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

MUNSON HEALTHCARE GRAYLING HOSPITAL

Grayling, MI · CCN 230058 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,793 across 19 payers · range $6,690-$21,838

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8135/471161992_munson-healthcare-grayling_standardcharges.csv · observed 2026-04-17

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.

17,718 distinct procedures filed
31 distinct payers
1,079,789 rate rows
2026-04-17 last MRF observed
Data quality

670,670 of 1,079,789 rate rows are consumer-grade (62.1%)

409,119 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
professional (physician) fee — not the facility price 385,490
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 19,604
per-diem day rate — not a per-procedure price 2,070
exceeds 10× this hospital's gross charge — excluded from medians 841
placeholder amount (≤ $0.02) — excluded from medians 732
percent-of-charges filed in the dollar field — excluded from medians 257
template filing: same amount across many unrelated codes — excluded 97
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 28
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8135/471161992_munson-healthcare-grayling_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/MunsonHealthcareGraylingHospital/8135
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint beb3d326b3d88b1d… · 1,439,819,863 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 17 $2,356,115.00 $4,865,400.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 18 $1,927,394.47 $3,980,088.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 17 $1,744,633.86 $3,602,685.60 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $1,740,470.64 $3,594,088.51 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 17 $1,701,061.72 $3,512,708.72 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 17 $1,663,140.00 $3,434,400.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 17 $1,537,603.73 $3,175,166.40 $2,939,968.89 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 18 $1,354,037.18 $4,252,695.12 $2,588,981.23 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 18 $1,219,636.00 $4,068,680.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 18 $403,034.26 $1,323,001.58 $770,620.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 18 $307,340.73 $1,042,333.77 $587,649.57 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 18 $296,295.87 $1,090,575.15 $566,531.30 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 18 $294,031.25 $982,679.43 $562,201.24 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 18 $291,876.74 $994,196.01 $558,081.73 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 18 $278,336.54 $947,499.92 $532,192.24 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 19 $255,982.46 $922,172.06 $489,450.20 nat. median
$577,541
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 $153,882.43 $629,295.41 $370,173.77 nat. median
$370,165
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $287,902.99 $287,902.99 $287,902.99 nat. median
$311,018
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 17 $145,524.75 $300,510.00 $278,250.00 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 18 $138,595.00 $286,200.00 $265,000.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $240,227.89 $556,872.56 $240,227.89 nat. median
$261,939
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 18 $105,472.90 $217,802.54 $201,669.02 nat. median
$209,736
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $192,694.00 $192,694.00 $192,694.00 nat. median
$254,667
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 17 $183,021.84 $380,196.69 $183,021.84 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 $181,947.73 $427,390.09 $181,947.73 nat. median
$199,832
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $177,297.35 $177,297.35 $177,297.35 nat. median
$119,243
1.5× median
5833
APR_DRG 		Neonate With Ecmo 6 $174,098.23 $174,098.23 $174,098.23 nat. median
$250,089
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $167,204.35 $167,204.35 $167,204.35 nat. median
$147,677
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $157,390.06 $157,390.06 $157,390.06 nat. median
$209,486
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $141,933.72 $141,933.72 $141,933.72 nat. median
$168,174
0.8× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $136,631.62 $136,631.62 $136,631.62 nat. median
$67,603
