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

NORTHWEST SPECIALTY HOSPITAL

Post Falls, ID · CCN 130066 · Rates published

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You selected 29806 (CPT)

REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE

This hospital’s price: $7,463 across 10 payers · range $2,710-$16,686

Source: https://apim.services.craneware.com/api-pricing-transparency/api/public/33488c24df4126089b1f834cd2834046/charges/mrf · observed 2026-07-15

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.

2,857 distinct procedures filed
17 distinct payers
127,349 rate rows
2026-07-15 last MRF observed
Data quality

109,830 of 127,349 rate rows are consumer-grade (86.2%)

17,519 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 9,662
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,951
per-diem day rate — not a per-procedure price 694
exceeds 10× this hospital's gross charge — excluded from medians 204
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3
placeholder amount (≤ $0.02) — excluded from medians 3
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/33488c24df4126089b1f834cd2834046/charges/mrf
Found on page https://northwestspecialtyhospital.com/patient-pricing-information/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-06
Content fingerprint bb345572a6804300… · 99,567,503 bytes · first seen 2026-06-16

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 9 $318,263.30 $445,568.62 $318,263.30 nat. median
$359,244
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $206,540.07 $289,156.10 $206,540.07 nat. median
$248,541
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $157,356.18 $220,298.65 $157,356.18 nat. median
$198,115
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $156,432.71 $219,005.79 $156,432.71 nat. median
$190,359
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $102,086.76 $142,921.46 $102,086.76 nat. median
$126,461
0.8× median
7
MS_DRG 		Lung Transplant 9 $95,444.79 $133,622.71 $95,444.79 nat. median
$117,977
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $83,421.15 $116,789.61 $91,763.26 nat. median
$92,645
1.0× median
426
MS_DRG 		Non-hypovolemic Sodium Disorders 9 $81,227.79 $113,718.91 $89,350.57 nat. median
$93,226
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $88,573.61 $124,003.05 $88,573.61 nat. median
$110,084
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $80,143.65 $112,201.11 $88,158.01 nat. median
$97,137
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $83,516.96 $116,923.74 $83,516.96 nat. median
$103,938
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $75,989.84 $106,385.78 $75,989.84 nat. median
$94,943
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 9 $73,384.48 $102,738.27 $73,384.48 nat. median
$93,787
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $66,402.02 $92,962.83 $73,042.22 nat. median
$77,936
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $72,100.61 $100,940.85 $72,100.61 nat. median
$90,512
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $63,821.73 $89,350.42 $70,203.90 nat. median
$78,164
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $62,129.55 $86,981.37 $62,129.55 nat. median
$76,979
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $61,934.23 $86,707.92 $61,934.23 nat. median
$77,487
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $57,994.16 $81,191.82 $57,994.16 nat. median
$74,298
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $52,552.05 $73,572.87 $57,807.26 nat. median
$66,584
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $56,590.14 $79,226.20 $56,590.14 nat. median
$72,247
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $56,346.20 $78,884.68 $56,346.20 nat. median
$71,737
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $56,159.73 $78,623.62 $56,159.73 nat. median
$67,908
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $49,280.44 $68,992.62 $54,208.49 nat. median
$57,485
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $49,244.33 $68,942.06 $54,168.76 nat. median
$60,517
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $52,171.57 $74,482.93 $53,202.09 nat. median
$63,564
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $52,885.92 $74,040.29 $52,885.92 nat. median
$64,851
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 $52,863.81 $74,009.33 $52,863.81 nat. median
$61,263
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $52,583.00 $73,616.20 $52,583.00 nat. median
$66,623
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $50,940.94 $71,317.32 $50,940.94 nat. median
$62,577
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $37,307.76 $70,967.53 $50,691.09 nat. median
$63,829
0.8× median
C1820
HCPCS 		Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B… 1 $50,681.16 $50,681.16 $50,681.16 nat. median
$22,953
outlier · 2.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $36,550.41 $69,452.82 $49,609.16 nat. median
$61,660
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $44,269.49 $61,977.29 $48,696.44 nat. median
$56,633
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $35,746.61 $67,845.23 $48,460.88 nat. median
$61,995
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $35,746.61 $67,845.23 $48,460.88 nat. median
$59,493
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $35,623.32 $67,598.64 $48,284.74 nat. median
$58,052
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $47,424.65 $66,394.51 $47,424.65 nat. median
$59,324
0.8× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 $42,504.33 $59,506.06 $46,754.76 nat. median
$51,152
0.9× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 9 $42,060.65 $58,884.91 $46,266.71 nat. median
$48,413
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $33,441.02 $63,234.04 $45,167.17 nat. median
$58,220
0.8× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 9 $41,023.67 $57,433.14 $45,126.04 nat. median
$47,998
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $33,404.39 $63,160.78 $45,114.84 nat. median
$58,234
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $33,101.54 $62,555.09 $44,682.21 nat. median
$57,798
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 9 $32,821.42 $61,994.83 $44,282.02 nat. median
$54,377
0.8× median
457
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 9 $32,588.22 $61,528.43 $43,948.88 nat. median
$55,110
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $43,804.42 $61,326.19 $43,804.42 nat. median
$50,808
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 9 $43,702.73 $61,183.82 $43,702.73 nat. median
$53,841
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $32,100.69 $60,553.37 $43,252.41 nat. median
$55,425
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 $32,081.08 $60,514.16 $43,224.40 nat. median
$53,768
0.8× median

