Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER

Marietta, GA · CCN 110035 · Rates published

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This hospital’s price: $788 across 6 payers · range $555-$2,083

Source: https://www.wellstar.org/wellstar-kennestone-hospital_standard-charges · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

47,772 distinct procedures filed
29 distinct payers
259,128 rate rows
2026-07-31 last MRF observed
Data quality

153,725 of 259,128 rate rows are consumer-grade (59.3%)

105,403 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 105,249
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 96
placeholder amount (≤ $0.02) — excluded from medians 48
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wellstar.org/wellstar-kennestone-hospital_standard-charges
Found on page https://www.wellstar.org/financial-policy-and-privacy-info/hospital-pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 7fab2ab8217f511c… · 57,419,711 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $0.03 $3,943,235.33 $3,685,266.67 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.03 $3,548,614.97 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $0.03 $4,812,016.79 $2,541,039.48 nat. median
$2,466,282
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $0.03 $1,159,783.35 $621,312.51 nat. median
$738,272
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $0.03 $1,152,532.70 $590,665.09 nat. median
$640,950
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $0.03 $1,109,103.13 $585,674.35 nat. median
$646,415
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $0.03 $1,178,375.50 $585,183.83 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $0.03 $1,120,267.47 $559,891.68 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $0.03 $1,120,791.00 $513,769.84 nat. median
$591,650
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $233,108.00 $2,601,187.00 $418,136.63 nat. median
$249,124
1.7× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $363,940.03 $1,512,329.86 $389,415.83 nat. median
$359,358
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $180,904.64 $2,677,216.00 $318,392.17 nat. median
$190,557
1.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 8 $114,435.50 $355,377.59 $236,120.86 nat. median
$71,201
outlier · 3.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $38,370.00 $705,928.00 $231,797.46 nat. median
$126,722
1.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 8 $176,293.17 $265,981.76 $226,866.25 nat. median
$52,841
outlier · 4.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $1,800.00 $583,906.00 $208,117.81 nat. median
$68,004
outlier · 3.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $7,344.00 $549,898.00 $199,569.99 nat. median
$90,581
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $181,949.12 $951,379.17 $194,685.56 nat. median
$198,433
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $162,577.37 $245,288.10 $188,589.99 nat. median
$49,639
outlier · 3.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $90,707.00 $436,856.88 $172,829.91 nat. median
$97,414
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 18 $86,876.00 $1,404,262.00 $170,470.12 nat. median
$93,917
1.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 $5,247.00 $537,164.00 $159,999.72 nat. median
$53,532
outlier · 3.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 $31,181.00 $834,477.00 $149,016.52 nat. median
$50,905
outlier · 2.9×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $36,995.00 $378,678.00 $148,545.33 nat. median
$50,679
outlier · 2.9×
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 $5,036.00 $305,683.00 $147,472.95 nat. median
$51,613
outlier · 2.9×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 18 $27,493.00 $701,859.00 $147,386.49 nat. median
$50,825
outlier · 2.9×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 $122,421.45 $184,702.98 $142,009.07 nat. median
$38,944
outlier · 3.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $7,418.00 $673,618.00 $136,352.52 nat. median
$74,460
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $120.00 $401,797.00 $133,613.25 nat. median
$77,696
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $36,995.00 $461,778.00 $130,670.95 nat. median
$77,043
1.7× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 $39,247.00 $320,644.00 $126,374.05 nat. median
$43,741
outlier · 2.9×
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $240,299.05 $126,093.45 nat. median
$63,643
2.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $26,011.00 $586,952.00 $120,581.39 nat. median
$62,721
1.9× median
7
MS_DRG 		Lung Transplant 15 $111,925.43 $524,075.06 $119,760.21 nat. median
$117,894
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,502.61 $218,545.12 $119,307.79 nat. median
$111,503
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $117,940.04 $117,940.04 $117,940.04 nat. median
$75,037
1.6× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $226,806.00 $114,360.00 nat. median
