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

SPECTRUM HEALTH

Grand Rapids, MI · CCN 230038 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $572 across 3 payers · range $544-$980

Source: https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt0f9fd2163e3908a4/381360529_corewell-health-butterworth-hospital_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.

14,370 distinct procedures filed
25 distinct payers
178,278 rate rows
2026-04-01 last MRF observed
Data quality

129,196 of 178,278 rate rows are consumer-grade (72.5%)

49,082 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 47,594
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,338
placeholder amount (≤ $0.02) — excluded from medians 125
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt0f9fd2163e3908a4/381360529_corewell-health-butterworth-hospital_standardcharges.csv
Found on page https://corewellhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-23
Content fingerprint e867acd6354b7f0b… · 29,429,207 bytes · first seen 2026-05-14

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $235,795.85 $1,086,476.66 $582,471.63 nat. median
$359,358
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $243,215.31 $853,302.37 $547,418.00 nat. median
$249,124
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $115,250.49 $1,524,509.95 $290,518.59 nat. median
$190,557
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $88,952.66 $862,776.54 $260,499.34 nat. median
$198,433
1.3× median
7
MS_DRG 		Lung Transplant 16 $112,797.11 $325,826.25 $237,458.44 nat. median
$117,894
outlier · 2.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $104,730.81 $486,950.24 $228,038.95 nat. median
$110,192
outlier · 2.1×
9009
OTHER 		Inj, Vutrisiran, 1 Mg 2 $226,523.90 $226,523.90 $226,523.90 nat. median
$5,110
outlier · 44.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $50,806.60 $250,595.01 $194,094.36 nat. median
$72,473
outlier · 2.7×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 15 $51,526.84 $185,397.89 $185,397.89 nat. median
$55,491
outlier · 3.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $68,832.65 $255,705.20 $177,606.49 nat. median
$74,460
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $98,794.65 $358,661.81 $173,156.48 nat. median
$103,967
1.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 $1,958.81 $211,868.43 $152,518.57 nat. median
$50,905
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $85,392.65 $285,725.90 $149,027.70 nat. median
$90,581
1.6× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 $7,688.66 $183,373.98 $140,935.73 nat. median
$45,443
outlier · 3.1×
215
MS_DRG 		Other Heart Assist System Implant 15 $86,899.83 $261,276.19 $140,108.92 nat. median
$93,917
1.5× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $43,623.10 $149,908.52 $138,727.34 nat. median
$49,396
outlier · 2.8×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $39,508.56 $201,501.19 $138,426.53 nat. median
$50,679
outlier · 2.7×
0856
OTHER 		Porfimer Sodium Injection 2 $138,200.61 $138,200.61 $138,200.61 nat. median
$24,713
outlier · 5.6×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 $131,600.83 $131,600.83 $131,600.83 nat. median
$47,579
outlier · 2.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $62,443.98 $209,587.80 $129,867.81 nat. median
$66,649
1.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $66,679.16 $223,024.35 $128,531.54 nat. median
$68,004
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $36,407.95 $588,265.46 $126,624.04 nat. median
$126,722
1.0× median
834
MS_DRG 		Acute Leukemia With Mcc 14 $22,721.10 $256,930.82 $124,073.88 nat. median
$50,391
outlier · 2.5×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $1,455.54 $211,429.04 $121,539.49 nat. median
$77,696
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $73,687.30 $213,090.57 $117,918.90 nat. median
$77,043
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $110,901.76 $199,623.17 $116,446.85 nat. median
$111,503
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 $116,105.12 $116,105.12 $116,105.12 nat. median
$39,629
outlier · 2.9×
252
MS_DRG 		Other Vascular Procedures With Mcc 15 $16,541.55 $205,772.87 $113,323.79 nat. median
$32,714
outlier · 3.5×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $53,774.64 $171,781.64 $113,163.72 nat. median
$58,331
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $94,834.61 $330,795.25 $113,117.26 nat. median
$97,414
1.2× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 $11,144.03 $114,445.02 $112,711.59 nat. median
$41,690
outlier · 2.7×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $111,648.57 $132,417.00 $111,648.57 nat. median
$52,841
outlier · 2.1×
163
MS_DRG 		Major Chest Procedures With Mcc 16 $24,100.44 $152,574.72 $104,996.98 nat. median
$42,735
outlier · 2.5×
5166
OTHER 		Cochlear Implant Procedure 12 $17,048.99 $194,829.79 $104,609.80 nat. median
$34,088
outlier · 3.1×
209
MS_DRG 		Complex Aortic Arch Procedures 12 $98,682.17 $334,687.98 $103,616.28 nat. median
$92,655
