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

EDWARD HOSPITAL

Naperville, IL · CCN 140231 · Rates published

15,442 distinct procedures filed
15 distinct payers
104,355 rate rows
2026-04-01 last MRF observed
Data quality

69,696 of 104,355 rate rows are consumer-grade (66.8%)

34,659 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 33,764
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.endeavorhealth.org/363297173_endeavor-health-edward-hospital_standardcharges.json
Found on page https://www.endeavorhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint 8ab472a8c8d50c6f… · 405 bytes · first seen 2026-05-21

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 13 $330,553.11 $530,207.19 $330,553.11 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $214,515.67 $344,083.13 $214,515.67 nat. median
$261,939
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $110,901.76 $219,999.89 $178,662.74 nat. median
$111,503
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $163,432.53 $289,062.32 $163,432.53 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $162,473.39 $1,776,866.47 $162,473.39 nat. median
$199,832
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $115,874.04 $115,874.04 $115,874.04 nat. median
$75,807
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $33,670.95 $172,163.08 $106,028.87 nat. median
$132,706
0.8× median
K0606
HCPCS 		Aed Garment W Elec Analysis 1 $101,527.98 $101,527.98 $101,527.98 nat. median
$3,697
outlier · 27.5×
7
MS_DRG 		Lung Transplant 13 $99,130.42 $159,232.36 $99,130.42 nat. median
$122,690
0.8× median
E0194
HCPCS 		Air Fluidized Bed 1 $94,069.93 $94,069.93 $94,069.93 nat. median
$4,438
outlier · 21.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $91,993.90 $159,634.47 $91,993.90 nat. median
$114,305
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $56,824.55 $163,073.75 $91,544.35 nat. median
$63,643
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $56,269.19 $133,569.99 $90,649.67 nat. median
$65,655
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $86,741.98 $139,134.14 $86,741.98 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $86,642.47 $138,974.52 $86,642.47 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $84,364.42 $135,320.53 $84,364.42 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $83,238.41 $133,514.41 $83,238.41 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $78,924.20 $129,753.19 $78,924.20 nat. median
$99,646
0.8× median
0792
OTHER 		Inj, Glycopyrrolate, 0.1 Mg 1 $78,299.51 $78,299.51 $78,299.51 nat. median
$3,441
outlier · 22.8×
L7181
HCPCS 		Electronic Elbo Simultaneous 2 $49,338.18 $79,483.81 $77,991.80 nat. median
$50,449
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 13 $76,218.25 $129,090.33 $76,218.25 nat. median
$98,002
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 2 $47,919.99 $77,199.10 $75,750.00 nat. median
$46,980
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $74,884.79 $120,115.20 $74,884.79 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $68,966.15 $110,621.70 $68,966.15 nat. median
$81,124
0.9× median
J9226
HCPCS 		Supprelin La Implant 2 $41,173.43 $108,441.74 $66,330.39 nat. median
$55,200
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $66,286.22 $112,239.69 $66,286.22 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $64,528.69 $103,504.02 $64,528.69 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $64,325.84 $103,189.89 $64,325.84 nat. median
$80,459
0.8× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 2 $39,537.89 $63,695.54 $62,499.91 nat. median
$39,921
1.6× median
2641
OTHER 		Brachytx, Non-stranded,p-103 2 $5,935.00 $135,284.42 $61,406.07 nat. median
$74
outlier · 831.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $60,233.62 $98,217.19 $60,233.62 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $58,775.39 $767,644.98 $58,775.39 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $58,522.02 $95,235.52 $58,522.02 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $58,328.35 $93,558.67 $58,328.35 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $50,966.87 $88,631.44 $55,256.51 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 13 $54,928.12 $97,146.13 $54,928.12 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $54,905.15 $88,067.86 $54,905.15 nat. median
$62,911
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $54,613.51 $96,586.84 $54,613.51 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $54,581.36 $87,548.50 $54,581.36 nat. median
$68,581