outlier · 2.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $133,371.78 $133,371.78 $133,371.78 nat. median
$165,646
0.8× median
E0766
HCPCS 		Elec Stim Cancer Treatment 2 $132,877.11 $132,877.11 $132,877.11 nat. median
$16,786
outlier · 7.9×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 18 $69,103.10 $262,949.20 $132,128.29 nat. median
$111,503
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $122,491.98 $122,491.98 $122,491.98 nat. median
$175,480
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $122,157.75 $122,157.75 $122,157.75 nat. median
$160,171
0.8× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 17 $118,737.66 $206,197.59 $118,737.66 nat. median
$132,706
0.9× median
E0194
HCPCS 		Air Fluidized Bed 1 $118,455.76 $118,455.76 $118,455.76 nat. median
$4,438
outlier · 26.7×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $115,951.03 $115,951.03 $115,951.03 nat. median
$63,564
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $115,539.46 $115,539.46 $115,539.46 nat. median
$156,285
0.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $115,167.34 $115,167.34 $115,167.34 nat. median
$165,599
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $114,103.91 $114,103.91 $114,103.91 nat. median
$168,361
0.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 17 $59,672.86 $123,225.02 $114,097.24 nat. median
$97,404
1.2× median
7
MS_DRG 		Lung Transplant 17 $111,012.35 $205,420.46 $111,012.35 nat. median
$122,690
0.9× median
K0606
HCPCS 		Aed Garment W Elec Analysis 1 $109,234.07 $109,234.07 $109,234.07 nat. median
$3,697
outlier · 29.6×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $106,267.01 $106,267.01 $106,267.01 nat. median
$180,995
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $103,020.46 $317,787.97 $103,020.46 nat. median
$114,305
0.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $98,007.12 $98,007.12 $98,007.12 nat. median
$147,847
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $97,139.04 $205,045.54 $97,139.04 nat. median
$108,240
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $97,027.58 $218,420.29 $97,027.58 nat. median
$96,134
1.0× median

Other procedures at this hospital

Browse this hospital's 17,718 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 22 17 — — $2,356,115.00 $4,865,400.00 $4,505,000.00 2026-04-17
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 23 18 — — $1,927,394.47 $3,980,088.00 $3,685,266.67 2026-04-17
J3389 HCPCS Topi Adm Prad Zami Per Treat 22 17 — — $1,744,633.86 $3,602,685.60 $3,335,820.00 2026-04-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 17 — — $1,740,470.64 $3,594,088.51 $3,327,859.73 2026-04-17
J3394 HCPCS Inj, Lovotibeglogene Autotem 22 17 — — $1,701,061.72 $3,512,708.72 $3,252,508.08 2026-04-17
J3387 HCPCS Inj Elivaldogene Autotemecel 22 17 — — $1,663,140.00 $3,434,400.00 $3,180,000.00 2026-04-17
J3393 HCPCS Inj, Betibeglogene Autotemce 22 17 — — $1,537,603.73 $3,175,166.40 $2,939,968.89 2026-04-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 23 18 — — $1,354,037.18 $4,252,695.12 $2,588,981.23 2026-04-17
J3392 HCPCS Inj, Exagamglogene Autotem 23 18 — — $1,219,636.00 $4,068,680.00 $2,332,000.00 2026-04-17
Q2057 HCPCS Afamitresgene Autoleucel 22 18 — — $403,034.26 $1,323,001.58 $770,620.00 2026-04-17
Q2056 HCPCS Ciltacabtagene Car-pos T 22 18 — — $307,340.73 $1,042,333.77 $587,649.57 2026-04-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 22 18 — — $296,295.87 $1,090,575.15 $566,531.30 2026-04-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 22 18 — — $294,031.25 $982,679.43 $562,201.24 2026-04-17
Q2055 HCPCS Idecabtagene Vicleucel Car 22 18 — — $291,876.74 $994,196.01 $558,081.73 2026-04-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 22 18 — — $278,336.54 $947,499.92 $532,192.24 2026-04-17
Q2053 HCPCS Brexucabtagene Car Pos T 24 19 — — $255,982.46 $922,172.06 $489,450.20 2026-04-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 17 — — $153,882.43 $629,295.41 $370,173.77 2026-04-17
5834 APR_DRG Neonate With Ecmo 6 6 — — $287,902.99 $287,902.99 $287,902.99 2026-04-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 21 17 — — $145,524.75 $300,510.00 $278,250.00 2026-04-17
J3403 HCPCS Revakinagene, Per Implant 24 18 — — $138,595.00 $286,200.00 $265,000.00 2026-04-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 17 — — $240,227.89 $556,872.56 $240,227.89 2026-04-17
