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

MOUNTAIN VIEW HOSPITAL

Idaho Falls, ID · CCN 130065 · Rates published

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You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY

This hospital’s price: $6,085 across 13 payers · range $4,236-$10,418

Source: https://apim.services.craneware.com/api-pricing-transparency/api/public/99dbb216f23f3deb517e3fb3a823bb70/charges/mrf · observed 2026-08-01

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.

5,726 distinct procedures filed
24 distinct payers
327,236 rate rows
2026-08-01 last MRF observed
Data quality

298,155 of 327,236 rate rows are consumer-grade (91.1%)

29,081 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 18,094
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,075
per-diem day rate — not a per-procedure price 809
exceeds 10× this hospital's gross charge — excluded from medians 69
placeholder amount (≤ $0.02) — excluded from medians 29
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/99dbb216f23f3deb517e3fb3a823bb70/charges/mrf
Found on page https://www.mountainviewhospital.org/billing-information/cost-estimator/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 92e8656fc85d8ea5… · 4,826,543 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $315,829.14 $765,646.39 $319,019.33 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $207,424.55 $497,818.92 $207,424.55 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $156,714.22 $379,913.26 $158,297.19 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $155,801.02 $377,699.45 $157,374.77 nat. median
$199,832
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $102,060.39 $247,419.12 $103,091.30 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 10 $96,456.96 $231,496.70 $96,456.96 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $88,697.75 $215,024.86 $89,593.69 nat. median
$114,305
0.8× median
Q2043
HCPCS 		Provenge 23 $51,683.90 $122,409.25 $87,046.57 nat. median
$65,655
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $84,542.84 $239,494.40 $84,542.84 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $83,602.67 $202,673.14 $84,447.14 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $81,433.75 $197,415.14 $82,256.31 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $80,361.68 $194,816.18 $81,173.41 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $77,024.37 $188,215.50 $77,024.37 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $73,677.81 $178,612.87 $74,422.03 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $72,408.22 $175,535.09 $73,139.62 nat. median
$92,900
0.8× median
L8614
HCPCS 		Cochlear Device; Includes All Internal And External Components 1 $68,040.00 $68,040.00 $68,040.00 nat. median
$22,570
outlier · 3.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $66,773.10 $161,874.19 $67,447.58 nat. median
$81,124
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $64,221.56 $155,688.62 $64,870.26 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $62,548.21 $151,632.02 $63,180.01 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $62,355.09 $151,163.86 $62,984.94 nat. median
$80,459
0.8× median
L8686
HCPCS 		Implantable Neurostimulator Pulse Generator; Single Array; Non-rechargeable; Inc… 1 $60,480.00 $60,480.00 $60,480.00 nat. median
$7,230
outlier · 8.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $58,458.90 $165,259.20 $59,049.39 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $57,070.52 $138,352.78 $57,646.99 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $56,829.29 $137,767.97 $57,403.32 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $56,644.89 $137,320.94 $57,217.06 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $53,720.20 $130,230.79 $54,262.83 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 10 $53,947.01 $129,472.82 $53,947.01 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 $53,385.67 $129,419.81 $53,924.92 nat. median
$62,911
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $53,108.01 $128,746.68 $53,644.45 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $53,077.40 $128,672.50 $53,613.54 nat. median
$68,581
0.8× median
64568
CPT 		Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 22 $6,937.64 $52,423.74 $52,423.74 nat. median
$27,651
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $51,484.23 $124,810.25 $52,004.27 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $51,237.15 $124,211.28 $51,754.70 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $50,167.27 $121,617.62 $50,674.01 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $49,842.23 $120,829.66 $50,345.69 nat. median