Other procedures at this hospital

Browse this hospital's 2,857 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 9 9 — — $318,263.30 $445,568.62 $318,263.30 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 9 — — $206,540.07 $289,156.10 $206,540.07 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 9 — — $157,356.18 $220,298.65 $157,356.18 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 9 — — $156,432.71 $219,005.79 $156,432.71 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 9 — — $102,086.76 $142,921.46 $102,086.76 2026-07-15
7 MS_DRG Lung Transplant 9 9 — — $95,444.79 $133,622.71 $95,444.79 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 16 9 — — $83,421.15 $116,789.61 $91,763.26 2026-07-15
426 MS_DRG Non-hypovolemic Sodium Disorders 16 9 — — $81,227.79 $113,718.91 $89,350.57 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 9 9 — — $88,573.61 $124,003.05 $88,573.61 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 9 — — $80,143.65 $112,201.11 $88,158.01 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 9 — — $83,516.96 $116,923.74 $83,516.96 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 9 — — $75,989.84 $106,385.78 $75,989.84 2026-07-15
215 MS_DRG Other Heart Assist System Implant 9 9 — — $73,384.48 $102,738.27 $73,384.48 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 9 — — $66,402.02 $92,962.83 $73,042.22 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $72,100.61 $100,940.85 $72,100.61 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 16 9 — — $63,821.73 $89,350.42 $70,203.90 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 9 9 — — $62,129.55 $86,981.37 $62,129.55 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 9 — — $61,934.23 $86,707.92 $61,934.23 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 9 — — $57,994.16 $81,191.82 $57,994.16 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 9 — — $52,552.05 $73,572.87 $57,807.26 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $56,590.14 $79,226.20 $56,590.14 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 9 — — $56,346.20 $78,884.68 $56,346.20 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 9 — — $56,159.73 $78,623.62 $56,159.73 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 9 — — $49,280.44 $68,992.62 $54,208.49 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 — — $49,244.33 $68,942.06 $54,168.76 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $52,171.57 $74,482.93 $53,202.09 2026-07-15
10 MS_DRG Pancreas Transplant 9 9 — — $52,885.92 $74,040.29 $52,885.92 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 9 — — $52,863.81 $74,009.33 $52,863.81 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 9 — — $52,583.00 $73,616.20 $52,583.00 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 9 — — $50,940.94 $71,317.32 $50,940.94 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 9 — — $37,307.76 $70,967.53 $50,691.09 2026-07-15
C1820 HCPCS Generator; Neurostimulator (implantable); Non High-frequency With Rechargeable B… 1 1 $46,604.00 $46,604.00 $50,681.16 $50,681.16 $50,681.16 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 9 — — $36,550.41 $69,452.82 $49,609.16 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 9 — — $44,269.49 $61,977.29 $48,696.44 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $35,746.61 $67,845.23 $48,460.88 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $35,746.61 $67,845.23 $48,460.88 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 9 — — $35,623.32 $67,598.64 $48,284.74 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 9 9 — — $47,424.65 $66,394.51 $47,424.65 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 9 — — $42,504.33 $59,506.06 $46,754.76 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 16 9 — — $42,060.65 $58,884.91 $46,266.71 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 9 — — $33,441.02 $63,234.04 $45,167.17 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 9 — — $41,023.67 $57,433.14 $45,126.04 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 9 — — $33,404.39 $63,160.78 $45,114.84 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 9 — — $33,101.54 $62,555.09 $44,682.21 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 16 9 — — $32,821.42 $61,994.83 $44,282.02 2026-07-15