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 24 18 — — $105,472.90 $217,802.54 $201,669.02 2026-04-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $192,694.00 $192,694.00 $192,694.00 2026-04-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 18 17 — — $183,021.84 $380,196.69 $183,021.84 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 18 17 — — $181,947.73 $427,390.09 $181,947.73 2026-04-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $177,297.35 $177,297.35 $177,297.35 2026-04-17
5833 APR_DRG Neonate With Ecmo 6 6 — — $174,098.23 $174,098.23 $174,098.23 2026-04-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $167,204.35 $167,204.35 $167,204.35 2026-04-17
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $157,390.06 $157,390.06 $157,390.06 2026-04-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $141,933.72 $141,933.72 $141,933.72 2026-04-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $136,631.62 $136,631.62 $136,631.62 2026-04-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $133,371.78 $133,371.78 $133,371.78 2026-04-17
E0766 HCPCS Elec Stim Cancer Treatment 2 2 — — $132,877.11 $132,877.11 $132,877.11 2026-04-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 23 18 — — $69,103.10 $262,949.20 $132,128.29 2026-04-17
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $122,491.98 $122,491.98 $122,491.98 2026-04-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $122,157.75 $122,157.75 $122,157.75 2026-04-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 18 17 — — $118,737.66 $206,197.59 $118,737.66 2026-04-17
E0194 HCPCS Air Fluidized Bed 1 1 — — $118,455.76 $118,455.76 $118,455.76 2026-04-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $115,951.03 $115,951.03 $115,951.03 2026-04-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $115,539.46 $115,539.46 $115,539.46 2026-04-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $115,167.34 $115,167.34 $115,167.34 2026-04-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $114,103.91 $114,103.91 $114,103.91 2026-04-17
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 21 17 — — $59,672.86 $123,225.02 $114,097.24 2026-04-17
7 MS_DRG Lung Transplant 18 17 — — $111,012.35 $205,420.46 $111,012.35 2026-04-17
K0606 HCPCS Aed Garment W Elec Analysis 1 1 — — $109,234.07 $109,234.07 $109,234.07 2026-04-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $106,267.01 $106,267.01 $106,267.01 2026-04-17
14 MS_DRG Allogeneic Bone Marrow Transplant 18 17 — — $103,020.46 $317,787.97 $103,020.46 2026-04-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $98,007.12 $98,007.12 $98,007.12 2026-04-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 17 — — $97,139.04 $205,045.54 $97,139.04 2026-04-17
209 MS_DRG Complex Aortic Arch Procedures 18 17 — — $97,027.58 $218,420.29 $97,027.58 2026-04-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $96,645.78 $96,645.78 $96,645.78 2026-04-17
5832 APR_DRG Neonate With Ecmo 6 6 — — $96,568.97 $96,568.97 $96,568.97 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 17 — — $94,476.49 $160,610.03 $94,476.49 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 17 — — $93,215.51 $215,879.86 $93,215.51 2026-04-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $91,765.63 $91,765.63 $91,765.63 2026-04-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $90,073.17 $90,073.17 $90,073.17 2026-04-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $90,008.29 $90,008.29 $90,008.29 2026-04-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $88,912.17 $88,912.17 $88,912.17 2026-04-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 17 — — $88,384.20 $210,555.86 $88,384.20 2026-04-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $87,389.42 $87,389.42 $87,389.42 2026-04-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $86,005.25 $86,005.25 $86,005.25 2026-04-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $85,903.52 $85,903.52 $85,903.52 2026-04-17
215 MS_DRG Other Heart Assist System Implant 18 17 — — $85,353.90 $170,511.12 $85,353.90 2026-04-17
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $85,277.09 $85,277.09 $85,277.09 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 17 — — $83,860.60 $186,467.21 $83,860.60 2026-04-17
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 21 17 — — $43,179.95 $89,167.01 $82,562.05 2026-04-17
5831 APR_DRG Neonate With Ecmo 6 6 — — $82,395.60 $82,395.60 $82,395.60 2026-04-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $78,141.88 $78,141.88 $78,141.88 2026-04-17