$59,832
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $49,806.51 $120,743.06 $50,309.61 nat. median
$62,262
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $49,031.79 $118,864.94 $49,527.06 nat. median
$63,840
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $49,031.79 $118,864.94 $49,527.06 nat. median
$60,895
0.8× median
33270
CPT 		Ins/rep Subq Defibrillator 23 $29,315.58 $69,431.65 $49,373.61 nat. median
$31,963
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $48,857.62 $118,442.71 $49,351.13 nat. median
$59,159
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $48,007.10 $116,380.85 $48,492.02 nat. median
$62,218
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $45,774.76 $112,782.40 $46,237.13 nat. median
$60,162
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $45,723.02 $119,585.40 $46,184.87 nat. median
$60,294
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $45,295.20 $109,806.55 $45,752.73 nat. median
$59,257
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 12 $40,362.00 $108,847.22 $45,353.01 nat. median
$56,970
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $44,887.08 $108,817.15 $45,340.48 nat. median
$58,419
0.8× median
33289
CPT 		Tcat Impl Wrls P-art Prs Snr 23 $26,788.78 $63,447.12 $45,117.95 nat. median
$27,692
1.6× median
457
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 12 $44,570.05 $108,048.60 $45,020.25 nat. median
$57,394
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 12 $44,427.20 $107,702.30 $44,875.96 nat. median
$51,433
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 11 $44,326.63 $107,760.00 $44,774.37 nat. median
$55,867
0.8× median

Other procedures at this hospital

Browse this hospital's 5,726 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 14 11 — — $315,829.14 $765,646.39 $319,019.33 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 10 — — $207,424.55 $497,818.92 $207,424.55 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 11 — — $156,714.22 $379,913.26 $158,297.19 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 11 — — $155,801.02 $377,699.45 $157,374.77 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 11 — — $102,060.39 $247,419.12 $103,091.30 2026-08-01
7 MS_DRG Lung Transplant 13 10 — — $96,456.96 $231,496.70 $96,456.96 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 11 — — $88,697.75 $215,024.86 $89,593.69 2026-08-01
Q2043 HCPCS Provenge 31 23 $78,900.00 $78,900.00 $51,683.90 $122,409.25 $87,046.57 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 10 — — $84,542.84 $239,494.40 $84,542.84 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 11 10 — — $83,602.67 $202,673.14 $84,447.14 2026-08-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $81,433.75 $197,415.14 $82,256.31 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 10 — — $80,361.68 $194,816.18 $81,173.41 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 10 — — $77,024.37 $188,215.50 $77,024.37 2026-08-01
215 MS_DRG Other Heart Assist System Implant 14 11 — — $73,677.81 $178,612.87 $74,422.03 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $72,408.22 $175,535.09 $73,139.62 2026-08-01
L8614 HCPCS Cochlear Device; Includes All Internal And External Components 1 1 $113,400.00 $113,400.00 $68,040.00 $68,040.00 $68,040.00 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 10 — — $66,773.10 $161,874.19 $67,447.58 2026-08-01
850 MS_DRG Acute Leukemia With Other Procedures 11 10 — — $64,221.56 $155,688.62 $64,870.26 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 11 — — $62,548.21 $151,632.02 $63,180.01 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 12 — — $62,355.09 $151,163.86 $62,984.94 2026-08-01
L8686 HCPCS Implantable Neurostimulator Pulse Generator; Single Array; Non-rechargeable; Inc… 1 1 $86,982.50 $86,982.50 $60,480.00 $60,480.00 $60,480.00 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $58,458.90 $165,259.20 $59,049.39 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $57,070.52 $138,352.78 $57,646.99 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 11 — — $56,829.29 $137,767.97 $57,403.32 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 11 — — $56,644.89 $137,320.94 $57,217.06 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $53,720.20 $130,230.79 $54,262.83 2026-08-01
10 MS_DRG Pancreas Transplant 13 10 — — $53,947.01 $129,472.82 $53,947.01 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 11 — — $53,385.67 $129,419.81 $53,924.92 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 11 — — $53,108.01 $128,746.68 $53,644.45 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 10 — — $53,077.40 $128,672.50 $53,613.54 2026-08-01