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $102,166.21 $102,166.21 $102,166.21 nat. median
$38,225
outlier · 2.7×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 18 $52,055.48 $309,816.97 $101,599.07 nat. median
$53,907
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $88,133.89 $277,292.73 $100,912.70 nat. median
$93,270
1.1× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $22,035.65 $150,472.58 $99,058.04 nat. median
$55,188
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $24,115.32 $173,047.55 $98,514.03 nat. median
$63,896
1.5× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 $50,330.27 $236,438.49 $98,224.76 nat. median
$53,532
1.8× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $16,253.96 $149,466.68 $98,125.20 nat. median
$40,320
outlier · 2.4×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 $52,720.82 $202,752.89 $97,401.15 nat. median
$56,686
1.7× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 $41,942.12 $144,163.43 $96,990.43 nat. median
$45,888
outlier · 2.1×
829
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 $10,568.31 $318,220.16 $94,588.76 nat. median
$29,254
outlier · 3.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $89,958.33 $322,637.22 $94,456.25 nat. median
$94,964
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $66,898.05 $192,352.77 $93,152.62 nat. median
$71,758
1.3× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 17 $14,638.14 $161,675.80 $91,085.55 nat. median
$29,611
outlier · 3.1×
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 15 $16,344.20 $114,960.97 $89,602.63 nat. median
$16,213
outlier · 5.5×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 17 $21,850.12 $231,015.94 $88,586.80 nat. median
$42,902
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 14,370 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 14 — — $235,795.85 $1,086,476.66 $582,471.63 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 43 15 — — $243,215.31 $853,302.37 $547,418.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 17 — — $115,250.49 $1,524,509.95 $290,518.59 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 13 — — $88,952.66 $862,776.54 $260,499.34 2026-04-01
7 MS_DRG Lung Transplant 39 16 — — $112,797.11 $325,826.25 $237,458.44 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 48 16 — — $104,730.81 $486,950.24 $228,038.95 2026-04-01
9009 OTHER Inj, Vutrisiran, 1 Mg 4 2 — — $226,523.90 $226,523.90 $226,523.90 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 16 — — $50,806.60 $250,595.01 $194,094.36 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 15 — — $51,526.84 $185,397.89 $185,397.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 16 — — $68,832.65 $255,705.20 $177,606.49 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 13 — — $98,794.65 $358,661.81 $173,156.48 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 56 17 — — $1,958.81 $211,868.43 $152,518.57 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 16 — — $85,392.65 $285,725.90 $149,027.70 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 45 16 — — $7,688.66 $183,373.98 $140,935.73 2026-04-01
215 MS_DRG Other Heart Assist System Implant 37 15 — — $86,899.83 $261,276.19 $140,108.92 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 61 16 — — $43,623.10 $149,908.52 $138,727.34 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 17 — — $39,508.56 $201,501.19 $138,426.53 2026-04-01
0856 OTHER Porfimer Sodium Injection 4 2 — — $138,200.61 $138,200.61 $138,200.61 2025-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 3 — — $131,600.83 $131,600.83 $131,600.83 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 14 — — $62,443.98 $209,587.80 $129,867.81 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 14 — — $66,679.16 $223,024.35 $128,531.54 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 13 — — $36,407.95 $588,265.46 $126,624.04 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 39 14 — — $22,721.10 $256,930.82 $124,073.88 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 15 — — $1,455.54 $211,429.04 $121,539.49 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 15 — — $73,687.30 $213,090.57 $117,918.90 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $110,901.76 $199,623.17 $116,446.85 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 3 — — $116,105.12 $116,105.12 $116,105.12 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 46 15 — — $16,541.55 $205,772.87 $113,323.79 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 34 15 — — $53,774.64 $171,781.64 $113,163.72 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 13 — — $94,834.61 $330,795.25 $113,117.26 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 14 — — $11,144.03 $114,445.02 $112,711.59 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 15 5 — — $111,648.57 $132,417.00 $111,648.57 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 50 16 — — $24,100.44 $152,574.72 $104,996.98 2026-04-01