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $52,908.03 $84,864.48 $52,908.03 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $30,660.47 $84,448.26 $52,648.54 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 13 $51,524.82 $83,197.96 $51,524.82 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $51,183.42 $82,098.21 $51,183.42 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 $51,145.91 $82,038.04 $51,145.91 nat. median
$62,262
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $50,332.21 $219,755.71 $50,332.21 nat. median
$63,840
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $50,332.21 $80,732.86 $50,332.21 nat. median
$60,895
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 $50,149.26 $80,439.41 $50,149.26 nat. median
$59,159
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 13 $49,255.96 $79,006.56 $49,255.96 nat. median
$62,218
0.8× median
J9600
HCPCS 		Porfimer Sodium Injection 1 $48,011.04 $48,011.04 $48,011.04 nat. median
$29,477
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 $34,466.39 $75,245.74 $46,911.31 nat. median
$60,162
0.8× median

Other procedures at this hospital

Browse this hospital's 15,442 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
             
K0826 HCPCS Pwc Gp 2 Vhd Seat/back 1 1 — — $20,197.96 $20,197.96 $20,197.96 2026-04-01
L6950 HCPCS Above Elbow Switch Control 3 2 — — $12,805.28 $20,629.31 $20,242.09 2026-04-01
L6940 HCPCS Elbow Disarticulation Switch 3 2 — — $12,829.08 $20,667.65 $20,279.69 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 13 — — $20,290.42 $56,855.61 $20,290.42 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 23 13 — — $20,361.61 $34,892.97 $20,361.61 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 23 13 — — $20,647.90 $33,119.23 $20,647.90 2026-04-01
L7186 HCPCS Electron Elbow Child Switch 3 2 — — $13,091.11 $21,089.78 $20,693.88 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 23 13 — — $20,715.26 $33,280.89 $20,715.26 2026-04-01
849 MS_DRG Radiotherapy 23 13 — — $20,740.52 $33,267.79 $20,740.52 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 13 — — $20,827.02 $34,687.04 $20,827.02 2026-04-01
5242 OTHER Level 2 Blood Product Exchange And Related Services 2 1 — — $2,027.14 $39,677.00 $20,852.07 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 13 — — $20,926.53 $33,566.15 $20,926.53 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 23 13 — — $21,035.23 $33,740.51 $21,035.23 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 13 — — $3,375.03 $33,749.09 $21,040.58 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 13 — — $21,104.88 $33,852.23 $21,104.88 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 18 8 — — $17,637.39 $158,005.31 $21,162.82 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 13 — — $21,218.17 $34,033.94 $21,218.17 2026-04-01
L8685 HCPCS Implt Nrostm Pls Gen Sng Rec 1 1 — — $21,280.97 $21,280.97 $21,280.97 2026-04-01
503 MS_DRG Foot Procedures With Mcc 23 13 — — $21,365.15 $34,269.70 $21,365.15 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 3 — — $9,692.00 $53,272.04 $21,414.84 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 23 13 — — $21,427.91 $34,384.85 $21,427.91 2026-04-01
800 MS_DRG Splenic Procedures With Cc 23 13 — — $21,505.23 $35,502.22 $21,505.23 2026-04-01
K0857 HCPCS Pwc Gp3 Std Sing Pow Opt Cap 1 1 — — $21,622.77 $21,622.77 $21,622.77 2026-04-01
K0837 HCPCS Pwc Gp 2 Hd Sing Pow Opt S/b 1 1 — — $21,624.46 $21,624.46 $21,624.46 2026-04-01
L7191 HCPCS Elbow Child Myoelectronic CT 3 2 — — $13,769.77 $22,183.10 $21,766.69 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 13 — — $21,092.76 $37,079.07 $21,819.84 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $21,906.98 $21,906.98 $21,906.98 2026-04-01
Q4244 HCPCS Procenta, Per 200 Mg 1 1 — — $21,954.24 $21,954.24 $21,954.24 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 13 — — $21,970.64 $35,514.40 $21,970.64 2026-04-01
K0851 HCPCS Pwc Gp 3 Hd Cap Chair 1 1 — — $22,025.74 $22,025.74 $22,025.74 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 13 — — $22,059.43 $35,383.33 $22,059.43 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 13 — — $22,091.58 $36,384.41 $22,091.58 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 13 — — $22,102.30 $35,452.09 $22,102.30 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 13 — — $22,200.28 $35,609.25 $22,200.28 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 13 — — $22,214.06 $35,736.17 $22,214.06 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 13 — — $10,534.59 $85,967.30 $22,292.90 2026-04-01
E1036 HCPCS Patient Transfer System >300 1 1 — — $22,305.91 $22,305.91 $22,305.91 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 23 13 — — $22,351.84 $35,852.35 $22,351.84 2026-04-01
570 MS_DRG Skin Debridement With Mcc 23 13 — — $22,513.36 $36,681.72 $22,513.36 2026-04-01
