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 COBB MEDICAL CENTER

Austell, GA · CCN 110143 · Rates published

46,727 distinct procedures filed
21 distinct payers
220,465 rate rows
2026-07-30 last MRF observed
Data quality

140,015 of 220,465 rate rows are consumer-grade (63.5%)

80,450 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 80,392
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-cobb-hospital_standard-charges
Found on page https://www.wellstar.org/financial-policy-and-privacy-info/hospital-pricing-transparency
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-17
Content fingerprint 3a2779fe24435fc5… · 56,096,668 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
$3,710,000
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
$2,460,273
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $0.03 $1,159,783.35 $621,312.51 nat. median
$691,418
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $0.03 $1,152,532.70 $590,665.09 nat. median
$624,417
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $0.03 $1,109,103.13 $585,674.35 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $0.03 $1,178,375.50 $585,183.83 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $0.03 $1,120,267.47 $559,891.68 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $0.03 $1,120,791.00 $513,769.84 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $334,086.80 $1,512,329.86 $357,472.88 nat. median
$370,165
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $235,544.87 $355,377.59 $273,232.41 nat. median
$83,623
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $218,649.51 $1,129,585.31 $233,954.98 nat. median
$261,939
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $143,584.00 $3,351,259.00 $208,469.00 nat. median
$199,832
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $176,293.17 $265,981.76 $204,500.34 nat. median
$62,767
outlier · 3.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $107,370.00 $836,395.00 $194,873.91 nat. median
$132,706
1.5× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $162,577.37 $245,288.10 $188,589.99 nat. median
$57,648
outlier · 3.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $116,809.00 $951,379.17 $179,578.72 nat. median
$205,166
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 $122,421.45 $184,702.98 $142,009.07 nat. median
$46,399
outlier · 3.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $268,781.36 $126,093.45 nat. median
$63,643
2.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $117,940.04 $117,940.04 $117,940.04 nat. median
$75,807
1.6× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $253,689.00 $114,360.00 nat. median
$69,291
1.7× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $97,230.64 $146,696.42 $112,787.69 nat. median
$37,051
outlier · 3.0×
7
MS_DRG 		Lung Transplant 15 $103,861.04 $524,075.06 $111,131.31 nat. median
$122,690
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $219,316.44 $105,852.57 nat. median
$65,655
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $96,761.44 $525,398.49 $103,534.74 nat. median
$114,305
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $91,536.69 $441,934.05 $97,944.26 nat. median
$108,240
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $91,437.69 $179,217.87 $96,009.57 nat. median
$96,134
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $1,582.00 $420,354.09 $95,413.42 nat. median
$96,835
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $88,051.23 $436,856.88 $94,214.82 nat. median
$100,978
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $92,831.73 $92,831.73 $92,831.73 nat. median
$52,716
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $83,759.33 $427,051.45 $89,622.48 nat. median
$99,646
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 15 $34,769.00 $424,869.80 $86,742.10 nat. median
$98,002
0.9× median
J9226
HCPCS 		Supprelin La Implant 7 $45,020.65 $182,984.23 $86,268.99 nat. median
$55,200
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $36,995.00 $387,019.64 $85,322.68 nat. median
$92,900
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $100.00 $423,267.00 $85,032.01 nat. median
$66,640
1.3× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $29,767.00 $420,306.00 $79,998.00 nat. median
$51,433
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $67,569.00 $334,467.36 $79,022.49 nat. median
$81,124
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 15 $816.00 $216,589.67 $78,369.00 nat. median
$51,984
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $71,186.72 $369,409.98 $76,169.79 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $36,995.00 $339,817.23 $74,298.96 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $69,236.48 $339,624.73 $74,083.03 nat. median
$80,459
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $45,483.00 $315,356.00 $70,497.98 nat. median
$57,394
1.2× median
64568
HCPCS 		Inc For Vagus N Elect Impl 7 $4,714.00 $174,453.45 $70,119.00 nat. median
$27,651
outlier · 2.5×
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 7 $5,809.00 $174,453.45 $70,119.00 nat. median
$43,061
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $65,165.42 $323,258.29 $69,727.00 nat. median
$77,385
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $6,760.00 $249,130.41 $68,361.77 nat. median