$68,423
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $6,503.00 $491,086.00 $111,605.86 nat. median
$66,649
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $104,153.91 $525,398.49 $111,444.68 nat. median
$110,192
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $57,670.00 $286,708.00 $111,155.23 nat. median
$61,711
1.8× median
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 18 $3,722.00 $273,180.00 $109,295.76 nat. median
$40,341
outlier · 2.7×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 18 $18,209.00 $259,371.00 $109,234.62 nat. median
$38,949
outlier · 2.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 $5,073.00 $383,963.00 $106,353.20 nat. median
$63,896
1.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $196,075.84 $105,852.57 nat. median
$65,720
1.6× median
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 $33,114.00 $302,641.00 $105,378.61 nat. median
$36,642
outlier · 2.9×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $1,828.00 $441,934.05 $105,325.11 nat. median
$103,967
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 19 $5,418.00 $478,378.00 $103,672.69 nat. median
$55,491
1.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $98,326.32 $192,719.59 $103,242.64 nat. median
$92,655
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 $58,585.96 $246,952.41 $103,111.29 nat. median
$58,118
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $10,292.00 $420,354.09 $102,554.76 nat. median
$93,270
1.1× median

Other procedures at this hospital

Browse this hospital's 47,772 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 4 — — $0.03 $3,943,235.33 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 4 — — $0.03 $3,548,614.97 $3,316,462.59 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 6 — — $0.03 $4,812,016.79 $2,541,039.48 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 7 — — $0.03 $1,159,783.35 $621,312.51 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $0.03 $1,152,532.70 $590,665.09 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $0.03 $1,109,103.13 $585,674.35 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 7 — — $0.03 $1,178,375.50 $585,183.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 7 — — $0.03 $1,120,267.47 $559,891.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 7 — — $0.03 $1,120,791.00 $513,769.84 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 15 — — $233,108.00 $2,601,187.00 $418,136.63 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 15 — — $363,940.03 $1,512,329.86 $389,415.83 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 41 16 — — $180,904.64 $2,677,216.00 $318,392.17 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 12 8 — — $114,435.50 $355,377.59 $236,120.86 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 18 — — $38,370.00 $705,928.00 $231,797.46 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 8 — — $176,293.17 $265,981.76 $226,866.25 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 19 — — $1,800.00 $583,906.00 $208,117.81 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 18 — — $7,344.00 $549,898.00 $199,569.99 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 15 — — $181,949.12 $951,379.17 $194,685.56 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 4 — — $162,577.37 $245,288.10 $188,589.99 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 36 17 — — $90,707.00 $436,856.88 $172,829.91 2026-04-01
215 MS_DRG Other Heart Assist System Implant 45 18 — — $86,876.00 $1,404,262.00 $170,470.12 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 61 19 — — $5,247.00 $537,164.00 $159,999.72 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 18 — — $31,181.00 $834,477.00 $149,016.52 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 18 — — $36,995.00 $378,678.00 $148,545.33 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 53 18 — — $5,036.00 $305,683.00 $147,472.95 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 48 18 — — $27,493.00 $701,859.00 $147,386.49 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 4 — — $122,421.45 $184,702.98 $142,009.07 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 47 17 — — $7,418.00 $673,618.00 $136,352.52 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 18 — — $120.00 $401,797.00 $133,613.25 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 17 — — $36,995.00 $461,778.00 $130,670.95 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 51 17 — — $39,247.00 $320,644.00 $126,374.05 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 7 — — $56,824.55 $240,299.05 $126,093.45 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 18 — — $26,011.00 $586,952.00 $120,581.39 2026-04-01