5166 OTHER Cochlear Implant Procedure 34 12 — — $17,048.99 $194,829.79 $104,609.80 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 12 — — $98,682.17 $334,687.98 $103,616.28 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 3 — — $102,166.21 $102,166.21 $102,166.21 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 48 18 — — $52,055.48 $309,816.97 $101,599.07 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 12 — — $88,133.89 $277,292.73 $100,912.70 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 17 — — $22,035.65 $150,472.58 $99,058.04 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 13 — — $24,115.32 $173,047.55 $98,514.03 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 16 — — $50,330.27 $236,438.49 $98,224.76 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 14 — — $16,253.96 $149,466.68 $98,125.20 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 13 — — $52,720.82 $202,752.89 $97,401.15 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 42 15 — — $41,942.12 $144,163.43 $96,990.43 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 47 16 — — $10,568.31 $318,220.16 $94,588.76 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 12 — — $89,958.33 $322,637.22 $94,456.25 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 51 16 — — $66,898.05 $192,352.77 $93,152.62 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 17 — — $14,638.14 $161,675.80 $91,085.55 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 39 15 — — $16,344.20 $114,960.97 $89,602.63 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 67 17 — — $21,850.12 $231,015.94 $88,586.80 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 4 — — $49,338.18 $121,009.27 $86,127.03 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 14 — — $53,205.34 $190,907.56 $84,897.35 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 13 — — $57,641.24 $191,450.73 $84,866.27 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 14 — — $47,940.57 $144,069.42 $84,770.10 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 14 — — $46,553.65 $186,903.41 $83,796.57 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 4 — — $47,919.99 $117,531.02 $83,651.43 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 17 — — $27,244.74 $339,857.23 $83,058.47 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 12 — — $68,758.01 $226,681.00 $82,638.03 2026-04-01
1142 OTHER Supprelin La Implant 10 4 — — $82,470.61 $82,470.61 $82,470.61 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 29 13 — — $28,579.80 $133,747.44 $82,279.69 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $44,359.50 $131,841.08 $81,554.41 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 6 4 — — $136.41 $82,716.93 $80,480.89 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 13 — — $28,569.32 $225,545.22 $79,457.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 46 15 — — $20,624.22 $105,330.10 $78,064.54 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 13 — — $43,334.23 $134,892.27 $78,001.61 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 47 15 — — $48,014.98 $139,403.71 $76,284.99 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 42 17 — — $58,931.99 $180,464.70 $73,674.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 16 — — $40,710.93 $157,537.30 $73,215.63 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 13 — — $43,156.86 $158,630.61 $72,812.27 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 37 14 — — $17,492.14 $223,648.68 $72,754.85 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 15 — — $37,228.49 $143,930.14 $72,291.93 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 3 3 — — $68,801.71 $123,843.08 $72,241.80 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 25 7 — — $71,386.08 $153,885.74 $71,386.08 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 17 7 — — $71,200.52 $175,164.00 $71,200.52 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 15 — — $21,243.84 $124,984.35 $70,995.15 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 31 14 — — $15,363.30 $111,513.91 $68,208.89 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
10 MS_DRG Pancreas Transplant 19 12 — — $62,835.92 $180,540.18 $65,977.72 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 4 — — $31,275.99 $84,034.49 $65,807.74 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 12 — — $62,480.32 $205,120.56 $65,604.34 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 13 — — $30,014.33 $181,619.54 $65,466.51 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 41 14 — — $26,393.06 $130,643.32 $65,338.71 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 36 15 — — $20,353.55 $275,533.74 $64,961.29 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 35 15 — — $27,908.14 $186,039.34 $64,958.72 2026-04-01
