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

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Hospital

UCHICAGO MEDICINE ADVENTHEALTH HINSDALE

Hinsdale, IL · CCN 140122 · Rates published

12,132 distinct procedures filed
19 distinct payers
349,632 rate rows
2026-04-01 last MRF observed
Data quality

312,658 of 349,632 rate rows are consumer-grade (89.4%)

36,974 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 36,970
placeholder amount (≤ $0.02) — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/362276984_uchicago-medicine-adventhealth-hinsdale_standardcharges.json
Found on page https://www.uchicagomedicineadventhealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint b2e68403e90d1cbf… · 44,653,276 bytes · first seen 2026-05-14

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $579,299.95 $1,057,374.17 $680,485.13 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $553,985.70 $1,025,527.74 $650,749.29 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $550,724.88 $1,002,708.21 $646,918.91 nat. median
$674,188
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $545,614.26 $1,016,978.14 $640,915.62 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $522,032.34 $988,056.56 $613,214.70 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $479,029.21 $907,868.80 $562,700.30 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $260,200.38 $575,603.25 $365,969.97 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $194,348.16 $425,002.81 $241,893.04 nat. median
$265,286
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $222,242.33 $222,242.33 $222,242.33 nat. median
$65,381
outlier · 3.4×
0764
OTHER 		Ketorolac Tromethamine Inj 1 $196,289.27 $196,289.27 $196,289.27 nat. median
$6,884
outlier · 28.5×
5116
OTHER 		Level 6 Musculoskeletal Procedures 1 $194,856.42 $194,856.42 $194,856.42 nat. median
$18,574
outlier · 10.5×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $163,687.32 $357,953.33 $184,669.94 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $147,868.38 $323,360.29 $183,588.64 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $70,989.85 $213,193.99 $118,812.51 nat. median
$133,176
0.9× median
5232
OTHER 		Level 2 Icd And Similar Procedures 1 $33,421.63 $120,405.00 $118,102.42 nat. median
$32,531
outlier · 3.6×
7
MS_DRG 		Lung Transplant 17 $90,168.51 $197,181.54 $112,177.85 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $90,396.21 $197,679.48 $104,132.37 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $76,035.93 $166,276.25 $96,340.84 nat. median
$108,660
0.9× median
5094
OTHER 		Level 4 Breast/Lymphatic Surgery And Related Procedures 2 $11,147.50 $173,017.39 $95,001.43 nat. median
$16,303
outlier · 5.8×
209
MS_DRG 		Complex Aortic Arch Procedures 15 $91,465.97 $151,353.30 $94,362.24 nat. median
$98,017
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $72,323.04 $158,156.86 $93,711.51 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $75,162.39 $164,365.99 $93,549.94 nat. median
$102,358
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $73,475.34 $160,676.73 $89,398.03 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 17 $73,099.98 $159,855.88 $86,347.42 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $66,587.76 $145,614.89 $83,228.05 nat. median
$93,672
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $57,546.00 $125,842.26 $76,682.67 nat. median
$82,712
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $63,557.97 $138,989.31 $75,150.39 nat. median
$83,442
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $62,012.09 $128,268.65 $72,843.62 nat. median
$69,774
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $4,750.00 $109,197.73 $72,798.49 nat. median
$15,912
outlier · 4.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $58,466.46 $127,855.13 $72,769.56 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $58,433.34 $127,782.71 $72,728.34 nat. median
$81,118
0.9× median
5192
OTHER 		Level 2 Endovascular Procedures 1 $71,417.32 $71,417.32 $71,417.32 nat. median
$6,004
outlier · 11.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $55,617.45 $387,833.61 $68,326.88 nat. median
$77,576
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $53,385.30 $116,743.59 $66,445.36 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $30,317.96 $117,932.61 $65,764.92 nat. median
$73,807
0.9× median
5231
OTHER 		Level 1 Icd And Similar Procedures 2 $23,167.60 $107,763.35 $65,465.47 nat. median
$23,015
outlier · 2.8×
2046
OTHER 		Pmkr, Dual, Leadless 1 $65,077.10 $65,077.10 $65,077.10 nat. median
$911
outlier · 71.5×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $51,499.53 $112,619.77 $64,918.40 nat. median
$72,138
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $54,111.61 $112,135.82 $63,563.17 nat. median
$66,682
1.0× median
10
MS_DRG 		Pancreas Transplant 17 $55,010.94 $120,298.56 $62,345.63 nat. median
$68,882
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $54,694.23 $119,605.98 $61,990.95 nat. median