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 29 22 $8,174.00 $8,174.00 $6,937.64 $52,423.74 $52,423.74 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 11 — — $51,484.23 $124,810.25 $52,004.27 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 11 — — $51,237.15 $124,211.28 $51,754.70 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 11 — — $50,167.27 $121,617.62 $50,674.01 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 10 — — $49,842.23 $120,829.66 $50,345.69 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 10 — — $49,806.51 $120,743.06 $50,309.61 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $49,031.79 $118,864.94 $49,527.06 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $49,031.79 $118,864.94 $49,527.06 2026-08-01
33270 CPT Ins/rep Subq Defibrillator 31 23 $48,000.00 $48,000.00 $29,315.58 $69,431.65 $49,373.61 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $48,857.62 $118,442.71 $49,351.13 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 11 — — $48,007.10 $116,380.85 $48,492.02 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 11 — — $45,774.76 $112,782.40 $46,237.13 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 11 — — $45,723.02 $119,585.40 $46,184.87 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 11 — — $45,295.20 $109,806.55 $45,752.73 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 16 12 — — $40,362.00 $108,847.22 $45,353.01 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 10 — — $44,887.08 $108,817.15 $45,340.48 2026-08-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 31 23 $32,000.00 $32,000.00 $26,788.78 $63,447.12 $45,117.95 2026-08-01
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 16 12 — — $44,570.05 $108,048.60 $45,020.25 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 13 12 — — $44,427.20 $107,702.30 $44,875.96 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 11 — — $44,326.63 $107,760.00 $44,774.37 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 11 — — $43,881.32 $106,378.97 $44,324.57 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 11 — — $43,853.63 $106,311.84 $44,296.60 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 10 — — $43,141.59 $104,585.66 $43,577.36 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 11 — — $42,873.40 $103,935.50 $43,306.46 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 10 — — $42,702.86 $103,522.08 $43,134.20 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 11 — — $42,648.92 $103,391.33 $43,079.72 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 10 — — $42,084.10 $102,022.06 $42,509.19 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 10 — — $42,381.09 $101,714.62 $42,381.09 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $41,677.43 $101,036.18 $42,098.41 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 11 — — $41,362.59 $105,850.80 $41,780.39 2026-08-01
33249 CPT Insj/rplcmt Defib W/lead(s) 31 23 $24,500.00 $24,500.00 $13,657.03 $69,431.65 $41,544.34 2026-08-01
834 MS_DRG Acute Leukemia With Mcc 14 11 — — $41,121.34 $99,688.10 $41,536.71 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 11 — — $40,979.95 $99,345.34 $41,393.89 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 11 — — $40,923.12 $99,207.55 $41,336.48 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 11 — — $40,860.44 $99,055.61 $41,273.17 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 11 — — $40,701.55 $98,670.43 $41,112.68 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $39,976.40 $96,912.48 $40,380.20 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 10 — — $39,953.05 $96,855.89 $40,356.62 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 11 — — $39,692.15 $120,684.80 $40,093.08 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 11 — — $39,564.62 $95,914.22 $39,964.26 2026-08-01
69930 CPT Insertion Of Cochlear Device 93 23 $7,857.00 $7,857.00 $6,474.08 $72,933.77 $39,703.93 2026-08-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 31 23 $24,500.00 $24,500.00 $9,911.27 $69,431.65 $39,671.46 2026-08-01
33231 CPT Insrt Pulse Gen W/mult Leads 31 23 $24,500.00 $24,500.00 $9,911.27 $69,431.65 $39,671.46 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 11 — — $39,047.90 $94,661.57 $39,442.32 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 14 11 — — $38,982.30 $94,502.54 $39,376.06 2026-08-01
