 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 6 — — $35,864.28 $75,203.88 $44,830.35 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 9 7 — — $30,835.00 $245,308.65 $44,710.75 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 7 — — $30,744.99 $173,456.79 $44,580.24 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 11 7 — — $30,651.33 $161,550.34 $44,444.43 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 7 — — $568.00 $79,652.02 $44,252.88 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 7 — — $35,333.76 $103,846.88 $44,167.20 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 7 — — $35,155.22 $104,854.43 $43,944.03 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 11 7 — — $30,188.13 $80,222.46 $43,772.79 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 6 — — $34,836.91 $60,964.59 $43,546.14 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 6 — — $41,759.95 $73,079.91 $43,430.35 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 6 — — $41,138.70 $71,992.72 $43,195.64 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 6 — — $41,011.37 $71,769.90 $43,061.94 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $288.08 $72,985.15 $42,956.97 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 6 — — $40,414.27 $76,973.73 $42,434.98 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 7 6 — — $40,172.06 $70,301.10 $42,180.66 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 11 7 — — $30,903.05 $157,374.39 $42,003.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 6 — — $39,910.10 $69,842.68 $41,905.61 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 6 — — $39,750.58 $75,704.36 $41,738.11 2026-04-01
245 MS_DRG Aicd Generator Procedures 8 7 — — $33,385.13 $87,839.70 $41,731.42 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 8 6 — — $33,139.99 $59,636.55 $41,424.99 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 8 — — $382.62 $115,756.07 $40,973.61 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 6 — — $38,999.07 $68,248.37 $40,949.02 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 6 — — $32,144.09 $92,888.78 $40,803.39 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 6 — — $28,093.88 $82,132.54 $40,736.13 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 6 — — $38,737.11 $69,329.92 $40,673.97 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 6 — — $33,795.64 $59,142.37 $39,985.59 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 7 6 — — $38,024.39 $69,918.19 $39,925.61 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 6 — — $31,031.84 $73,633.34 $39,798.05 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 7 — — $19,069.62 $66,657.94 $39,613.86 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 5 4 — — $21,929.69 $125,515.20 $39,044.25 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 14 12 — — $7,418.96 $72,437.00 $38,285.57 2026-04-01
5694 OTHER Level 4 Drug Administration 15 13 — — $15,145.05 $105,236.57 $37,951.31 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 6 — — $13,773.72 $69,049.12 $37,681.10 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 8 — — $27,082.90 $311,527.96 $37,440.19 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 6 — — $34,229.56 $59,901.73 $35,941.04 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 7 — — $34,402.25 $60,203.94 $35,875.84 2026-04-01
791 MS_DRG Prematurity With Major Problems 11 9 — — $29,701.52 $100,717.14 $35,842.18 2026-04-01
5623 OTHER Level 3 Radiation Therapy 14 12 — — $12,148.42 $82,650.21 $35,776.18 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 7 6 — — $33,931.01 $60,820.63 $35,627.56 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 9 6 — — $26,129.88 $63,541.17 $35,337.29 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 9 — — $19,909.31 $86,670.99 $35,273.98 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 6 — — $28,281.21 $49,492.12 $35,259.58 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 6 — — $33,549.04 $58,710.82 $35,226.49 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 6 — — $32,785.83 $57,375.20 $34,425.12 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 6 — — $32,657.04 $57,149.82 $34,289.89 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 9 6 — — $23,638.29 $137,911.00 $34,275.52 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 11 7 — — $24,444.67 $84,013.14 $34,211.24 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 11 8 — — $26,023.04 $86,794.04 $33,963.49 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 6 — — $18,376.22 $49,499.15 $33,855.21 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 6 — — $29,419.80 $51,484.65 $33,617.79 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 8 6 — — $26,877.72 $70,051.54 $33,597.15 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 6 — — $28,254.13 $49,444.73 $33,253.62 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 6 — — $31,665.53 $55,414.68 $33,248.81 