$71,240
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $48,981.03 $107,112.28 $61,521.26 nat. median
$68,090
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 $46,081.65 $100,771.89 $61,132.70 nat. median
$64,027
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 $48,758.85 $106,626.42 $60,774.61 nat. median
$68,887
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $43,030.23 $104,966.63 $59,333.26 nat. median
$66,526
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 $46,003.68 $100,601.38 $58,637.13 nat. median
$65,950
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 17 $47,112.51 $103,026.18 $58,508.87 nat. median
$64,732
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 $46,258.98 $101,159.67 $57,575.67 nat. median
$63,738
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 $42,683.40 $93,340.55 $57,016.87 nat. median
$60,691
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $55,804.35 $318,120.80 $56,395.92 nat. median
$62,270
0.9× median

Other procedures at this hospital

Browse this hospital's 12,132 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 26 8 — — $579,299.95 $1,057,374.17 $680,485.13 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 26 8 — — $553,985.70 $1,025,527.74 $650,749.29 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 26 8 — — $550,724.88 $1,002,708.21 $646,918.91 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 26 8 — — $545,614.26 $1,016,978.14 $640,915.62 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 26 8 — — $522,032.34 $988,056.56 $613,214.70 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 26 8 — — $479,029.21 $907,868.80 $562,700.30 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 62 17 — — $260,200.38 $575,603.25 $365,969.97 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 17 — — $194,348.16 $425,002.81 $241,893.04 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $222,242.33 $222,242.33 $222,242.33 2026-04-01
0764 OTHER Ketorolac Tromethamine Inj 2 1 — — $196,289.27 $196,289.27 $196,289.27 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 2 1 — — $194,856.42 $194,856.42 $194,856.42 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 62 17 — — $163,687.32 $357,953.33 $184,669.94 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 62 17 — — $147,868.38 $323,360.29 $183,588.64 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 64 17 — — $70,989.85 $213,193.99 $118,812.51 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 6 1 — — $33,421.63 $120,405.00 $118,102.42 2026-04-01
7 MS_DRG Lung Transplant 62 17 — — $90,168.51 $197,181.54 $112,177.85 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 62 17 — — $90,396.21 $197,679.48 $104,132.37 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 17 — — $76,035.93 $166,276.25 $96,340.84 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 8 2 — — $11,147.50 $173,017.39 $95,001.43 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 40 15 — — $91,465.97 $151,353.30 $94,362.24 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 17 — — $72,323.04 $158,156.86 $93,711.51 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 62 17 — — $75,162.39 $164,365.99 $93,549.94 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 17 — — $73,475.34 $160,676.73 $89,398.03 2026-04-01
215 MS_DRG Other Heart Assist System Implant 62 17 — — $73,099.98 $159,855.88 $86,347.42 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 17 — — $66,587.76 $145,614.89 $83,228.05 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 62 17 — — $57,546.00 $125,842.26 $76,682.67 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 62 17 — — $63,557.97 $138,989.31 $75,150.39 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 26 8 — — $62,012.09 $128,268.65 $72,843.62 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 28 8 — — $4,750.00 $109,197.73 $72,798.49 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 17 — — $58,466.46 $127,855.13 $72,769.56 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 17 — — $58,433.34 $127,782.71 $72,728.34 2026-04-01
5192 OTHER Level 2 Endovascular Procedures 2 1 — — $71,417.32 $71,417.32 $71,417.32 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 64 17 — — $55,617.45 $387,833.61 $68,326.88 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 17 — — $53,385.30 $116,743.59 $66,445.36 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 17 — — $30,317.96 $117,932.61 $65,764.92 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 2 — — $23,167.60 $107,763.35 $65,465.47 2026-04-01
2046 OTHER Pmkr, Dual, Leadless 2 1 — — $65,077.10 $65,077.10 $65,077.10 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 17 — — $51,499.53 $112,619.77 $64,918.40 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 8 — — $54,111.61 $112,135.82 $63,563.17 2026-04-01