835 MS_DRG Acute Leukemia With Cc 46 15 — — $18,506.52 $203,381.38 $64,436.94 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 12 — — $58,989.22 $262,982.31 $64,168.94 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 49 15 — — $36,993.15 $114,302.89 $64,025.39 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 14 — — $37,210.32 $106,021.47 $63,649.84 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 58 16 — — $32,542.97 $140,829.82 $63,468.21 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 49 15 — — $14,182.80 $88,729.04 $63,091.35 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 14 — — $17,590.44 $167,798.37 $62,894.38 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 13 — — $7,335.94 $186,847.70 $62,868.18 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 40 16 — — $28,620.26 $143,262.39 $62,864.93 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 12 — — $58,603.34 $168,231.94 $61,533.51 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $46,123.39 $168,108.66 $61,489.00 2026-04-01
L8614 HCPCS Cochlear Device 4 1 — — $44,018.66 $77,213.93 $61,049.37 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 12 4 — — $60,532.95 $60,532.95 $60,532.95 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $32,445.35 $165,434.15 $60,523.30 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $57,434.45 $180,058.05 $60,306.17 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 27 14 — — $37,655.03 $116,684.49 $59,933.94 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 16 4 — — $6,692.52 $59,535.38 $59,535.38 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 69 17 — — $18,387.10 $115,647.66 $59,379.92 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 57 17 — — $13,429.97 $254,544.26 $59,362.49 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 15 — — $3,072.64 $82,677.05 $59,362.25 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $55,272.32 $99,490.18 $59,168.69 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 43 16 — — $8,285.65 $107,972.85 $58,632.84 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 13 — — $32,995.91 $95,385.90 $58,170.15 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 14 — — $32,121.19 $97,286.99 $57,818.14 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 39 12 — — $30,271.22 $57,444.48 $57,444.48 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 16 — — $11,041.98 $110,522.58 $57,069.71 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 26 13 — — $32,531.30 $92,414.98 $57,036.33 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 14 — — $31,678.21 $104,644.18 $57,020.78 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 13 — — $29,793.13 $134,135.64 $56,882.16 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 41 15 — — $9,404.48 $92,091.85 $56,538.25 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 12 — — $53,713.21 $196,053.77 $56,398.87 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 29 8 — — $5,609.79 $56,255.79 $56,255.79 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 4 — — $43,888.09 $93,403.26 $55,925.40 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 27 9 — — $55,823.56 $115,876.62 $55,823.56 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 40 11 — — $11,401.03 $62,936.42 $55,439.88 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 12 — — $22,906.05 $151,168.47 $55,372.31 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 14 — — $41,224.00 $117,693.17 $55,360.42 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 15 — — $14,761.47 $101,802.97 $54,970.57 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 47 16 — — $24,291.96 $84,651.27 $54,816.05 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 13 — — $31,750.02 $90,143.03 $54,747.26 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 13 — — $9,797.79 $137,951.77 $54,032.39 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 14 5 — — $53,851.31 $53,851.31 $53,851.31 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 31 14 — — $24,179.16 $130,967.55 $53,521.71 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 55 16 — — $26,323.46 $116,202.94 $53,493.66 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 36 15 — — $18,579.89 $68,793.54 $53,477.82 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 12 — — $25,968.76 $145,099.89 $53,181.09 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 12 — — $50,127.81 $143,585.26 $52,634.20 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $8,544.31 $275,663.14 $52,566.97 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 13 — — $48,910.47 $154,149.44 $52,523.82 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 39 14 — — $41,319.49 $121,489.80 $52,108.42 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 37 14 — — $24,404.44 $106,104.16 $52,014.21 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 26 14 — — $28,894.85 $116,444.25 $52,010.73 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 35 15 — — $28,014.07 $95,633.10 $51,966.21 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 31 15 — — $20,721.09 $92,969.46 $51,910.93 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 12 — — $32,698.34 $141,449.18 $51,862.91 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 44 16 — — $13,520.55 $86,548.17 $51,711.39 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 12 — — $49,242.71 $141,011.40 $51,704.85 2026-04-01