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $77,459.91 $77,459.91 $77,459.91 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 17 — — $77,232.54 $131,295.32 $77,232.54 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 18 17 — — $74,231.41 $147,192.78 $74,231.41 2026-04-17
0266T CPT Professional Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
0268T CPT Professional Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 17 — — $72,263.21 $139,064.76 $72,263.21 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 17 — — $72,036.05 $122,461.29 $72,036.05 2026-04-17
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $37,973.06 $71,167.10 $71,167.10 2026-04-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $69,306.42 $69,306.42 $69,306.42 2026-04-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $68,791.57 $68,791.57 $68,791.57 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 17 — — $67,453.33 $166,875.44 $67,453.33 2026-04-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $65,978.08 $65,978.08 $65,978.08 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 17 — — $65,820.31 $135,419.99 $65,820.31 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 17 — — $65,536.56 $111,412.15 $65,536.56 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 17 — — $65,319.70 $145,547.63 $65,319.70 2026-04-17
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $65,299.22 $65,299.22 $65,299.22 2026-04-17
J9029 HCPCS Instill Adstiladrin, Tx Dose 23 18 — — $33,615.72 $119,154.49 $64,274.79 2026-04-17
38240 CPT Transplt Allo Hct/donor 24 19 — — $3,492.96 $67,688.92 $62,674.93 2026-04-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $62,065.85 $62,065.85 $62,065.85 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 17 — — $61,879.64 $105,195.39 $61,879.64 2026-04-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $61,845.28 $61,845.28 $61,845.28 2026-04-17
10 MS_DRG Pancreas Transplant 18 17 — — $61,511.91 $104,570.25 $61,511.91 2026-04-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 17 — — $61,486.18 $104,526.51 $61,486.18 2026-04-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 17 — — $61,159.58 $133,863.47 $61,159.58 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 17 — — $61,123.59 $136,778.83 $61,123.59 2026-04-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $59,884.50 $59,884.50 $59,884.50 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 18 17 — — $59,249.67 $121,938.43 $59,249.67 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 17 — — $58,959.08 $104,371.28 $58,959.08 2026-04-17
90288 CPT Botulism Ig IV 2 2 — — $58,905.00 $58,905.00 $58,905.00 2026-04-17
L7181 HCPCS Electronic Elbo Simultaneous 21 17 — — $30,735.04 $63,468.15 $58,766.81 2026-04-17
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $58,454.65 $58,454.65 $58,454.65 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 17 — — $57,700.66 $171,624.55 $57,700.66 2026-04-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 17 — — $57,318.36 $105,200.67 $57,318.36 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 17 — — $57,276.35 $97,369.80 $57,276.35 2026-04-17
K0743 HCPCS Portable Home Suction Pump 1 1 — — $56,597.10 $56,597.10 $56,597.10 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 17 — — $56,365.13 $124,942.42 $56,365.13 2026-04-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 17 — — $56,365.13 $100,487.92 $56,365.13 2026-04-17
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $56,166.90 $56,166.90 $56,166.90 2026-04-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 17 — — $56,160.24 $117,507.45 $56,160.24 2026-04-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $55,764.16 $55,764.16 $55,764.16 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 18 17 — — $55,159.86 $125,349.16 $55,159.86 2026-04-17
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $54,839.82 $54,839.82 $54,839.82 2026-04-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $54,701.24 $54,701.24 $54,701.24 2026-04-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $54,540.35 $54,540.35 $54,540.35 2026-04-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 25 19 — — $28,453.35 $174,777.24 $54,404.11 2026-04-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $54,099.20 $54,099.20 $54,099.20 2026-04-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $53,559.96 $53,559.96 $53,559.96 2026-04-17