10 MS_DRG Pancreas Transplant 62 17 — — $55,010.94 $120,298.56 $62,345.63 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 17 — — $54,694.23 $119,605.98 $61,990.95 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 17 — — $48,981.03 $107,112.28 $61,521.26 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 62 17 — — $46,081.65 $100,771.89 $61,132.70 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 62 17 — — $48,758.85 $106,626.42 $60,774.61 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 64 17 — — $43,030.23 $104,966.63 $59,333.26 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 62 17 — — $46,003.68 $100,601.38 $58,637.13 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 17 — — $47,112.51 $103,026.18 $58,508.87 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 62 17 — — $46,258.98 $101,159.67 $57,575.67 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 62 17 — — $42,683.40 $93,340.55 $57,016.87 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 3 — — $55,804.35 $318,120.80 $56,395.92 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 17 — — $41,048.79 $89,765.97 $56,075.52 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 17 — — $44,556.06 $97,435.71 $56,075.52 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 17 — — $42,488.82 $92,915.04 $55,873.19 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 17 — — $44,627.13 $97,591.13 $55,544.61 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 17 — — $43,634.91 $95,421.33 $53,246.48 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 62 17 — — $42,147.27 $92,168.14 $52,458.08 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 62 17 — — $42,738.60 $93,461.27 $52,256.65 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 68 17 — — $38,495.78 $90,389.15 $51,868.96 2026-04-01
J9226 HCPCS Supprelin La Implant 26 8 — — $44,075.22 $89,199.67 $51,773.75 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 64 17 — — $227.07 $91,727.54 $51,741.49 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 62 17 — — $41,644.95 $91,069.66 $51,593.02 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 28 8 — — $4,150.00 $76,465.66 $50,977.11 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 28 8 — — $5,580.00 $76,465.66 $50,977.11 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 28 8 — — $3,217.00 $76,465.66 $50,977.11 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 17 — — $39,599.10 $86,595.77 $50,893.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 64 17 — — $13,032.08 $89,704.11 $50,891.39 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 66 17 — — $40,598.22 $88,780.66 $50,530.07 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 62 17 — — $40,171.11 $87,846.65 $50,060.90 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 2 1 — — $49,428.37 $49,428.37 $49,428.37 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 62 17 — — $37,743.69 $82,538.34 $49,233.84 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 17 — — $34,742.21 $86,078.22 $48,957.13 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 17 — — $37,264.83 $81,491.16 $48,661.59 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 62 17 — — $42,343.23 $92,596.67 $48,083.32 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 17 — — $37,985.88 $83,067.96 $48,005.52 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 17 — — $37,541.52 $82,096.23 $47,858.22 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 40 15 — — $46,311.66 $76,634.21 $47,778.12 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 17 — — $34,520.01 $75,488.76 $47,533.15 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 62 17 — — $38,135.61 $83,395.39 $47,465.02 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 62 17 — — $41,644.95 $91,069.66 $47,300.61 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 2 1 — — $47,284.00 $47,284.00 $47,284.00 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 2 — — $31,137.95 $63,429.08 $47,283.51 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 62 17 — — $37,455.96 $81,909.13 $46,723.02 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 62 17 — — $36,707.31 $80,271.97 $46,656.99 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 17 — — $37,229.64 $81,414.21 $46,584.19 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 62 17 — — $38,138.37 $83,401.43 $46,105.40 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 17 — — $36,544.47 $79,915.87 $45,557.34 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 62 17 — — $35,532.93 $77,703.82 $45,530.25 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 62 17 — — $38,461.98 $84,109.10 $45,264.87 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 64 17 — — $35,416.32 $77,448.82 $45,079.05 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 62 17 — — $35,150.67 $76,867.89 $44,478.86 2026-04-01