7 MS_DRG Lung Transplant 24 15 — — $111,925.43 $524,075.06 $119,760.21 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 6 — — $111,502.61 $218,545.12 $119,307.79 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $117,940.04 $117,940.04 $117,940.04 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 6 — — $63,342.28 $226,806.00 $114,360.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 15 — — $6,503.00 $491,086.00 $111,605.86 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 15 — — $104,153.91 $525,398.49 $111,444.68 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 18 — — $57,670.00 $286,708.00 $111,155.23 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 57 18 — — $3,722.00 $273,180.00 $109,295.76 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 57 18 — — $18,209.00 $259,371.00 $109,234.62 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 16 — — $5,073.00 $383,963.00 $106,353.20 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 7 — — $55,272.32 $196,075.84 $105,852.57 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 55 17 — — $33,114.00 $302,641.00 $105,378.61 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 15 — — $1,828.00 $441,934.05 $105,325.11 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 61 19 — — $5,418.00 $478,378.00 $103,672.69 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 17 15 — — $98,326.32 $192,719.59 $103,242.64 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 16 — — $58,585.96 $246,952.41 $103,111.29 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 15 — — $10,292.00 $420,354.09 $102,554.76 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 62 19 — — $4,225.00 $329,734.00 $101,103.88 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 34 17 — — $51,729.00 $344,033.00 $97,576.04 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 15 — — $89,921.27 $427,051.45 $96,215.76 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $92,831.73 $92,831.73 $92,831.73 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 53 18 — — $120.00 $515,621.00 $89,275.41 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 17 — — $41,241.00 $747,415.00 $88,990.14 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 22 11 — — $88,007.50 $146,696.42 $88,007.50 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 15 — — $43,943.00 $396,106.00 $86,562.22 2026-04-01
J9226 HCPCS Supprelin La Implant 13 7 — — $45,020.65 $163,593.70 $86,268.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 38 15 — — $28,322.00 $441,622.00 $85,843.58 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 15 — — $79,077.16 $334,467.36 $84,612.56 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 39 17 — — $20,313.00 $216,589.67 $84,301.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 41 18 — — $36,995.00 $291,763.00 $83,648.19 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 17 — — $36,995.00 $449,618.00 $83,181.03 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 62 17 — — $4,241.00 $213,552.00 $82,760.89 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 25 15 — — $76,158.78 $369,409.98 $81,489.89 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 47 17 — — $4,329.00 $257,433.00 $80,770.57 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 16 — — $42,967.90 $299,460.00 $79,490.62 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 9 6 — — $44,738.60 $167,946.40 $78,739.93 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 16 — — $42,192.66 $505,573.00 $78,056.42 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 17 — — $36,995.00 $184,169.60 $77,853.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 16 — — $4,421.00 $194,785.13 $77,837.37 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 45 18 — — $38,522.00 $236,641.00 $77,419.00 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 33 16 — — $27,888.00 $365,952.00 $77,194.38 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 17 — — $370.00 $387,727.00 $77,133.62 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 45 17 — — $10.00 $283,939.00 $75,095.53 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 6 — — $68,801.71 $134,851.35 $73,617.83 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 16 — — $3,958.00 $256,557.25 $73,554.95 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 16 — — $7,120.00 $434,120.00 $72,738.20 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 45 17 — — $1,000.00 $166,848.68 $72,480.08 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 43 16 — — $5,415.00 $428,302.00 $72,442.98 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 34 17 — — $23,184.00 $277,035.00 $71,350.49 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 17 — — $3,919.00 $230,117.00 $71,201.37 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 7 — — $4,714.00 $167,946.40 $70,119.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $5,809.00 $167,946.40 $70,119.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 52 18 — — $14,503.00 $174,581.00 $69,942.09 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 16 — — $5,728.00 $429,611.00 $69,346.74 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 57 17 — — $27,154.00 $155,861.00 $68,978.61 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 16 — — $500.00 $288,908.00 $68,637.97 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 11 7 — — $6,760.00 $239,837.94 $68,361.77 2026-04-01
