Price Transparency 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

SPECTRUM HEALTH UNITED HOSPITAL

Greenville, MI · CCN 230035 · Rates published

11,765 distinct procedures filed
24 distinct payers
108,528 rate rows
2026-04-01 last MRF observed
Data quality

76,528 of 108,528 rate rows are consumer-grade (70.5%)

32,000 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 31,810
placeholder amount (≤ $0.02) — excluded from medians 190
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt94d88436dd20c5d5/381358412_corewell-health-greenville-hospital_standardcharges.csv
Found on page https://corewellhealth.org/billing/price-estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-06-08
Content fingerprint 467ac0ce2c66c2c0… · 21,022,003 bytes · first seen 2026-06-08

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 12 $109,864.46 $699,944.91 $366,365.79 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $238,153.35 $454,236.09 $250,061.02 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $181,710.41 $346,067.74 $190,795.93 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $180,650.63 $344,036.76 $189,683.16 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $118,283.78 $224,515.71 $124,197.97 nat. median
$133,176
0.9× median
7
MS_DRG 		Lung Transplant 12 $110,661.52 $209,908.26 $116,194.60 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $102,776.22 $226,884.92 $107,915.03 nat. median
$117,303
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $81,613.00 $143,633.39 $102,323.18 nat. median
$87,411
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $96,973.26 $183,675.80 $101,821.92 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $96,863.30 $183,465.09 $101,706.47 nat. median
$98,017
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $93,102.08 $176,257.00 $97,757.18 nat. median
$102,358
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $93,886.32 $178,641.33 $94,346.23 nat. median
$98,905
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $88,335.20 $167,121.68 $92,751.96 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 12 $85,345.34 $161,391.84 $89,612.61 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $83,871.97 $158,568.26 $88,065.57 nat. median
$93,672
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $77,332.32 $146,035.54 $81,198.94 nat. median
$82,712
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $74,371.21 $140,360.81 $78,089.77 nat. median
$83,442
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $61,696.00 $107,502.17 $76,583.62 nat. median
$65,381
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $72,429.28 $136,639.25 $76,050.74 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $72,205.15 $136,209.71 $75,815.41 nat. median
$81,118
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $67,683.55 $127,544.45 $71,067.73 nat. median
$77,576
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $55,817.00 $99,138.38 $70,625.33 nat. median
$62,270
1.1× median
69930
HCPCS 		Implant Cochlear Device 4 $32,853.56 $103,327.76 $70,083.18 nat. median
$29,663
outlier · 2.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $66,072.32 $124,456.66 $69,375.94 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $65,792.37 $123,920.15 $69,081.99 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $65,578.38 $123,510.06 $68,857.30 nat. median
$72,138
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $102,284.19 $68,140.74 nat. median
$62,507
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $67,138.44 $77,209.21 $67,138.44 nat. median
$76,377
0.9× median
33264
HCPCS 		Rmvl & Rplcmt Dfb Gen Mlt Ld 4 $31,275.99 $97,446.68 $66,094.27 nat. median
$31,873
outlier · 2.1×
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 4 $31,275.99 $97,446.68 $66,094.27 nat. median
$31,833
outlier · 2.1×
33231
HCPCS 		Insrt Pulse Gen W/mult Leads 4 $31,275.99 $97,446.68 $66,094.27 nat. median
$30,121
outlier · 2.2×
33270
HCPCS 		Ins/rep Subq Defibrillator 4 $31,275.99 $97,446.68 $66,094.27 nat. median
$32,221
outlier · 2.1×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $61,796.01 $116,261.45 $64,885.81 nat. median
$64,027
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $61,473.76 $115,643.89 $64,547.45 nat. median
$71,240
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $61,438.24 $115,575.82 $64,510.15 nat. median
$68,887
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $62,184.23 $117,005.44 $62,767.17 nat. median
$68,090
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $59,302.62 $111,483.07 $62,267.75 nat. median
$65,950
0.9× median
10
MS_DRG 		Pancreas Transplant 12 $57,553.07 $116,310.08 $61,821.38 nat. median
$68,882
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $31,950.66 $112,032.55 $61,079.07 nat. median
$66,526
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $58,061.00 $122,531.45 $60,964.05 nat. median
$64,732
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $57,683.78 $108,380.69 $60,567.97 nat. median
$60,691
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $57,642.34 $108,301.26 $60,524.46 nat. median
$63,738
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $56,743.26 $106,578.26 $59,580.42 nat. median
$61,920
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $56,743.26 $106,578.26 $59,580.42 nat. median
$64,510
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $56,541.12 $106,190.87 $59,368.18 nat. median
$59,793
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $99,490.18 $59,168.69 nat. median
$66,682
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 13 $21,917.49 $104,299.30 $58,331.78 nat. median
$62,134
0.9× median
64568
