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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

ST FRANCIS HOSPITAL- EMORY HEALTHCARE

Columbus, GA · CCN 110129 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $9,908 across 7 payers · range $1,668-$28,127

Source: https://cleverleypteusstatic.blob.core.windows.net/readable/475259919_st-francis-hospital---emory-healthcare_standardcharges.json · observed 2025-01-01

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.

15,743 distinct procedures filed
11 distinct payers
331,342 rate rows
2025-01-01 last MRF observed · ⚠ 19 mo old
Data quality

274,044 of 331,342 rate rows are consumer-grade (82.7%)

57,298 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 53,322
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
template filing: same amount across many unrelated codes — excluded 408
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=01WinMDoS5BLgyO*__*cluecg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=01WinMDoS5BLgyO*__*cluecg*-*
Discovered viaCMS hospital list
Last fetch success · 2026-08-17

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 8 $287,543.11 $705,422.56 $310,222.08 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $187,038.42 $457,790.86 $201,554.11 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $142,793.25 $348,776.00 $153,715.23 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $1,675.00 $346,729.14 $151,899.89 nat. median
$199,832
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $108,552.76 $278,756.53 $115,405.20 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $91,148.00 $226,272.73 $99,588.78 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 8 $87,098.61 $211,550.97 $93,496.90 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $80,917.39 $196,321.17 $86,813.63 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $76,368.49 $185,113.23 $81,895.26 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 8 $76,282.30 $184,900.86 $81,802.07 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $74,309.19 $180,039.35 $79,668.69 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $73,333.90 $177,636.36 $78,614.19 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $69,597.19 $168,429.54 $74,573.97 nat. median
$99,646
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 8 $67,253.46 $168,732.54 $72,039.88 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $62,639.11 $159,809.18 $70,725.40 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $60,972.12 $147,178.39 $65,248.35 nat. median
$81,124
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $58,650.93 $141,459.25 $62,756.50 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $57,128.67 $137,708.57 $61,127.68 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $54,602.01 $137,275.67 $60,939.68 nat. median
$80,459
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $142,061.37 $59,381.65 nat. median
$63,643
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $43,469.98 $140,672.98 $58,238.61 nat. median
$65,655
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $53,408.53 $128,542.59 $57,147.13 nat. median
$77,385
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $52,145.50 $125,430.64 $55,795.69 nat. median
$74,472
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $2,450.00 $185,138.66 $55,560.86 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $17,197.45 $124,476.63 $55,381.38 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $49,097.65 $117,921.10 $52,534.49 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 8 $48,813.22 $117,220.30 $52,230.15 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 8 $48,793.33 $117,171.29 $52,208.86 nat. median
$62,911
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $48,540.73 $116,548.90 $51,938.58 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $48,512.88 $116,480.29 $51,908.78 nat. median
$68,581
0.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 7 $48,293.10 $124,013.62 $51,341.64 nat. median
$50,449
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $2,328.60 $466,778.77 $50,210.08 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $46,838.78 $112,355.52 $50,117.49 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $45,865.49 $109,957.43 $49,076.07 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 $45,569.79 $109,228.86 $48,759.68 nat. median
$59,832
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $45,537.30 $109,148.81 $48,724.91 nat. median
$62,262
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $1,946.57 $107,412.33 $47,970.80 nat. median
$63,840
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $44,832.52 $107,412.33 $47,970.80 nat. median
$60,895
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 $44,674.06 $107,021.90 $47,801.24 nat. median
$59,159
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $42,216.09 $105,115.52 $46,973.35 nat. median
$62,218
