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

UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK

Bolingbrook, IL · CCN 140304 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $7,931 across 7 payers · range $1,728-$12,597

Source: https://HospitalPriceDisclosure.com/download.aspx?pi=K1MLfPUji3qfpZEVcnmHMg*-* · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,437 distinct procedures filed
33 distinct payers
145,902 rate rows
2026-04-01 last MRF observed
Data quality

124,919 of 145,902 rate rows are consumer-grade (85.6%)

20,983 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 20,939
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 29
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.adventhealth.com/sites/default/files/CDM/2025/651219504_uchicago-medicine-adventhealth-bolingbrook_standardcharges.json
Found on page https://www.uchicagomedicineadventhealth.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-02
Content fingerprint 3bdd64a101145d92… · 11,441,165 bytes · first seen 2026-05-06

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 7 $591,726.20 $1,057,374.17 $656,816.08 nat. median
$739,658
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,025,527.74 $628,114.53 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $1,002,708.21 $624,417.39 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,016,978.14 $618,622.91 nat. median
$623,527
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $988,056.56 $591,885.49 nat. median
$608,239
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $907,868.80 $543,128.11 nat. median
$592,235
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $203,521.95 $569,009.21 $349,854.26 nat. median
$359,244
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $152,014.06 $425,002.81 $230,975.17 nat. median
$248,541
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $128,031.95 $357,953.33 $176,342.30 nat. median
$198,115
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $115,658.79 $323,360.29 $173,597.72 nat. median
$190,359
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $49,835.72 $213,193.99 $113,822.75 nat. median
$126,461
0.9× median
7
MS_DRG 		Lung Transplant 17 $70,527.46 $197,181.54 $107,571.88 nat. median
$117,977
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $70,705.56 $197,679.48 $99,939.46 nat. median
$110,084
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $59,473.32 $166,276.25 $94,017.52 nat. median
$103,938
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $92,368.79 $149,637.44 $92,368.79 nat. median
$92,645
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $56,569.20 $158,156.86 $90,880.01 nat. median
$93,226
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $58,790.06 $164,365.99 $90,575.55 nat. median
$97,137
0.9× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 2 $72,030.98 $105,650.58 $88,840.78 nat. median
$229
outlier · 387.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $57,470.49 $160,676.73 $85,961.55 nat. median
$94,943
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 17 $57,176.90 $159,855.88 $83,067.57 nat. median
$93,787
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $52,083.21 $145,614.89 $81,641.46 nat. median
$90,512
0.9× median
2026
OTHER 		Orth/devic/drug Bn/bn,tis/bn 1 $80,111.57 $80,111.57 $80,111.57 nat. median
$477
outlier · 167.8×
9284
OTHER 		Ipilimumab Injection 1 $77,600.37 $77,600.37 $77,600.37 nat. median
$189
outlier · 410.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $45,010.98 $125,842.26 $74,573.18 nat. median
$77,936
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $73,211.33 $73,211.33 $73,211.33 nat. median
$75,037
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $49,713.39 $138,989.31 $72,445.37 nat. median
$78,164
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $45,730.94 $127,855.13 $70,565.71 nat. median
$76,979
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $45,705.03 $127,782.71 $70,348.77 nat. median
$77,487
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,342.28 $128,268.65 $70,309.93 nat. median
$68,400
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 7 $4,750.00 $109,197.73 $70,102.25 nat. median
$12,874
outlier · 5.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $43,502.52 $121,624.88 $65,972.18 nat. median
$74,298
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $41,756.59 $116,743.59 $64,412.62 nat. median
$72,247
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $42,181.87 $117,932.61 $64,141.64 nat. median
$71,737
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $112,135.82 $63,839.53 nat. median
$65,720
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $40,281.59 $112,619.77 $63,702.99 nat. median
$67,908
0.9× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 6 $333.00 $134,514.02 $62,257.64 nat. median
$31,925
2.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $38,311.68 $107,112.28 $60,509.12 nat. median
$63,564
1.0× median
10