HCPCS 		Inc For Vagus N Elect Impl 4 $43,888.09 $78,998.56 $58,012.25 nat. median
$27,541
outlier · 2.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 $52,963.43 $99,334.52 $55,611.60 nat. median
$60,726
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $52,903.38 $99,219.42 $55,548.55 nat. median
$60,185
0.9× median

Other procedures at this hospital

Browse this hospital's 11,765 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 19 12 — — $109,864.46 $699,944.91 $366,365.79 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 12 — — $238,153.35 $454,236.09 $250,061.02 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 12 — — $181,710.41 $346,067.74 $190,795.93 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 12 — — $180,650.63 $344,036.76 $189,683.16 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 12 — — $118,283.78 $224,515.71 $124,197.97 2026-04-01
7 MS_DRG Lung Transplant 19 12 — — $110,661.52 $209,908.26 $116,194.60 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 19 12 — — $102,776.22 $226,884.92 $107,915.03 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 — — $81,613.00 $143,633.39 $102,323.18 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 12 — — $96,973.26 $183,675.80 $101,821.92 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 12 — — $96,863.30 $183,465.09 $101,706.47 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 12 — — $93,102.08 $176,257.00 $97,757.18 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $93,886.32 $178,641.33 $94,346.23 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 12 — — $88,335.20 $167,121.68 $92,751.96 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 12 — — $85,345.34 $161,391.84 $89,612.61 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $83,871.97 $158,568.26 $88,065.57 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 12 — — $77,332.32 $146,035.54 $81,198.94 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 12 — — $74,371.21 $140,360.81 $78,089.77 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $61,696.00 $107,502.17 $76,583.62 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 12 — — $72,429.28 $136,639.25 $76,050.74 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $72,205.15 $136,209.71 $75,815.41 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 12 — — $67,683.55 $127,544.45 $71,067.73 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 — — $55,817.00 $99,138.38 $70,625.33 2026-04-01
69930 HCPCS Implant Cochlear Device 7 4 — — $32,853.56 $103,327.76 $70,083.18 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $66,072.32 $124,456.66 $69,375.94 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 12 — — $65,792.37 $123,920.15 $69,081.99 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 12 — — $65,578.38 $123,510.06 $68,857.30 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 4 — — $56,824.55 $102,284.19 $68,140.74 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $67,138.44 $77,209.21 $67,138.44 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 4 — — $31,275.99 $97,446.68 $66,094.27 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 4 — — $31,275.99 $97,446.68 $66,094.27 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 4 — — $31,275.99 $97,446.68 $66,094.27 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 4 — — $31,275.99 $97,446.68 $66,094.27 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 12 — — $61,796.01 $116,261.45 $64,885.81 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 12 — — $61,473.76 $115,643.89 $64,547.45 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 12 — — $61,438.24 $115,575.82 $64,510.15 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $62,184.23 $117,005.44 $62,767.17 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 12 — — $59,302.62 $111,483.07 $62,267.75 2026-04-01
10 MS_DRG Pancreas Transplant 19 12 — — $57,553.07 $116,310.08 $61,821.38 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 12 — — $31,950.66 $112,032.55 $61,079.07 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 12 — — $58,061.00 $122,531.45 $60,964.05 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 12 — — $57,683.78 $108,380.69 $60,567.97 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 12 — — $57,642.34 $108,301.26 $60,524.46 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $56,743.26 $106,578.26 $59,580.42 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $56,743.26 $106,578.26 $59,580.42 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $56,541.12 $106,190.87 $59,368.18 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $55,272.32 $99,490.18 $59,168.69 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 13 — — $21,917.49 $104,299.30 $58,331.78 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 4 — — $43,888.09 $78,998.56 $58,012.25 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 12 — — $52,963.43 $99,334.52 $55,611.60 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 12 — — $52,903.38 $99,219.42 $55,548.55 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 4 — — $30,746.74 $77,710.07 $55,344.12 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 4 — — $30,746.74 $77,710.07 $55,344.12 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 12 — — $52,406.90 $98,267.97 $55,027.24 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 3 3 — — $54,631.99 $54,631.99 $54,631.99 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 19 12 — — $51,947.63 $97,387.83 $54,545.01 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 12 — — $51,933.25 $97,360.27 $54,529.91 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $51,565.34 $96,655.19 $54,143.61 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 