K0829 HCPCS Pwc Gp 2 Xtra Hd Cap Chair 1 1 — — $22,514.36 $22,514.36 $22,514.36 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 23 13 — — $22,536.32 $36,148.26 $22,536.32 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 25 13 — — $21,194.70 $36,172.81 $22,551.63 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 3 — — $11,462.00 $54,189.03 $22,590.44 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 3 — — $11,462.00 $54,189.03 $22,590.44 2026-04-01
L6945 HCPCS Elbow Disart Myoelectronic C 3 2 — — $14,312.50 $23,057.44 $22,624.62 2026-04-01
K0843 HCPCS Pwc Gp2 Hd Mult Pow Opt S/b 1 1 — — $22,761.66 $22,761.66 $22,761.66 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 13 — — $22,783.57 $37,388.45 $22,783.57 2026-04-01
K0850 HCPCS Pwc Gp 3 Hd Seat/back 1 1 — — $22,907.35 $22,907.35 $22,907.35 2026-04-01
E2402 HCPCS Neg Press Wound Therapy Pump 1 1 — — $22,991.69 $22,991.69 $22,991.69 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 13 — — $23,092.82 $37,040.88 $23,092.82 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 13 — — $23,118.08 $37,081.40 $23,118.08 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 13 — — $23,121.14 $37,086.31 $23,121.14 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 13 — — $15,675.23 $83,578.57 $23,218.36 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $23,223.29 $23,223.29 $23,223.29 2026-04-01
263 MS_DRG Vein Ligation And Stripping 24 13 — — $10,037.16 $37,539.37 $23,403.60 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 13 — — $23,434.99 $38,009.89 $23,434.99 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 3 2 — — $14,850.10 $23,923.51 $23,474.46 2026-04-01
K0856 HCPCS Pwc Gp3 Std Sing Pow Opt S/b 1 1 — — $23,707.84 $23,707.84 $23,707.84 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 13 — — $23,800.12 $38,175.39 $23,800.12 2026-04-01
Q0479 HCPCS Power Module Combo Vad, Rep 3 2 — — $14,780.89 $30,344.23 $23,812.01 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 13 — — $175.07 $150,161.48 $23,842.22 2026-04-01
665 MS_DRG Prostatectomy With Mcc 23 13 — — $23,891.97 $41,835.98 $23,891.97 2026-04-01
K0828 HCPCS Pwc Gp 2 Xtra Hd Seat/back 1 1 — — $24,007.19 $24,007.19 $24,007.19 2026-04-01
E1008 HCPCS Pwr Seat Combo Pwr Shear 1 1 — — $24,043.25 $24,043.25 $24,043.25 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 13 — — $24,051.96 $38,579.34 $24,051.96 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 2 — — $18,060.38 $30,147.28 $24,103.83 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 13 — — $24,108.60 $38,670.19 $24,108.60 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 13 — — $24,120.09 $38,931.08 $24,120.09 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 34 13 — — $3,477.83 $157,797.00 $24,188.98 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 13 — — $24,225.72 $38,858.05 $24,225.72 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 13 — — $24,322.17 $43,017.92 $24,322.17 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 13 — — $24,371.16 $39,695.07 $24,371.16 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 13 — — $24,307.72 $39,129.40 $24,394.89 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 13 — — $24,440.05 $41,331.52 $24,440.05 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 2 2 — — $18,789.56 $30,269.99 $24,529.78 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 13 — — $24,574.78 $39,417.95 $24,574.78 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 13 — — $24,654.39 $39,545.64 $24,654.39 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 3 2 — — $15,621.74 $25,166.62 $24,694.21 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 13 — — $24,702.61 $39,622.99 $24,702.61 2026-04-01
652 MS_DRG Kidney Transplant 23 13 — — $24,720.98 $39,652.45 $24,720.98 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 13 — — $23,527.94 $190,295.21 $24,727.87 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 13 — — $24,762.32 $39,718.76 $24,762.32 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 13 — — $20,805.41 $39,762.97 $24,789.88 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 13 — — $24,899.34 $41,511.86 $24,899.34 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 15 6 — — $5,655.00 $176,888.68 $25,069.41 2026-04-01
K0859 HCPCS Pwc Gp3 Hd Sing Pow Opt Cap 1 1 — — $25,082.46 $25,082.46 $25,082.46 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 26 13 — — $22,829.01 $117,362.00 $25,197.11 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 23 13 — — $25,200.17 $40,462.73 $25,200.17 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 13 — — $25,285.90 $40,558.58 $25,285.90 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 30 13 — — $187.53 $92,824.37 $25,571.42 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 2 2 — — $19,644.52 $31,647.33 $25,645.93 2026-04-01