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 92 23 $10,462.00 $10,462.00 $500.00 $68,256.72 $38,313.25 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $37,843.92 $91,742.83 $38,226.18 2026-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 11 — — $37,459.11 $90,809.95 $37,837.48 2026-08-01
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 92 23 $7,699.25 $7,699.25 $3,849.63 $68,256.72 $37,715.95 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 11 — — $37,167.58 $90,103.22 $37,543.01 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 11 — — $37,103.45 $89,947.75 $37,478.23 2026-08-01
C1816 HCPCS Receiver And/or Transmitter; Neurostimulator (implantable) 1 1 $34,237.50 $34,237.50 $37,400.00 $37,400.00 $37,400.00 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 11 — — $36,980.27 $89,649.14 $37,353.81 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $36,830.87 $93,208.50 $37,202.90 2026-08-01
61885 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 29 22 $6,300.00 $6,300.00 $5,347.73 $36,802.22 $36,802.22 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 12 — — $36,302.49 $88,006.03 $36,669.18 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 11 — — $36,124.66 $91,228.80 $36,489.56 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 11 — — $35,807.63 $89,604.80 $36,169.32 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 11 — — $35,374.72 $85,756.90 $35,732.04 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 11 — — $35,304.76 $85,587.29 $35,661.37 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 11 — — $35,202.73 $85,339.94 $35,558.31 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 13 10 — — $35,257.94 $84,619.06 $35,257.94 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 11 10 — — $34,770.53 $84,292.20 $35,121.75 2026-08-01
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 14 11 — — $34,610.19 $83,903.50 $34,959.79 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 11 — — $34,524.92 $83,696.78 $34,873.66 2026-08-01
245 MS_DRG Aicd Generator Procedures 14 11 — — $34,361.68 $86,723.20 $34,708.77 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 11 — — $34,261.83 $83,058.98 $34,607.91 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 11 — — $34,247.25 $83,023.63 $34,593.18 2026-08-01
799 MS_DRG Splenic Procedures With Mcc 14 11 — — $34,117.53 $85,927.05 $34,462.15 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 14 11 — — $33,774.27 $81,877.01 $34,115.42 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 11 — — $33,764.78 $81,854.02 $34,105.84 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 11 — — $33,636.53 $81,543.10 $33,976.29 2026-08-01
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 31 23 $11,330.00 $11,330.00 $7,456.99 $60,020.01 $33,738.50 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 11 — — $33,125.62 $80,304.53 $33,460.22 2026-08-01
22558 CPT Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 31 23 $7,000.00 $7,000.00 $6,280.61 $60,020.01 $33,150.31 2026-08-01
22630 CPT Arthrd Pst Tq 1ntrspc Lum 31 23 $7,210.00 $7,210.00 $5,957.17 $60,020.01 $32,988.59 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 11 10 — — $32,648.97 $79,149.02 $32,978.76 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 11 — — $32,397.54 $78,539.50 $32,724.79 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 11 — — $32,196.39 $78,051.86 $32,521.61 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $32,017.84 $77,619.00 $32,341.25 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 11 — — $31,889.57 $77,308.06 $32,211.69 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 11 — — $31,837.09 $77,180.83 $32,158.68 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 11 — — $31,821.79 $77,143.73 $32,143.22 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 11 — — $31,732.15 $76,926.43 $32,052.68 2026-08-01
21243 CPT Reconstruction Of Jaw Joint 62 23 $12,050.50 $12,050.50 $4,077.42 $60,020.01 $32,048.72 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 14 11 — — $31,695.71 $76,838.09 $32,015.87 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 11 — — $31,638.86 $76,700.26 $31,958.44 2026-08-01
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 87 22 $5,629.00 $5,629.00 $3,811.00 $42,680.89 $31,915.51 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 12 — — $31,520.79 $80,136.00 $31,839.18 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 16 14 — — $2,461.59 $76,361.04 $31,817.10 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 11 — — $31,377.95 $76,067.76 $31,694.90 2026-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 11 — — $31,177.54 $75,581.90 $31,492.46 2026-08-01