L7180 HCPCS Electronic Elbow Sequential 21 17 — — $27,888.17 $57,589.34 $53,323.46 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 17 — — $52,534.19 $112,106.19 $52,534.19 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 17 — — $52,473.33 $127,946.40 $52,473.33 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 17 — — $51,970.13 $124,587.94 $51,970.13 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 18 17 — — $51,504.66 $88,362.93 $51,504.66 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 17 — — $51,490.08 $132,318.30 $51,490.08 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 17 — — $51,117.18 $98,199.72 $51,117.18 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 17 — — $19,500.88 $103,164.74 $50,949.17 2026-04-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 18 17 — — $50,830.88 $202,189.25 $50,830.88 2026-04-17
C1824 HCPCS Generator Optimizer Ipg86302 19 18 $65,000.00 $55,250.00 $19,753.50 $55,250.00 $50,700.00 2026-04-17
8513 APR_DRG Gender Related Procedures 6 6 — — $50,549.24 $50,549.24 $50,549.24 2026-04-17
8514 APR_DRG Gender Related Procedures 6 6 — — $50,549.24 $50,549.24 $50,549.24 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 17 — — $50,307.11 $93,771.00 $50,307.11 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 17 — — $50,274.54 $102,208.05 $50,274.54 2026-04-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $50,232.65 $50,232.65 $50,232.65 2026-04-17
8634 APR_DRG Neonatal Aftercare 6 6 — — $49,883.88 $49,883.88 $49,883.88 2026-04-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $49,712.10 $49,712.10 $49,712.10 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 17 — — $49,437.03 $90,871.55 $49,437.03 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 17 — — $49,121.57 $102,369.39 $49,121.57 2026-04-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 17 — — $48,920.98 $88,658.33 $48,920.98 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 17 — — $48,857.55 $98,804.15 $48,857.55 2026-04-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $48,438.99 $48,438.99 $48,438.99 2026-04-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $48,417.19 $48,417.19 $48,417.19 2026-04-17
G0448 HCPCS Place Perm Pacing Cardiovert 1 1 — — $48,371.64 $48,371.64 $48,371.64 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 17 — — $48,193.19 $81,928.42 $48,193.19 2026-04-17
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $48,156.65 $48,156.65 $48,156.65 2026-04-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 17 — — $48,044.04 $88,115.25 $48,044.04 2026-04-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $47,817.75 $47,817.75 $47,817.75 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 17 — — $47,714.86 $100,599.27 $47,714.86 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 17 — — $47,344.54 $100,769.69 $47,344.54 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 18 17 — — $47,060.80 $167,675.29 $47,060.80 2026-04-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 17 — — $46,894.50 $85,624.81 $46,894.50 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 17 — — $46,827.63 $90,976.08 $46,827.63 2026-04-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 17 — — $46,753.91 $94,020.96 $46,753.91 2026-04-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 18 17 — — $46,567.03 $103,444.19 $46,567.03 2026-04-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $46,552.94 $46,552.94 $46,552.94 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 17 — — $45,714.08 $100,612.90 $45,714.08 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 17 — — $45,686.67 $77,683.12 $45,686.67 2026-04-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $45,521.17 $45,521.17 $45,521.17 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 17 — — $45,379.79 $121,974.79 $45,379.79 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 17 — — $45,229.76 $97,831.60 $45,229.76 2026-04-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $44,756.68 $44,756.68 $44,756.68 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 17 — — $44,621.99 $75,857.38 $44,621.99 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 18 17 — — $44,544.83 $75,726.21 $44,544.83 2026-04-17
64568 CPT Opn Impltj Crnl Nrv Nea&pg 24 19 — — $22,953.47 $70,511.73 $43,888.09 2026-04-17
33276 CPT Insj Phrnc Nrv Stim Sys 23 18 — — $22,953.47 $49,800.61 $43,888.09 2026-04-17
64654 CPT 1st Opn Implt Bat Modulj Sys 23 18 — — $22,953.47 $47,399.13 $43,888.09 2026-04-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 23 18 — — $22,953.47 $47,399.13 $43,888.09 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 17 — — $43,205.86 $86,040.64 $43,205.86 2026-04-17