$13,835
outlier · 4.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $36,995.00 $310,284.65 $68,174.77 nat. median
$74,472
0.9× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $2,183.00 $361,851.00 $67,998.83 nat. median
$53,080
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $36,995.00 $313,444.84 $67,905.07 nat. median
$73,475
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $39,410.00 $299,324.22 $67,698.91 nat. median
$71,485
0.9× median

Other procedures at this hospital

Browse this hospital's 46,727 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
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 15 — — $334,086.80 $1,512,329.86 $357,472.88 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 4 — — $235,544.87 $355,377.59 $273,232.41 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 15 — — $218,649.51 $1,129,585.31 $233,954.98 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 15 — — $143,584.00 $3,351,259.00 $208,469.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 4 — — $176,293.17 $265,981.76 $204,500.34 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 15 — — $107,370.00 $836,395.00 $194,873.91 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 15 — — $116,809.00 $951,379.17 $179,578.72 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
A9543 HCPCS Y90 Ibritumomab, Rx 15 7 — — $56,824.55 $268,781.36 $126,093.45 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 $253,689.00 $114,360.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 4 — — $97,230.64 $146,696.42 $112,787.69 2026-04-01
7 MS_DRG Lung Transplant 24 15 — — $103,861.04 $524,075.06 $111,131.31 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 7 — — $55,272.32 $219,316.44 $105,852.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 15 — — $96,761.44 $525,398.49 $103,534.74 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 15 — — $91,536.69 $441,934.05 $97,944.26 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 17 15 — — $91,437.69 $179,217.87 $96,009.57 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 15 — — $1,582.00 $420,354.09 $95,413.42 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 15 — — $88,051.23 $436,856.88 $94,214.82 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $92,831.73 $92,831.73 $92,831.73 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 15 — — $83,759.33 $427,051.45 $89,622.48 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 15 — — $34,769.00 $424,869.80 $86,742.10 2026-04-01
J9226 HCPCS Supprelin La Implant 13 7 — — $45,020.65 $182,984.23 $86,268.99 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $387,019.64 $85,322.68 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 15 — — $100.00 $423,267.00 $85,032.01 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 35 16 — — $29,767.00 $420,306.00 $79,998.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 15 — — $67,569.00 $334,467.36 $79,022.49 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 15 — — $816.00 $216,589.67 $78,369.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 15 — — $71,186.72 $369,409.98 $76,169.79 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 16 — — $36,995.00 $339,817.23 $74,298.96 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 15 — — $69,236.48 $339,624.73 $74,083.03 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 15 — — $45,483.00 $315,356.00 $70,497.98 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $5,809.00 $174,453.45 $70,119.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 7 — — $4,714.00 $174,453.45 $70,119.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 15 — — $65,165.42 $323,258.29 $69,727.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 11 7 — — $6,760.00 $249,130.41 $68,361.77 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 16 — — $36,995.00 $310,284.65 $68,174.77 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 15 — — $2,183.00 $361,851.00 $67,998.83 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 16 — — $36,995.00 $313,444.84 $67,905.07 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 15 — — $39,410.00 $299,324.22 $67,698.91 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 16 — — $23,315.00 $243,090.00 $64,886.07 2026-04-01
10 MS_DRG Pancreas Transplant 24 15 — — $59,887.36 $319,733.15 $64,079.48 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 39 15 — — $1,009.00 $267,834.56 $64,055.04 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 15 — — $59,574.38 $317,892.38 $63,744.59 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 15 — — $59,542.40 $283,394.92 $63,710.37 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 15 — — $44,345.00 $729,197.00 $61,929.17 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 15 — — $53,874.00 $267,381.39 $61,652.94 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 15 — — $55,497.00 $273,826.10 $60,456.79 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 15 — — $56,162.03 $248,083.34 $60,093.37 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 15 — — $52,014.00 $268,865.24 $60,053.45 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 15 — — $566.00 $221,603.00 $59,323.40 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $238,582.71 $59,187.30 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $258,967.57 $59,187.30 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 15 — — $12,067.00 $246,952.41 $58,992.56 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 15 — — $52,114.00 $374,796.00 $58,041.66 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 16 — — $681.00 $358,271.00 $57,829.00 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 10 7 — — $335.00 $148,971.00 $57,584.