MS_DRG 		Pancreas Transplant 17 $43,028.12 $120,298.56 $60,298.01 nat. median
$64,851
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $42,780.40 $119,605.98 $59,961.52 nat. median
$66,623
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 $38,137.90 $106,626.42 $59,927.14 nat. median
$66,584
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 $36,043.86 $100,771.89 $59,682.53 nat. median
$61,263
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $37,544.23 $104,966.63 $57,567.57 nat. median
$62,577
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 $35,982.88 $100,601.38 $57,292.76 nat. median
$63,829
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 17 $36,850.18 $103,026.18 $56,658.21 nat. median
$61,660
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 $36,182.57 $101,159.67 $56,252.97 nat. median
$60,517
0.9× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 2 $21,565.79 $90,726.01 $56,145.90 nat. median
$20,791
outlier · 2.7×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 $33,385.84 $93,340.55 $55,707.60 nat. median
$57,485
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $34,850.59 $97,435.71 $55,147.96 nat. median
$61,995
0.9× median
5378
OTHER 		Level 8 Urology And Related Services 1 $54,944.52 $54,944.52 $54,944.52 nat. median
$21,229
outlier · 2.6×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 $33,233.65 $92,915.04 $54,646.02 nat. median
$58,052
0.9× median

Other procedures at this hospital

Browse this hospital's 12,437 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $591,726.20 $1,057,374.17 $656,816.08 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 7 — — $565,868.94 $1,025,527.74 $628,114.53 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 7 — — $562,538.19 $1,002,708.21 $624,417.39 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 7 — — $557,317.93 $1,016,978.14 $618,622.91 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — — $533,230.17 $988,056.56 $591,885.49 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — — $489,304.61 $907,868.80 $543,128.11 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 30 17 — — $203,521.95 $569,009.21 $349,854.26 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 17 — — $152,014.06 $425,002.81 $230,975.17 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 17 — — $128,031.95 $357,953.33 $176,342.30 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 17 — — $115,658.79 $323,360.29 $173,597.72 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 19 — — $49,835.72 $213,193.99 $113,822.75 2026-04-01
7 MS_DRG Lung Transplant 30 17 — — $70,527.46 $197,181.54 $107,571.88 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 30 17 — — $70,705.56 $197,679.48 $99,939.46 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 30 17 — — $59,473.32 $166,276.25 $94,017.52 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 15 — — $92,368.79 $149,637.44 $92,368.79 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 17 — — $56,569.20 $158,156.86 $90,880.01 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 17 — — $58,790.06 $164,365.99 $90,575.55 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 2 2 — — $72,030.98 $105,650.58 $88,840.78 2025-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 30 17 — — $57,470.49 $160,676.73 $85,961.55 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 17 — — $57,176.90 $159,855.88 $83,067.57 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $52,083.21 $145,614.89 $81,641.46 2026-04-01
2026 OTHER Orth/devic/drug Bn/bn,tis/bn 1 1 — — $80,111.57 $80,111.57 $80,111.57 2025-08-01
9284 OTHER Ipilimumab Injection 1 1 — — $77,600.37 $77,600.37 $77,600.37 2025-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 17 — — $45,010.98 $125,842.26 $74,573.18 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $73,211.33 $73,211.33 $73,211.33 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 30 17 — — $49,713.39 $138,989.31 $72,445.37 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 17 — — $45,730.94 $127,855.13 $70,565.71 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 17 — — $45,705.03 $127,782.71 $70,348.77 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 9 7 — — $63,342.28 $128,268.65 $70,309.93 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 7 — — $4,750.00 $109,197.73 $70,102.25 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 30 17 — — $43,502.52 $121,624.88 $65,972.18 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $41,756.59 $116,743.59 $64,412.62 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 17 — — $42,181.87 $117,932.61 $64,141.64 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 7 — — $55,272.32 $112,135.82 $63,839.53 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 17 — — $40,281.59 $112,619.77 $63,702.99 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 7 6 — — $333.00 $134,514.02 $62,257.64 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 17 — — $38,311.68 $107,112.28 $60,509.12 2026-04-01
