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

LAKELAND HOSPITAL, ST JOSEPH

St Joseph, MI · CCN 230021 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $6,394 across 11 payers · range $2,906-$9,592

Source: https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt53a27314654ddfa4/382156872_lakeland-hospitals-at-niles-and-st-joseph-inc_standardcharges.csv · 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.

12,794 distinct procedures filed
23 distinct payers
73,848 rate rows
2026-04-01 last MRF observed
Data quality

47,522 of 73,848 rate rows are consumer-grade (64.4%)

26,326 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 26,121
placeholder amount (≤ $0.02) — excluded from medians 137
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 66
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blteac5bb244862ae70/6777fcd8ccead1793d3f708f/382156872_lakeland-hospitals-at-niles-and-st-joseph-inc_standardcharges.csv
Found on page https://corewellhealth.org/billing/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 1f617daa62665cf1… · 2,548,221 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $174,814.99 $596,973.28 $363,434.79 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $236,111.42 $632,623.70 $236,111.42 nat. median
$261,939
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $89,331.00 $485,527.78 $196,411.13 nat. median
$199,832
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $180,059.87 $431,914.69 $180,059.87 nat. median
$205,166
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $110,901.76 $166,352.64 $138,627.20 nat. median
$111,503
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $12,882.87 $234,246.56 $117,073.07 nat. median
$132,706
0.9× median
7
MS_DRG 		Lung Transplant 9 $109,503.66 $233,363.72 $109,503.66 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $101,673.04 $361,016.53 $101,673.04 nat. median
$114,305
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $63,296.51 $130,080.43 $97,418.48 nat. median
$73,475
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $95,910.32 $232,937.79 $95,910.32 nat. median
$108,240
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $95,801.13 $248,131.91 $95,801.13 nat. median
$96,134
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $83,074.29 $152,360.71 $93,301.51 nat. median
$96,835
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $92,065.98 $245,245.91 $92,065.98 nat. median
$100,978
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $87,332.17 $239,197.69 $87,332.17 nat. median
$99,646
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 2 $68,801.71 $103,202.56 $86,002.14 nat. median
$70,178
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 9 $84,363.03 $193,705.67 $84,363.03 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $78,999.35 $211,832.27 $82,899.88 nat. median
$92,900
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $76,405.58 $146,866.17 $76,405.58 nat. median
$81,124
0.9× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 11 $43,671.85 $109,105.10 $75,111.47 nat. median
$53,013
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $73,465.01 $167,215.35 $73,465.01 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $71,536.54 $157,981.68 $71,536.54 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $67,193.46 $138,161.69 $71,313.96 nat. median
$80,459
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $66,823.72 $189,575.43 $66,823.72 nat. median
$77,385
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $58,861.34 $225,456.39 $65,223.66 nat. median
$74,472
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $12,386.87 $114,629.65 $64,860.99 nat. median
$45,808
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $18,976.77 $165,346.41 $64,733.15 nat. median
$71,485
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 3 $5,906.35 $94,012.39 $62,674.93 nat. median
$13,835
outlier · 4.5×
L7181
HCPCS 		Electronic Elbo Simultaneous 2 $49,338.18 $74,007.27 $61,672.73 nat. median
$50,449
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $79.44 $106,504.35 $61,362.53 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 9 $61,002.20 $99,199.24 $61,002.20 nat. median
$67,750
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $60,977.00 $113,385.41 $60,977.00 nat. median
$62,911
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $60,656.99 $152,072.86 $60,656.99 nat. median
$69,153
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $37,474.11 $155,384.79 $60,621.71 nat. median
$68,581
0.9× median
L7180
HCPCS 		Electronic Elbow Sequential 2 $47,919.99 $71,879.98 $59,899.99 nat. median
$46,980
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $3,995.83 $138,525.67 $58,785.64 nat. median
$65,958
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $51,089.17 $118,568.86 $58,500.90 nat. median
$65,792
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $57,267.89 $194,970.56 $57,267.89 nat. median