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 16 9 — — $32,588.22 $61,528.43 $43,948.88 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 9 — — $43,804.42 $61,326.19 $43,804.42 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 9 9 — — $43,702.73 $61,183.82 $43,702.73 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 9 — — $32,100.69 $60,553.37 $43,252.41 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 9 — — $32,081.08 $60,514.16 $43,224.40 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 9 — — $39,279.90 $54,991.86 $43,207.89 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 9 — — $31,387.17 $59,126.35 $42,233.11 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 9 — — $31,228.28 $58,808.55 $42,006.11 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $37,216.55 $58,008.90 $41,434.93 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 9 — — $30,738.67 $57,829.35 $41,306.68 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 9 — — $12,190.00 $56,987.41 $40,705.29 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 9 9 — — $40,461.33 $56,645.86 $40,461.33 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 9 — — $30,046.85 $56,445.69 $40,318.35 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 9 — — $30,006.61 $56,365.22 $40,260.87 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 9 — — $29,962.24 $56,276.47 $40,197.48 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 9 9 — — $40,036.81 $56,051.53 $40,036.81 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 — — $29,336.44 $55,024.87 $39,303.48 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 9 — — $29,135.24 $54,622.47 $39,016.05 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 9 — — $29,044.95 $54,441.90 $38,887.07 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 17 9 — — $11,673.00 $53,710.34 $38,364.53 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 16 9 — — $28,632.74 $53,617.48 $38,298.20 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 9 — — $34,039.00 $47,654.60 $37,442.90 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 9 — — $27,826.88 $52,005.77 $37,146.98 2026-07-15
C1767 HCPCS Generator, Neuro Non-recharg 1 1 $72,876.00 $72,876.00 $36,872.82 $36,872.82 $36,872.82 2026-07-15
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 16 9 — — $29,420.49 $51,460.98 $36,757.84 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 9 — — $27,348.13 $51,048.26 $36,463.04 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 9 — — $27,302.72 $50,957.44 $36,398.17 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 9 — — $27,215.53 $50,783.07 $36,273.62 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 9 — — $27,109.77 $50,571.54 $36,122.53 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Comorbity 17 9 — — $11,500.00 $49,823.48 $35,588.20 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 9 9 — — $35,408.37 $49,571.72 $35,408.37 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 9 — — $26,385.44 $49,122.88 $35,087.77 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 9 — — $31,893.54 $44,650.96 $35,082.90 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 9 — — $26,078.99 $48,509.97 $34,649.98 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 9 — — $26,029.46 $48,410.91 $34,579.22 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 9 — — $25,957.23 $48,266.46 $34,476.04 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $31,255.29 $43,757.41 $34,380.82 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 16 9 — — $25,746.74 $47,845.48 $34,175.34 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 9 — — $25,537.79 $47,427.59 $33,876.85 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 9 — — $25,477.44 $47,306.87 $33,790.62 2026-07-15
245 MS_DRG Aicd Generator Procedures 16 9 — — $25,361.87 $47,075.73 $33,625.52 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 9 — — $25,291.19 $46,934.38 $33,524.56 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 9 — — $25,280.88 $46,913.75 $33,509.82 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 16 9 — — $25,189.04 $46,730.08 $33,378.63 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 16 9 — — $24,946.05 $46,244.10 $33,031.50 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 9 — — $24,939.33 $46,230.67 $33,021.91 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 9 — — $24,848.54 $46,049.08 $32,892.20 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 9 — — $24,486.88 $45,325.77 $32,375.55 2026-07-15
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 43 9 $21,636.66 $21,636.66 $1,522.00 $47,287.74 $31,736.74 2026-07-15
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 42 9 $65,424.00 $65,424.00 $1,522.00 $47,287.74 $31,736.74 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 9 — — $23,971.49 $44,294.99 $31,639.28 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 16 9 — — $23,829.10 $44,010.20 $31,435.86 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 9 — — $23,611.90 $43,575.80 $31,125.57 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 9 — — $23,574.76 $43,501.51 $31,072.51 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 9 — — $23,563.93 $43,479.86 $31,057.04 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 9 — — $23,500.47 $43,352.93 $30,966.38 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 16 9 — — $23,474.67 $43,301.34 $30,929.53 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 9 — — $23,434.44 $43,220.87 $30,872.05 2026-07-15