10 MS_DRG Pancreas Transplant 30 17 — — $43,028.12 $120,298.56 $60,298.01 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 17 — — $42,780.40 $119,605.98 $59,961.52 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 30 17 — — $38,137.90 $106,626.42 $59,927.14 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 30 17 — — $36,043.86 $100,771.89 $59,682.53 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 18 — — $37,544.23 $104,966.63 $57,567.57 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 30 17 — — $35,982.88 $100,601.38 $57,292.76 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 30 17 — — $36,850.18 $103,026.18 $56,658.21 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 17 — — $36,182.57 $101,159.67 $56,252.97 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $21,565.79 $90,726.01 $56,145.90 2025-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 17 — — $33,385.84 $93,340.55 $55,707.60 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $34,850.59 $97,435.71 $55,147.96 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $54,944.52 $54,944.52 $54,944.52 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 17 — — $33,233.65 $92,915.04 $54,646.02 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 17 — — $32,107.29 $89,765.97 $54,568.28 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 17 — — $29,798.45 $97,591.13 $53,700.00 2026-04-01
J9226 HCPCS Supprelin La Implant 10 7 — — $45,020.65 $89,199.67 $51,998.85 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 30 17 — — $34,130.09 $95,421.33 $51,665.99 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 30 17 — — $32,330.19 $90,389.15 $51,331.29 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 30 17 — — $32,966.50 $92,168.14 $51,185.43 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 17 — — $32,808.90 $91,727.54 $50,740.89 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 17 — — $33,429.02 $93,461.27 $50,726.98 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 30 17 — — $32,573.59 $91,069.66 $50,097.42 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 17 — — $30,973.38 $86,595.77 $49,877.02 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 18 — — $10,462.76 $89,704.11 $49,718.14 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 17 — — $31,754.87 $88,780.66 $49,597.21 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 17 — — $31,420.79 $87,846.65 $49,539.32 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 7 — — $4,150.00 $76,465.66 $49,089.07 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 10 7 — — $5,580.00 $76,465.66 $49,089.07 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 7 — — $3,217.00 $76,465.66 $49,089.07 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 17 — — $30,788.27 $86,078.22 $48,465.01 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 17 — — $29,522.13 $82,538.34 $48,288.17 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 17 — — $29,147.58 $81,491.16 $47,740.18 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 15 — — $47,326.89 $76,669.56 $47,326.89 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 17 — — $29,711.56 $83,067.96 $47,195.29 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 30 17 — — $29,364.00 $82,096.23 $46,970.88 2026-04-01
9236 OTHER Eculizumab Injection 1 1 — — $46,909.30 $46,909.30 $46,909.30 2025-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 30 17 — — $33,119.77 $92,596.67 $46,767.91 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 30 17 — — $29,828.68 $83,395.39 $46,496.93 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 17 — — $27,000.65 $75,488.76 $46,428.61 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 30 17 — — $29,297.07 $81,909.13 $46,251.46 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 17 — — $29,120.05 $81,414.21 $46,044.14 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 30 17 — — $32,573.59 $91,069.66 $46,025.38 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 17 — — $28,711.50 $80,271.97 $45,820.58 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $28,584.13 $79,915.87 $45,126.09 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 30 17 — — $29,830.84 $83,401.43 $44,891.53 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 17 — — $27,792.93 $77,703.82 $44,741.62 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 17 — — $27,701.72 $77,448.82 $44,309.55 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 30 17 — — $30,083.96 $84,109.10 $44,094.15 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 17 — — $27,493.94 $76,867.89 $43,734.81 2026-04-01