$64,357
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $48,871.39 $157,315.65 $56,893.29 nat. median
$59,832
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $52,887.73 $107,190.05 $56,852.13 nat. median
$62,262
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $55,959.29 $153,807.27 $55,959.29 nat. median
$63,840
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $54,351.04 $114,157.25 $55,959.29 nat. median
$60,895
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $55,758.55 $133,491.94 $55,758.55 nat. median
$59,159
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $24,928.71 $142,400.35 $54,778.36 nat. median
$62,218
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $47,779.41 $127,355.95 $52,205.67 nat. median
$60,162
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $52,146.03 $145,350.89 $52,146.03 nat. median
$60,294
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 10 $48,509.92 $141,535.58 $51,653.00 nat. median
$59,257
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 10 $20,430.85 $100,382.90 $51,196.92 nat. median
$56,970
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $30,344.02 $150,317.50 $51,182.64 nat. median
$58,419
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $5,151.53 $111,557.78 $50,817.27 nat. median
$57,394
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $1,264.13 $82,164.91 $50,652.65 nat. median
$51,433
1.0× median

Other procedures at this hospital

Browse this hospital's 12,794 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 9 — — $174,814.99 $596,973.28 $363,434.79 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $236,111.42 $632,623.70 $236,111.42 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 12 — — $89,331.00 $485,527.78 $196,411.13 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 9 — — $180,059.87 $431,914.69 $180,059.87 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $110,901.76 $166,352.64 $138,627.20 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 10 — — $12,882.87 $234,246.56 $117,073.07 2026-04-01
7 MS_DRG Lung Transplant 13 9 — — $109,503.66 $233,363.72 $109,503.66 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 9 — — $101,673.04 $361,016.53 $101,673.04 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 12 — — $63,296.51 $130,080.43 $97,418.48 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $95,910.32 $232,937.79 $95,910.32 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 9 — — $95,801.13 $248,131.91 $95,801.13 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $83,074.29 $152,360.71 $93,301.51 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 9 — — $92,065.98 $245,245.91 $92,065.98 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $87,332.17 $239,197.69 $87,332.17 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 2 — — $68,801.71 $103,202.56 $86,002.14 2026-04-01
215 MS_DRG Other Heart Assist System Implant 13 9 — — $84,363.03 $193,705.67 $84,363.03 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 10 — — $78,999.35 $211,832.27 $82,899.88 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 9 — — $76,405.58 $146,866.17 $76,405.58 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 26 11 — — $43,671.85 $109,105.10 $75,111.47 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 13 9 — — $73,465.01 $167,215.35 $73,465.01 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 9 — — $71,536.54 $157,981.68 $71,536.54 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 9 — — $67,193.46 $138,161.69 $71,313.96 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 9 — — $66,823.72 $189,575.43 $66,823.72 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 10 — — $58,861.34 $225,456.39 $65,223.66 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 12 — — $12,386.87 $114,629.65 $64,860.99 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $18,976.77 $165,346.41 $64,733.15 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 3 3 — — $5,906.35 $94,012.39 $62,674.93 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $49,338.18 $74,007.27 $61,672.73 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 9 — — $79.44 $106,504.35 $61,362.53 2026-04-01
10 MS_DRG Pancreas Transplant 13 9 — — $61,002.20 $99,199.24 $61,002.20 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 9 — — $60,977.00 $113,385.41 $60,977.