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 8 $39,168.83 $100,111.89 $44,800.41 nat. median
$60,162
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 8 $41,822.47 $99,995.90 $44,750.04 nat. median
$60,294
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 8 $41,433.28 $122,435.48 $44,333.61 nat. median
$59,257
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 8 $41,073.27 $98,149.97 $43,948.40 nat. median
$56,970
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 $39,387.15 $98,122.20 $43,936.34 nat. median
$58,419
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $40,773.59 $97,411.59 $43,627.74 nat. median
$57,394
0.8× median
A9545
HCPCS 		I-131 Tositumomab, Rx, Per Dose 1 $43,591.49 $43,591.49 $43,591.49 nat. median
$32,548
1.3× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $5,138.07 $97,091.41 $43,488.69 nat. median
$51,433
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 8 $40,552.14 $96,865.98 $43,390.79 nat. median
$55,867
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 8 $3,011.78 $95,867.87 $42,957.34 nat. median
$57,082
0.8× median

Other procedures at this hospital

Browse this hospital's 15,743 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 28 8 — — $287,543.11 $705,422.56 $310,222.08 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 8 — — $187,038.42 $457,790.86 $201,554.11 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 8 — — $142,793.25 $348,776.00 $153,715.23 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 8 — — $1,675.00 $346,729.14 $151,899.89 2025-01-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 16 7 — — $108,552.76 $278,756.53 $115,405.20 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 8 — — $91,148.00 $226,272.73 $99,588.78 2025-01-01
7 MS_DRG Lung Transplant 28 8 — — $87,098.61 $211,550.97 $93,496.90 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 8 — — $80,917.39 $196,321.17 $86,813.63 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 8 — — $76,368.49 $185,113.23 $81,895.26 2025-01-01
209 MS_DRG Complex Aortic Arch Procedures 28 8 — — $76,282.30 $184,900.86 $81,802.07 2025-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 8 — — $74,309.19 $180,039.35 $79,668.69 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 8 — — $73,333.90 $177,636.36 $78,614.19 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 8 — — $69,597.19 $168,429.54 $74,573.97 2025-01-01
215 MS_DRG Other Heart Assist System Implant 32 8 — — $67,253.46 $168,732.54 $72,039.88 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 8 — — $62,639.11 $159,809.18 $70,725.40 2025-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 8 — — $60,972.12 $147,178.39 $65,248.35 2025-01-01
850 MS_DRG Acute Leukemia With Other Procedures 28 8 — — $58,650.93 $141,459.25 $62,756.50 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 8 — — $57,128.67 $137,708.57 $61,127.68 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 8 — — $54,602.01 $137,275.67 $60,939.68 2025-01-01
A9543 HCPCS Y90 Ibritumomab, Rx 16 7 — — $56,824.55 $142,061.37 $59,381.65 2025-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 7 — — $43,469.98 $140,672.98 $58,238.61 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 8 — — $53,408.53 $128,542.59 $57,147.13 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 8 — — $52,145.50 $125,430.64 $55,795.69 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 8 — — $2,450.00 $185,138.66 $55,560.86 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 8 — — $17,197.45 $124,476.63 $55,381.38 2025-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 8 — — $49,097.65 $117,921.10 $52,534.49 2025-01-01
10 MS_DRG Pancreas Transplant 28 8 — — $48,813.22 $117,220.30 $52,230.15 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 28 8 — — $48,793.33 $117,171.29 $52,208.86 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 8 — — $48,540.73 $116,548.90 $51,938.58 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 8 — — $48,512.88 $116,480.29 $51,908.78 2025-01-01
L7181 HCPCS Electronic Elbo Simultaneous 16 7 — — $48,293.10 $124,013.62 $51,341.64 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 9 — — $2,328.60 $466,778.77 $50,210.08 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 8 — — $46,838.78 $112,355.52 $50,117.49 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 8 — — $45,865.49 $109,957.43 $49,076.07 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 8 — — $45,569.79 $109,228.86 $48,759.68 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 8 — — $45,537.30 $109,148.81 $48,724.91 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 8 — — $1,946.57 $107,412.33 $47,970.80 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 8 — — $44,832.52 $107,412.33 $47,970.80 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 8 — — $44,674.06 $107,021.90 $47,801.24 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 8 — — $42,216.09 $105,115.52 $46,973.35 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 