19 12 — — $51,282.84 $144,353.14 $53,846.98 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 12 — — $50,766.06 $95,123.45 $53,304.36 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 12 — — $50,733.92 $95,061.85 $53,270.62 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 2 — — $45,924.00 $74,651.63 $53,181.17 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 12 — — $49,907.59 $93,478.24 $52,402.97 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $49,596.34 $92,881.75 $52,076.16 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 12 — — $49,398.42 $92,502.47 $51,868.34 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 12 — — $28,205.24 $92,382.52 $51,802.62 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 12 — — $1,300.47 $96,337.49 $51,399.56 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 12 — — $48,680.35 $91,126.33 $51,114.37 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 12 — — $48,533.18 $90,844.30 $50,959.84 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 12 — — $48,208.40 $90,221.88 $50,618.82 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 12 — — $47,843.01 $89,521.66 $50,235.16 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 12 — — $47,563.06 $119,711.88 $49,941.21 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 12 — — $47,398.97 $88,670.69 $49,768.92 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 12 — — $47,333.00 $88,544.26 $49,699.65 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 12 — — $47,260.27 $88,404.86 $49,623.28 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 12 — — $47,075.88 $88,051.51 $49,429.67 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $48,705.00 $56,010.75 $48,705.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 4 — — $22,163.59 $71,579.58 $48,549.63 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 4 — — $22,163.59 $71,579.58 $48,549.63 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 4 — — $22,163.59 $71,579.58 $48,549.63 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 4 — — $22,163.59 $71,579.58 $48,549.63 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $46,234.32 $86,438.73 $48,546.04 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 12 — — $46,207.26 $86,386.86 $48,517.62 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 12 — — $45,904.46 $87,083.98 $48,199.68 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 12 — — $45,756.45 $85,522.92 $48,044.27 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 12 — — $45,156.79 $84,373.72 $47,414.63 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,020.65 $81,037.17 $47,279.65 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 4 — — $40,142.17 $78,998.56 $46,082.49 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $43,759.54 $81,696.01 $45,947.52 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 13 — — $16,182.58 $80,840.18 $45,478.61 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 12 — — $42,974.65 $80,309.21 $45,123.38 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 12 — — $42,914.97 $84,227.84 $45,080.66 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $42,583.89 $79,442.98 $44,713.08 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 12 — — $41,764.32 $77,872.33 $43,852.54 2026-04-01
0308T HCPCS Insj Ocular Telescope Prosth 7 4 — — $16,401.63 $64,444.02 $43,709.86 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 12 — — $41,396.40 $77,167.24 $43,466.22 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 12 — — $40,894.00 $124,577.18 $42,938.70 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 15 — — $7,960.75 $80,049.19 $42,900.22 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 12 — — $40,812.81 $76,048.83 $42,853.45 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 12 — — $41,612.25 $79,775.26 $42,757.28 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 12 — — $40,349.32 $75,160.58 $42,366.79 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $39,621.00 $59,290.47 $42,238.01 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 12 — — $40,192.85 $74,860.72 $42,202.49 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 12 — — $41,928.60 $78,267.83 $41,970.70 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 12 — — $39,907.81 $74,314.48 $41,903.20 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 12 — — $39,718.36 $73,951.41 $41,704.28 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 12 — — $12,120.26 $73,729.34 $41,582.60 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 12 — — $39,585.57 $73,696.92 $41,564.85 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 12 — — $39,435.02 $73,408.41 $41,406.77 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 12 — — $28,380.75 $74,504.13 $40,998.08 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 12 — — $39,036.65 $72,644.97 $40,988.48 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 12 — — $39,025.66 $72,623.89 $40,976.94 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 12 — — $38,876.80 $72,338.62 $40,820.64 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 12 — — $38,758.61 $75,821.90 $40,694.40 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 4 — — $30,746.74 $55,344.12 $40,380.25 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 12 — — $24,636.35 $71,202.38 $40,198.10 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 12 — — $37,730.75 $70,142.32 $39,617.29 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 12 — — $37,438.95 $69,583.11 $39,310.90 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 12 — — $37,205.52 $69,135.75 $39,065.80 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 12 — — $36,998.30 $68,738.63 $38,848.22 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 12 — — $36,849.44 $68,453.35 $38,691.91 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 12 — — $36,788.54 $68,336.65 $38,627.97 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 12 — — $36,770.78 $68,302.61 $38,609.32 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 12 — — $36,666.75 $68,103.24 $38,500.09 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 12 — — $36,624.46 $68,022.19 $38,455.68 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 12 — — $36,558.49 $67,895.77 $38,386.41 2026-04-01