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 9 — — $60,656.99 $152,072.86 $60,656.99 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 11 — — $37,474.11 $155,384.79 $60,621.71 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $47,919.99 $71,879.98 $59,899.99 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 13 — — $3,995.83 $138,525.67 $58,785.64 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 9 — — $51,089.17 $118,568.86 $58,500.90 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 9 — — $57,267.89 $194,970.56 $57,267.89 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 9 — — $48,871.39 $157,315.65 $56,893.29 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 9 — — $52,887.73 $107,190.05 $56,852.13 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 9 — — $54,351.04 $114,157.25 $55,959.29 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 9 — — $55,959.29 $153,807.27 $55,959.29 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $55,758.55 $133,491.94 $55,758.55 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 10 — — $24,928.71 $142,400.35 $54,778.36 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $47,779.41 $127,355.95 $52,205.67 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 9 — — $52,146.03 $145,350.89 $52,146.03 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 10 — — $48,509.92 $141,535.58 $51,653.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 10 — — $20,430.85 $100,382.90 $51,196.92 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 9 — — $30,344.02 $150,317.50 $51,182.64 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 9 — — $5,151.53 $111,557.78 $50,817.27 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $1,264.13 $82,164.91 $50,652.65 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 13 9 — — $50,536.74 $229,692.97 $50,536.74 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 10 — — $15,797.17 $106,526.63 $50,023.54 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 9 — — $49,991.62 $116,111.37 $49,991.62 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $49,878.42 $49,878.42 $49,878.42 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 3 3 — — $43,888.09 $65,832.13 $49,395.51 2026-04-01
69930 HCPCS Implant Cochlear Device 3 3 — — $32,853.56 $56,109.48 $49,280.33 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 9 — — $44,857.40 $103,232.77 $49,171.02 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 10 — — $36,193.78 $118,773.06 $48,861.93 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 9 — — $46,678.64 $100,718.48 $48,665.38 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 11 — — $13,949.12 $112,244.43 $48,603.23 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — — $29,662.41 $93,204.66 $47,952.29 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 9 — — $47,806.14 $100,101.53 $47,806.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 9 — — $47,483.61 $114,283.74 $47,483.61 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 9 — — $47,120.76 $114,477.35 $47,120.76 2026-04-01
33264 HCPCS Hc Icd Battery Change Multi Lead 3 3 — — $31,275.99 $58,186.25 $46,913.99 2026-04-01
33270 HCPCS Hc Insert New Subq Icd System 3 3 — — $31,275.99 $58,186.25 $46,913.99 2026-04-01
33249 HCPCS Hc Insert New Icd System 3 3 — — $31,275.99 $58,186.25 $46,913.99 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 3 3 — — $31,275.99 $58,186.25 $46,913.99 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 14 9 — — $9,893.02 $190,484.09 $46,842.75 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 9 — — $46,679.80 $97,272.31 $46,679.80 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 3 3 — — $43,888.09 $65,832.13 $46,620.52 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 9 — — $37,921.45 $106,810.59 $46,542.05 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 13 9 — — $46,358.95 $117,515.65 $46,358.95 2026-04-01
61886 HCPCS Implant Neurostim Arrays 3 3 — — $30,746.74 $49,395.51 $46,120.10 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 3 3 — — $30,746.74 $49,395.51 $46,120.10 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $45,796.26 $45,796.26 $45,796.26 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $43,450.97 $114,299.23 $45,523.22 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 9 — — $42,243.78 $88,250.32 $45,496.35 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 9 — — $45,195.65 $138,566.97 $45,195.65 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 12 — — $21,522.67 $111,139.60 $45,048.67 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 9 — — $4,608.88 $80,733.29 $44,453.16 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 13 9 — — $44,377.57 $71,836.75 $44,377.57 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 3 3 — — $18,684.32 $65,832.13 $43,888.09 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 2 2 — — $34,970.13 $52,455.19 $43,712.66 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $37,532.83 $97,744.71 $43,065.60 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 12 — — $11,220.81 $93,436.35 $42,622.12 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 9 — — $42,286.15 $127,787.04 $42,286.15 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 11 — — $12,873.82 $83,053.96 $42,212.24 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 12 — — $16,913.06 $68,039.20 $42,070.29 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 40 12 — — $15,190.85 $72,937.36 $41,938.64 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $41,898.11 $117,606.00 $41,898.11 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 13 — — $15,474.29 $73,957.11 $41,579.85 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 12 — — $24,061.04 $66,753.54 $41,289.16 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 9 — — $41,084.22 $104,487.33 $41,084.22 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 26 10 — — $29,166.01 $106,880.29 $40,718.85 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 9 — — $40,219.94 $198,225.71 $40,219.94 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 1 1 — — $40,180.73 $40,180.73 $40,180.73 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 3 — — $40,099.39 $40,099.39 $40,099.39 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 9 — — $4,743.24 $64,667.45 $40,021.72 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 13 9 — — $39,679.03 $92,019.17 $39,679.03 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 9 — — $38,347.56 $116,795.44 $39,523.64 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 9 — — $35,945.37 $98,467.50 $39,240.59 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 2 — — $31,275.99 $46,913.99 $39,094.99 2026-04-01
245 MS_DRG Aicd Generator Procedures 15 10 — — $35,887.84 $94,512.80 $39,052.44 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 25 11 — — $12,713.69 $118,787.95 $38,937.37 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 12 — — $21,997.19 $160,887.84 $38,920.57 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $4,573.07 $122,061.71 $38,771.07 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 2 2 — — $30,746.74 $46,120.10 $38,433.42 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 2 2 — — $30,746.74 $46,120.10 $38,433.42 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 2 2 — — $30,746.74 $46,120.10 $38,433.42 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 2 2 — — $30,746.74 $46,120.10 $38,433.42 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 24 11 — — $10,117.65 $109,203.15 $38,375.46 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 10 — — $8,643.92 $102,275.07 $38,364.54 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 9 — — $38,216.72 $77,738.86 $38,216.72 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 9 — — $27,841.54 $73,871.92 $37,627.93 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 9 — — $31,784.59 $107,530.80 $37,078.62 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 2 2 — — $29,559.78 $44,339.67 $36,949.72 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 2 2 — — $29,510.19 $44,265.28 $36,887.74 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 13 — — $9,611.16 $82,674.50 $36,788.85 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 2 2 — — $29,420.21 $44,130.32 $36,775.26 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 9 — — $34,091.26 $86,507.88 $36,557.03 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 10 — — $31,691.51 $68,040.54 $36,351.24 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 25 10 — — $19,921.27 $75,986.63 $36,203.42 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 10 — — $31,099.64 $106,707.33 $36,142.94 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 10 — — $21,044.49 $78,510.70 $36,125.30 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 11 — — $6,738.72 $71,453.15 $36,021.99 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 11 5 — — $17,150.53 $63,187.34 $36,002.29 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 10 — — $35,980.00 $72,893.57 $35,980.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 10 — — $33,734.53 $91,149.18 $35,914.48 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $35,778.42 $106,142.01 $35,778.42 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 9 — — $33,654.31 $84,171.71 $35,613.79 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 9 — — $3,537.50 $76,053.21 $35,382.81 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 3 3 — — $30,746.74 $46,120.10 $34,967.37 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 12 — — $1,428.89 $56,112.96 $34,824.26 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 3 3 — — $23,087.32 $56,604.09 $34,630.98 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 10 — — $18,573.37 $99,706.54 $34,500.89 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 9 — — $34,195.16 $62,815.79 $34,195.16 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 10 — — $26,608.54 $85,573.41 $34,142.07 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 3 3 — — $14,539.56 $51,202.93 $34,135.29 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 3 3 — — $28,580.21 $42,870.31 $34,126.73 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $10,591.73 $90,336.09 $33,588.73 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 9 — — $33,440.06 $53,834.71 $33,440.06 2026-04-01