791 MS_DRG Prematurity With Major Problems 14 13 — — $3,340.29 $74,406.96 $31,002.90 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 11 — — $30,412.29 $169,194.64 $30,719.48 2026-08-01
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 31 23 $7,600.00 $7,600.00 $18,118.71 $42,912.74 $30,515.72 2026-08-01
64590 CPT Insertion Of Peripheral Or Gastric Neurostimulator Generator 93 23 $23,000.00 $23,000.00 $16,100.00 $42,912.74 $30,515.72 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 11 — — $30,146.99 $73,083.62 $30,451.51 2026-08-01
61886 CPT Implant Neurostim Arrays 12 11 $4,000.00 $4,000.00 $3,105.50 $30,336.32 $30,336.32 2026-08-01
33274 CPT Tcat Insj/rpl Perm Ldls Pm 62 23 $21,015.00 $21,015.00 $17,989.44 $42,606.56 $30,298.00 2026-08-01
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 31 23 $22,000.00 $22,000.00 $17,989.44 $42,606.56 $30,298.00 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 11 — — $29,620.79 $71,807.98 $29,919.99 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 11 — — $29,491.80 $71,495.28 $29,789.70 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 11 — — $29,320.52 $71,080.06 $29,616.69 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 10 — — $29,574.00 $70,977.60 $29,574.00 2026-08-01
33240 CPT Insrt Pulse Gen W/singl Lead 31 23 $24,500.00 $24,500.00 $9,911.27 $49,202.42 $29,556.85 2026-08-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 31 23 $24,500.00 $24,500.00 $9,911.27 $49,202.42 $29,556.85 2026-08-01
33230 CPT Insrt Pulse Gen W/dual Leads 31 23 $24,500.00 $24,500.00 $9,911.27 $49,202.42 $29,556.85 2026-08-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 31 23 $24,500.00 $24,500.00 $9,911.27 $49,202.42 $29,556.85 2026-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 11 — — $29,251.29 $70,912.22 $29,546.76 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 11 — — $29,091.68 $70,525.30 $29,385.54 2026-08-01
37288 CPT Revsc Evsc Tpvt Athrc Sf 1st 31 23 $24,000.00 $24,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
C9767 HCPCS Revasc Lithotrip-stent-ather 31 23 $25,000.00 $25,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37271 CPT Revsc Evsc Fpvt Athrc Sf 1st 31 23 $24,000.00 $24,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37290 CPT Revsc Evsc Tpvt Athrc Cplx 1 31 23 $27,000.00 $27,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37242 CPT Vasc Embolize/occlude Artery 31 23 $16,000.00 $16,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37292 CPT Rvsc Evsc Tpvt St Athrc Sf 1 31 23 $25,000.00 $25,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37284 CPT Revsc Evasc Tpvt St Sf 1st 31 23 $24,000.00 $24,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37275 CPT Rvsc Evsc Fpvt St Athrc Sf 1 31 23 $25,000.00 $25,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37294 CPT Rvsc Evsc Tpvt St Athr Cpx 1 31 23 $37,500.00 $37,500.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
93591 CPT Perq Transcath Cls Aortic 31 23 $25,000.00 $25,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
93590 CPT Perq Transcath Cls Mitral 31 23 $25,000.00 $25,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
92930 CPT Prq Tcat Plmt Ntrac St 2+les 31 23 $24,000.00 $24,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
93582 CPT Perq Transcath Closure Pda 31 23 $25,000.00 $25,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37273 CPT Revsc Evsc Fpvt Athrc Cplx 1 31 23 $27,000.00 $27,000.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
37277 CPT Rvsc Evsc Fpvt St Athr Cpx 1 31 23 $37,500.00 $37,500.00 $17,120.81 $40,549.28 $28,835.04 2026-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 11 — — $28,535.62 $69,177.26 $28,823.86 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 11 — — $28,416.09 $68,887.49 $28,703.12 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 11 — — $28,351.22 $68,730.24 $28,637.60 2026-08-01
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 19 14 — — $28,348.30 $68,723.16 $28,634.65 2026-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 11 — — $28,271.78 $68,537.64 $28,557.35 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 11 — — $28,118.74 $68,166.65 $28,402.77 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 11 — — $27,880.42 $67,588.90 $28,162.04 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 11 — — $27,869.48 $67,562.38 $28,150.99 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 11 — — $27,555.36 $66,800.88 $27,833.70 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 11 — — $27,534.96 $66,751.42 $27,813.09 2026-08-01
332 MS_DRG Rectal Resection With Mcc 14 11 — — $27,498.53 $66,994.95 $27,776.29 2026-08-01