9204 OTHER Inj Tisotu Vedotin-tftv, 1mg 1 1 — — $38,296.27 $38,296.27 $38,296.27 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $36,421.47 $67,633.18 $38,242.54 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 12 — — $36,255.69 $67,315.49 $38,068.47 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 12 — — $36,023.10 $66,869.74 $37,824.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 12 — — $35,135.02 $65,167.81 $36,891.77 2026-04-01
63655 HCPCS Implant Neuroelectrodes 7 4 — — $19,330.35 $54,091.19 $36,687.94 2026-04-01
64580 HCPCS Implant Neuroelectrodes 7 4 — — $19,330.35 $54,091.19 $36,687.94 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 7 4 — — $19,330.35 $54,091.19 $36,687.94 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 12 — — $34,827.15 $64,577.80 $36,568.51 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 12 — — $34,216.49 $63,407.53 $35,927.31 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 12 — — $33,868.03 $62,739.72 $35,561.43 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 12 — — $33,787.68 $62,585.74 $35,477.06 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 13 — — $1,700.00 $65,791.86 $35,460.65 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 13 — — $33,602.45 $62,230.76 $35,282.57 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 12 — — $32,957.11 $75,638.58 $34,604.97 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 12 — — $32,818.40 $60,728.20 $34,459.32 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 7 4 — — $19,192.43 $46,116.17 $34,426.73 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 7 4 — — $19,192.43 $46,116.17 $34,426.73 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 12 — — $32,743.13 $60,583.94 $34,380.29 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 12 — — $32,739.74 $60,577.46 $34,376.73 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 12 — — $32,473.32 $79,535.37 $34,096.99 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 12 — — $31,222.98 $63,120.63 $34,066.79 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 12 — — $32,227.19 $62,645.71 $33,818.97 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 12 — — $32,196.75 $59,536.85 $33,806.59 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 12 — — $32,184.06 $59,512.53 $33,793.26 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 4 — — $28,580.21 $51,444.38 $33,766.69 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 12 — — $31,819.53 $58,813.93 $33,410.51 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 12 — — $31,795.84 $58,768.54 $33,385.63 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 12 — — $31,753.55 $58,687.50 $33,341.23 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 12 — — $31,732.41 $58,646.98 $33,319.03 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 12 — — $32,650.94 $60,407.26 $33,241.13 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 12 — — $31,632.61 $58,455.71 $33,214.24 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 12 — — $31,433.00 $58,073.18 $33,004.65 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 12 — — $31,362.80 $57,938.64 $32,930.94 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 12 — — $31,287.52 $62,497.87 $32,851.90 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 12 — — $31,262.15 $57,745.77 $32,825.26 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 12 — — $31,208.87 $57,643.65 $32,769.31 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 12 — — $30,957.67 $57,162.25 $32,505.55 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 12 — — $30,896.77 $57,045.54 $32,441.61 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 7 4 — — $17,959.04 $47,109.85 $32,326.27 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 7 4 — — $17,959.04 $47,109.85 $32,326.27 2026-04-01
62360 HCPCS Insert Spine Infusion Device 7 4 — — $17,959.04 $47,109.85 $32,326.27 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 7 4 — — $20,651.59 $43,268.75 $32,301.06 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 7 4 — — $20,651.59 $43,268.75 $32,301.06 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 7 4 — — $20,651.59 $43,268.75 $32,301.06 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 7 4 — — $20,651.59 $43,268.75 $32,301.06 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 7 4 — — $20,651.59 $43,268.75 $32,301.06 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 7 4 — — $20,651.59 $43,268.75 $32,301.06 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 4 — — $26,419.55 $55,344.12 $32,284.07 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 4 — — $28,865.77 $55,344.12 $32,284.07 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 19 12 — — $30,633.73 $61,182.18 $32,165.42 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 13 — — $23,707.20 $57,880.29 $32,115.66 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 12 — — $30,348.70 $55,995.20 $31,866.14 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 12 — — $30,213.37 $55,735.87 $31,724.04 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 12 — — $28,293.09 $58,543.25 $31,678.28 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 12 — — $30,127.10 $55,570.53 $31,633.46 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 12 — — $29,985.01 $55,298.22 $31,484.26 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 12 — — $29,946.95 $55,225.28 $31,444.30 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 12 — — $28,085.43 $57,690.66 $31,233.39 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 12 — — $29,384.50 $54,147.39 $30,853.72 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 12 — — $28,151.95 $56,526.86 $30,626.12 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 12 — — $29,069.02 $53,542.80 $30,522.47 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 12 — — $28,750.58 $56,267.51 $30,490.79 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 12 — — $28,974.29 $53,361.27 $30,423.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 12 — — $28,970.91 $53,354.78 $30,419.46 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 12 — — $28,641.89 $54,254.91 $30,073.98 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 12 — — $13,869.53 $52,492.46 $29,946.99 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 12 — — $28,490.50 $52,434.11 $29,915.02 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 12 — — $28,452.44 $52,361.17 $29,875.06 2026-04-01
652 MS_DRG Kidney Transplant 19 12 — — $28,444.82 $99,132.87 $29,867.06 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 12 — — $28,424.52 $52,307.68 $29,845.75 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 12 — — $28,371.24 $52,205.57 $29,789.80 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 12 — — $28,134.42 $51,751.71 $29,541.14 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 4 — — $28,424.06 $51,163.31 $29,496.67 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 12 — — $28,084.52 $60,870.69 $29,488.75 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 12 — — $28,058.30 $51,605.84 $29,461.22 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 12 — — $28,004.17 $56,271.44 $29,404.38 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 12 — — $27,897.60 $53,779.58 $29,292.48 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 12 — — $27,857.00 $52,671.54 $29,249.85 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 12 — — $27,780.88 $51,074.19 $29,169.92 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 12 — — $27,768.19 $51,049.87 $29,156.60 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 12 — — $27,705.60 $50,929.92 $29,090.88 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 1 — — $24,345.17 $35,893.51 $29,003.52 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 1 — — $24,345.17 $35,893.51 $29,003.52 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 1 — — $24,345.17 $35,893.51 $29,003.52 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 1 — — $24,345.17 $35,893.51 $29,003.52 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 12 — — $27,528.83 $50,591.17 $28,905.27 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 13 — — $9,438.07 $50,485.81 $28,847.55 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 12 — — $27,427.34 $50,396.66 $28,798.71 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 12 — — $27,023.90 $49,623.49 $28,375.10 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 12 — — $26,989.22 $49,557.03 $28,338.68 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 12 — — $26,399.85 $52,036.99 $28,283.28 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 12 — — $26,784.54 $49,164.78 $28,123.77 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 12 — — $26,677.12 $48,958.93 $28,010.98 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 12 — — $26,673.74 $48,952.44 $28,007.43 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 12 — — $26,645.83 $48,898.95 $27,978.12 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 12 — — $26,304.13 $48,244.12 $27,619.34 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 4 — — $18,611.95 $55,344.12 $27,440.69 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 12 — — $26,047.86 $47,752.99 $27,350.25 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 12 — — $26,030.94 $47,720.57 $27,332.49 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 12 — — $25,827.10 $47,329.94 $27,118.46 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 4 — — $21,142.75 $46,878.96 $27,106.09 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 4 — — $21,142.75 $46,878.96 $27,106.09 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 4 — — $21,142.75 $46,878.96 $27,106.09 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 12 — — $25,761.98 $47,205.13 $27,050.08 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 7 4 — — $19,553.87 $48,665.61 $27,036.45 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 7 4 — — $19,553.87 $48,665.61 $27,036.45 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 12 — — $25,674.86 $47,038.17 $26,958.60 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 12 — — $25,659.64 $47,009.00 $26,942.62 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 12 — — $25,551.38 $46,801.53 $26,828.95 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 12 — — $25,539.54 $46,778.84 $26,816.52 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 12 — — $25,504.01 $46,990.21 $26,779.21 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 12 — — $25,405.90 $48,925.62 $26,676.20 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 12 — — $25,239.28 $46,203.42 $26,501.24 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 12 — — $24,891.66 $45,537.23 $26,136.24 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 12 — — $24,806.24 $45,373.53 $26,046.55 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 12 — — $25,016.02 $47,671.94 $26,005.57 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 12 — — $24,736.88 $45,240.61 $25,973.72 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 12 — — $24,574.49 $44,929.40 $25,803.21 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 12 — — $24,449.31 $44,689.51 $25,671.78 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 12 — — $24,372.35 $44,542.01 $25,590.97 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 12 — — $24,252.24 $44,311.85 $25,464.85 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 12 — — $24,142.29 $44,101.13 $25,349.40 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 7 4 — — $22,163.59 $39,894.46 $25,314.56 2026-04-01