458 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 16 9 — — $23,350.85 $43,053.71 $30,752.65 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 9 9 — — $30,730.54 $43,022.76 $30,730.54 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 9 — — $23,249.74 $42,851.47 $30,608.19 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 9 — — $23,107.85 $42,567.71 $30,405.51 2026-07-15
791 MS_DRG Prematurity With Major Problems 9 9 — — $29,915.40 $41,881.56 $29,915.40 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 9 — — $26,356.64 $41,484.31 $29,631.65 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 9 — — $22,378.37 $41,108.73 $29,363.38 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 9 — — $26,579.67 $37,211.54 $29,237.64 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 9 — — $22,005.88 $40,363.75 $28,831.25 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 9 9 — — $28,700.80 $40,181.12 $28,700.80 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 9 — — $21,793.32 $39,938.64 $28,527.60 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 9 — — $21,763.40 $39,878.79 $28,484.85 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 9 — — $21,744.31 $39,840.63 $28,457.59 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 9 — — $21,631.33 $39,614.65 $28,296.18 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 16 9 — — $25,342.97 $35,480.16 $27,877.27 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 9 — — $21,237.69 $38,827.38 $27,733.84 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 9 — — $21,153.08 $38,658.16 $27,612.97 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 9 — — $21,107.16 $38,566.32 $27,547.37 2026-07-15
518 MS_DRG Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 17 9 — — $17,859.00 $82,884.24 $27,544.43 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 9 — — $21,050.93 $38,453.86 $27,467.04 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 9 — — $20,942.59 $38,237.18 $27,312.27 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 9 — — $20,773.88 $37,899.76 $27,071.26 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 9 — — $20,766.15 $37,884.29 $27,060.21 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 9 — — $20,543.79 $37,439.58 $26,742.56 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 9 — — $20,529.35 $37,410.69 $26,721.92 2026-07-15
332 MS_DRG Rectal Resection With Mcc 16 9 — — $20,503.55 $37,359.10 $26,685.07 2026-07-15
265 MS_DRG Aicd Lead Procedures 16 9 — — $20,490.65 $37,333.30 $26,666.64 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 9 9 — — $26,619.47 $37,267.26 $26,619.47 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 9 — — $20,308.02 $36,968.04 $26,405.74 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 9 — — $20,265.20 $36,882.40 $26,344.57 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 9 — — $20,246.63 $36,845.26 $26,318.04 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 9 — — $20,219.28 $36,790.56 $26,278.97 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 9 — — $20,203.80 $36,759.60 $26,256.86 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 9 — — $20,186.26 $36,724.52 $26,231.80 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 9 — — $20,171.30 $36,694.60 $26,210.43 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 16 9 — — $23,808.50 $33,331.90 $26,189.35 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 9 — — $23,661.10 $33,125.54 $26,027.21 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 17 9 — — $11,673.00 $36,388.16 $25,991.54 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 9 9 — — $25,938.47 $36,313.86 $25,938.47 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 16 9 — — $19,820.48 $35,992.96 $25,709.26 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 9 — — $19,815.83 $35,983.67 $25,702.62 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 9 — — $19,733.29 $35,818.59 $25,584.71 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 16 9 — — $23,223.31 $32,512.63 $25,545.64 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 9 — — $19,646.62 $35,645.23 $25,460.88 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 9 — — $19,511.46 $35,374.91 $25,267.79 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 16 9 — — $19,424.78 $35,201.56 $25,143.97 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 9 — — $19,401.56 $35,155.13 $25,110.81 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 16 9 — — $19,058.49 $34,468.97 $24,620.69 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 9 — — $18,866.04 $34,084.09 $24,345.78 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 16 9 — — $18,808.27 $33,968.54 $24,263.24 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 9 — — $18,806.21 $33,964.41 $24,260.29 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 9 — — $21,936.49 $30,711.09 $24,130.14 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 9 — — $18,605.51 $33,563.03 $23,973.59 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 9 — — $18,531.74 $33,415.48 $23,868.20 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 9 — — $17,544.17 $33,378.34 $23,841.67 2026-07-15