C1820 HCPCS Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B… 31 23 $157,344.00 $157,344.00 $27,772.50 $86,539.20 $27,772.50 2026-08-01
265 MS_DRG Aicd Lead Procedures 14 11 — — $27,480.29 $66,618.89 $27,757.87 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 11 — — $27,433.65 $66,505.82 $27,710.76 2026-08-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 11 10 — — $27,394.31 $66,410.45 $27,671.02 2026-08-01
22867 CPT Insj Stablj Dev W/dcmprn 31 23 $9,000.00 $9,000.00 $16,375.68 $38,784.51 $27,580.10 2026-08-01
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 155 23 $6,386.00 $6,386.00 $4,799.86 $38,784.51 $27,580.10 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 11 — — $27,222.31 $65,993.47 $27,497.28 2026-08-01
800 MS_DRG Splenic Procedures With Cc 32 24 — — $21,585.72 $52,329.02 $27,473.51 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 11 — — $27,161.81 $70,375.80 $27,436.17 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 11 — — $27,135.56 $65,783.18 $27,409.66 2026-08-01
654 MS_DRG Major Bladder Procedures With Complication 32 24 — — $21,512.11 $52,150.56 $27,384.28 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 11 — — $27,096.94 $65,689.56 $27,370.65 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 11 — — $27,075.08 $65,636.57 $27,348.57 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 11 — — $27,050.30 $65,576.50 $27,323.54 2026-08-01
503 MS_DRG Foot Procedures With Mcc 32 24 — — $21,452.36 $52,005.72 $27,311.86 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 11 — — $27,029.17 $65,525.26 $27,302.19 2026-08-01
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 32 24 — — $21,312.42 $51,666.48 $27,142.24 2026-08-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 32 24 — — $17,739.09 $51,641.70 $27,129.85 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 15 12 — — $26,812.72 $65,000.54 $27,083.56 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 11 — — $26,760.23 $64,873.30 $27,030.54 2026-08-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 32 24 — — $21,204.55 $51,404.98 $27,011.49 2026-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 32 24 — — $21,143.34 $51,256.58 $26,937.29 2026-08-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 32 24 — — $21,138.23 $51,244.20 $26,931.10 2026-08-01
62362 CPT Insertion Of Programmable Spinal Canal Drug Infusion Pump 62 23 $21,321.00 $21,321.00 $13,990.25 $39,868.47 $26,929.36 2026-08-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 24 — — $21,034.74 $50,993.30 $26,805.65 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 14 11 — — $26,533.59 $64,323.86 $26,801.61 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 11 — — $26,527.02 $64,307.93 $26,794.97 2026-08-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 24 — — $20,332.18 $50,958.60 $26,788.30 2026-08-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 32 24 — — $20,940.00 $50,763.65 $26,690.83 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 11 — — $26,410.41 $64,025.23 $26,677.18 2026-08-01
849 MS_DRG Radiotherapy 32 24 — — $20,857.65 $50,563.99 $26,590.99 2026-08-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 32 24 — — $20,833.59 $50,505.67 $26,561.83 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 11 — — $26,287.97 $63,728.42 $26,553.51 2026-08-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 32 24 — — $20,769.47 $50,350.22 $26,484.11 2026-08-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 24 — — $20,496.88 $50,334.40 $26,476.20 2026-08-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 11 10 — — $26,171.37 $63,445.75 $26,435.73 2026-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 11 — — $26,097.02 $63,265.51 $26,360.63 2026-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 12 — — $25,974.59 $62,968.70 $26,236.96 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 11 — — $25,941.78 $62,889.17 $26,203.82 2026-08-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 24 — — $20,429.11 $49,525.10 $26,071.55 2026-08-01
C1772 HCPCS Infusion Pump; Programmable (implantable) 31 23 $44,800.00 $44,800.00 $25,820.10 $25,820.10 $25,820.10 2026-08-01
93580 CPT Transcath Closure Of Asd 33 23 $25,000.00 $25,000.00 $10,990.84 $40,549.28 $25,770.06 2026-08-01
93581 CPT Transcath Closure Of Vsd 31 23 $25,000.00 $25,000.00 $10,990.84 $40,549.28 $25,770.06 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 11 — — $25,457.14 $61,714.27 $25,714.28 2026-08-01