999 MS_DRG Ungroupable 2 1 — — $44,456.12 $44,456.12 $44,456.12 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 62 17 — — $35,043.03 $76,632.50 $43,461.25 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 17 — — $31,686.87 $69,293.21 $43,080.39 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 62 17 — — $34,751.85 $75,995.75 $42,894.28 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 62 17 — — $34,382.01 $75,186.98 $42,793.15 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 17 — — $37,224.81 $81,403.65 $42,717.38 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 68 17 — — $18,793.97 $215,848.25 $42,586.60 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 62 17 — — $34,546.92 $75,547.61 $41,881.16 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 62 17 — — $33,513.30 $73,287.27 $41,711.92 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 17 — — $32,804.67 $71,737.63 $40,829.93 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 62 17 — — $32,948.88 $72,052.99 $40,789.50 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 26 8 — — $5,580.00 $59,473.48 $40,750.35 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 68 17 — — $32,460.36 $70,984.69 $40,558.29 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 62 17 — — $33,457.41 $73,165.05 $40,437.41 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 62 17 — — $31,788.30 $69,515.02 $40,212.34 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 17 — — $32,286.48 $70,604.45 $39,986.94 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 62 17 — — $32,100.18 $70,197.05 $39,953.09 2026-04-01
245 MS_DRG Aicd Generator Procedures 62 17 — — $33,716.85 $73,732.40 $39,793.64 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 62 17 — — $32,806.05 $71,740.65 $39,504.54 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 66 17 — — $31,682.73 $69,284.16 $39,433.52 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 62 17 — — $31,801.41 $69,543.69 $39,098.08 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 66 17 — — $15,754.55 $68,071.01 $38,919.68 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 17 — — $30,856.80 $86,820.24 $38,902.75 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 64 17 — — $28,913.07 $63,227.44 $38,342.35 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 62 17 — — $30,308.25 $66,278.43 $38,193.36 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 24 8 — — $32,930.52 $54,491.76 $38,009.68 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 64 17 — — $21,243.94 $64,360.62 $37,599.94 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 62 17 — — $30,942.36 $67,665.11 $37,467.93 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 24 8 — — $32,373.26 $53,569.65 $37,366.49 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 24 8 — — $32,373.26 $53,569.65 $37,366.49 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 24 8 — — $32,373.26 $53,569.65 $37,366.49 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 62 17 — — $29,388.48 $64,267.07 $37,046.31 2026-04-01
69930 HCPCS Implant Cochlear Device 32 8 — — $1,284.00 $57,240.33 $36,746.89 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 62 17 — — $29,180.10 $63,811.38 $36,520.61 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 17 — — $29,792.13 $65,149.78 $36,429.77 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 64 17 — — $28,911.00 $63,222.91 $36,331.88 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 28 8 — — $10,750.00 $54,491.76 $36,327.85 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 28 8 — — $10,750.00 $54,491.76 $36,327.85 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 28 8 — — $4,150.00 $54,491.76 $36,327.85 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 28 8 — — $4,150.00 $54,491.76 $36,327.85 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 28 8 — — $4,150.00 $54,491.76 $36,327.85 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 28 8 — — $10,750.00 $54,491.76 $36,327.85 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 62 17 — — $28,174.08 $61,611.40 $36,313.21 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 64 17 — — $30,568.38 $66,847.29 $36,287.97 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 62 17 — — $28,706.76 $62,776.28 $36,164.22 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 62 17 — — $28,313.46 $61,916.20 $36,103.27 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 62 17 — — $28,355.55 $62,008.25 $36,085.49 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 62 17 — — $28,371.42 $62,042.95 $35,873.02 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 64 17 — — $2,446.16 $62,930.18 $35,763.79 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 28 8 — — $4,150.00 $53,569.65 $35,713.10 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 28 8 — — $2,648.00 $53,569.65 $35,713.10 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 28 8 — — $3,217.00 $53,569.65 $35,713.10 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 28 8 — — $4,150.00 $53,569.65 $35,713.10 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 62 17 — — $28,062.99 $61,368.47 $35,569.96 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 64 17 — — $26,979.00 $58,997.99 $35,197.11 2026-04-01