8 — — $39,168.83 $100,111.89 $44,800.41 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 8 — — $41,822.47 $99,995.90 $44,750.04 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 8 — — $41,433.28 $122,435.48 $44,333.61 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 28 8 — — $41,073.27 $98,149.97 $43,948.40 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 8 — — $39,387.15 $98,122.20 $43,936.34 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 8 — — $40,773.59 $97,411.59 $43,627.74 2025-01-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 2 1 — — $43,591.49 $43,591.49 $43,591.49 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 9 — — $5,138.07 $97,091.41 $43,488.69 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 8 — — $40,552.14 $96,865.98 $43,390.79 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 8 — — $3,011.78 $95,867.87 $42,957.34 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 8 — — $40,121.85 $95,805.79 $42,930.38 2025-01-01
J9226 HCPCS Supprelin La Implant 16 7 — — $25,144.33 $102,933.57 $42,614.49 2025-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 8 — — $39,474.09 $94,209.79 $42,237.28 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 8 — — $39,230.11 $93,608.63 $41,976.22 2025-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 8 — — $39,074.96 $93,226.38 $41,810.21 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 8 — — $39,025.90 $93,105.49 $41,757.71 2025-01-01
L7180 HCPCS Electronic Elbow Sequential 16 7 — — $38,934.56 $99,981.48 $41,392.33 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 8 — — $38,512.07 $91,839.47 $41,207.91 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 8 — — $38,396.71 $91,555.23 $41,084.48 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 8 — — $38,142.11 $90,927.94 $40,812.06 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 8 — — $37,855.69 $90,222.24 $40,505.59 2025-01-01
834 MS_DRG Acute Leukemia With Mcc 28 8 — — $37,636.24 $89,681.52 $40,270.78 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 8 — — $37,507.61 $89,364.61 $40,133.14 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 36 8 — — $34,899.69 $132,998.84 $40,077.81 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 8 — — $35,892.09 $89,096.70 $40,016.80 2025-01-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 24 6 — — $6,944.50 $96,496.82 $39,949.68 2025-01-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $39,881.93 $39,881.93 $39,881.93 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 8 — — $37,254.34 $88,740.59 $39,862.14 2025-01-01
64568 HCPCS Inc For Vagus N Elect Impl 28 8 — — $816.75 $96,496.82 $39,563.69 2025-01-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 20 6 — — $6,944.50 $96,496.82 $39,563.69 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 8 — — $36,594.65 $87,115.18 $39,156.28 2025-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 8 — — $36,573.43 $87,062.91 $39,133.57 2025-01-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 24 6 — — $6,944.50 $96,496.82 $38,984.71 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 8 — — $36,336.08 $86,478.09 $38,879.61 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 34 8 — — $33,691.08 $95,134.28 $38,755.45 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 8 — — $33,492.48 $85,034.01 $38,252.48 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 28 8 — — $35,690.31 $84,886.99 $38,188.63 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 8 — — $34,654.69 $82,335.35 $37,080.52 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 8 — — $33,401.56 $81,472.82 $36,705.94 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 8 — — $32,459.36 $80,819.39 $36,128.10 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 8 — — $33,733.11 $80,064.68 $36,094.43 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 8 — — $4,158.71 $165,281.74 $36,065.01 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 8 — — $4,484.73 $80,399.56 $35,647.87 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 8 — — $33,252.43 $78,880.34 $35,580.10 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 8 — — $33,090.65 $78,481.75 $35,407.00 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 8 — — $31,001.15 $112,839.39 $35,098.41 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 8 — — $32,408.42 $76,800.80 $34,677.01 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 8 — — $30,981.55 $76,643.98 $34,608.90 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 8 — — $32,251.95 $76,415.28 $34,509.59 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 28 8 — — $31,981.44 $75,748.78 $34,220.14 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 34 8 — — $30,666.96 $75,446.57 $34,088.91 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 38 8 — — $24,919.12 $150,828.88 $33,932.82 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 8 — — $31,635.35 $74,896.05 $33,849.82 2025-01-01