253 MS_DRG Other Vascular Procedures With Cc 32 24 — — $20,027.53 $48,551.59 $25,584.79 2026-08-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 24 — — $20,004.95 $48,496.85 $25,557.42 2026-08-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 32 24 — — $19,934.25 $48,325.46 $25,471.73 2026-08-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 32 24 — — $19,908.01 $48,261.84 $25,439.92 2026-08-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 32 24 — — $19,908.01 $48,261.84 $25,439.92 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 11 — — $25,185.29 $61,055.26 $25,439.69 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 14 11 — — $25,103.67 $60,857.38 $25,357.24 2026-08-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 11 — — $25,100.76 $60,850.32 $25,354.30 2026-08-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 32 24 — — $19,823.47 $48,056.90 $25,337.45 2026-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 32 24 — — $19,717.07 $47,798.95 $25,208.47 2026-08-01
54416 CPT Remv/repl Penis Contain Pros 31 23 $5,708.00 $5,708.00 $4,390.78 $45,845.84 $25,118.31 2026-08-01
53447 CPT Removal And Replacement Of Inflatable Urethra Or Bladder Neck Sphincter 62 23 $5,488.00 $5,488.00 $4,390.78 $45,845.84 $25,118.31 2026-08-01
54401 CPT Insert Self-contd Prosthesis 31 23 $6,180.00 $6,180.00 $4,390.78 $45,845.84 $25,118.31 2026-08-01
54410 CPT Removal And Replacement Of Multicomponent Inflatable Penile Implant During Same … 31 23 $6,798.00 $6,798.00 $4,390.78 $45,845.84 $25,118.31 2026-08-01
54405 CPT Insertion Of Multicomponent Inflatable Penile Implant 31 23 $5,665.00 $5,665.00 $4,390.78 $45,845.84 $25,118.31 2026-08-01
53445 CPT Insertion Of Inflatable Urethra Or Bladder Neck Sphincter 31 23 $6,500.00 $6,500.00 $4,390.78 $45,845.84 $25,118.31 2026-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 32 24 — — $19,628.89 $47,585.18 $25,101.59 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 11 — — $24,817.25 $60,163.03 $25,067.93 2026-08-01
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 32 24 — — $19,593.90 $47,500.37 $25,059.19 2026-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 11 — — $24,713.03 $59,910.38 $24,962.66 2026-08-01
164 MS_DRG Major Chest Procedures With Cc 32 24 — — $19,505.71 $47,286.58 $24,952.29 2026-08-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 32 24 — — $19,497.70 $47,267.16 $24,942.58 2026-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 11 — — $24,686.79 $59,846.76 $24,936.15 2026-08-01
54411 CPT Remov/replc Penis Pros Comp 31 23 $8,000.00 $8,000.00 $4,001.55 $45,845.84 $24,923.69 2026-08-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 11 10 — — $24,653.99 $59,767.25 $24,903.02 2026-08-01
652 MS_DRG Kidney Transplant 13 10 — — $24,896.40 $59,751.36 $24,896.40 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 11 — — $24,629.94 $59,708.95 $24,878.73 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 14 11 — — $24,584.03 $59,597.64 $24,832.35 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 11 10 — — $24,508.23 $59,413.90 $24,755.79 2026-08-01
54417 CPT Remv/replc Penis Pros Compl 29 22 $4,384.00 $4,384.00 $3,507.25 $24,676.54 $24,676.54 2026-08-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 32 24 — — $19,271.77 $46,719.43 $24,668.72 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 14 11 — — $24,379.98 $59,636.80 $24,626.24 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 14 11 — — $24,336.95 $58,998.67 $24,582.78 2026-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 32 24 — — $19,197.44 $46,539.24 $24,578.62 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 14 11 — — $24,314.37 $58,943.93 $24,559.97 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 11 — — $24,267.72 $77,457.60 $24,512.85 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 14 11 — — $24,175.90 $58,608.24 $24,420.10 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 11 — — $24,140.91 $58,523.42 $24,384.76 2026-08-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 32 24 — — $19,033.44 $46,141.68 $24,379.84 2026-08-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 32 24 — — $19,028.35 $46,129.34 $24,373.67 2026-08-01
783 MS_DRG Cesarean Section With Sterilization With Comorbity 32 24 — — $17,885.26 $46,069.27 $24,343.63 2026-08-01
92933 CPT Prq Trlml C Athrc St Angiop1 31 23 $54,755.63 $54,755.63 $8,137.29 $40,549.28 $24,343.28 2026-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 11 10 — — $24,075.32 $58,364.42 $24,318.51 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 11 — — $24,064.39 $58,337.90 $24,307.46 2026-08-01
792 MS_DRG Prematurity Without Major Problems 30 24 — — $18,960.57 $45,965.02 $24,291.51 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 11 — — $24,010.46 $58,207.18 $24,252.99 2026-08-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 32 24 — — $18,924.14 $45,876.70 $24,247.35 2026-08-01