10 MS_DRG Pancreas Transplant 24 15 — — $63,790.03 $319,733.15 $68,255.33 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 15 — — $63,765.02 $267,834.56 $68,228.57 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 53 18 — — $24,496.00 $184,985.00 $68,121.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 17 — — $1,337.00 $206,240.00 $68,002.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 16 — — $15,673.00 $210,224.00 $67,985.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 15 — — $63,447.43 $317,892.38 $67,888.75 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 44 17 — — $19,238.00 $349,951.00 $67,460.93 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 49 17 — — $3,216.00 $259,338.00 $66,147.00 2026-04-01
5166 OTHER Cochlear Implant Procedure 32 15 — — $7,951.00 $165,412.00 $65,885.75 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 15 — — $55,000.71 $253,613.69 $65,820.13 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 17 — — $29,585.00 $143,724.72 $64,986.84 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 3 3 — — $36,414.00 $64,931.00 $64,931.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 16 — — $2,160.00 $294,828.00 $63,848.28 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 63 19 — — $20.00 $185,958.00 $63,820.98 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 17 — — $18,911.00 $255,930.00 $63,646.10 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 44 17 — — $30,134.00 $200,888.00 $63,573.01 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 18 — — $30,864.00 $141,178.11 $63,265.82 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 22 11 — — $22,324.00 $95,548.00 $63,089.50 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 17 — — $29,245.00 $206,054.00 $63,051.46 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 38 17 — — $16,018.00 $138,948.33 $62,992.79 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $238,582.71 $62,900.14 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 18 — — $30,375.00 $265,781.00 $62,240.31 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 47 19 — — $7,974.00 $158,531.00 $61,973.00 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 48 17 — — $15,946.00 $160,578.75 $61,323.25 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 35 17 — — $30,991.00 $154,997.95 $61,133.05 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 16 — — $33,840.14 $159,641.99 $61,081.46 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 33 17 — — $30,970.10 $271,993.00 $60,701.40 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 16 — — $14,152.00 $173,080.50 $60,223.20 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 16 — — $31,177.00 $175,667.00 $60,127.51 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 37 17 — — $16,936.00 $145,332.89 $59,384.05 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 17 — — $32,242.00 $289,486.00 $59,306.30 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 15 — — $4,281.00 $207,689.00 $59,287.37 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 16 — — $29,667.00 $147,082.00 $59,262.28 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 42 16 — — $4,115.00 $397,119.00 $58,987.66 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 37 15 — — $5,823.00 $912,841.00 $58,914.08 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 17 — — $3,446.00 $154,440.50 $58,759.10 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 37 15 — — $4,152.00 $826,634.00 $58,687.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 15 — — $41,323.23 $168,047.79 $58,472.37 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 39 17 — — $898.00 $193,807.00 $58,121.27 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 16 — — $3,065.00 $302,996.00 $57,827.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $47,338.00 $230,156.86 $57,439.71 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 46 18 — — $18,514.00 $84,715.69 $57,353.77 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 58 18 — — $13,066.00 $118,089.00 $57,216.96 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 15 — — $53,403.56 $242,047.69 $57,141.81 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 15 — — $34,592.86 $154,837.53 $56,629.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 16 — — $48,938.00 $257,170.00 $56,562.94 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 11 7 — — $9,000.00 $119,683.73 $56,112.48 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 7 — — $5,809.00 $119,683.73 $56,112.48 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 7 — — $9,000.00 $119,683.73 $56,112.48 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 7 — — $9,000.00 $119,683.73 $56,112.48 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 7 — — $5,809.00 $119,683.73 $56,112.48 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 7 — — $5,809.00 $119,683.73 $56,112.48 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 7 — — $9,000.00 $119,683.73 $56,112.48 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $56,095.00 $56,095.00 $56,095.