791 MS_DRG Prematurity With Major Problems 64 17 — — $20,633.40 $61,262.85 $34,821.18 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 62 17 — — $27,111.48 $59,287.70 $34,448.30 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 32 8 — — $576.00 $53,569.65 $34,390.39 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 8 — — $658.00 $53,569.65 $34,390.39 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 32 8 — — $576.00 $53,569.65 $34,390.39 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 62 17 — — $24,733.74 $54,088.03 $34,140.16 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 62 17 — — $29,854.23 $65,285.58 $34,027.27 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 62 17 — — $27,112.86 $59,290.72 $33,745.69 2026-04-01
5375 OTHER Level 5 Urology And Related Services 4 1 — — $32,609.60 $34,628.60 $33,619.10 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 62 17 — — $27,486.15 $60,107.03 $33,553.50 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 17 — — $26,229.66 $57,359.32 $33,528.96 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 62 17 — — $26,830.65 $58,673.58 $33,394.44 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 28 8 — — $10,750.00 $49,794.94 $33,196.62 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 62 17 — — $26,025.42 $56,912.69 $33,099.77 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 62 17 — — $26,373.18 $57,673.18 $32,825.05 2026-04-01
J9266 HCPCS Pegaspargase Injection 26 8 — — $27,827.15 $54,570.01 $32,687.67 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 62 17 — — $26,571.90 $58,107.74 $32,676.71 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 62 17 — — $27,229.47 $59,545.72 $32,582.66 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 62 17 — — $22,781.73 $50,534.00 $32,129.64 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 62 17 — — $26,640.21 $58,257.12 $32,119.24 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 66 17 — — $15,760.70 $54,075.96 $32,050.92 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 8 — — $16,498.00 $46,729.34 $32,018.25 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 62 17 — — $23,958.18 $52,392.03 $31,784.27 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 62 17 — — $24,501.90 $53,581.04 $31,494.74 2026-04-01
22630 HCPCS Lumbar Spine Fusion 28 8 — — $6,594.00 $47,105.26 $31,403.51 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 28 8 — — $6,448.00 $47,105.26 $31,403.51 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 28 8 — — $5,474.00 $47,105.26 $31,403.51 2026-04-01
22558 HCPCS Lumbar Spine Fusion 28 8 — — $6,594.00 $47,105.26 $31,403.51 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 17 — — $27,466.83 $60,064.78 $31,339.98 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 3 — — $12,271.99 $44,437.38 $31,276.31 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 62 17 — — $27,167.37 $59,409.92 $31,268.35 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 62 17 — — $25,833.60 $56,493.22 $31,136.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 62 17 — — $21,899.22 $48,961.58 $31,129.90 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 62 17 — — $25,004.91 $54,681.03 $31,122.05 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 17 — — $24,290.07 $53,117.81 $31,106.19 2026-04-01
332 MS_DRG Rectal Resection With Mcc 62 17 — — $23,932.65 $52,336.20 $31,063.86 2026-04-01
265 MS_DRG Aicd Lead Procedures 62 17 — — $24,611.61 $53,820.95 $31,042.70 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 62 17 — — $24,735.12 $54,091.05 $30,988.52 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 17 — — $22,108.98 $48,667.33 $30,942.81 2026-04-01
5303 OTHER Level 3 Upper Gi Procedures 4 2 — — $3,902.46 $57,760.46 $30,831.46 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 62 17 — — $25,173.96 $55,050.71 $30,792.86 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 17 — — $24,157.59 $52,828.10 $30,597.42 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 62 17 — — $24,174.84 $52,865.82 $30,572.03 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 62 17 — — $23,766.36 $51,972.55 $30,518.69 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 62 17 — — $26,667.81 $58,317.48 $30,516.71 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 62 17 — — $23,631.81 $51,678.32 $30,267.27 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 28 8 — — $6,448.00 $45,375.90 $30,250.60 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 28 8 — — $6,448.00 $45,375.90 $30,250.60 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 28 8 — — $6,448.00 $45,375.90 $30,250.60 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 32 8 — — $1,728.00 $47,105.26 $30,240.42 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 32 8 — — $926.00 $47,105.26 $30,240.42 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 17 — — $24,170.70 $52,856.77 $30,007.55 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 62 17 — — $23,668.38 $51,758.29 $29,943.05 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 62 17 — — $24,351.48 $53,252.10 $29,823.74 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 62 17 — — $23,906.43 $52,278.86 $29,799.99 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 62 17 — — $23,727.72 $51,888.05 $29,657.77 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 66 17 — — $14,808.29 $70,039.00 $29,293.77 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 1 — — $29,049.07 $29,049.07 $29,049.07 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 64 17 — — $12,966.00 $52,734.55 $28,971.29 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 40 15 — — $28,060.54 $46,433.17 $28,949.07 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 62 17 — — $22,912.83 $50,106.04 $28,518.17 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 62 17 — — $23,506.92 $51,405.21 $28,492.18 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 62 17 — — $18,881.16 $44,631.73 $28,376.96 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 68 17 — — $21,533.52 $72,922.52 $28,278.77 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 62 17 — — $22,487.79 $49,176.56 $27,989.15 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 66 17 — — $7,597.64 $51,181.89 $27,974.39 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 62 17 — — $22,478.13 $49,155.44 $27,896.73 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 62 17 — — $24,359.76 $53,270.21 $27,841.50 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 62 17 — — $22,006.86 $48,124.86 $27,797.94 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 62 17 — — $21,292.02 $46,561.64 $27,759.85 2026-04-01
652 MS_DRG Kidney Transplant 62 17 — — $21,191.28 $46,341.34 $27,752.23 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 62 17 — — $22,242.84 $48,640.90 $27,731.91 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 62 17 — — $21,943.38 $47,986.04 $27,678.58 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 62 17 — — $19,747.80 $43,394.83 $27,590.54 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 62 17 — — $22,045.50 $48,209.36 $27,438.66 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 62 17 — — $21,336.18 $46,658.21 $27,391.60 2026-04-01
665 MS_DRG Prostatectomy With Mcc 62 17 — — $23,690.46 $51,806.57 $27,356.51 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 62 17 — — $21,862.65 $47,809.50 $27,211.08 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 62 17 — — $21,276.84 $46,528.44 $27,163.88 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 62 17 — — $21,432.09 $46,867.94 $27,075.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 62 17 — — $19,357.26 $42,485.46 $27,012.36 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 24 8 — — $23,336.06 $38,615.34 $26,935.39 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 24 8 — — $23,336.06 $38,615.34 $26,935.39 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 62 17 — — $21,523.86 $47,068.63 $26,789.41 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 62 17 — — $20,345.34 $44,491.43 $26,780.40 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 64 17 — — $21,102.96 $46,148.20 $26,733.85 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 62 17 — — $22,552.65 $49,318.40 $26,597.09 2026-04-01
263 MS_DRG Vein Ligation And Stripping 62 17 — — $18,505.11 $41,357.73 $26,295.34 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 62 17 — — $21,171.96 $46,299.09 $26,106.93 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 62 17 — — $19,720.20 $43,124.36 $25,982.98 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 62 17 — — $19,781.61 $43,258.65 $25,979.59 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 62 17 — — $17,420.43 $40,817.16 $25,951.65 2026-04-01
570 MS_DRG Skin Debridement With Mcc 62 17 — — $20,771.76 $45,423.93 $25,802.30 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 28 8 — — $10,750.00 $38,615.34 $25,743.56 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 28 8 — — $4,150.00 $38,615.34 $25,743.56 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 28 8 — — $4,150.00 $38,615.34 $25,743.56 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 28 8 — — $5,580.00 $38,615.34 $25,743.56 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 28 8 — — $4,150.00 $38,615.34 $25,743.56 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 28 8 — — $10,750.00 $38,615.34 $25,743.56 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 28 8 — — $9,500.00 $38,615.34 $25,743.56 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 28 8 — — $10,750.00 $38,615.34 $25,743.56 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 64 17 — — $19,989.30 $43,712.83 $25,599.30 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 62 17 — — $18,241.53 $39,890.79 $25,336.22 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 