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 16 — — $755.00 $429,146.00 $57,306.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 15 — — $40,413.91 $245,610.00 $57,185.68 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 7 — — $9,000.00 $124,320.85 $56,112.48 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 7 — — $9,000.00 $124,320.85 $56,112.48 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 7 — — $5,809.00 $124,320.85 $56,112.48 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 11 7 — — $9,000.00 $124,320.85 $56,112.48 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 7 — — $9,000.00 $124,320.85 $56,112.48 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 7 — — $5,809.00 $124,320.85 $56,112.48 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 7 — — $5,809.00 $124,320.85 $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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 15 — — $51,912.02 $240,239.00 $55,545.86 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 15 — — $51,857.95 $253,613.69 $55,488.01 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 6 — — $31,342.58 $122,217.09 $55,162.94 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 7 — — $5,809.00 $122,217.09 $55,162.94 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 7 — — $4,714.00 $122,217.09 $55,162.94 2026-04-01
2638 OTHER Brachytx, Stranded, I-125 1 1 — — $55,055.00 $55,055.00 $55,055.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 16 — — $36,995.00 $244,967.26 $55,009.71 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 25 15 — — $47,475.00 $243,796.23 $54,567.26 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 25 15 — — $50,984.49 $248,404.18 $54,553.40 2026-04-01
509 MS_DRG Arthroscopy 7 4 — — $46,689.53 $70,442.68 $54,159.92 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 15 — — $50,398.89 $242,047.69 $53,926.81 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 16 — — $36,995.00 $235,963.92 $53,428.95 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 15 — — $49,904.67 $318,216.00 $53,398.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 36 16 — — $7,488.00 $184,835.33 $52,636.51 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 15 — — $43,828.00 $219,372.89 $52,601.92 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 16 — — $19,138.00 $408,332.00 $52,599.42 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 15 — — $48,880.43 $228,781.29 $52,302.06 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 7 — — $28,424.06 $105,832.89 $51,596.43 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 15 — — $47,923.20 $218,197.84 $51,277.82 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 7 — — $9,000.00 $113,605.23 $51,275.96 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 15 — — $48,702.23 $95,456.37 $51,137.34 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 15 — — $47,630.78 $200,636.30 $50,964.93 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 15 — — $47,301.81 $246,106.22 $50,612.94 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 15 — — $875.00 $221,650.80 $50,343.23 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 15 — — $13,617.00 $396,159.00 $50,237.94 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 16 — — $36,995.00 $213,349.27 $50,121.59 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 15 — — $46,777.12 $216,385.14 $50,051.52 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 15 — — $22,597.00 $428,440.00 $50,012.50 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 15 — — $46,611.11 $242,047.69 $49,873.89 2026-04-01
1519 OTHER New Technology - Level 19 ($1701-$1800) 6 4 — — $7,513.00 $67,937.00 $49,846.00 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 10 6 — — $6,389.00 $135,686.45 $49,237.46 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 16 — — $36,995.00 $212,402.82 $49,063.15 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 15 — — $400.00 $224,697.00 $49,037.07 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 15 — — $45,556.42 $221,666.84 $48,745.37 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 16 — — $21,638.00 $440,291.00 $48,602.77 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 7 — — $5,063.00 $106,611.20 $48,119.19 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 15 — — $44,883.24 $204,301.81 $48,025.07 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 15 — — $44,814.70 $223,547.72 $47,951.73 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 11 7 — — $6,389.00 $174,453.45 $47,870.30 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 12 5 — — $15,158.00 $62,497.00 $47,280.76 2026-04-01