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $56,095.00 $56,095.00 $56,095.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 35 16 — — $2,894.00 $123,664.69 $56,084.12 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 55 18 — — $2,205.00 $132,154.00 $55,924.09 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 16 10 — — $31,672.00 $159,080.00 $55,837.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 16 — — $5,034.00 $219,372.89 $55,691.52 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 53 18 — — $2,706.00 $260,184.00 $55,371.84 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 49 19 — — $27,713.00 $132,533.00 $55,298.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 7 — — $4,714.00 $117,658.44 $55,162.94 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 7 — — $5,809.00 $117,658.44 $55,162.94 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 6 — — $31,342.58 $117,658.44 $55,162.94 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 32 16 — — $15,292.00 $189,414.00 $55,078.01 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 47 15 — — $27,006.00 $269,006.00 $55,031.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 16 — — $30,460.78 $141,583.16 $54,981.71 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 34 18 — — $27,768.00 $127,069.52 $54,792.13 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 15 — — $50,693.57 $218,197.84 $54,242.12 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 17 10 — — $200.00 $156,127.00 $54,180.00 2026-04-01
509 MS_DRG Arthroscopy 7 4 — — $46,689.53 $70,442.68 $54,159.92 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 15 — — $45,858.00 $101,030.81 $54,123.65 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 35 16 — — $24,725.00 $114,777.65 $54,095.11 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 18 — — $125.00 $118,250.65 $54,038.30 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 15 — — $44,541.00 $200,636.30 $53,899.61 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 17 — — $2,904.00 $248,560.00 $53,888.93 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 66 18 — — $17,894.00 $154,602.00 $53,797.25 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 15 — — $50,013.36 $246,106.22 $53,514.30 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 35 17 — — $25,945.00 $178,555.00 $53,252.75 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 15 — — $45,737.00 $221,650.80 $53,219.07 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 6 — — $49,605.45 $97,226.68 $53,077.83 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 15 — — $33,978.00 $216,385.14 $52,899.75 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 59 18 — — $2,185.00 $109,646.00 $52,843.50 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 15 — — $49,257.30 $242,047.69 $52,705.31 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 47 17 — — $14,324.00 $108,004.00 $52,409.76 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 36 17 — — $2,247.00 $113,169.48 $52,023.62 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 16 — — $19,269.00 $157,901.48 $51,939.50 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 25 15 — — $3,807.00 $206,523.57 $51,789.29 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 41 16 — — $2,840.00 $187,033.00 $51,680.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 7 — — $28,424.06 $94,617.96 $51,596.43 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 40 17 — — $16,924.00 $341,372.00 $51,305.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 7 — — $9,000.00 $109,367.80 $51,275.96 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 15 — — $3,516.00 $236,645.00 $50,909.26 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 15 — — $300.00 $204,301.81 $50,681.51 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 65 19 — — $2,139.00 $97,440.00 $50,654.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 16 — — $38,618.00 $223,547.72 $50,601.23 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 36 17 — — $24,903.00 $116,887.12 $50,359.50 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 27 17 — — $28,516.02 $106,022.94 $50,188.20 2026-04-01
570 MS_DRG Skin Debridement With Mcc 27 16 — — $28,491.02 $120,729.08 $50,144.20 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 58 18 — — $5,773.00 $151,694.00 $50,117.74 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 38 15 — — $30,582.00 $319,352.00 $50,009.30 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 42 18 — — $2,500.00 $116,482.25 $49,511.53 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 51 17 — — $16,151.00 $98,335.00 $49,350.00 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 10 6 — — $6,389.00 $130,625.40 $49,237.46 2026-04-01