K0861 HCPCS Pwc Gp3 Std Mult Pow Opt S/b 1 1 — — $25,701.57 $25,701.57 $25,701.57 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 13 — — $26,080.47 $43,003.30 $26,080.47 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 13 — — $26,114.91 $41,888.32 $26,114.91 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 13 — — $12,308.30 $55,314.40 $26,243.51 2026-04-01
E0636 HCPCS Pt Support & Positioning Sys 1 1 — — $26,278.38 $26,278.38 $26,278.38 2026-04-01
K0858 HCPCS Pwc Gp3 Hd Sing Pow Opt S/b 1 1 — — $26,300.34 $26,300.34 $26,300.34 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 17 13 — — $26,321.59 $42,219.83 $26,321.59 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 13 — — $26,444.07 $42,416.29 $26,444.07 2026-04-01
K0852 HCPCS Pwc Gp 3 Vhd Seat/back 1 1 — — $26,468.13 $26,468.13 $26,468.13 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 8 4 — — $22,930.39 $139,465.00 $26,524.18 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 13 — — $26,572.66 $42,622.55 $26,572.66 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 13 — — $26,695.14 $47,093.81 $26,695.14 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 27 13 — — $18,928.91 $42,830.06 $26,702.03 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 13 6 — — $11,499.96 $200,791.25 $26,803.58 2026-04-01
E1007 HCPCS Pwr Seat Combo W/shear 1 1 — — $26,815.65 $26,815.65 $26,815.65 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 4 3 — — $6,630.00 $76,040.85 $26,939.51 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 13 — — $26,940.09 $44,455.75 $26,940.09 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 13 — — $21,787.24 $43,300.32 $26,995.21 2026-04-01
K0853 HCPCS Pwc Gp 3 Vhd Cap Chair 1 1 — — $27,189.78 $27,189.78 $27,189.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 13 — — $27,222.55 $104,147.90 $27,222.55 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 13 — — $27,244.75 $45,620.64 $27,244.75 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 13 — — $27,270.78 $43,742.33 $27,270.78 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 13 — — $27,293.74 $43,779.16 $27,293.74 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 13 — — $27,334.31 $44,157.22 $27,334.31 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 13 — — $27,361.87 $47,976.00 $27,361.87 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 13 — — $27,425.40 $48,504.83 $27,425.40 2026-04-01
S2066 HCPCS Breast Reconstruct, Gap 1 1 — — $27,500.00 $27,500.00 $27,500.00 2026-04-01
S2068 HCPCS Breast Reconstruct, Deip 1 1 — — $27,500.00 $27,500.00 $27,500.00 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 13 — — $159.85 $44,280.10 $27,606.05 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 13 — — $27,647.39 $44,346.41 $27,647.39 2026-04-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 1 1 — — $27,695.03 $27,695.03 $27,695.03 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 13 — — $27,696.38 $44,424.99 $27,696.38 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 13 — — $27,715.52 $44,455.69 $27,715.52 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 13 — — $27,753.79 $44,517.08 $27,753.79 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 48 14 — — $7,057.20 $91,380.28 $27,775.22 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 13 — — $28,105.14 $45,080.64 $28,105.14 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 13 — — $28,116.63 $47,045.07 $28,116.63 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 3 2 — — $17,866.14 $28,782.35 $28,242.06 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 13 — — $28,366.94 $45,500.57 $28,366.94 2026-04-01
K0839 HCPCS Pwc Gp2 Vhd Sing Pow Opt S/b 1 1 — — $28,474.16 $28,474.16 $28,474.16 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 13 — — $28,527.69 $48,085.67 $28,527.69 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 13 — — $28,608.06 $45,887.33 $28,608.06 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 13 — — $28,611.12 $98,958.86 $28,611.12 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 13 — — $28,679.25 $46,001.52 $28,679.25 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 13 — — $28,804.79 $46,573.51 $28,804.79 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 3 2 — — $17,892.75 $36,732.65 $28,825.22 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 3 3 — — $25,096.28 $188,188.33 $29,041.57 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 3 2 — — $18,506.37 $29,813.76 $29,254.13 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 3 — — $11,462.00 $76,040.85 $29,372.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 13 — — $29,388.84 $612,616.20 $29,388.84 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 13 — — $29,556.48 $47,408.59 $29,556.48 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 13 — — $29,584.81 $47,879.74 $29,584.81 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 13 — — $29,629.20 $47,525.24 $29,629.20 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 13 — — $29,809.09 $52,720.84 $29,809.09 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 13 — — $29,944.58 $48,031.11 $29,944.58 2026-04-01