5461 OTHER Level 1 Neurostimulator And Related Procedures 2 2 — — $11,000.00 $74,022.72 $42,511.36 2025-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 17 — — $27,409.74 $76,632.50 $42,383.13 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 17 — — $24,784.64 $69,293.21 $42,185.75 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 30 17 — — $26,892.71 $75,186.98 $42,055.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 17 — — $27,181.99 $75,995.75 $41,845.26 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 30 17 — — $29,116.28 $81,403.65 $41,677.43 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 20 — — $7,550.97 $94,016.36 $41,160.41 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 17 — — $26,213.23 $73,287.27 $41,083.90 2026-04-01
999 MS_DRG Ungroupable 2 1 — — $5,374.64 $76,497.72 $40,936.18 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 17 — — $27,021.70 $75,547.61 $40,884.15 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 30 17 — — $25,389.65 $70,984.69 $40,266.04 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 30 17 — — $25,771.75 $72,052.99 $39,848.54 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 17 — — $24,863.98 $69,515.02 $39,649.18 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 35 18 — — $11,858.79 $71,737.63 $39,571.36 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 30 17 — — $26,169.51 $73,165.05 $39,514.52 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 17 — — $25,107.92 $70,197.05 $39,363.07 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 17 — — $25,253.64 $70,604.45 $39,087.18 2026-04-01
245 MS_DRG Aicd Generator Procedures 30 17 — — $26,372.44 $73,732.40 $38,903.80 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 37 19 — — $12,775.20 $86,960.03 $38,798.82 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 30 17 — — $25,660.04 $71,740.65 $38,629.54 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 17 — — $24,347.49 $68,071.01 $38,577.18 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 9 7 — — $5,580.00 $59,473.48 $38,547.63 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 17 — — $24,135.38 $67,478.01 $38,400.33 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 31 17 — — $24,874.23 $69,543.69 $38,310.13 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 30 17 — — $22,615.05 $63,227.44 $37,785.59 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 30 17 — — $23,706.32 $66,278.43 $37,719.29 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 17 — — $23,020.36 $64,360.62 $37,147.55 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 6 4 — — $274.37 $95,224.25 $36,798.12 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 17 — — $24,202.31 $67,665.11 $36,697.49 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 17 — — $22,986.90 $64,267.07 $36,617.39 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 17 — — $22,823.91 $63,811.38 $36,216.31 2026-04-01
69930 HCPCS Implant Cochlear Device 12 7 — — $1,284.00 $57,240.33 $36,040.21 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 17 — — $22,037.03 $61,611.40 $35,915.37 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 30 17 — — $23,909.79 $66,847.29 $35,909.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 17 — — $22,453.68 $62,776.28 $35,772.70 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 17 — — $22,146.05 $61,916.20 $35,714.33 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 8 7 — — $33,067.68 $53,569.65 $35,713.10 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 7 — — $33,067.68 $53,569.65 $35,713.10 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 8 7 — — $33,067.68 $53,569.65 $35,713.10 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 17 — — $23,302.63 $65,149.78 $35,712.64 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 30 17 — — $22,178.97 $62,008.25 $35,697.31 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 18 — — $1,000.00 $76,202.05 $35,597.60 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 17 — — $22,191.38 $62,042.95 $35,493.83 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 30 17 — — $21,950.14 $61,368.47 $35,203.63 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 35 18 — — $1,028.34 $62,930.18 $34,988.31 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 10 7 — — $10,750.00 $54,491.76 $34,982.37 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 10 7 — — $10,750.00 $54,491.76 $34,982.37 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 7 — — $4,150.00 $54,491.76 $34,982.37 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 7 — — $4,150.00 $54,491.76 $34,982.37 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 7 — — $4,150.00 $54,491.76 $34,982.37 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 7 — — $10,750.00 $54,491.76 $34,982.37 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 17 — — $21,102.27 $58,997.99 $34,980.70 2026-04-01