652 MS_DRG Kidney Transplant 26 13 — — $28,693.25 $212,763.27 $51,647.85 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 7 4 — — $29,559.78 $72,499.82 $51,600.96 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 15 — — $47,111.88 $156,614.60 $51,493.97 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 4 — — $28,580.21 $88,580.61 $51,444.38 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 13 — — $36,445.48 $103,797.33 $51,435.25 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 7 4 — — $29,420.21 $72,157.49 $51,357.31 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $48,536.70 $154,410.58 $50,963.54 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 59 17 — — $3,952.25 $56,678.88 $50,749.12 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 34 9 — — $50,576.75 $92,032.54 $50,576.75 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 12 — — $23,390.08 $137,637.45 $50,486.59 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 42 15 — — $12,101.73 $106,255.46 $50,407.11 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 26 13 — — $10,773.50 $92,193.73 $50,364.03 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 4 — — $40,312.74 $78,998.56 $50,334.23 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 57 17 — — $13,315.91 $90,723.66 $50,318.42 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 21 12 — — $47,751.96 $158,508.74 $50,139.56 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 12 — — $42,976.35 $172,363.11 $49,802.74 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 8 4 — — $49,781.60 $49,781.60 $49,781.60 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 29 14 — — $7,414.17 $81,480.47 $49,486.16 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $43,679.64 $134,092.42 $49,206.57 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 39 16 — — $5,709.47 $89,059.32 $49,192.60 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 39 15 — — $29,231.41 $86,124.10 $49,177.57 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 11 4 — — $22,163.59 $60,747.93 $49,073.59 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 4 — — $22,163.59 $61,063.36 $49,073.59 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 33 14 — — $20,119.95 $96,279.58 $48,976.56 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 41 16 — — $13,520.55 $128,352.52 $48,943.52 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $48,705.00 $56,010.75 $48,705.00 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 53 15 — — $16,333.84 $141,683.24 $48,668.28 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 7 4 — — $27,222.56 $112,814.87 $47,751.59 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 42 14 — — $10,185.78 $58,097.64 $47,715.39 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 40 13 — — $10,751.12 $94,174.19 $47,697.71 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 42 17 — — $11,041.98 $58,511.19 $47,647.46 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 45 14 — — $15,427.23 $89,191.63 $47,312.32 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,020.65 $81,037.17 $47,279.65 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 33 13 — — $9,089.47 $117,825.94 $46,985.28 2026-04-01
263 MS_DRG Vein Ligation And Stripping 23 13 — — $27,204.24 $79,717.46 $46,718.85 2026-04-01
9343 OTHER Inj Givosiran 0.5 Mg 2 1 — — $46,485.14 $46,485.14 $46,485.14 2025-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 33 15 — — $18,632.66 $54,160.52 $46,380.81 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 40 15 — — $20,582.48 $69,317.11 $46,315.82 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 25 13 — — $25,684.94 $100,852.42 $46,232.89 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 63 16 — — $13,149.31 $52,440.06 $46,127.12 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 55 15 — — $13,325.19 $88,749.44 $45,535.04 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 26 14 — — $19,351.54 $75,995.60 $45,424.64 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 40 15 — — $6,294.94 $1,110,993.46 $45,237.94 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 13 — — $25,091.95 $98,039.07 $45,215.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 12 — — $1,255.11 $126,029.84 $45,000.24 2026-04-01
791 MS_DRG Prematurity With Major Problems 31 13 — — $11,103.65 $102,124.20 $44,966.30 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 36 14 — — $17,042.50 $162,338.80 $44,608.10 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 12 — — $7,803.25 $124,254.88 $44,567.46 2026-04-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 59 15 — — $5,190.99 $54,330.01 $44,428.25 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 29 14 — — $12,392.04 $105,006.30 $44,300.32 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 36 15 — — $10,609.24 $69,740.84 $44,171.71 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 36 15 — — $23,066.83 $86,263.38 $44,165.32 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 44 15 — — $6,324.95 $94,692.99 $43,923.07 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 13 — — $32,077.93 $91,096.59 $43,887.93 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 12 — — $41,428.19 $267,372.95 $43,499.60 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 15 — — $13,988.47 $115,371.83 $43,435.26 2026-04-01