652 MS_DRG Kidney Transplant 16 9 — — $18,485.31 $33,322.62 $23,801.87 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 9 — — $18,472.92 $33,297.85 $23,784.18 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 9 — — $18,440.42 $33,232.85 $23,737.75 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 16 9 — — $18,295.97 $32,943.93 $23,531.38 2026-07-15
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 16 9 — — $18,265.53 $32,883.06 $23,487.90 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 9 — — $18,249.53 $32,851.07 $23,465.05 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 9 — — $18,216.51 $32,785.03 $23,417.88 2026-07-15
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 52 16 $9,766.25 $9,766.25 $3,037.95 $41,581.42 $23,371.71 2026-07-15
22630 CPT Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 27 17 $19,081.75 $19,081.75 $5,162.00 $41,581.42 $23,371.71 2026-07-15
22558 CPT Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 81 17 $12,652.35 $12,652.35 $3,123.17 $41,581.42 $23,371.71 2026-07-15
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 52 16 $43,389.00 $43,389.00 $5,162.00 $41,581.42 $23,371.71 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 16 9 — — $18,151.51 $32,655.03 $23,325.02 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 9 — — $18,126.75 $32,605.50 $23,289.64 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 9 — — $18,072.58 $32,497.15 $23,212.25 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 9 — — $18,034.40 $32,420.81 $23,157.72 2026-07-15
665 MS_DRG Prostatectomy With Mcc 16 9 — — $17,926.58 $32,205.17 $23,003.69 2026-07-15
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication 16 9 — — $17,893.04 $32,138.08 $22,955.77 2026-07-15
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 16 9 — — $17,864.67 $32,081.34 $22,915.24 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 16 9 — — $17,618.58 $31,589.15 $22,563.68 2026-07-15
263 MS_DRG Vein Ligation And Stripping 16 9 — — $17,597.42 $31,546.84 $22,533.46 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 9 — — $16,000.00 $31,297.15 $22,355.11 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 9 — — $17,407.06 $31,166.11 $22,261.51 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 9 — — $17,404.99 $31,161.98 $22,258.56 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 16 9 — — $17,387.97 $31,127.94 $22,234.24 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Complication 17 9 — — $11,000.00 $30,398.45 $21,713.18 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 15 9 — — $17,012.90 $30,377.80 $21,698.43 2026-07-15
570 MS_DRG Skin Debridement With Mcc 16 9 — — $16,997.42 $30,346.85 $21,676.32 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 16 9 — — $16,888.56 $30,129.13 $21,520.81 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 17 9 — — $10,440.00 $30,049.68 $21,464.06 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 9 — — $16,795.71 $29,943.41 $21,388.15 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 9 — — $16,786.42 $29,924.83 $21,374.88 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 17 9 — — $12,765.00 $29,792.76 $21,280.54 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 16 9 — — $15,744.16 $29,778.32 $21,270.23 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 16 9 — — $16,691.49 $29,734.98 $21,239.27 2026-07-15
330 MS_DRG Major Small & Large Bowel Procedures With Complication 17 9 — — $17,667.70 $24,734.78 $21,201.24 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 16 9 — — $16,631.65 $29,615.29 $21,153.78 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 9 — — $16,530.01 $29,412.03 $21,008.59 2026-07-15
800 MS_DRG Splenic Procedures With Cc 16 9 — — $16,317.97 $28,987.94 $20,705.67 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 16 9 — — $16,265.86 $28,883.72 $20,631.23 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 16 9 — — $20,052.68 $28,073.75 $20,583.33 2026-07-15
503 MS_DRG Foot Procedures With Mcc 16 9 — — $16,223.56 $28,799.12 $20,570.80 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 17 9 — — $7,700.00 $28,601.01 $20,429.29 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 9 — — $15,079.15 $28,448.29 $20,320.21 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 9 — — $15,035.81 $28,361.62 $20,258.30 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 17 9 — — $13,000.00 $80,953.02 $20,253.15 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 9 — — $14,958.94 $28,207.89 $20,148.49 2026-07-15