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 9 6 — — $202.05 $56,248.64 $32,983.72 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 6 — — $26,091.09 $53,627.55 $32,613.86 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 6 — — $25,087.14 $43,938.76 $32,515.25 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 6 — — $30,850.36 $53,988.13 $32,392.88 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 10 6 — — $21,557.93 $66,120.88 $32,337.63 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 7 — — $25,805.71 $103,555.65 $32,257.14 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 6 — — $30,708.40 $55,568.80 $32,243.82 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 9 7 — — $23,057.28 $93,536.30 $32,232.50 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 6 — — $30,532.79 $54,157.69 $32,059.43 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 7 — — $8,841.42 $54,619.44 $31,991.39 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 6 — — $30,389.36 $53,181.38 $31,908.83 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 6 — — $30,236.96 $52,914.69 $31,748.81 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 7 6 — — $30,236.96 $52,914.69 $31,748.81 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 6 — — $30,236.96 $52,914.69 $31,748.81 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 6 — — $30,236.96 $52,914.69 $31,748.81 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 6 — — $30,236.96 $52,914.69 $31,748.81 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 6 — — $30,236.96 $52,914.69 $31,748.81 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 7 6 — — $30,236.96 $52,914.69 $31,748.81 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 6 — — $208.19 $48,478.14 $31,549.97 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 6 — — $29,725.29 $52,019.26 $31,211.56 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 7 — — $24,964.21 $78,575.47 $31,205.26 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 6 — — $23,158.26 $969,430.03 $30,806.68 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 6 — — $26,069.14 $45,621.00 $30,730.24 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 11 7 — — $24,086.84 $64,938.11 $30,675.32 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 6 — — $29,153.45 $51,018.54 $30,611.12 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 13 10 — — $2,600.34 $53,393.95 $30,605.36 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 12 7 — — $293.30 $44,669.56 $30,076.44 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 6 — — $28,625.13 $50,093.98 $30,056.39 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 6 — — $28,495.61 $54,270.58 $29,920.39 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 6 — — $23,697.56 $57,322.45 $29,621.95 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 6 — — $21,235.24 $38,946.38 $29,520.17 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 7 — — $23,614.14 $82,265.39 $29,517.67 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 6 — — $23,370.46 $49,566.39 $29,456.60 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 6 — — $23,319.98 $40,809.96 $29,236.73 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 10 7 — — $18,469.24 $47,420.20 $29,174.54 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 6 — — $23,363.15 $42,546.47 $29,170.02 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 6 — — $23,297.29 $102,712.21 $29,121.61 2026-04-01
570 MS_DRG Skin Debridement With Mcc 9 6 — — $21,521.35 $54,757.05 $29,030.89 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 12 8 — — $12,654.77 $124,242.25 $28,859.08 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 6 — — $27,347.50 $47,858.12 $28,714.88 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 9 — — $6,616.36 $103,639.63 $28,512.18 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 6 — — $27,117.00 $47,454.75 $28,472.85 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 10 — — $18,557.78 $125,478.27 $28,387.74 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 6 — — $26,866.74 $47,016.80 $28,210.08 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 9 6 — — $21,002.54 $36,754.44 $28,195.84 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 9 — — $8,988.00 $159,984.74 $28,014.44 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 6 — — $26,551.36 $46,464.88 $27,878.93 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 6 — — $26,530.87 $46,429.02 $27,857.41 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 6 — — $26,494.29 $46,365.01 $27,819.