245 MS_DRG Aicd Generator Procedures 30 8 — — $31,486.84 $74,530.13 $33,690.92 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 8 — — $30,117.93 $88,424.03 $33,593.73 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 8 — — $31,382.75 $74,273.66 $33,579.54 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 28 8 — — $31,264.73 $73,982.89 $33,453.26 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 34 8 — — $29,401.56 $89,221.43 $33,119.12 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 8 — — $30,943.84 $73,192.24 $33,109.91 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 8 — — $30,827.15 $72,904.73 $32,985.05 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 8 — — $22,144.46 $71,759.59 $32,184.12 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 8 — — $20,535.97 $70,127.66 $31,779.03 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 28 8 — — $29,517.04 $69,676.79 $31,583.23 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 8 — — $1,659.35 $70,691.24 $31,425.21 2025-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 8 — — $29,354.61 $69,276.56 $31,409.43 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 8 — — $27,456.30 $68,989.05 $31,284.57 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 8 — — $29,190.18 $68,871.44 $31,233.49 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 8 — — $29,176.26 $68,837.13 $31,218.60 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 8 — — $1,572.33 $75,641.35 $31,131.34 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 8 — — $29,061.56 $68,554.52 $31,095.87 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 8 — — $29,009.84 $68,427.11 $31,040.53 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 8 — — $28,902.43 $68,162.47 $30,925.60 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 8 — — $28,772.48 $67,842.29 $30,786.55 2025-01-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 20 6 — — $6,944.50 $75,053.32 $30,771.86 2025-01-01
L5856 HCPCS Elec Knee-shin Swing/stance 16 7 — — $28,933.73 $74,299.90 $30,760.16 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 8 — — $25,895.58 $67,393.05 $30,591.47 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 36 9 — — $2,030.33 $68,113.46 $30,263.54 2025-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 8 — — $27,894.00 $65,677.80 $29,846.58 2025-01-01
791 MS_DRG Prematurity With Major Problems 32 9 — — $1,983.32 $66,306.73 $29,838.22 2025-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 1 — — $26,638.49 $32,725.24 $29,681.87 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 8 — — $26,508.19 $65,083.18 $29,588.35 2025-01-01
J9266 HCPCS Pegaspargase Injection 16 7 — — $7,751.03 $71,060.15 $29,418.90 2025-01-01
69930 HCPCS Implant Cochlear Device 32 8 — — $1,499.75 $72,235.17 $29,183.01 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 8 — — $27,173.97 $63,903.74 $29,076.15 2025-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 8 — — $27,056.62 $63,614.60 $28,950.58 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 8 — — $26,900.81 $63,230.71 $28,783.87 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 8 — — $26,862.36 $63,135.96 $28,742.73 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 8 — — $26,837.83 $63,075.52 $28,716.48 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 8 — — $26,692.63 $62,717.77 $28,561.11 2025-01-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 24 6 — — $6,944.50 $68,766.58 $28,469.37 2025-01-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 24 6 — — $6,944.50 $68,766.58 $28,469.37 2025-01-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 24 6 — — $6,944.50 $68,766.58 $28,469.37 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 12 4 — — $22,623.70 $30,303.06 $28,265.52 2025-01-01
33270 HCPCS Ins/rep Subq Defibrillator 28 8 — — $727.00 $68,766.58 $28,194.30 2025-01-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 28 8 — — $514.70 $68,766.58 $28,194.30 2025-01-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 28 8 — — $1,147.66 $68,766.58 $28,194.30 2025-01-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 28 8 — — $513.45 $68,766.58 $28,194.30 2025-01-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 14 6 — — $27,041.16 $67,602.91 $28,122.81 2025-01-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 14 6 — — $27,041.16 $67,602.91 $28,122.81 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 8 — — $26,186.75 $61,471.35 $28,019.82 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 8 — — $26,078.02 $61,203.45 $27,903.48 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 8 — — $26,016.36 $61,051.52 $27,837.51 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 8 — — $25,946.75 $60,880.00 $27,763.02 2025-01-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 20 6 — — $6,944.50 $67,602.91 $27,717.19 2025-01-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 20 6 — — $5,863.64 $67,602.91 $27,717.19 2025-01-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 20 6 — — $6,944.50 $67,602.91 $27,717.19 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 8 — — $25,807.51 $60,536.95 $27,614.04 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 8 — — $20,963.50 $61,058.06 $27,580.15 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 8 — — $25,590.71 $60,002.77 $27,382.06 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 34 8 — — $2,859.32 $61,251.98 $27,371.41 2025-01-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 24 6 — — $6,944.50 $67,602.91 $27,311.58 2025-01-01