849 MS_DRG Radiotherapy 16 9 — — $14,833.58 $27,957.15 $19,969.39 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 9 — — $14,816.55 $27,923.10 $19,945.07 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 9 — — $15,740.16 $27,832.31 $19,880.22 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 16 9 — — $17,851.96 $24,992.74 $19,637.15 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 9 — — $14,000.00 $27,446.41 $19,604.58 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 16 9 — — $17,793.73 $24,911.22 $19,573.10 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 16 9 — — $15,499.22 $27,350.44 $19,536.03 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 16 9 — — $15,430.60 $27,213.20 $19,438.00 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 16 9 — — $17,650.75 $24,711.05 $19,415.83 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 16 9 — — $15,214.96 $26,781.92 $19,129.94 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 16 9 — — $14,229.97 $26,749.93 $19,107.09 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 16 9 — — $15,148.92 $26,649.84 $19,035.60 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 9 — — $14,161.35 $26,612.70 $19,009.07 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 9 — — $14,161.35 $26,612.70 $19,009.07 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 16 9 — — $15,070.50 $26,493.01 $18,923.58 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 9 — — $14,995.18 $26,342.36 $18,815.97 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 16 9 — — $14,932.75 $26,217.51 $18,726.79 2026-07-15
493 MS_DRG Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication 16 9 — — $14,908.00 $26,167.99 $18,691.42 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 16 9 — — $14,845.56 $26,043.12 $18,602.23 2026-07-15
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 16 9 — — $14,839.89 $26,031.78 $18,594.13 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 16 9 — — $14,679.95 $25,711.91 $18,365.65 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 16 9 — — $13,658.33 $25,606.67 $18,290.48 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue With Complication 16 9 — — $14,511.25 $25,374.51 $18,124.65 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 9 — — $14,507.65 $25,367.29 $18,119.49 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 17 9 — — $4,080.00 $25,332.20 $18,094.43 2026-07-15
792 MS_DRG Prematurity Without Major Problems 9 9 — — $18,050.95 $25,271.33 $18,050.95 2026-07-15
327 MS_DRG Stomach; Esophageal & Duodenal Proc With Complication 17 9 — — $7,380.00 $25,219.74 $18,014.10 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Complication/comorbity 17 9 — — $13,000.00 $25,189.81 $17,992.72 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 16 9 — — $14,233.18 $24,818.36 $17,727.40 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 16 9 — — $14,156.83 $24,665.65 $17,618.32 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 9 — — $14,135.67 $24,623.35 $17,588.11 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 16 9 — — $13,953.56 $24,259.12 $17,327.94 2026-07-15
333 MS_DRG Rectal Resection With Cc 16 9 — — $13,907.64 $24,167.28 $17,262.34 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 9 — — $13,889.07 $24,130.13 $17,235.81 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 16 9 — — $13,880.30 $24,112.59 $17,223.28 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 16 9 — — $13,829.74 $24,011.47 $17,151.05 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 16 9 — — $13,821.48 $23,994.96 $17,139.26 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 9 — — $12,840.10 $23,970.20 $17,121.57 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 9 — — $13,747.71 $23,847.42 $17,033.87 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 16 9 — — $13,688.23 $23,686.45 $16,918.89 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 9 — — $12,694.61 $23,679.22 $16,913.73 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 16 9 — — $12,646.64 $23,583.27 $16,845.19 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 16 9 — — $13,595.00 $23,541.99 $16,815.71 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 16 9 — — $13,564.56 $23,481.12 $16,772.23 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 16 9 — — $12,575.95 $23,441.91 $16,744.22 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 9 — — $13,512.45 $23,376.91 $16,697.79 2026-07-15
C1737 HCPCS Si&pelvis Fusn&fixn Dev 9 7 $9,112.50 $9,112.50 $9,306.00 $16,994.88 $16,694.40 2026-07-15