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 7 6 — — $26,475.99 $46,332.98 $27,799.79 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 6 — — $26,389.65 $46,181.89 $27,709.13 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 6 — — $249.32 $41,424.62 $27,639.64 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 6 — — $23,046.30 $40,331.02 $27,594.96 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 6 — — $26,216.95 $49,930.64 $27,527.80 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 6 — — $26,156.22 $49,386.26 $27,464.03 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 8 6 — — $22,195.28 $40,997.38 $27,408.85 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 8 — — $17,885.31 $52,200.77 $27,283.46 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 8 — — $224.90 $46,251.03 $27,222.03 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 9 6 — — $21,310.61 $37,293.57 $27,170.91 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 10 — — $16,252.54 $46,961.67 $27,086.03 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 8 6 — — $23,491.94 $41,110.89 $27,044.86 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 7 — — $20,559.35 $45,762.54 $27,040.68 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 8 6 — — $21,543.30 $46,786.79 $26,929.12 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 6 — — $25,401.79 $44,453.13 $26,671.88 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 8 — — $20,113.47 $141,531.44 $26,572.27 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 6 — — $25,278.86 $44,238.00 $26,542.80 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 6 — — $21,222.06 $60,866.49 $26,527.58 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 6 — — $25,178.66 $44,062.65 $26,437.59 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 6 — — $25,178.66 $44,062.65 $26,437.59 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 6 — — $25,178.66 $44,062.65 $26,437.59 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 7 — — $16,912.09 $45,472.61 $26,399.64 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 6 — — $25,161.78 $44,033.12 $26,168.25 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 6 — — $20,283.24 $38,490.22 $25,618.56 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 9 — — $5,364.53 $44,267.39 $25,554.57 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 8 — — $15,728.14 $58,361.62 $25,435.02 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 6 — — $24,171.73 $42,300.53 $25,380.32 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 7 6 — — $24,089.77 $42,157.10 $25,294.26 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 7 — — $17,112.58 $35,486.76 $25,293.25 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 8 6 — — $21,366.95 $37,392.16 $25,282.06 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 7 — — $9,703.76 $56,602.52 $25,218.67 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 10 8 — — $15,670.32 $80,273.44 $25,026.15 2026-04-01
5624 OTHER Level 4 Radiation Therapy 2 2 — — $18,581.31 $31,079.92 $24,830.61 2026-04-01
652 MS_DRG Kidney Transplant 7 6 — — $23,631.70 $41,355.48 $24,813.29 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 6 — — $202.05 $42,732.11 $24,754.29 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 7 6 — — $23,568.04 $41,244.07 $24,746.44 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 6 — — $17,989.95 $39,579.36 $24,690.77 2026-04-01
5627 OTHER Level 7 Radiation Therapy 2 2 — — $9,390.73 $39,635.55 $24,513.14 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 9 6 — — $19,738.09 $34,541.66 $24,461.42 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 6 — — $23,250.46 $44,282.44 $24,412.98 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 6 — — $23,123.14 $40,465.49 $24,279.30 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 6 — — $22,992.15 $40,236.26 $24,141.76 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 6 — — $22,839.22 $43,065.75 $23,981.18 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 7 — — $17,462.36 $56,557.54 $23,954.77 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 7 — — $336.00 $55,442.40 $23,931.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 7 6 — — $22,751.41 $39,814.97 $23,888.98 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 8 6 — — $18,970.49 $46,548.97 $23,713.11 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 3 3 — — $19,224.42 $30,301.53 $23,678.89 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 8 6 — — $19,299.04 $33,773.32 $23,670.80 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 8 6 — — $18,873.16 $43,492.75 $23,591.45 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 6 — — $20,004.44 $35,007.77 $23,541.17 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 13 9 — — $13,426.05 $52,378.40 $23,495.59 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 6 — — $18,592.90 $32,537.58 $23,241.12 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 6 — — $22,102.35 $38,679.11 $23,207.47 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 6 — — $22,075.28 $38,631.74 $23,179.04 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 8 7 — — $18,788.28 $32,879.49 $23,110.19 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 11 7 — — $5,411.26 $52,335.21 $23,104.54 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 14 8 — — $281.86 $38,906.43 $23,073.01 2026-04-01