61886 HCPCS Implant Neurostim Arrays 32 8 — — $1,043.79 $67,602.91 $27,311.58 2025-01-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 24 6 — — $6,944.50 $67,602.91 $27,311.58 2025-01-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 24 6 — — $6,944.50 $67,602.91 $27,311.58 2025-01-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 24 6 — — $2,785.91 $67,602.91 $27,311.58 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 8 — — $25,295.01 $59,274.20 $27,065.66 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 8 — — $25,276.44 $59,228.46 $27,045.79 2025-01-01
332 MS_DRG Rectal Resection With Mcc 28 8 — — $25,243.29 $59,146.78 $27,010.32 2025-01-01
265 MS_DRG Aicd Lead Procedures 28 8 — — $25,226.72 $59,105.94 $26,992.59 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 8 — — $769.57 $59,001.39 $26,947.19 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 8 — — $24,992.01 $58,527.65 $26,741.45 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 8 — — $24,936.98 $58,392.07 $26,682.57 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 8 — — $22,464.88 $58,913.18 $26,657.39 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 8 — — $24,913.12 $58,333.26 $26,657.04 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 8 — — $24,877.98 $58,246.68 $26,619.44 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 8 — — $23,597.37 $58,197.67 $26,598.16 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 8 — — $24,835.54 $58,142.13 $26,574.03 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 8 — — $24,619.40 $57,609.59 $26,342.76 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 36 8 — — $22,127.81 $68,632.57 $26,305.30 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 8 — — $18,877.75 $57,491.97 $26,291.69 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 8 — — $24,359.50 $56,969.22 $26,064.66 2025-01-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 24 6 — — $6,944.50 $62,839.36 $26,015.49 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 8 — — $24,253.42 $56,707.85 $25,951.16 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 8 — — $24,142.04 $56,433.41 $25,831.98 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 32 8 — — $22,786.92 $56,983.93 $25,827.40 2025-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 8 — — $24,035.96 $56,172.04 $25,718.48 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 8 — — $23,856.94 $55,730.98 $25,526.93 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 8 — — $23,827.11 $55,657.47 $25,495.01 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 8 — — $2,770.57 $56,005.42 $25,406.43 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 32 8 — — $23,009.79 $56,408.24 $25,023.24 2025-01-01
J9600 HCPCS Porfimer Sodium Injection 2 1 — — $24,790.94 $24,790.94 $24,790.94 2025-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 8 — — $23,138.91 $53,961.82 $24,758.63 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 30 8 — — $22,121.27 $53,778.86 $24,679.18 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 32 8 — — $22,114.22 $67,775.45 $24,676.34 2025-01-01
C9760 HCPCS Non-blind Interatrial Shunt 24 6 — — $5,863.64 $59,959.00 $24,413.87 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 8 — — $21,907.56 $53,136.86 $24,400.38 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 8 — — $22,709.28 $52,903.26 $24,298.93 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 8 — — $1,520.39 $52,844.45 $24,273.39 2025-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 8 — — $22,655.57 $52,770.94 $24,241.46 2025-01-01
652 MS_DRG Kidney Transplant 28 8 — — $22,649.61 $52,756.24 $24,235.08 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 8 — — $22,633.70 $52,717.03 $24,218.06 2025-01-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 20 6 — — $6,944.50 $58,970.70 $24,177.99 2025-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 28 8 — — $22,591.93 $52,614.12 $24,173.37 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 8 — — $14,377.49 $52,444.23 $24,099.58 2025-01-01