791 MS_DRG Prematurity With Major Problems 35 19 — — $2,446.16 $61,262.85 $34,441.63 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 7 — — $4,150.00 $53,569.65 $34,390.39 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 10 7 — — $2,648.00 $53,569.65 $34,390.39 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 7 — — $3,217.00 $53,569.65 $34,390.39 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 7 — — $4,150.00 $53,569.65 $34,390.39 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 30 17 — — $21,205.89 $59,287.70 $34,129.53 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 7 — — $576.00 $53,569.65 $33,729.04 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 7 — — $576.00 $53,569.65 $33,729.04 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 7 — — $658.00 $53,569.65 $33,729.04 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 17 — — $19,346.09 $54,269.13 $33,666.96 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 30 17 — — $23,351.20 $65,285.58 $33,433.47 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 17 — — $20,516.16 $57,359.32 $33,249.17 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 30 17 — — $21,206.97 $59,290.72 $33,193.60 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 17 — — $20,986.23 $58,673.58 $33,154.82 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 17 — — $20,356.40 $56,912.69 $32,838.18 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 7 — — $28,424.06 $54,570.01 $32,829.79 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 18 — — $2,800.44 $60,107.03 $32,660.65 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 17 — — $21,298.18 $59,545.72 $32,063.03 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 17 — — $20,628.41 $57,673.18 $32,042.13 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 10 7 — — $10,750.00 $49,794.94 $31,967.12 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 18 — — $19,031.93 $58,107.74 $31,837.04 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 17 — — $6,817.91 $54,075.96 $31,833.80 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 17 — — $17,819.27 $51,181.06 $31,751.22 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 30 17 — — $20,837.28 $58,257.12 $31,623.40 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 30 17 — — $18,739.46 $52,392.03 $31,422.12 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 17 — — $19,164.75 $53,581.04 $31,301.20 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 30 17 — — $18,999.06 $53,117.81 $30,929.12 2026-04-01
332 MS_DRG Rectal Resection With Mcc 30 17 — — $18,719.49 $52,336.20 $30,888.59 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 30 17 — — $21,483.84 $60,064.78 $30,884.15 2026-04-01
265 MS_DRG Aicd Lead Procedures 30 17 — — $19,250.56 $53,820.95 $30,868.33 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 17 — — $19,347.17 $54,091.05 $30,816.44 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 30 17 — — $21,249.61 $59,409.92 $30,816.20 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 17 — — $17,129.00 $49,645.50 $30,798.60 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 17 — — $20,206.37 $56,493.22 $30,690.94 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 17 — — $17,293.07 $49,358.14 $30,620.33 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 18 — — $10,362.56 $54,681.03 $30,484.89 2026-04-01
2027 OTHER Probe, Robotic, Water-jet 2 2 — — $14,710.57 $46,184.57 $30,447.57 2025-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 30 17 — — $18,895.44 $52,828.10 $30,441.93 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 30 17 — — $18,908.93 $52,865.82 $30,417.60 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 17 — — $18,589.43 $51,972.55 $30,366.54 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 30 17 — — $19,690.41 $55,050.71 $30,365.10 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 7 — — $16,498.00 $46,729.34 $30,287.54 2026-04-01
22558 HCPCS Lumbar Spine Fusion 10 7 — — $6,594.00 $47,105.26 $30,240.42 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 10 7 — — $5,474.00 $47,105.26 $30,240.42 2026-04-01
22630 HCPCS Lumbar Spine Fusion 10 7 — — $6,594.00 $47,105.26 $30,240.42 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 10 7 — — $6,448.00 $47,105.26 $30,240.42 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 33 18 — — $18,484.19 $202,313.52 $30,125.78 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 17 — — $20,858.87 $58,317.48 $30,103.14 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 31 18 — — $18,512.79 $51,758.29 $29,815.30 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 30 17 — — $18,698.99 $52,278.86 $29,716.57 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 12 7 — — $926.00 $47,105.26 $29,658.87 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 12 7 — — $1,728.00 $47,105.26 $29,658.87 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 18 — — $18,905.69 $61,606.55 $29,620.12 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 30 17 — — $18,559.20 $51,888.05 $29,542.12 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 17 — — $19,047.09 $53,252.10 $29,445.75 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 31 18 — — $18,115.03 $50,646.23 $29,193.54 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 10 7 — — $6,448.00 $45,375.90 $29,130.21 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 10 7 — — $6,448.00 $45,375.90 $29,130.21 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 10 7 — — $6,448.00 $45,375.90 $29,130.21 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 15 — — $29,121.20 $47,176.34 $29,121.20 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 32 18 — — $5,160.76 $68,039.89 $28,901.33 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $28,630.09 $28,630.09 $28,630.09 2025-08-01