5378 OTHER Level 8 Urology And Related Services 8 4 — — $19,017.00 $175,246.00 $46,691.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $36,995.00 $184,169.60 $46,678.97 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 15 — — $454.00 $203,676.18 $46,248.75 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 16 — — $36,995.00 $199,834.22 $45,922.83 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 15 — — $292.00 $217,475.00 $45,713.42 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 15 — — $26,529.00 $216,357.07 $45,546.38 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 7 — — $24,228.42 $94,476.17 $45,342.71 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 1 1 — — $45,119.00 $45,119.00 $45,119.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 15 — — $32,747.74 $143,764.82 $45,032.04 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 15 — — $874.00 $290,347.00 $44,955.63 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 15 — — $41,828.80 $200,792.71 $44,756.82 2026-04-01
791 MS_DRG Prematurity With Major Problems 34 16 — — $2,362.00 $162,826.25 $44,555.98 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 38 15 — — $17,326.00 $178,641.00 $44,513.12 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 15 — — $41,497.54 $188,665.26 $44,402.37 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 30 15 — — $541.00 $172,092.00 $44,182.84 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 15 — — $41,045.20 $184,759.13 $43,918.36 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 15 — — $1,000.00 $190,666.45 $43,840.15 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 15 — — $40,865.48 $191,504.62 $43,726.06 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 15 — — $40,554.79 $194,460.29 $43,393.63 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 37 15 — — $21,771.00 $148,721.00 $43,359.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 15 — — $34,646.95 $151,264.27 $43,261.62 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 6 — — $171.00 $116,013.00 $43,232.00 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 41 16 — — $974.00 $184,145.54 $43,063.62 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 15 — — $37,177.00 $187,654.64 $42,968.29 2026-04-01
245 MS_DRG Aicd Generator Procedures 24 15 — — $39,986.70 $195,968.20 $42,785.77 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 15 — — $27,221.00 $149,415.00 $42,761.40 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 37 15 — — $25,352.00 $188,859.00 $42,657.84 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 24 15 — — $39,731.59 $190,674.47 $42,512.80 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 31 15 — — $8.00 $130,702.95 $42,475.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 15 — — $30,013.90 $136,626.31 $42,469.67 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 15 — — $33,646.00 $168,047.79 $42,118.43 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 15 — — $39,228.99 $176,156.82 $41,975.02 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 26 15 — — $29,343.76 $588,741.00 $41,521.42 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 15 — — $34,117.00 $170,810.96 $40,870.94 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 15 — — $37,409.00 $179,842.38 $40,589.82 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 16 — — $617.00 $219,191.00 $40,484.15 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 15 — — $37,724.23 $169,599.82 $40,364.93 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 15 — — $35,038.00 $166,848.68 $40,021.89 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 15 — — $37,348.81 $164,562.75 $39,963.23 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 15 — — $37,332.82 $166,828.00 $39,946.12 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 25 15 — — $37,201.07 $177,668.74 $39,805.14 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 11 7 — — $9,000.00 $88,099.41 $39,763.85 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 11 7 — — $9,000.00 $88,099.41 $39,763.85 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 11 7 — — $5,809.00 $88,099.41 $39,763.85 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 11 7 — — $5,809.00 $88,099.41 $39,763.85 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 11 7 — — $8,245.00 $88,099.41 $39,763.85 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 11 7 — — $5,809.00 $88,099.41 $39,763.85 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 7 — — $5,809.00 $88,099.41 $39,763.85 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 7 — — $5,809.00 $88,099.41 $39,763.85 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 11 7 — — $6,389.00 $88,099.41 $39,763.85 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 16 — — $36,995.00 $164,899.63 $39,741.60 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 34 15 — — $10,142.00 $127,538.74 $39,700.56 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 15 — — $33,995.00 $173,157.04 $39,609.59 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 15 — — $36,869.05 $163,106.98 $39,449.88 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 15 — — $32,940.00 $156,806.64 $39,225.81 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 37 16 — — $2,240.00 $167,257.74 $38,845.24 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 36 15 — — $601.00 $172,340.00 $38,370.25 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 15 — — $30,009.00 $143,756.80 $38,073.66 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 15 — — $35,033.04 $152,451.35 $37,485.35 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 15 — — $34,898.25 $173,517.98 $37,341.13 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 15 — — $34,719.30 $155,944.40 $37,149.65 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 15 — — $34,675.13 $157,584.66 $37,102.39 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