Q0483 HCPCS Monitor Elec Vad, Rep 16 7 — — $22,598.31 $58,031.00 $24,024.83 2025-01-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 24 6 — — $5,724.46 $59,445.09 $24,015.82 2025-01-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 24 6 — — $5,724.46 $59,445.09 $24,015.82 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 8 — — $22,406.28 $52,156.72 $23,974.72 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 8 — — $22,367.17 $52,060.34 $23,932.87 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 8 — — $22,346.61 $52,009.70 $23,910.87 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 8 — — $22,304.18 $51,905.15 $23,865.47 2025-01-01
L5858 HCPCS Stance Phase Only 16 7 — — $22,400.34 $57,522.62 $23,814.36 2025-01-01
22633 HCPCS Lumbar Spine Fusion Combined 26 7 — — $2,304.45 $59,445.09 $23,778.04 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 8 — — $22,220.64 $51,699.32 $23,776.08 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 8 — — $20,649.15 $51,620.91 $23,742.04 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 8 — — $22,129.15 $51,473.89 $23,678.19 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 8 — — $20,794.34 $51,449.38 $23,667.54 2025-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 8 — — $22,070.14 $51,328.50 $23,615.05 2025-01-01
665 MS_DRG Prostatectomy With Mcc 28 8 — — $21,931.57 $50,987.08 $23,466.78 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 8 — — $21,888.47 $50,880.90 $23,420.66 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 8 — — $21,852.01 $50,791.05 $23,381.65 2025-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 28 8 — — $21,535.75 $50,011.84 $23,043.25 2025-01-01
263 MS_DRG Vein Ligation And Stripping 28 8 — — $21,508.57 $49,944.86 $23,014.17 2025-01-01
L8614 HCPCS Cochlear Device 2 1 — — $22,817.81 $22,817.81 $22,817.81 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 8 — — $21,263.92 $49,342.07 $22,752.39 2025-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 8 — — $19,190.39 $49,335.54 $22,749.56 2025-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 8 — — $20,369.72 $49,281.63 $22,726.15 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 32 8 — — $3,861.20 $49,549.54 $22,629.01 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 8 — — $20,971.53 $48,621.67 $22,439.54 2025-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 28 8 — — $20,757.38 $48,094.02 $22,210.40 2025-01-01
570 MS_DRG Skin Debridement With Mcc 28 8 — — $20,737.49 $48,045.02 $22,189.11 2025-01-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 16 7 — — $20,736.43 $53,249.85 $22,045.44 2025-01-01
668 MS_DRG Transurethral Procedures With Mcc 28 8 — — $20,597.60 $47,700.33 $22,039.43 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 32 8 — — $1,168.13 $48,126.69 $22,016.88 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 30 8 — — $18,078.64 $47,574.55 $21,984.81 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 8 — — $20,478.26 $47,406.29 $21,911.74 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 8 — — $20,466.32 $47,376.88 $21,898.96 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 36 8 — — $16,617.89 $38,983.59 $21,816.32 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 8 — — $20,381.46 $47,167.79 $21,808.16 2025-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 28 8 — — $20,344.33 $47,076.31 $21,768.43 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 32 8 — — $19,525.24 $102,485.66 $21,546.39 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 8 — — $19,267.43 $46,886.81 $21,483.47 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 34 8 — — $1,757.38 $47,144.92 $21,390.79 2025-01-01
800 MS_DRG Splenic Procedures With Cc 28 8 — — $19,864.31 $45,893.60 $21,254.81 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 8 — — $19,052.48 $51,153.41 $21,244.49 2025-01-01
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $21,200.00 $21,200.00 $21,200.00 2025-01-01
654 MS_DRG Major Bladder Procedures With Cc 28 8 — — $19,797.35 $45,728.61 $21,183.16 2025-01-01
503 MS_DRG Foot Procedures With Mcc 30 8 — — $1,980.01 $45,594.66 $21,124.99 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 8 — — $17,190.36 $45,281.01 $20,988.78 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 8 — — $18,739.99 $45,039.24 $20,883.79 2025-01-01
L6975 HCPCS Interscap-thor Myoelectronic 16 7 — — $19,598.88 $50,328.62 $20,836.05 2025-01-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 16 7 — — $19,591.50 $50,309.72 $20,828.23 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 38 8 — — $4,750.85 $45,537.58 $20,824.20 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 30 8 — — $17,670.43 $44,890.59 $20,819.23 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 28 8 — — $19,363.08 $44,658.62 $20,718.50 2025-01-01
849 MS_DRG Radiotherapy 28 8 — — $19,201.97 $44,261.66 $20,546.11 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 28 8 — — $19,180.09 $44,207.75 $20,522.70 2025-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 14 4 — — $5,100.00 $28,758.60 $20,490.37 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 8 — — $19,121.74 $44,064.00 $20,460.26 2025-01-01