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 26 16 $20,854.66 $20,854.66 $3,337.09 $29,729.63 $16,533.36 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 16 9 — — $13,373.16 $23,098.31 $16,498.79 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 16 9 — — $13,366.44 $23,084.89 $16,489.21 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 16 9 — — $13,275.13 $22,902.26 $16,358.76 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 16 9 — — $12,271.05 $22,832.10 $16,308.64 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 15 9 — — $12,259.70 $22,809.40 $16,292.43 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 16 9 — — $12,245.77 $22,781.54 $16,272.53 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 16 9 — — $13,167.31 $22,686.61 $16,204.72 2026-07-15
30 MS_DRG Spinal Procedures Without Complication/comorbity 16 9 — — $13,149.25 $22,650.50 $16,178.93 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 16 9 — — $13,131.71 $22,615.42 $16,153.87 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 16 9 — — $13,111.59 $22,575.18 $16,125.13 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 16 9 — — $13,083.73 $22,519.46 $16,085.33 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 16 9 — — $13,076.51 $22,505.03 $16,075.02 2026-07-15
629 MS_DRG Other Endocrine; Nutrit & Metab O.r. Proc With Complication 16 9 — — $13,064.65 $22,481.30 $16,058.07 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 9 — — $13,056.91 $22,465.81 $16,047.01 2026-07-15
22857 CPT Insertion Of Artificial Lower Spine Disc; Anterior Approach 26 16 $15,598.20 $15,598.20 $5,162.00 $26,869.62 $16,015.81 2026-07-15
22856 CPT Insertion Of Artificial Upper Spine Disc; Anterior Approach 26 16 $42,914.00 $42,914.00 $5,162.00 $26,869.62 $16,015.81 2026-07-15
22612 CPT Fusion Of Spine In Lower Back 27 17 $9,880.00 $9,880.00 $5,162.00 $26,869.62 $16,015.81 2026-07-15
27487 CPT Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 54 17 $34,512.50 $34,512.50 $5,162.00 $26,869.62 $16,015.81 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 9 — — $13,019.24 $22,390.48 $15,993.20 2026-07-15
23472 CPT Prosthetic Repair Of Shoulder Joint; Total Shoulder 78 16 $38,624.00 $38,624.00 $2,652.42 $26,869.62 $15,869.57 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Complication 16 9 — — $12,872.21 $22,096.42 $15,783.16 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 16 9 — — $12,868.08 $22,088.16 $15,777.26 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 16 9 — — $11,888.76 $22,067.53 $15,762.52 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 16 9 — — $12,818.04 $21,988.08 $15,705.77 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 16 9 — — $12,817.53 $21,987.06 $15,705.04 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 16 9 — — $12,812.88 $21,977.76 $15,698.40 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 16 9 — — $11,826.85 $21,943.71 $15,674.08 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 16 9 — — $11,795.90 $21,881.80 $15,629.86 2026-07-15
64590 CPT Insertion Of Peripheral Or Gastric Neurostimulator Generator 78 16 $25,890.00 $25,890.00 $1,522.00 $29,729.63 $15,625.82 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 16 9 — — $12,749.42 $21,850.85 $15,607.75 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 16 9 — — $11,778.88 $21,847.76 $15,605.54 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 16 9 — — $12,743.75 $21,839.50 $15,599.64 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 16 9 — — $12,703.00 $21,757.99 $15,541.42 2026-07-15
27279 CPT Fusion Of Pelvic Joint Using Imaging Guidance 108 17 $36,857.00 $36,857.00 $4,130.00 $57,170.50 $15,499.81 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 16 9 — — $12,671.00 $21,694.01 $15,495.72 2026-07-15
481 MS_DRG Hip & Femur Procedures Except Major Joint With Complication 17 9 — — $7,320.00 $21,611.46 $15,436.76 2026-07-15
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 16 9 — — $11,654.02 $21,598.05 $15,427.18 2026-07-15
486 MS_DRG Knee Procedures With Pdx Of Infection With Complication 16 9 — — $12,612.19 $21,576.38 $15,411.70 2026-07-15
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 16 9 — — $11,624.11 $21,538.22 $15,384.44 2026-07-15
835 MS_DRG Acute Leukemia With Cc 16 9 — — $11,615.85 $21,521.70 $15,372.64 2026-07-15
314 MS_DRG Other Circulatory System Diagnoses With Mcc 16 9 — — $11,612.75 $21,515.51 $15,368.22 2026-07-15
711 MS_DRG Testes Procedures With Cc/mcc 16 9 — — $12,574.52 $21,501.05 $15,357.89 2026-07-15
511 MS_DRG Shoulder; Elbow Or Forearm Proc; Exc Major Joint Proc With Complication 16 9 — — $12,551.83 $21,455.66 $15,325.47 2026-07-15
516 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc With Complication 16 9 — — $12,545.12 $21,442.25 $15,315.89 2026-07-15
886 MS_DRG Behavioral And Developmental Disorders 9 9 — — $15,295.25 $21,413.35 $15,295.25 2026-07-15
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 16 9 — — $12,486.31 $21,324.62 $15,231.87 2026-07-15
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 16 9 — — $12,454.83 $21,261.67 $15,186.91 2026-07-15
935 MS_DRG Non-extensive Burns 15 9 — — $11,482.74 $21,255.47 $15,182.48 2026-07-15
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