E0483 HCPCS Chest Compression Gen System 1 1 — — $30,326.87 $30,326.87 $30,326.87 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 13 — — $30,497.25 $48,917.59 $30,497.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 13 — — $28,618.95 $49,364.51 $30,775.88 2026-04-01
791 MS_DRG Prematurity With Major Problems 31 13 — — $4,061.11 $93,403.00 $31,070.59 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 2 2 — — $23,836.63 $38,400.81 $31,118.72 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 2 2 — — $23,836.63 $38,400.81 $31,118.72 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 3 2 — — $19,809.02 $31,912.33 $31,313.30 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 13 — — $31,579.63 $50,653.73 $31,579.63 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 13 — — $31,790.14 $50,991.38 $31,790.14 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 35 14 — — $4,434.10 $329,459.81 $31,917.20 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 13 — — $31,592.55 $52,611.17 $31,940.17 2026-04-01
E0764 HCPCS Functional Neuromuscularstim 1 1 — — $31,989.30 $31,989.30 $31,989.30 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 13 — — $32,064.18 $51,430.94 $32,064.18 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 13 — — $32,123.88 $53,981.99 $32,123.88 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 13 — — $32,162.16 $51,588.10 $32,162.16 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 2 — — $20,015.46 $41,090.46 $32,244.91 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 13 — — $30,399.28 $51,739.12 $32,256.31 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 13 — — $32,272.38 $51,764.90 $32,272.38 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 13 — — $30,438.54 $51,853.31 $32,327.50 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 25 13 — — $29,719.28 $52,069.40 $32,462.22 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 13 — — $32,649.76 $52,370.22 $32,649.76 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 11 5 — — $30,793.66 $242,312.69 $32,764.53 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 13 — — $32,861.03 $54,642.41 $32,861.03 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 13 — — $33,125.12 $53,132.69 $33,125.12 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 13 — — $33,625.74 $53,935.69 $33,625.74 2026-04-01
K0855 HCPCS Pwc Gp 3 Xhd Cap Chair 1 1 — — $34,026.41 $34,026.41 $34,026.41 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 13 — — $34,162.34 $54,796.39 $34,162.34 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 13 — — $34,297.06 $55,012.48 $34,297.06 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 23 13 — — $34,307.01 $56,159.45 $34,307.01 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 2 — — $21,739.52 $35,022.37 $34,364.97 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 3 2 — — $21,834.21 $35,174.91 $34,514.63 2026-04-01
K0862 HCPCS Pwc Gp3 Hd Mult Pow Opt S/b 1 1 — — $34,605.71 $34,605.71 $34,605.71 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 13 — — $34,667.55 $57,933.58 $34,667.55 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 13 — — $34,803.81 $243,721.14 $34,803.81 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 13 — — $34,819.12 $127,183.38 $34,819.12 2026-04-01
245 MS_DRG Aicd Generator Procedures 24 13 — — $34,923.99 $59,542.00 $34,923.99 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 13 — — $35,095.45 $57,016.05 $35,095.45 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 13 — — $234.06 $77,613.30 $35,185.01 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 13 — — $35,353.42 $56,706.89 $35,353.42 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 23 13 — — $35,495.03 $59,083.85 $35,495.03 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 13 — — $15,899.04 $148,035.76 $35,807.34 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 13 — — $8,835.64 $128,264.35 $35,914.51 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 13 — — $35,988.00 $57,724.75 $35,988.00 2026-04-01