J9226 HCPCS Supprelin La Implant 25 19 — — $22,585.93 $85,192.78 $43,185.34 2026-04-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 17 — — $42,753.25 $82,248.17 $42,753.25 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 17 — — $42,410.34 $112,485.67 $42,410.34 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 17 — — $42,334.91 $73,108.98 $42,334.91 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 17 — — $42,190.03 $71,723.05 $42,190.03 2026-04-17
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $42,158.05 $42,158.05 $42,158.05 2026-04-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 17 — — $42,014.32 $103,523.72 $42,014.32 2026-04-17
L8701 HCPCS Ewh S/d Uprt Micro Sensor 21 17 — — $21,947.26 $45,321.29 $41,964.16 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 18 17 — — $41,392.82 $70,367.79 $41,392.82 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 17 — — $41,183.66 $91,975.89 $41,183.66 2026-04-17
E0483 HCPCS Hi Freq Chest Wall Oscil Sys 1 1 — — $41,049.88 $41,049.88 $41,049.88 2026-04-17
E0467 HCPCS Home Vent Multi-function 1 1 — — $40,991.93 $40,991.93 $40,991.93 2026-04-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 17 — — $40,810.77 $94,082.31 $40,810.77 2026-04-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $40,773.36 $40,773.36 $40,773.36 2026-04-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 17 — — $40,301.57 $174,489.92 $40,301.57 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 17 — — $40,219.29 $100,903.75 $40,219.29 2026-04-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 17 — — $40,099.28 $68,168.78 $40,099.28 2026-04-17
6 MS_DRG Liver Transplant Without Mcc 18 17 — — $39,749.53 $81,000.68 $39,749.53 2026-04-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 17 — — $39,590.94 $102,810.21 $39,590.94 2026-04-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $39,453.54 $39,453.54 $39,453.54 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 17 — — $39,402.35 $66,984.00 $39,402.35 2026-04-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 17 — — $39,302.07 $86,676.88 $39,302.07 2026-04-17
245 MS_DRG Aicd Generator Procedures 18 17 — — $39,110.04 $83,195.72 $39,110.04 2026-04-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 17 — — $38,992.61 $73,867.93 $38,992.61 2026-04-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 17 — — $38,975.45 $87,917.56 $38,975.45 2026-04-17
799 MS_DRG Splenic Procedures With Mcc 18 17 — — $38,822.86 $65,998.86 $38,822.86 2026-04-17
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $38,722.27 $38,722.27 $38,722.27 2026-04-17
A9543 HCPCS Kit Yttrium 90 Therasphere 3 Gbq36432 56 31 $45,862.50 $38,983.13 $25,627.97 $98,834.94 $38,590.00 2026-04-17
163 MS_DRG Major Chest Procedures With Mcc 18 17 — — $38,419.12 $65,910.33 $38,419.12 2026-04-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 17 — — $38,407.96 $90,028.53 $38,407.96 2026-04-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $38,378.17 $38,378.17 $38,378.17 2026-04-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $38,369.35 $38,369.35 $38,369.35 2026-04-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 17 — — $38,257.09 $68,430.31 $38,257.09 2026-04-17
E0465 HCPCS Home Vent Invasive Interface 1 1 — — $37,864.00 $37,864.00 $37,864.00 2026-04-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $37,737.21 $37,737.21 $37,737.21 2026-04-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 17 — — $37,656.19 $65,026.41 $37,656.19 2026-04-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $37,609.54 $37,609.54 $37,609.54 2026-04-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $37,272.18 $37,272.18 $37,272.18 2026-04-17
1784 APR_DRG External Heart Assist Devices 6 6 — — $37,168.90 $37,168.90 $37,168.90 2026-04-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 17 — — $37,095.56 $94,654.93 $37,095.56 2026-04-17
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $36,947.50 $36,947.50 $36,947.50 2026-04-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 17 — — $36,799.81 $72,774.95 $36,799.81 2026-04-17
6904 APR_DRG Acute Leukemia 6 6 — — $36,713.22 $36,713.22 $36,713.22 2026-04-17
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $36,702.84 $36,702.84 $36,702.84 2026-04-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $36,567.90 $36,567.90 $36,567.90 2026-04-17