37 MS_DRG Extracranial Procedures With Mcc 30 17 — — $17,921.82 $50,106.04 $28,371.49 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 30 17 — — $18,386.50 $51,405.21 $28,182.55 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 30 17 — — $14,768.35 $45,417.14 $28,175.44 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 17 — — $16,842.96 $47,089.75 $28,154.39 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 32 17 — — $6,891.29 $49,176.56 $27,790.32 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 17 — — $17,213.19 $48,124.86 $27,761.14 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 17 — — $16,654.06 $46,561.64 $27,724.66 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 17 — — $17,397.77 $48,640.90 $27,697.91 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 17 — — $18,306.62 $51,181.89 $27,691.35 2026-04-01
652 MS_DRG Kidney Transplant 30 17 — — $16,575.27 $46,341.34 $27,679.08 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 30 17 — — $17,163.54 $47,986.04 $27,646.84 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 30 17 — — $17,581.81 $49,155.44 $27,617.66 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 30 17 — — $19,053.57 $53,270.21 $27,565.28 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 30 17 — — $15,446.21 $44,209.22 $27,426.09 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 30 17 — — $16,688.60 $46,658.21 $27,372.03 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 17 — — $17,243.42 $48,209.36 $27,259.84 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 30 17 — — $17,100.39 $47,809.50 $27,201.99 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 30 17 — — $16,642.19 $46,528.44 $27,153.97 2026-04-01
665 MS_DRG Prostatectomy With Mcc 30 17 — — $18,530.06 $51,806.57 $27,105.18 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 17 — — $16,763.62 $46,867.94 $27,068.86 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 9 7 — — $24,228.42 $39,250.04 $26,893.55 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 30 17 — — $15,140.74 $43,321.15 $26,875.15 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 17 — — $16,506.18 $46,148.20 $26,742.16 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $26,688.00 $26,688.00 $26,688.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 17 — — $15,913.59 $44,491.43 $26,662.08 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 30 17 — — $16,835.40 $47,068.63 $26,572.46 2026-04-01
263 MS_DRG Vein Ligation And Stripping 30 17 — — $14,474.21 $42,219.86 $26,191.95 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 33 18 — — $14,555.54 $49,318.40 $26,126.08 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 30 17 — — $16,560.15 $46,299.09 $25,919.75 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 30 17 — — $15,472.66 $43,258.65 $25,910.99 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 30 17 — — $15,424.63 $43,124.36 $25,894.29 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 30 17 — — $13,625.81 $41,691.96 $25,864.46 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 31 17 — — $15,635.11 $43,712.83 $25,420.01 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 31 18 — — $14,268.05 $65,814.63 $25,403.80 2026-04-01
570 MS_DRG Skin Debridement With Mcc 33 19 — — $14,027.81 $45,423.93 $25,379.48 2026-04-01
5331 OTHER Complex Gi Procedures 1 1 — — $25,276.00 $25,276.00 $25,276.00 2025-08-01
668 MS_DRG Transurethral Procedures With Mcc 30 17 — — $15,738.19 $44,001.03 $25,208.44 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 17 — — $15,828.32 $44,253.02 $25,124.71 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 31 18 — — $15,155.86 $42,372.93 $25,047.93 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 34 19 — — $11,338.16 $44,376.75 $25,021.53 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 31 17 — — $14,407.07 $45,055.75 $24,932.82 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 17 — — $15,730.10 $43,978.40 $24,917.66 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 30 17 — — $15,716.06 $43,939.17 $24,826.65 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 32 18 — — $8,782.42 $52,583.79 $24,820.67 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 10 7 — — $10,750.00 $38,615.34 $24,790.10 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 10 7 — — $9,500.00 $38,615.34 $24,790.10 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 10 7 — — $10,750.00 $38,615.34 $24,790.10 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 10 7 — — $5,580.00 $38,615.34 $24,790.10 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 10 7 — — $4,150.00 $38,615.34 $24,790.10 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 10 7 — — $4,150.00 $38,615.34 $24,790.10 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 10 7 — — $4,150.00 $38,615.34 $24,790.10 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 10 7 — — $10,750.00 $38,615.34 $24,790.10 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 30 17 — — $14,300.97 $39,982.83 $24,775.51 2026-04-01