5184 OTHER Level 4 Vascular Procedures 45 18 — — $4,982.00 $73,768.00 $49,090.93 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 17 — — $28,043.38 $109,339.55 $49,035.50 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 61 18 — — $16,138.00 $113,252.00 $49,027.69 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 36 17 — — $25,379.00 $108,409.13 $48,657.79 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 7 — — $5,063.00 $102,634.64 $48,119.19 2026-04-01
332 MS_DRG Rectal Resection With Mcc 26 15 — — $34,156.06 $166,217.00 $48,047.99 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 15 — — $44,830.13 $216,357.07 $47,968.24 2026-04-01
503 MS_DRG Foot Procedures With Mcc 27 15 — — $27,240.64 $106,135.24 $47,943.53 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 51 17 — — $1,639.00 $116,566.00 $47,901.00 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 11 7 — — $6,389.00 $167,946.40 $47,870.30 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 46 18 — — $2,219.00 $141,935.00 $47,286.67 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 34 16 — — $22,624.00 $103,805.19 $47,123.75 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 15 — — $41,984.00 $200,792.71 $47,103.95 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 62 18 — — $50.00 $142,269.00 $46,818.32 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 3 2 — — $44,240.00 $170,200.00 $46,760.00 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 46 17 — — $1,206.00 $119,298.00 $46,730.76 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 31 16 — — $22,754.00 $158,020.00 $46,568.84 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 15 — — $43,164.62 $184,759.13 $46,186.14 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 37 17 — — $22,100.00 $174,862.00 $45,623.81 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 15 — — $42,627.79 $194,460.29 $45,611.74 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 7 — — $24,228.42 $90,952.25 $45,342.71 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 41 17 — — $7,974.00 $94,934.19 $45,213.00 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 54 17 — — $1,114.00 $159,152.00 $45,045.52 2026-04-01
245 MS_DRG Aicd Generator Procedures 26 15 — — $4,497.00 $195,968.20 $44,946.36 2026-04-01
5378 OTHER Level 8 Urology And Related Services 11 7 — — $19,878.00 $72,552.00 $44,782.25 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 47 18 — — $13,365.00 $127,412.00 $44,545.25 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 33 16 — — $12,974.00 $99,361.67 $44,285.24 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 44 18 — — $7,042.00 $73,871.57 $44,113.82 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 15 — — $36,559.00 $176,156.82 $44,058.88 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 45 17 — — $21,083.00 $91,389.00 $43,600.12 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 43 18 — — $2,124.00 $99,507.00 $43,417.02 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 53 18 — — $7,687.00 $109,639.00 $43,392.00 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 44 17 — — $20,350.00 $91,220.56 $43,141.83 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 37 17 — — $19,972.00 $93,779.19 $43,074.19 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 15 — — $35,834.00 $175,868.00 $42,867.94 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 11 6 — — $14,443.00 $62,008.80 $42,862.21 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 36 17 — — $20,909.00 $85,646.10 $42,818.12 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 6 — — $39,992.59 $78,385.48 $42,792.07 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 36 15 — — $27,798.00 $166,277.00 $42,790.61 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 48 17 — — $2,385.00 $134,509.00 $42,547.85 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 35 17 — — $19,277.00 $101,667.65 $42,538.01 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 61 17 — — $1,665.00 $81,168.00 $42,123.94 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 52 18 — — $15,909.00 $152,398.00 $42,109.69 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 15 — — $33,124.00 $164,562.75 $41,856.69 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 39 15 — — $7,799.00 $89,138.00 $41,824.25 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 16 — — $30,104.00 $168,035.76 $41,728.25 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 15 — — $38,455.00 $177,668.74 $41,683.65 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 56 17 — — $18,533.00 $86,359.95 $41,644.74 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 40 17 — — $19,642.00 $107,202.00 $41,401.46 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 15 — — $16,417.00 $205,083.00 $41,294.77 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 36 17 — — $6,420.00 $106,629.00 $41,262.57 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 16 — — $24,608.00 $114,617.23 $41,251.32 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 15 — — $20,751.00 $84,671.58 $40,136.95 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 17 — — $19,472.50 $219,419.00 $40,112.95 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 34 16 — — $16,487.00 $105,348.00 $40,047.08 2026-04-01