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 16 — — $581.00 $197,257.00 $36,893.79 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 15 — — $27,328.80 $112,620.05 $36,632.41 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 15 — — $30,468.00 $293,017.00 $36,272.09 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 8 5 — — $13,029.00 $49,243.70 $36,149.99 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 15 — — $33,774.26 $132,411.38 $36,138.46 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 15 — — $596.00 $158,262.42 $35,977.12 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 26 15 — — $26,169.77 $105,200.81 $35,924.82 2026-04-01
69930 HCPCS Implant Cochlear Device 13 8 — — $3,721.00 $130,591.61 $35,834.54 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 15 — — $33,463.56 $139,249.11 $35,806.01 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 16 — — $15,626.00 $154,837.53 $35,539.56 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 26 15 — — $33,203.12 $164,123.00 $35,527.34 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 34 16 — — $401.00 $116,242.00 $35,269.42 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 26 15 — — $24,884.33 $201,437.00 $35,211.32 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 15 — — $32,874.91 $127,282.08 $35,176.15 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 15 — — $32,853.59 $141,178.11 $35,153.34 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 15 — — $32,815.51 $139,100.72 $35,112.60 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 15 — — $32,796.47 $143,046.96 $35,092.22 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 15 — — $27,963.00 $128,501.24 $34,996.07 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 29 15 — — $17,095.00 $80,139.82 $34,979.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 15 — — $32,526.90 $159,641.99 $34,803.78 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 25 15 — — $32,463.69 $157,901.48 $34,736.15 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 15 — — $28,411.00 $145,332.89 $34,706.82 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 9 6 — — $19,704.96 $76,837.40 $34,680.72 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 25 15 — — $189.00 $140,408.11 $34,663.63 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 15 — — $32,373.07 $140,508.37 $34,639.18 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 15 — — $16,727.00 $150,149.38 $34,611.48 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 15 — — $520.00 $138,134.22 $34,587.85 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 11 7 — — $6,389.00 $76,289.16 $34,433.27 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 15 — — $27,547.00 $169,570.00 $34,345.84 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 15 — — $29,265.00 $146,315.43 $34,287.19 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 11 7 — — $9,000.00 $103,523.37 $34,203.00 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 7 — — $8,245.00 $107,468.84 $34,203.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 11 7 — — $9,000.00 $103,523.37 $34,203.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 11 7 — — $9,000.00 $103,523.37 $34,203.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 37 15 — — $518.00 $204,765.00 $34,033.77 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 15 — — $16,494.00 $154,997.95 $34,026.44 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 15 — — $3,089.00 $138,948.33 $33,896.07 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 15 — — $28,095.00 $312,492.00 $33,759.17 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 28 15 — — $21,435.00 $125,577.00 $33,725.39 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 15 — — $529.00 $140,484.31 $33,545.70 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 8 — — $1,694.00 $122,217.09 $33,536.56 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 8 — — $1,694.00 $122,217.09 $33,536.56 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 11 7 — — $4,714.00 $122,217.09 $33,536.56 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 11 7 — — $4,714.00 $122,217.09 $33,536.56 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 8 — — $1,937.00 $122,217.09 $33,536.56 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 7 — — $5,809.00 $122,217.09 $33,536.56 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $5,809.00 $122,217.09 $33,536.56 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 15 — — $31,188.91 $141,535.04 $33,372.13 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 15 — — $520.00 $61,600.43 $33,000.23 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 35 15 — — $18,815.00 $201,713.00 $32,904.00 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 35 15 — — $3.00 $74,437.03 $32,847.00 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 11 7 — — $9,842.00 $72,605.52 $32,770.65 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 11 7 — — $9,842.00 $72,605.52 $32,770.65 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 11 7 — — $9,842.00 $72,605.52 $32,770.65 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 11 7 — — $9,842.00 $72,605.52 $32,770.65 2026-04-01