473 MS_DRG Cervical Spinal Fusion Without Complication/comorbity 32 24 — — $17,967.00 $45,825.43 $24,221.72 2026-08-01
0238T CPT Trluml Perip Athrc Iliac Art 31 23 $16,000.00 $16,000.00 $7,748.33 $40,549.28 $24,148.81 2026-08-01
665 MS_DRG Prostatectomy With Mcc 14 11 — — $23,858.14 $57,837.91 $24,099.13 2026-08-01
33229 CPT Remv&replc Pm Gen Mult Leads 31 23 $24,500.00 $24,500.00 $5,499.96 $42,606.56 $24,053.26 2026-08-01
33221 CPT Insert Pulse Gen Mult Leads 31 23 $24,500.00 $24,500.00 $5,499.96 $42,606.56 $24,053.26 2026-08-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 32 24 — — $18,763.80 $45,487.99 $24,052.99 2026-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 11 — — $23,810.77 $57,723.07 $24,051.28 2026-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 11 — — $23,770.68 $57,625.90 $24,010.79 2026-08-01
36906 CPT Thrmbc/nfs Dialysis Circuit 31 23 $22,000.00 $22,000.00 $7,428.70 $40,549.28 $23,988.99 2026-08-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 32 24 — — $18,706.22 $45,348.41 $23,983.21 2026-08-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 32 24 — — $18,640.62 $45,189.38 $23,903.69 2026-08-01
330 MS_DRG Major Small & Large Bowel Procedures With Complication 32 24 — — $18,581.59 $45,046.27 $23,832.13 2026-08-01
397 MS_DRG Appendix Procedures With Mcc 32 24 — — $18,564.83 $45,005.64 $23,811.82 2026-08-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 32 24 — — $18,532.76 $44,927.90 $23,772.95 2026-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 32 24 — — $18,502.88 $44,855.47 $23,736.74 2026-08-01
22861 CPT Rev Rplcm Arthrp 1ntrspc Crv 31 23 $12,434.00 $12,434.00 $8,587.61 $38,784.51 $23,686.06 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 14 11 — — $23,423.03 $56,783.11 $23,659.63 2026-08-01
22856 CPT Insertion Of Artificial Upper Spine Disc; Anterior Approach 31 23 $8,883.75 $8,883.75 $8,484.42 $38,784.51 $23,634.47 2026-08-01
263 MS_DRG Vein Ligation And Stripping 14 11 — — $23,393.16 $56,710.68 $23,629.45 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 14 11 — — $23,216.79 $56,283.12 $23,451.30 2026-08-01
113 MS_DRG Orbital Procedures With Cc/mcc 32 24 — — $18,245.62 $44,231.81 $23,424.90 2026-08-01
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 93 23 $8,788.00 $8,788.00 $8,027.52 $38,784.51 $23,406.01 2026-08-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 11 — — $23,124.23 $56,058.74 $23,357.81 2026-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 11 — — $23,121.32 $56,051.69 $23,354.87 2026-08-01
333 MS_DRG Rectal Resection With Cc 32 24 — — $18,180.75 $44,074.54 $23,346.27 2026-08-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 11 — — $23,097.26 $55,993.37 $23,330.57 2026-08-01
27487 CPT Revise/replace Knee Joint 62 23 $10,600.00 $10,600.00 $7,876.28 $38,784.51 $23,330.40 2026-08-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 32 24 — — $18,154.50 $44,010.91 $23,314.46 2026-08-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 32 24 — — $18,142.13 $43,980.91 $23,299.46 2026-08-01
709 MS_DRG Penis Procedures With Cc/mcc 32 24 — — $18,070.69 $43,807.73 $23,212.87 2026-08-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 32 24 — — $18,059.05 $43,779.50 $23,198.75 2026-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 32 24 — — $18,041.54 $43,737.07 $23,177.53 2026-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 24 — — $17,954.82 $43,526.83 $23,072.42 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 11 10 — — $22,802.83 $55,279.58 $23,033.16 2026-08-01
63655 CPT Implant Neuroelectrodes 31 23 $4,799.00 $4,799.00 $3,092.65 $42,912.74 $23,002.69 2026-08-01
347 MS_DRG Anal And Stomal Procedures With Mcc 32 24 — — $17,841.13 $43,251.22 $22,934.61 2026-08-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 32 24 — — $17,836.02 $43,238.83 $22,928.42 2026-08-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 32 24 — — $17,768.23 $43,074.50 $22,846.25 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Complication 17 13 — — $22,581.99 $54,744.22 $22,810.09 2026-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 14 11 — — $22,567.42 $54,708.89 $22,795.37 2026-08-01
570 MS_DRG Skin Debridement With Mcc 14 11 — — $22,545.56 $54,655.90 $22,773.29 2026-08-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 32 24 — — $17,696.09 $42,899.62 $22,758.81 2026-08-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 32 24 — — $17,668.39 $42,832.46 $22,725.23 2026-08-01
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