9284 OTHER Ipilimumab Injection 10 3 — — $43,406.86 $43,406.86 $43,406.86 2025-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 37 15 — — $21,993.12 $61,770.17 $43,044.04 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 12 — — $40,870.99 $124,118.29 $42,914.54 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $31,275.99 $60,283.78 $42,906.33 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 29 14 — — $20,108.70 $72,360.26 $42,732.52 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 25 13 — — $23,685.45 $101,733.34 $42,633.81 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 42 16 — — $16,136.48 $56,025.36 $42,497.85 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 57 17 — — $5,563.70 $45,214.87 $42,325.82 2026-04-01
245 MS_DRG Aicd Generator Procedures 21 12 — — $40,225.55 $127,481.78 $42,236.83 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 37 15 — — $25,414.13 $71,718.41 $42,175.65 2026-04-01
39 MS_DRG Extracranial Procedures Without Cc/Mcc 43 16 — — $10,921.97 $42,148.32 $42,148.32 2026-04-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 49 15 — — $6,584.70 $50,303.45 $42,039.74 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 33 15 — — $23,066.83 $64,892.52 $41,967.49 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 11 4 — — $16,401.63 $63,082.15 $41,837.47 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 39 16 — — $36,683.41 $113,533.40 $41,790.38 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 58 17 — — $5,267.93 $70,647.18 $41,679.77 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 12 — — $39,364.67 $112,286.30 $41,332.90 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 32 14 — — $27,530.96 $92,377.24 $41,181.97 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 36 14 — — $9,790.69 $57,739.55 $40,981.69 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc 42 17 — — $12,610.57 $50,337.39 $40,731.93 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 12 — — $21,711.07 $89,549.26 $40,723.43 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 49 16 — — $16,541.55 $71,844.95 $40,692.44 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 33 15 — — $19,634.57 $71,253.03 $40,541.00 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 4 — — $23,087.32 $56,625.16 $40,302.34 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 34 14 — — $19,715.03 $84,463.25 $40,121.45 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 45 15 — — $8,650.18 $63,928.89 $40,120.96 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 41 14 — — $10,328.21 $59,720.11 $40,037.12 2026-04-01
L5858 HCPCS Stance Phase Only 7 4 — — $22,885.05 $56,128.99 $39,949.20 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 13 — — $34,673.75 $113,946.85 $39,935.71 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 7 4 — — $22,163.59 $66,408.03 $39,894.46 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 13 — — $27,606.21 $81,193.64 $39,821.93 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 4 — — $30,746.74 $67,165.23 $39,801.09 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 45 17 — — $9,797.79 $59,184.86 $39,545.51 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 13 — — $14,141.01 $106,698.27 $39,315.21 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 15 — — $3,802.99 $116,538.26 $39,088.53 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 47 16 — — $10,396.96 $72,955.66 $39,036.58 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 12 — — $35,856.02 $105,586.20 $38,913.67 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 37 14 — — $18,609.81 $88,677.96 $38,827.06 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 58 16 — — $9,857.07 $52,440.96 $38,500.93 2026-04-01
64580 HCPCS Implant Neuroelectrodes 11 4 — — $19,330.35 $46,350.84 $38,353.52 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 49 16 — — $874.28 $52,021.07 $38,269.26 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 13 — — $32,540.31 $145,040.86 $38,192.32 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 4 — — $21,834.21 $53,551.67 $38,114.82 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 7 4 — — $21,739.52 $53,319.43 $37,949.52 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 6 3 — — $37,944.96 $37,944.96 $37,944.96 2025-01-01