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 1 1 — — $36,020.25 $36,020.25 $36,020.25 2026-04-01
L5858 HCPCS Stance Phase Only 3 2 — — $22,885.05 $36,867.82 $36,175.77 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 13 — — $36,442.69 $58,454.07 $36,442.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 13 — — $36,775.67 $61,007.86 $36,775.67 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 13 — — $36,962.44 $59,287.75 $36,962.44 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 3 2 — — $23,087.32 $47,396.78 $37,193.67 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 13 — — $37,517.41 $65,736.86 $37,517.41 2026-04-01
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 1 1 — — $37,573.49 $37,573.49 $37,573.49 2026-04-01
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 1 1 — — $37,573.49 $37,573.49 $37,573.49 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 13 — — $37,674.33 $61,369.75 $37,674.33 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 13 — — $37,803.70 $92,403.16 $37,803.70 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 13 — — $37,871.06 $60,745.18 $37,871.06 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $38,111.83 $38,111.83 $38,111.83 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 13 — — $38,177.25 $61,883.96 $38,177.25 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 13 — — $38,581.42 $61,884.60 $38,581.42 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 13 — — $39,777.09 $67,921.63 $39,777.09 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 13 — — $25,763.90 $152,632.39 $39,845.98 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 13 — — $32,850.42 $137,515.18 $40,388.71 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 13 — — $40,522.66 $67,350.15 $40,522.66 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 13 — — $40,796.70 $65,437.91 $40,796.70 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 13 — — $40,821.20 $65,477.20 $40,821.20 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 13 — — $41,582.84 $73,542.57 $41,582.84 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 13 — — $41,749.72 $66,966.55 $41,749.72 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 13 — — $41,815.55 $67,072.14 $41,815.55 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 13 — — $41,875.26 $67,167.92 $41,875.26 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 13 — — $42,023.76 $67,406.11 $42,023.76 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $42,240.00 $42,240.00 $42,240.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 13 — — $42,277.13 $74,775.69 $42,277.13 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 13 — — $42,607.81 $68,342.93 $42,607.81 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 13 — — $42,901.76 $68,814.42 $42,901.76 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 13 — — $35,299.02 $456,316.80 $43,034.95 2026-04-01
K0840 HCPCS Pwc Gp2 Xhd Sing Pow Opt S/b 1 1 — — $43,520.62 $43,520.62 $43,520.62 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 13 — — $43,628.19 $69,979.62 $43,628.19 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 13 — — $12.31 $70,070.48 $43,684.84 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 13 — — $43,863.96 $70,357.79 $43,863.96 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $33,636.89 $54,189.03 $43,912.96 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 13 — — $44,145.65 $70,809.62 $44,145.65 2026-04-01
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 1 1 — — $44,712.47 $44,712.47 $44,712.47 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 13 — — $44,893.52 $72,009.21 $44,893.52 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 13 — — $44,922.61 $72,055.87 $44,922.61 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 13 — — $45,390.31 $73,542.57 $45,390.31 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 14 — — $20,647.07 $290,526.00 $45,495.95 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 13 — — $45,645.98 $73,216.15 $45,645.98 2026-04-01