93580 HCPCS Transcath Closure Of Asd 11 7 — — $9,842.00 $72,605.52 $32,770.65 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 11 7 — — $9,000.00 $72,605.52 $32,770.65 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 9 6 — — $18,619.69 $72,605.52 $32,770.65 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 39 15 — — $538.00 $122,218.00 $32,675.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 15 — — $30,398.46 $109,740.59 $32,526.35 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 28 15 — — $389.00 $113,959.00 $32,500.36 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 27 15 — — $25,756.00 $133,173.35 $32,435.09 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 15 — — $521.00 $125,156.56 $32,431.84 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $32,325.76 $32,325.76 $32,325.76 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 8 — — $2,323.00 $88,099.41 $31,969.24 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 15 — — $27,491.00 $127,907.70 $31,969.02 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 37 15 — — $60.00 $189,444.00 $31,932.35 2026-04-01
652 MS_DRG Kidney Transplant 24 15 — — $29,836.46 $123,167.40 $31,925.01 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 15 — — $29,818.19 $129,279.25 $31,905.46 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 26 15 — — $22,496.22 $182,785.00 $31,832.15 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 15 — — $25,071.00 $114,777.65 $31,769.38 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 29 15 — — $19,880.00 $142,320.00 $31,625.98 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 15 — — $466.00 $124,009.59 $31,577.90 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 15 — — $28,373.00 $189,679.00 $31,552.64 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 15 — — $29,439.71 $141,583.16 $31,500.49 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 10 7 — — $17,398.65 $67,844.19 $31,404.56 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 26 15 — — $25,571.00 $123,664.69 $31,358.71 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 15 — — $27,260.00 $128,132.28 $31,285.38 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 16 — — $26,704.00 $124,567.03 $31,273.16 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 2 — — $6,389.00 $56,095.00 $31,242.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 2 — — $6,389.00 $56,095.00 $31,242.00 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 35 15 — — $16,729.00 $78,731.00 $31,238.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 15 — — $23,553.00 $112,507.76 $31,212.86 2026-04-01
665 MS_DRG Prostatectomy With Mcc 25 15 — — $676.00 $137,693.07 $31,042.56 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 26 15 — — $21,934.22 $91,389.00 $31,036.93 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 15 — — $445.00 $129,195.00 $30,989.60 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 15 — — $462.00 $122,654.07 $30,944.79 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 32 15 — — $19,816.00 $121,440.00 $30,896.85 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 11 7 — — $5,063.00 $67,844.19 $30,621.62 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 19 12 — — $8,402.00 $102,534.00 $30,598.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 2 2 — — $5,063.00 $56,095.00 $30,579.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 25 15 — — $471.00 $125,100.42 $30,556.12 2026-04-01
263 MS_DRG Vein Ligation And Stripping 26 15 — — $25,974.00 $132,750.00 $30,522.71 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 15 — — $7,974.00 $131,079.92 $30,325.52 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 26 15 — — $21,367.66 $91,994.57 $30,235.24 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 15 — — $28,244.90 $114,617.23 $30,222.04 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 15 — — $28,241.85 $114,974.16 $30,218.78 2026-04-01
5377 OTHER Level 7 Urology And Related Services 8 4 — — $12,104.00 $49,903.00 $30,202.50 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 15 — — $20,791.00 $101,250.57 $30,191.89 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 33 15 — — $15,614.00 $85,249.00 $30,122.00 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 35 15 — — $795.00 $72,821.00 $30,014.00 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 26 15 — — $22,964.55 $90,113.69 $29,946.53 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 15 — — $27,909.07 $123,055.11 $29,862.70 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 27 15 — — $16,932.59 $61,559.64 $29,801.36 2026-04-01
33968 HCPCS Remove Aortic Assist Device 2 2 — — $3,391.00 $56,095.00 $29,743.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 15 — — $27,663.10 $106,022.94 $29,599.52 2026-04-01
570 MS_DRG Skin Debridement With Mcc 26 15 — — $445.00 $120,729.08 $29,575.07 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 7 — — $8,245.00 $107,468.84 $29,489.62 2026-04-01
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