62 17 — — $20,603.40 $45,055.75 $25,326.80 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 62 17 — — $20,292.90 $44,376.75 $25,257.31 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 62 17 — — $20,236.32 $44,253.02 $25,186.89 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 62 17 — — $20,121.09 $44,001.03 $25,132.21 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 18 6 — — $6,996.00 $146,889.80 $25,061.50 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 62 17 — — $20,110.74 $43,978.40 $25,030.58 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 62 17 — — $19,376.58 $42,372.93 $24,964.59 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 62 17 — — $18,812.16 $41,138.65 $24,856.24 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 62 17 — — $18,283.62 $39,982.83 $24,808.83 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 64 17 — — $15,381.47 $43,939.17 $24,776.06 2026-04-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 8 3 — — $8,462.51 $41,131.08 $24,746.16 2026-04-01
800 MS_DRG Splenic Procedures With Cc 62 17 — — $20,103.84 $43,963.31 $24,665.77 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 62 17 — — $19,471.11 $42,579.65 $24,234.48 2026-04-01
503 MS_DRG Foot Procedures With Mcc 62 17 — — $18,260.85 $39,933.04 $24,041.02 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 28 8 — — $1,032.00 $35,981.01 $23,987.33 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 28 8 — — $2,208.00 $35,981.01 $23,987.33 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 66 17 — — $19,642.23 $78,514.55 $23,901.17 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 62 17 — — $17,581.89 $38,448.28 $23,878.49 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 62 17 — — $18,652.08 $40,788.58 $23,753.20 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 62 17 — — $18,520.29 $40,500.38 $23,682.10 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 62 17 — — $18,100.08 $39,581.46 $23,676.17 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 62 17 — — $18,744.54 $40,990.78 $23,555.97 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 62 17 — — $18,845.97 $41,212.59 $23,456.40 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 62 17 — — $19,758.84 $43,208.86 $23,376.49 2026-04-01
849 MS_DRG Radiotherapy 62 17 — — $18,429.21 $40,301.21 $23,350.25 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 62 17 — — $18,052.47 $39,477.35 $23,247.82 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 32 8 — — $658.00 $35,981.01 $23,098.92 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 32 8 — — $658.00 $35,981.01 $23,098.92 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 32 8 — — $658.00 $35,981.01 $23,098.92 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 32 8 — — $430.00 $35,981.01 $23,098.92 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 32 8 — — $430.00 $35,981.01 $23,098.92 2026-04-01
53444 HCPCS Insert Tandem Cuff 32 8 — — $576.00 $35,981.01 $23,098.92 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 32 8 — — $658.00 $35,981.01 $23,098.92 2026-04-01
5055 OTHER Level 5 Skin Procedures 2 1 — — $22,866.68 $22,866.68 $22,866.68 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 62 17 — — $18,371.94 $40,175.97 $22,866.41 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 62 17 — — $18,307.08 $40,034.13 $22,785.68 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 62 17 — — $18,591.36 $40,655.80 $22,710.27 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 28 8 — — $2,648.00 $33,679.03 $22,452.68 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 28 8 — — $3,217.00 $33,679.03 $22,452.68 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 28 8 — — $3,217.00 $33,679.03 $22,452.68 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 66 17 — — $17,615.01 $38,520.71 $22,386.05 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 62 17 — — $17,619.84 $38,531.27 $22,359.82 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 28 8 — — $6,594.00 $33,438.72 $22,292.49 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 28 8 — — $5,580.00 $33,438.72 $22,292.49 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 28 8 — — $6,594.00 $33,438.72 $22,292.49 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 28 8 — — $5,580.00 $33,438.72 $22,292.49 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 28 8 — — $6,594.00 $33,438.72 $22,292.49 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 28 8 — — $6,594.00 $33,438.72 $22,292.49 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 28 8 — — $4,150.00 $33,438.72 $22,292.49 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 28 8 — — $5,580.00 $33,438.72 $22,292.49 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 28 8 — — $4,150.00 $33,438.72 $22,292.49 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 28 8 — — $6,594.00 $33,438.72 $22,292.49 2026-04-01
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