33263 HCPCS Hc Icd Battery Change Dual Lead 3 3 — — $22,163.59 $43,267.32 $33,245.38 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 3 3 — — $22,163.59 $43,267.32 $33,245.38 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 3 3 — — $22,163.59 $43,267.32 $33,245.38 2026-04-01
33262 HCPCS Hc Icd Battery Change Single Lead 3 3 — — $22,163.59 $43,267.32 $33,245.38 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 9 — — $33,242.68 $68,920.80 $33,242.68 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 9 — — $10,136.50 $53,429.65 $33,193.97 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 10 — — $18,557.96 $95,062.19 $33,162.89 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 10 — — $28,856.21 $70,559.99 $32,978.95 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 11 — — $19,561.89 $120,355.19 $32,338.08 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 3 3 — — $30,746.74 $46,120.10 $32,296.78 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $32,296.78 $32,296.78 $32,296.78 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 9 — — $11,528.09 $80,049.21 $32,200.34 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 10 — — $3,430.43 $70,203.75 $32,125.58 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 9 — — $32,122.22 $61,313.41 $32,122.22 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $31,275.99 $46,913.99 $32,061.58 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 10 — — $14,777.69 $52,892.89 $32,034.03 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 9 — — $31,857.65 $126,555.72 $31,857.65 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 13 9 — — $31,582.99 $65,182.93 $31,582.99 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 11 — — $21,503.06 $67,999.24 $31,570.39 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 3 3 — — $25,507.21 $46,913.99 $31,275.99 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 9 — — $31,208.38 $63,009.39 $31,208.38 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 9 — — $30,379.19 $72,126.90 $31,184.87 2026-04-01
332 MS_DRG Rectal Resection With Mcc 13 9 — — $31,142.87 $63,525.67 $31,142.87 2026-04-01
265 MS_DRG Aicd Lead Procedures 13 9 — — $31,121.87 $78,206.09 $31,121.87 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 9 — — $13,285.17 $49,930.72 $31,068.12 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $2,641.74 $57,549.73 $31,022.76 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 9 — — $30,824.54 $64,919.63 $30,824.54 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 9 — — $30,754.82 $77,581.40 $30,754.82 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 3 3 — — $21,615.64 $46,120.10 $30,746.74 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 3 3 — — $30,683.28 $46,120.10 $30,746.74 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 9 — — $3,277.95 $60,657.74 $30,724.59 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 9 — — $30,680.07 $99,445.85 $30,680.07 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 9 — — $25,153.93 $69,700.38 $30,654.87 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 10 — — $2,716.17 $49,203.56 $30,626.32 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 12 — — $13,686.77 $70,366.38 $30,601.96 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 9 — — $28,271.96 $56,186.75 $30,352.50 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 9 — — $19,469.05 $75,474.97 $30,292.03 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 26 12 — — $16,988.22 $97,352.34 $30,030.81 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 10 — — $9,611.16 $48,210.97 $30,023.25 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 3 — — $20,015.46 $49,072.71 $30,023.19 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 9 — — $29,888.86 $47,989.78 $29,888.86 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 10 — — $7,644.30 $59,480.62 $29,747.76 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 9 — — $29,613.37 $70,387.03 $29,613.37 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 11 — — $14,725.30 $85,534.69 $29,527.69 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 9 — — $26,030.61 $66,125.14 $29,386.59 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 9 — — $9,456.87 $86,399.46 $29,348.79 2026-04-01
5166 OTHER Cochlear Implant Procedure 8 6 — — $10,083.09 $30,566.89 $29,128.91 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 3 3 — — $19,330.35 $32,296.78 $28,995.53 2026-04-01
63655 HCPCS Implant Neuroelectrodes 3 3 — — $19,330.35 $32,296.78 $28,995.53 2026-04-01
64580 HCPCS Implant Neuroelectrodes 3 3 — — $19,330.35 $32,296.78 $28,995.53 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 10 — — $27,227.74 $54,609.52 $28,790.24 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 3 3 — — $19,192.43 $30,977.73 $28,788.64 2026-04-01
33229 HCPCS Hc Ppm Battery Change Multi Lead 3 3 — — $19,192.43 $30,977.73 $28,788.64 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 43 13 — — $11,008.95 $49,285.37 $28,768.25 2026-04-01