140 MS_DRG Major Head And Neck Procedures With Mcc 18 17 — — $36,563.23 $76,149.32 $36,563.23 2026-04-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $36,525.86 $36,525.86 $36,525.86 2026-04-17
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $36,356.67 $36,356.67 $36,356.67 2026-04-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 17 — — $36,353.21 $61,800.46 $36,353.21 2026-04-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 17 — — $36,202.33 $65,474.05 $36,202.33 2026-04-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 17 — — $36,140.60 $93,930.07 $36,140.60 2026-04-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 17 — — $36,122.60 $69,109.73 $36,122.60 2026-04-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 17 — — $36,017.18 $62,897.26 $36,017.18 2026-04-17
901 MS_DRG Wound Debridements For Injuries With Mcc 18 17 — — $35,974.31 $64,165.21 $35,974.31 2026-04-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 17 — — $35,907.44 $74,595.06 $35,907.44 2026-04-17
913 APR_DRG Other Major Head And Neck Procedures 6 6 — — $35,845.45 $35,845.45 $35,845.45 2026-04-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 17 — — $35,768.57 $93,432.43 $35,768.57 2026-04-17
793 MS_DRG Full Term Neonate With Major Problems 18 17 — — $4,874.08 $60,762.85 $35,742.85 2026-04-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 17 — — $35,600.56 $74,092.89 $35,600.56 2026-04-17
C2624 HCPCS System Delivery Pa Sensor60810 18 17 $45,000.00 $38,250.00 $13,675.50 $38,250.00 $35,550.00 2026-04-17
L6700 HCPCS Ue Add Ext Power Myoel 21 17 — — $18,520.60 $38,245.21 $35,412.23 2026-04-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 17 — — $35,364.82 $66,946.50 $35,364.82 2026-04-17
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $35,298.95 $35,298.95 $35,298.95 2026-04-17
L5856 HCPCS Elec Knee-shin Swing/stance 21 17 — — $18,440.83 $38,080.49 $35,259.71 2026-04-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $35,126.12 $35,126.12 $35,126.12 2026-04-17
E0466 HCPCS Home Vent Non-invasive Inter 1 1 — — $35,100.98 $35,100.98 $35,100.98 2026-04-17
L6880 HCPCS Elec Hand Ind Art Digits 21 17 — — $18,331.80 $37,855.35 $35,051.25 2026-04-17
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $35,008.31 $35,008.31 $35,008.31 2026-04-17
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $34,851.57 $34,851.57 $34,851.57 2026-04-17
791 MS_DRG Prematurity With Major Problems 18 17 — — $11,256.97 $59,151.09 $34,794.76 2026-04-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $34,528.23 $34,528.23 $34,528.23 2026-04-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $34,514.74 $34,514.74 $34,514.74 2026-04-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 17 — — $34,464.74 $58,590.06 $34,464.74 2026-04-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 17 — — $34,152.70 $58,059.59 $34,152.70 2026-04-17
0870T CPT Imp Subq Prtl Ascts Pmp Sys 21 17 — — $17,852.76 $36,866.11 $34,135.29 2026-04-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $34,122.37 $34,122.37 $34,122.37 2026-04-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 17 — — $33,533.78 $79,519.14 $33,533.78 2026-04-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 18 17 — — $33,382.06 $56,749.50 $33,382.06 2026-04-17
E0636 HCPCS Pt Support & Positioning Sys 1 1 — — $33,359.19 $33,359.19 $33,359.19 2026-04-17
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $33,256.68 $33,256.68 $33,256.68 2026-04-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 17 — — $33,180.61 $60,668.14 $33,180.61 2026-04-17
C9606 HCPCS Perc D-e Cor Revasc W Ami S 1 1 — — $33,175.28 $33,175.28 $33,175.28 2026-04-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 17 — — $33,130.89 $56,322.51 $33,130.89 2026-04-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 17 — — $33,099.16 $59,052.53 $33,099.16 2026-04-17
C1767 HCPCS Controller Medtronic Dbs79104 380 18 $52,250.00 $44,412.50 $862.32 $87,819.88 $33,075.00 2026-04-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 17 — — $32,911.43 $62,111.05 $32,911.43 2026-04-17
69930 CPT Implant Cochlear Device 24 19 — — $17,182.41 $92,153.97 $32,853.56 2026-04-17
37227 CPT Professional Services 3 3 — — $17,881.89 $32,762.45 $32,762.45 2026-04-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $32,740.28 $32,740.28 $32,740.28 2026-04-17