5624 OTHER Level 4 Radiation Therapy 25 10 — — $3,721.00 $50,105.00 $39,972.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 32 15 — — $18,002.00 $179,350.00 $39,853.59 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 36 16 — — $2,070.00 $158,262.42 $39,834.67 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 15 — — $22,026.00 $163,876.00 $39,788.28 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 11 7 — — $9,000.00 $84,813.34 $39,763.85 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 11 7 — — $5,809.00 $84,813.34 $39,763.85 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 11 7 — — $6,389.00 $84,813.34 $39,763.85 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 7 — — $5,809.00 $84,813.34 $39,763.85 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 11 7 — — $9,000.00 $84,813.34 $39,763.85 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 11 7 — — $8,245.00 $84,813.34 $39,763.85 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 7 — — $5,809.00 $84,813.34 $39,763.85 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 11 7 — — $5,809.00 $84,813.34 $39,763.85 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 11 7 — — $5,809.00 $84,813.34 $39,763.85 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 39 17 — — $2,360.00 $85,048.55 $39,600.25 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 35 17 — — $30,501.00 $155,944.40 $39,562.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 42 17 — — $2,346.00 $108,202.00 $39,443.00 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 29 16 — — $25,474.27 $96,129.29 $39,415.50 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 54 17 — — $2,455.00 $69,760.00 $39,128.54 2026-04-01
791 MS_DRG Prematurity With Major Problems 48 18 — — $5,048.00 $162,826.25 $39,090.43 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 35 15 — — $2,038.00 $233,740.00 $39,069.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 15 — — $36,435.92 $173,517.98 $38,986.43 2026-04-01
9511 OTHER Cryoprecipitate Each Unit 1 1 — — $38,877.00 $38,877.00 $38,877.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 15 — — $137.00 $157,584.66 $38,725.10 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 19 11 — — $250.00 $70,549.00 $38,706.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 15 — — $31,456.00 $342,673.00 $38,692.10 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 35 15 — — $12,544.00 $163,246.00 $38,259.13 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 8 4 — — $17,517.00 $64,145.00 $37,931.50 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 17 — — $9,515.00 $132,411.38 $37,669.94 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 17 — — $13,646.00 $81,997.00 $37,585.25 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 59 17 — — $1,228.00 $89,908.00 $37,434.33 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 7 6 — — $34,970.13 $68,541.45 $37,418.04 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 15 — — $34,865.45 $139,249.11 $37,306.03 2026-04-01
800 MS_DRG Splenic Procedures With Cc 30 16 — — $25,663.00 $116,847.01 $37,218.72 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 15 — — $331.00 $158,090.00 $37,000.99 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $36,995.00 $36,995.00 $36,995.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 52 18 — — $1,348.00 $167,257.74 $36,941.68 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 16 — — $24,952.00 $106,780.91 $36,889.44 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 55 18 — — $350.00 $77,717.00 $36,872.22 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 16 — — $29,434.00 $127,282.08 $36,616.56 2026-04-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 36 17 — — $2,768.00 $118,786.00 $36,534.82 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 15 — — $34,135.22 $143,046.96 $36,524.69 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 46 17 — — $12,367.00 $74,381.00 $36,511.67 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 62 18 — — $6,623.00 $72,193.00 $36,472.48 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 15 — — $28,081.00 $158,254.00 $36,419.44 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 38 17 — — $16,102.00 $84,684.00 $36,274.04 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 8 4 — — $11,491.00 $49,243.70 $36,149.99 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 39 17 — — $16,348.00 $125,601.00 $36,055.52 2026-04-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 18 — — $1,731.00 $108,483.00 $35,995.00 2026-04-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 43 18 — — $4,702.00 $72,205.00 $35,976.50 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 16 — — $29,726.00 $189,670.00 $35,972.58 2026-04-01
620 MS_DRG O.r. Procedures For Obesity With Cc 49 18 — — $1,864.00 $64,042.08 $35,959.00 2026-04-01
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