L5858 HCPCS Stance Phase Only 2 2 — — $22,885.05 $34,327.57 $28,606.31 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 9 — — $28,476.95 $51,899.05 $28,476.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 16 9 — — $25,859.16 $48,992.39 $28,382.88 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 31 11 — — $12,080.57 $65,117.36 $28,379.52 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 9 6 — — $17,185.01 $30,869.25 $28,320.16 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 10 — — $28,052.79 $86,329.76 $28,052.79 2026-04-01
37227 HCPCS Hc Revsc Opn/Prq Fem/Pop W/Stnt/Athrc/Angiop Sm Vsl 1 1 — — $28,030.59 $28,030.59 $28,030.59 2026-04-01
37229 HCPCS Hc Revsc Opn/Prq Tib/Pero W/Athrc/Angiop Sm Vsl 1 1 — — $28,030.59 $28,030.59 $28,030.59 2026-04-01
37230 HCPCS Hc Revsc Opn/Prq Tib/Pero W/Stnt/Angiop Sm Vsl 1 1 — — $28,030.59 $28,030.59 $28,030.59 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 1 1 — — $28,030.59 $28,030.59 $28,030.59 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 10 — — $16,308.95 $47,866.90 $27,932.68 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 16 9 — — $17,707.09 $78,959.86 $27,902.44 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 11 — — $25,912.32 $68,925.96 $27,886.68 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $18,869.81 $58,148.62 $27,864.64 2026-04-01
652 MS_DRG Kidney Transplant 13 9 — — $27,857.08 $157,739.03 $27,857.08 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 9 — — $26,724.75 $52,340.47 $27,836.93 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 43 12 — — $7,331.93 $80,419.70 $27,794.24 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 13 9 — — $27,784.01 $52,688.96 $27,784.01 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 2 2 — — $22,163.59 $33,245.38 $27,704.49 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 9 — — $27,696.66 $44,381.63 $27,696.66 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 9 — — $25,326.73 $96,856.71 $27,499.28 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 11 — — $6,186.25 $74,106.83 $27,473.24 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 9 — — $27,419.48 $89,538.44 $27,419.48 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 3 3 — — $18,265.72 $28,030.59 $27,398.58 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 3 3 — — $18,265.72 $28,030.59 $27,398.58 2026-04-01
93580 HCPCS Transcath Closure Of Asd 3 3 — — $18,265.72 $28,030.59 $27,398.58 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 3 3 — — $18,265.72 $28,030.59 $27,398.58 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 3 3 — — $18,265.72 $28,030.59 $27,398.58 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 3 3 — — $18,265.72 $28,030.59 $27,398.58 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 3 3 — — $18,265.72 $28,030.59 $27,398.58 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 2 2 — — $21,834.21 $32,751.32 $27,292.76 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 9 — — $23,421.32 $83,810.31 $27,273.34 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 10 — — $10,779.43 $70,900.73 $27,197.74 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 14 9 — — $26,084.96 $75,562.74 $27,185.14 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 2 — — $21,739.52 $32,609.28 $27,174.40 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 9 — — $27,122.99 $52,941.93 $27,122.99 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 3 3 — — $26,043.87 $39,065.80 $27,116.38 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 3 3 — — $5,400.61 $40,554.67 $27,036.45 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 3 3 — — $7,741.51 $40,554.67 $27,036.45 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 3 3 — — $19,303.26 $40,554.67 $27,036.45 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 3 3 — — $19,303.26 $40,554.67 $27,036.45 2026-04-01
22558 HCPCS Lumbar Spine Fusion 3 3 — — $19,303.26 $40,554.67 $27,036.45 2026-04-01
22630 HCPCS Lumbar Spine Fusion 3 3 — — $19,303.26 $40,554.67 $27,036.45 2026-04-01
665 MS_DRG Prostatectomy With Mcc 13 9 — — $26,947.45 $56,375.19 $26,947.45 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 3 3 — — $17,959.04 $29,401.26 $26,938.56 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 3 3 — — $17,959.04 $29,401.26 $26,938.56 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 9 — — $21,807.84 $61,295.34 $26,892.85 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 11 — — $7,744.81 $74,408.86 $26,846.65 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 3 3 — — $17,892.75 $43,868.31 $26,839.12 2026-04-01
37226 HCPCS Hc Revsc Opn/Prq Fem/Pop W/Stnt/Angiop Sm Vsl 1 1 — — $26,816.20 $26,816.20 $26,816.20 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 3 3 — — $17,771.01 $49,034.40 $26,656.52 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 9 — — $23,934.61 $56,906.96 $26,446.01 2026-04-01