4414 APR_DRG Major Bladder Procedures 6 6 — — $32,618.31 $32,618.31 $32,618.31 2026-04-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $32,539.94 $32,539.94 $32,539.94 2026-04-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $32,425.76 $32,425.76 $32,425.76 2026-04-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $32,344.80 $32,344.80 $32,344.80 2026-04-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $32,300.68 $32,300.68 $32,300.68 2026-04-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 17 — — $32,257.39 $105,943.72 $32,257.39 2026-04-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $32,162.11 $32,162.11 $32,162.11 2026-04-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 17 — — $32,116.78 $70,464.02 $32,116.78 2026-04-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $32,059.35 $32,059.35 $32,059.35 2026-04-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 17 — — $32,040.50 $61,797.47 $32,040.50 2026-04-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 17 — — $32,037.07 $54,463.02 $32,037.07 2026-04-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 17 — — $31,947.07 $54,310.02 $31,947.07 2026-04-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $31,860.05 $31,860.05 $31,860.05 2026-04-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 17 — — $31,767.05 $111,401.78 $31,767.05 2026-04-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $31,706.43 $31,706.43 $31,706.43 2026-04-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $31,651.93 $31,651.93 $31,651.93 2026-04-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $31,517.51 $31,517.51 $31,517.51 2026-04-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 17 — — $31,486.72 $57,377.85 $31,486.72 2026-04-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 17 — — $31,473.86 $59,856.93 $31,473.86 2026-04-17
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $31,430.84 $31,430.84 $31,430.84 2026-04-17
33249 CPT Insj/rplcmt Defib W/lead(s) 24 19 — — $16,357.34 $91,403.05 $31,275.99 2026-04-17
33231 CPT Insrt Pulse Gen W/mult Leads 24 19 — — $16,357.34 $77,590.23 $31,275.99 2026-04-17
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 24 19 — — $16,357.34 $97,605.20 $31,275.99 2026-04-17
33270 CPT Ins/rep Subq Defibrillator 24 19 — — $16,357.34 $116,117.76 $31,275.99 2026-04-17
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 23 18 — — $16,357.34 $33,778.07 $31,275.99 2026-04-17
0408T CPT Insj/rplc Cardiac Modulj Sys 23 18 — — $16,357.34 $50,119.76 $31,275.99 2026-04-17
0571T CPT Insj/rplcmt Icds Ss Eltrd 24 19 — — $16,357.34 $69,127.32 $31,275.99 2026-04-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 17 — — $31,104.41 $55,464.57 $31,104.41 2026-04-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 17 — — $31,080.41 $63,490.33 $31,080.41 2026-04-17
332 MS_DRG Rectal Resection With Mcc 18 17 — — $31,037.56 $55,919.03 $31,037.56 2026-04-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $31,018.24 $31,018.24 $31,018.24 2026-04-17
265 MS_DRG Aicd Lead Procedures 18 17 — — $31,016.11 $68,841.60 $31,016.11 2026-04-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 17 — — $30,961.26 $52,634.14 $30,961.26 2026-04-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 17 — — $30,914.97 $52,555.45 $30,914.97 2026-04-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $30,871.88 $30,871.88 $30,871.88 2026-04-17
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 21 17 — — $16,080.54 $33,206.47 $30,746.74 2026-04-17
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 22 18 — — $16,080.54 $46,874.66 $30,746.74 2026-04-17
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 21 17 — — $16,080.54 $33,206.47 $30,746.74 2026-04-17
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 23 18 — — $16,080.54 $33,206.47 $30,746.74 2026-04-17
61885 CPT Insrt/redo Neurostim 1 Array 24 19 — — $16,080.54 $52,790.01 $30,746.74 2026-04-17
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 24 19 — — $16,080.54 $69,358.92 $30,746.74 2026-04-17
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 21 17 — — $16,080.54 $33,206.47 $30,746.74 2026-04-17
61886 CPT Implant Neurostim Arrays 24 19 — — $16,080.54 $69,692.54 $30,746.74 2026-04-17
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 24 19 — — $16,080.54 $33,206.47 $30,746.74 2026-04-17
64656 CPT Revj/rplcmt Bat Mod Sys Pg 23 18 — — $16,080.54 $33,206.47 $30,746.74 2026-04-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 17 — — $30,712.67 $57,146.07 $30,712.67 2026-04-17
37231 CPT Professional Services 3 3 — — $20,209.38 $30,695.15 $30,695.15 2026-04-17
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