333 MS_DRG Rectal Resection With Cc 32 14 — — $20,528.85 $66,740.52 $37,919.93 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 7 4 — — $10,414.41 $66,408.03 $37,858.35 2026-04-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 43 14 — — $7,224.81 $45,539.43 $37,687.78 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 55 17 — — $10,824.79 $67,241.91 $37,663.53 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 38 8 — — $9,184.14 $48,699.46 $37,638.22 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 42 16 — — $30,485.15 $94,030.24 $37,576.04 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 24 8 — — $37,478.04 $37,478.04 $37,478.04 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 13 — — $20,748.09 $82,401.98 $37,384.28 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 13 — — $14,450.42 $101,155.54 $37,313.86 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 25 12 — — $8,317.30 $105,712.00 $37,103.90 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 37 16 — — $19,188.13 $61,778.85 $36,969.58 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 13 — — $25,229.13 $91,292.84 $36,880.38 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 35 14 — — $5,148.97 $685,121.39 $36,827.03 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 3 3 — — $34,970.13 $62,946.23 $36,718.64 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 40 14 — — $8,040.00 $66,232.17 $36,561.11 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 65 16 — — $13,898.72 $74,123.70 $36,415.80 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 49 15 — — $5,467.11 $58,830.36 $36,399.49 2026-04-01
55881 HCPCS Ablt Trurl Prst8 Tis Thrm US 4 1 — — $26,220.68 $45,994.17 $36,365.39 2026-04-01
5378 OTHER Level 8 Urology And Related Services 37 12 — — $10,805.76 $71,759.36 $36,204.57 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 13 — — $25,213.27 $97,977.84 $36,166.47 2026-04-01
637 MS_DRG Diabetes With Mcc 67 17 — — $5,040.31 $101,855.88 $36,147.29 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 12 — — $9,860.54 $97,240.65 $35,900.30 2026-04-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 47 17 — — $5,852.92 $44,658.18 $35,877.21 2026-04-01
813 MS_DRG Coagulation Disorders 50 17 — — $7,429.50 $44,453.06 $35,873.65 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 80 17 — — $12,470.62 $60,473.15 $35,612.90 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 13 — — $31,575.25 $94,014.03 $35,571.82 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 35 14 — — $10,588.51 $65,295.55 $35,540.01 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 52 16 — — $10,012.25 $60,041.68 $35,414.89 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 4 — — $28,257.82 $56,296.78 $35,279.18 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 7 4 — — $22,163.59 $49,567.56 $35,279.18 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 7 4 — — $22,163.59 $49,567.56 $35,279.18 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 15 — — $18,116.03 $82,966.05 $35,261.24 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 15 — — $31,698.79 $100,239.72 $35,222.08 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 28 13 — — $20,428.96 $94,679.06 $35,202.24 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 26 13 — — $19,526.42 $54,597.07 $35,147.56 2026-04-01
180 MS_DRG Respiratory Neoplasms With Mcc 42 15 — — $9,435.04 $45,584.67 $35,071.20 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 4 — — $30,746.74 $61,473.34 $35,045.15 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 58 17 — — $16,899.34 $62,207.13 $34,973.90 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 4 — — $20,015.46 $49,090.92 $34,939.93 2026-04-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 33 15 — — $14,563.61 $65,859.61 $34,926.37 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 49 14 — — $8,317.30 $58,839.04 $34,665.04 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 26 13 — — $25,059.25 $73,467.02 $34,619.48 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 7 4 — — $19,809.02 $48,584.63 $34,579.58 2026-04-01
69930 HCPCS Implant Cochlear Device 11 4 — — $11,975.81 $77,553.16 $34,496.23 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 12 — — $32,814.22 $170,702.26 $34,454.93 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 15 4 — — $34,437.93 $34,492.04 $34,437.93 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 33 13 — — $19,955.56 $62,541.38 $34,399.58 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 13 — — $34,197.49 $97,386.58 $34,240.94 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 36 15 — — $26,110.65 $139,574.00 $34,042.66 2026-04-01
265 MS_DRG Aicd Lead Procedures 21 13 — — $32,056.30 $105,486.79 $33,659.12 2026-04-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 45 16 — — $10,328.21 $48,786.48 $33,353.73 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 13 — — $28,242.48 $120,772.21 $33,187.82 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 24 13 — — $21,093.30 $63,422.30 $33,062.71 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 3 3 — — $31,275.99 $56,296.78 $32,839.79 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 4 — — $6,434.29 $75,678.90 $32,839.79 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 4 — — $14,351.19 $75,678.90 $32,839.79 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 4 — — $17,644.90 $75,678.90 $32,839.79 2026-04-01
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