263 MS_DRG Vein Ligation And Stripping 13 9 — — $26,411.57 $59,101.15 $26,411.57 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 3 3 — — $20,651.59 $30,977.39 $26,382.32 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 3 3 — — $20,651.59 $30,977.39 $26,382.32 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 3 3 — — $20,651.59 $30,977.39 $26,382.32 2026-04-01
53448 HCPCS Remov/replc Ur Sphinctr Comp 1 1 — — $26,382.32 $26,382.32 $26,382.32 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 3 3 — — $20,651.59 $30,977.39 $26,382.32 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 3 3 — — $20,651.59 $30,977.39 $26,382.32 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 3 3 — — $20,651.59 $30,977.39 $26,382.32 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 3 3 — — $20,651.59 $30,977.39 $26,382.32 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 3 3 — — $20,651.59 $30,977.39 $26,382.32 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 9 — — $15,770.18 $72,684.48 $26,208.31 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 14 9 — — $22,028.15 $45,546.22 $26,101.64 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 9 — — $26,098.28 $46,444.55 $26,098.28 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 3 — — $9,375.27 $49,824.28 $26,086.36 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 9 — — $26,070.56 $56,932.78 $26,070.56 2026-04-01
93656 HCPCS Hc Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 3 3 — — $18,780.00 $39,065.80 $26,043.87 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 3 3 — — $18,780.00 $39,065.80 $26,043.87 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 9 — — $25,731.23 $55,704.03 $25,731.23 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 3 3 — — $22,163.59 $33,245.38 $25,584.48 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 3 3 — — $22,163.59 $33,245.38 $25,507.21 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 3 3 — — $22,163.59 $33,245.38 $25,507.21 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 37 12 — — $12,298.34 $50,373.44 $25,476.74 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 14 9 — — $25,459.94 $108,790.20 $25,459.94 2026-04-01
570 MS_DRG Skin Debridement With Mcc 21 11 — — $13,233.64 $40,658.74 $25,434.74 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 22 10 — — $21,408.15 $48,421.90 $25,257.52 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 10 — — $11,499.68 $64,953.19 $25,106.33 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 10 — — $3,591.54 $69,819.13 $25,091.21 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 9 — — $12,634.86 $44,947.34 $24,983.70 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 15 9 — — $14,115.29 $55,993.15 $24,971.94 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 14 9 — — $24,936.67 $74,770.25 $24,936.67 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 10 — — $18,125.56 $77,849.86 $24,839.23 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 37 13 — — $11,671.63 $53,264.61 $24,765.08 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 2 2 — — $19,809.02 $29,713.53 $24,761.28 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 9 — — $9,611.16 $49,054.34 $24,673.77 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 3 3 — — $16,401.63 $43,584.00 $24,602.45 2026-04-01
55881 HCPCS Ablt Trurl Prst8 Tis Thrm US 1 1 — — $24,461.73 $24,461.73 $24,461.73 2026-04-01
800 MS_DRG Splenic Procedures With Cc 13 9 — — $24,328.56 $49,627.42 $24,328.56 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 16 9 — — $13,475.21 $68,223.82 $24,243.73 2026-04-01
503 MS_DRG Foot Procedures With Mcc 14 9 — — $21,021.65 $51,295.00 $24,174.85 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 2 2 — — $19,330.35 $28,995.53 $24,162.94 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 2 2 — — $19,330.35 $28,995.53 $24,162.94 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 12 — — $9,206.78 $120,728.90 $24,013.59 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 2 2 — — $19,192.43 $28,788.64 $23,990.53 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 2 2 — — $19,192.43 $28,788.64 $23,990.53 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 2 2 — — $19,192.43 $28,788.64 $23,990.53 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 2 2 — — $19,192.43 $28,788.64 $23,990.53 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 2 2 — — $19,192.43 $28,788.64 $23,990.53 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 2 2 — — $19,192.43 $28,788.64 $23,990.53 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 11 — — $18,848.38 $61,150.78 $23,889.28 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 25 11 — — $10,715.30 $45,752.73 $23,818.73 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 22 11 — — $16,520.50 $49,855.15 $23,812.85 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 17 10 — — $1,264.13 $61,571.55 $23,693.58 2026-04-01
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