J9266 HCPCS Pegaspargase Injection 3 2 — — $28,424.06 $58,720.09 $45,791.16 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 13 — — $45,978.96 $75,473.89 $45,978.96 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 23 13 — — $45,991.98 $74,073.83 $45,991.98 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 13 — — $46,407.63 $74,437.84 $46,407.63 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 3 2 — — $29,420.21 $47,395.96 $46,506.28 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 2 — — $29,559.78 $47,620.81 $46,726.92 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 13 — — $46,856.96 $77,056.72 $46,856.96 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 26 13 — — $34,466.39 $75,245.74 $46,911.31 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $48,011.04 $48,011.04 $48,011.04 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 13 — — $49,255.96 $79,006.56 $49,255.96 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 13 — — $50,149.26 $80,439.41 $50,149.26 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 13 — — $50,332.21 $219,755.71 $50,332.21 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 13 — — $50,332.21 $80,732.86 $50,332.21 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 13 — — $51,145.91 $82,038.04 $51,145.91 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 13 — — $51,183.42 $82,098.21 $51,183.42 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 13 — — $51,524.82 $83,197.96 $51,524.82 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 13 — — $30,660.47 $84,448.26 $52,648.54 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 13 — — $52,908.03 $84,864.48 $52,908.03 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 13 — — $54,581.36 $87,548.50 $54,581.36 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 13 — — $54,613.51 $96,586.84 $54,613.51 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 13 — — $54,905.15 $88,067.86 $54,905.15 2026-04-01
10 MS_DRG Pancreas Transplant 23 13 — — $54,928.12 $97,146.13 $54,928.12 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 13 — — $50,966.87 $88,631.44 $55,256.51 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 13 — — $58,328.35 $93,558.67 $58,328.35 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 13 — — $58,522.02 $95,235.52 $58,522.02 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 13 — — $58,775.39 $767,644.98 $58,775.39 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 13 — — $60,233.62 $98,217.19 $60,233.62 2026-04-01
2641 OTHER Brachytx, Non-stranded,p-103 4 2 — — $5,935.00 $135,284.42 $61,406.07 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 3 2 — — $39,537.89 $63,695.54 $62,499.91 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 13 — — $64,325.84 $103,189.89 $64,325.84 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 13 — — $64,528.69 $103,504.02 $64,528.69 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 13 — — $66,286.22 $112,239.69 $66,286.22 2026-04-01
J9226 HCPCS Supprelin La Implant 3 2 — — $41,173.43 $108,441.74 $66,330.39 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 13 — — $68,966.15 $110,621.70 $68,966.15 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 13 — — $74,884.79 $120,115.20 $74,884.79 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 3 2 — — $47,919.99 $77,199.10 $75,750.00 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 13 — — $76,218.25 $129,090.33 $76,218.25 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 3 2 — — $49,338.18 $79,483.81 $77,991.80 2026-04-01
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 1 1 — — $78,299.51 $78,299.51 $78,299.51 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 13 — — $78,924.20 $129,753.19 $78,924.20 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 13 — — $83,238.41 $133,514.41 $83,238.41 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 13 — — $84,364.42 $135,320.53 $84,364.42 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 17 13 — — $86,642.47 $138,974.52 $86,642.47 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 13 — — $86,741.98 $139,134.14 $86,741.98 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $56,269.19 $133,569.99 $90,649.67 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 2 — — $56,824.55 $163,073.75 $91,544.35 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 13 — — $91,993.90 $159,634.47 $91,993.90 2026-04-01
E0194 HCPCS Air Fluidized Bed 1 1 — — $94,069.93 $94,069.93 $94,069.93 2026-04-01
7 MS_DRG Lung Transplant 23 13 — — $99,130.42 $159,232.36 $99,130.42 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 1 1 — — $101,527.98 $101,527.98 $101,527.98 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 13 — — $33,670.95 $172,163.08 $106,028.87 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $115,874.04 $115,874.04 $115,874.04 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 13 — — $162,473.39 $1,776,866.47 $162,473.39 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 13 — — $163,432.53 $289,062.32 $163,432.53 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 2 — — $110,901.76 $219,999.89 $178,662.74 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 13 — — $214,515.67 $344,083.13 $214,515.67 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 13 — — $330,553.11 $530,207.19 $330,553.11 2026-04-01
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