849 MS_DRG Radiotherapy 19 12 — — $24,046.72 $43,917.97 $25,249.06 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 12 — — $24,018.81 $43,864.47 $25,219.75 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 12 — — $23,944.38 $43,721.84 $25,141.60 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 12 — — $23,628.05 $43,115.63 $24,809.45 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 12 — — $23,549.39 $47,400.65 $24,726.86 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 12 — — $23,436.90 $42,749.31 $24,608.75 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 13 — — $11,670.07 $44,553.36 $24,378.27 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 19 12 — — $23,083.36 $42,071.77 $24,237.53 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 4 — — $23,789.46 $43,611.16 $24,228.42 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 12 — — $23,057.14 $42,021.53 $24,210.00 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 13 8 — — $9,857.47 $45,145.63 $24,126.15 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 19 12 — — $22,975.10 $41,864.30 $24,123.86 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 19 12 — — $22,944.65 $41,805.95 $24,091.88 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 19 12 — — $22,944.65 $41,805.95 $24,091.88 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 19 12 — — $22,846.54 $41,617.93 $23,988.87 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 19 12 — — $22,723.06 $41,381.28 $23,859.21 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 12 — — $22,620.71 $41,185.15 $23,751.75 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 20 12 — — $22,580.12 $41,107.35 $23,709.13 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 19 12 — — $22,477.78 $40,911.22 $23,601.67 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 19 12 — — $22,468.47 $42,270.91 $23,591.89 2026-04-01
55881 HCPCS Ablt Trurl Prst8 Tis Thrm US 4 1 — — $19,767.03 $29,143.70 $23,549.38 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 19 12 — — $22,120.01 $40,225.59 $23,226.01 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 12 — — $21,182.35 $39,860.89 $23,026.18 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 19 12 — — $21,923.78 $39,849.54 $23,019.97 2026-04-01
509 MS_DRG Arthroscopy 4 1 — — $19,310.70 $28,470.91 $23,005.73 2026-04-01
0520T HCPCS Rmvl&rplcmt Pg Wcs New Eltrd 7 4 — — $10,414.41 $33,910.00 $22,999.83 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 20 13 — — $9,183.16 $39,617.75 $22,892.98 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 19 12 — — $21,778.31 $39,570.74 $22,867.23 2026-04-01
9284 OTHER Ipilimumab Injection 1 1 — — $22,796.91 $22,796.91 $22,796.91 2025-01-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 7 4 — — $15,424.03 $78,998.56 $22,740.56 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 19 12 — — $21,616.76 $39,261.15 $22,697.60 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 19 12 — — $21,549.94 $39,133.11 $22,627.44 2026-04-01
53448 HCPCS Remov/replc Ur Sphinctr Comp 4 1 — — $18,978.17 $27,980.64 $22,609.57 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 19 12 — — $21,473.82 $38,987.22 $22,547.51 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 12 — — $22,206.28 $40,390.91 $22,478.73 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 23 13 — — $21,405.31 $38,855.94 $22,475.58 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 19 12 — — $21,348.65 $38,747.33 $22,416.08 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 12 — — $21,313.97 $38,680.87 $22,379.67 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 19 12 — — $21,015.41 $38,108.70 $22,066.18 2026-04-01
333 MS_DRG Rectal Resection With Cc 19 12 — — $20,940.13 $37,964.44 $21,987.14 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 19 12 — — $20,909.68 $37,906.09 $21,955.16 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 19 12 — — $20,895.30 $37,878.54 $21,940.06 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 20 13 — — $3,562.82 $39,794.43 $21,895.03 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 19 12 — — $20,812.42 $37,719.69 $21,853.04 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 7 4 — — $18,265.72 $32,878.29 $21,851.49 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 7 4 — — $18,265.72 $32,878.29 $21,851.49 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 7 4 — — $18,265.72 $32,878.29 $21,851.49 2026-04-01
93580 HCPCS Transcath Closure Of Asd 7 4 — — $18,265.72 $32,878.29 $21,851.49 2026-04-01
792 MS_DRG Prematurity Without Major Problems 28 15 — — $484.52 $39,698.79 $21,845.13 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 19 12 — — $20,798.88 $37,693.76 $21,838.82 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 20 12 — — $9,738.99 $37,654.85 $21,817.51 2026-04-01
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