800 MS_DRG Splenic Procedures With Cc 31 17 — — $9,920.00 $43,963.31 $24,311.87 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 30 17 — — $15,229.79 $42,579.65 $24,232.24 2026-04-01
503 MS_DRG Foot Procedures With Mcc 31 18 — — $14,283.16 $212,771.58 $24,163.52 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 17 — — $13,752.10 $38,507.69 $23,889.03 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 30 17 — — $14,589.17 $40,788.58 $23,887.90 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 34 18 — — $15,363.64 $55,643.39 $23,827.24 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 30 17 — — $14,157.41 $39,581.46 $23,711.47 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 17 — — $14,661.49 $40,990.78 $23,699.02 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 18 — — $10,465.60 $40,500.38 $23,583.97 2026-04-01
849 MS_DRG Radiotherapy 30 17 — — $14,414.85 $40,301.21 $23,502.03 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 30 17 — — $14,740.83 $41,212.59 $23,475.29 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 17 — — $14,120.17 $39,477.35 $23,403.95 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 30 17 — — $15,454.85 $43,208.86 $23,329.49 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 10 7 — — $2,208.00 $35,981.01 $23,098.92 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 10 7 — — $1,032.00 $35,981.01 $23,098.92 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 30 17 — — $14,370.05 $40,175.97 $23,025.38 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 31 18 — — $14,541.68 $40,655.80 $22,920.00 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 30 17 — — $14,319.32 $40,034.13 $22,917.57 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 12 7 — — $658.00 $35,981.01 $22,654.71 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 12 7 — — $658.00 $35,981.01 $22,654.71 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 12 7 — — $658.00 $35,981.01 $22,654.71 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 12 7 — — $430.00 $35,981.01 $22,654.71 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 12 7 — — $430.00 $35,981.01 $22,654.71 2026-04-01
53444 HCPCS Insert Tandem Cuff 12 7 — — $576.00 $35,981.01 $22,654.71 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 12 7 — — $658.00 $35,981.01 $22,654.71 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 30 17 — — $13,778.00 $38,520.71 $22,578.72 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 30 17 — — $13,781.78 $38,531.27 $22,553.59 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 30 17 — — $13,969.59 $39,056.37 $22,351.74 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 30 17 — — $12,936.61 $36,168.33 $22,334.66 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 30 17 — — $13,503.29 $37,752.68 $22,233.38 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 31 18 — — $7,401.75 $36,168.33 $22,223.54 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 31 18 — — $13,946.93 $39,061.39 $22,193.11 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 33 19 — — $12,958.20 $72,612.07 $22,096.39 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 30 17 — — $13,583.17 $37,976.00 $21,998.30 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 30 17 — — $13,317.64 $37,233.62 $21,989.39 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 30 17 — — $13,059.66 $36,512.36 $21,738.09 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 31 18 — — $13,636.60 $38,125.38 $21,655.40 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 10 7 — — $3,217.00 $33,679.03 $21,621.10 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 10 7 — — $3,217.00 $33,679.03 $21,621.10 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 10 7 — — $2,648.00 $33,679.03 $21,621.10 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 31 18 — — $13,214.55 $36,945.42 $21,467.33 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 10 7 — — $6,594.00 $33,438.72 $21,466.83 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 10 7 — — $5,580.00 $33,438.72 $21,466.83 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 10 7 — — $6,594.00 $33,438.72 $21,466.83 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 10 7 — — $4,150.00 $33,438.72 $21,466.83 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 10 7 — — $6,594.00 $33,438.72 $21,466.83 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 10 7 — — $6,594.00 $33,438.72 $21,466.83 2026-04-01
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