263 MS_DRG Vein Ligation And Stripping 9 8 — — $177.20 $39,151.65 $23,043.54 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 10 8 — — $1,668.69 $39,204.15 $22,962.43 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 6 — — $21,779.65 $38,487.49 $22,868.63 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 8 — — $12,698.56 $38,674.00 $22,762.41 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 8 6 — — $20,108.35 $35,189.61 $22,659.08 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 7 6 — — $21,427.29 $37,497.75 $22,498.65 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 8 7 — — $17,864.09 $83,267.55 $22,330.11 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 21 12 — — $11,962.57 $48,534.17 $22,187.20 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 6 — — $21,128.40 $36,974.70 $22,184.82 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 7 6 — — $21,087.42 $36,902.98 $22,141.79 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 12 8 — — $233.60 $141,196.12 $22,062.72 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 11 7 — — $15,206.39 $122,489.12 $22,033.12 2026-04-01
509 MS_DRG Arthroscopy 1 1 — — $22,032.10 $22,032.10 $22,032.10 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 7 — — $16,724.76 $76,131.44 $21,969.53 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 8 6 — — $17,524.56 $45,008.88 $21,905.70 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 9 6 — — $16,999.16 $31,408.12 $21,710.78 2026-04-01
800 MS_DRG Splenic Procedures With Cc 7 6 — — $20,557.64 $36,545.81 $21,585.52 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 7 6 — — $20,483.73 $35,846.53 $21,507.92 2026-04-01
503 MS_DRG Foot Procedures With Mcc 7 6 — — $20,423.73 $35,741.53 $21,444.92 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 8 7 — — $17,100.15 $259,391.98 $21,375.19 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 17 10 — — $567.62 $50,254.68 $21,337.32 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 7 — — $15,496.16 $214,811.17 $21,293.50 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 11 7 — — $14,682.46 $71,619.26 $21,289.57 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 13 9 — — $14,620.99 $139,581.80 $21,200.44 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 9 7 — — $16,578.41 $74,907.54 $21,103.10 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 9 — — $12,900.66 $57,674.02 $20,833.87 2026-04-01
849 MS_DRG Radiotherapy 7 6 — — $19,826.63 $34,696.60 $20,817.96 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 7 6 — — $19,802.48 $34,654.34 $20,792.60 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 12 8 — — $15,258.34 $37,268.03 $20,775.40 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 13 9 — — $12,314.53 $74,009.49 $20,708.79 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 14 7 — — $14,402.20 $41,031.72 $20,595.12 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 11 6 — — $16,652.32 $34,530.28 $20,566.61 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 8 6 — — $16,380.84 $40,048.86 $20,476.05 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 6 — — $19,464.41 $35,918.65 $20,437.63 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 12 8 — — $207.96 $66,757.66 $20,415.76 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 7 6 — — $19,396.36 $33,943.63 $20,366.18 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 9 7 — — $14,009.26 $72,228.04 $20,313.43 2026-04-01
100 MS_DRG Seizures With Mcc 14 8 — — $14,172.43 $30,875.52 $20,295.22 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 8 6 — — $16,088.87 $45,448.41 $20,111.08 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 8 6 — — $15,943.26 $28,223.41 $19,929.07 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 8 6 — — $15,878.86 $30,240.35 $19,848.57 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 6 — — $18,899.51 $33,796.34 $19,844.49 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 8 6 — — $3,966.00 $33,028.03 $19,628.08 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 7 6 — — $18,688.17 $32,704.30 $19,622.58 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 7 6 — — $18,688.17 $32,704.30 $19,622.58 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 7 6 — — $18,688.17 $32,704.30 $19,622.58 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 7 6 — — $18,688.17 $32,704.30 $19,622.58 2026-04-01
64580 HCPCS Implant Neuroelectrodes 7 6 — — $18,688.17 $32,704.30 $19,622.58 2026-04-01
63655 HCPCS Implant Neuroelectrodes 7 6 — — $18,688.17 $32,704.30 $19,622.58 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 7 6 — — $18,681.45 $32,692.54 $19,615.52 2026-04-01
5061 OTHER Hyperbaric Oxygen 7 7 — — $1,884.96 $146,508.95 $19,555.26 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 6 — — $17,016.73 $29,779.28 $19,545.33 2026-04-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 9 6 — — $13,476.54 $40,367.67 $19,540.98 2026-04-01
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