5231 OTHER Level 1 Icd And Similar Procedures 2 1 — — $20,272.63 $20,272.63 $20,272.63 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 30 8 — — $18,873.78 $64,528.34 $20,194.94 2025-01-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 24 6 — — $6,944.50 $59,959.00 $20,174.69 2025-01-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 24 6 — — $6,944.50 $59,959.00 $20,174.69 2025-01-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 24 6 — — $6,944.50 $59,959.00 $20,174.69 2025-01-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 24 6 — — $5,863.64 $59,959.00 $20,174.69 2025-01-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 24 6 — — $6,944.50 $59,959.00 $20,174.69 2025-01-01
0515T OTHER Insj Wcs Lv Compl Sys 24 6 — — $6,944.50 $59,959.00 $20,174.69 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 8 — — $18,812.12 $43,301.12 $20,128.97 2025-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 28 8 — — $18,723.94 $43,083.85 $20,034.62 2025-01-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 28 8 — — $474.46 $59,959.00 $19,979.76 2025-01-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 28 8 — — $494.18 $59,959.00 $19,979.76 2025-01-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 28 8 — — $487.30 $59,959.00 $19,979.76 2025-01-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 28 8 — — $466.38 $59,959.00 $19,979.76 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 36 8 — — $16,422.13 $86,936.83 $19,738.08 2025-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 28 8 — — $18,426.25 $42,350.38 $19,716.09 2025-01-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 24 6 — — $6,944.50 $48,731.13 $19,687.38 2025-01-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 24 6 — — $6,944.50 $48,731.13 $19,687.38 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 28 8 — — $18,361.94 $42,191.92 $19,647.28 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 28 8 — — $18,338.07 $42,133.11 $19,621.73 2025-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 28 8 — — $18,338.07 $42,133.11 $19,621.73 2025-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 28 8 — — $18,261.16 $41,943.62 $19,539.44 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 32 8 — — $17,459.94 $79,589.90 $19,435.87 2025-01-01
5117 OTHER Level 7 Musculoskeletal Procedures 2 1 — — $19,405.66 $19,405.66 $19,405.66 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 8 — — $9,433.81 $41,507.46 $19,350.03 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 28 8 — — $18,052.31 $41,429.04 $19,315.97 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 28 8 — — $17,964.79 $41,213.41 $19,222.33 2025-01-01
L6970 HCPCS Interscapular-thor Switch CT 16 7 — — $17,920.15 $46,017.80 $19,051.37 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 32 8 — — $6,674.24 $41,231.38 $19,050.42 2025-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 28 8 — — $17,759.26 $40,707.01 $19,002.41 2025-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 30 8 — — $12,844.81 $40,540.38 $18,930.04 2025-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 30 8 — — $16,886.13 $40,172.83 $18,770.43 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 8 — — $15,239.17 $40,161.39 $18,765.47 2025-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 32 9 — — $5,754.44 $40,105.85 $18,741.34 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 28 8 — — $17,443.01 $39,927.79 $18,664.02 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 28 8 — — $17,423.78 $39,880.42 $18,643.44 2025-01-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 16 7 — — $17,513.74 $44,974.20 $18,619.32 2025-01-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 16 7 — — $17,487.76 $44,907.48 $18,591.69 2025-01-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 14 5 — — $9,604.25 $23,996.15 $18,590.11 2025-01-01
792 MS_DRG Prematurity Without Major Problems 32 8 — — $1,667.96 $40,009.47 $18,524.73 2025-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 28 8 — — $17,297.15 $39,568.41 $18,507.95 2025-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 28 8 — — $17,244.77 $39,439.35 $18,451.90 2025-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 28 8 — — $17,185.10 $39,292.33 $18,388.06 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 34 8 — — $3,188.47 $39,160.01 $18,330.59 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 28 8 — — $17,116.14 $39,122.44 $18,314.27 2025-01-01
L6965 HCPCS Shldr Disartic Myoelectronic 16 7 — — $17,197.58 $44,162.28 $18,283.18 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 28 8 — — $17,086.97 $39,050.56 $18,283.06 2025-01-01
113 MS_DRG Orbital Procedures With Cc/Mcc 28 8 — — $16,825.75 $38,406.93 $18,003.55 2025-01-01
333 MS_DRG Rectal Resection With Cc 28 8 — — $16,766.74 $38,261.55 $17,940.41 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 36 8 — — $15,698.60 $38,202.74 $17,914.87 2025-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 30 8 — — $16,731.60 $38,174.97 $17,902.81 2025-01-01
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