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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

COREWELL HEALTH WATERVLIET HOSPITAL

Watervliet, MI · CCN 230078 · Rates published

6,463 distinct procedures filed
20 distinct payers
36,461 rate rows
2026-04-01 last MRF observed
Data quality

19,751 of 36,461 rate rows are consumer-grade (54.2%)

16,710 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 16,710
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt67f39f79b3d38a9a/381368745_corewell-health-watervliet-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 207e4fe8ac697553… · 7,170,235 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 9 $309,597.05 $464,395.57 $309,597.05 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $200,916.03 $301,374.04 $200,916.03 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $153,071.41 $229,607.12 $153,071.41 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $152,173.07 $228,259.60 $152,173.07 nat. median
$202,986
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $99,306.96 $148,960.44 $99,306.96 nat. median
$133,176
0.7× median
7
MS_DRG 		Lung Transplant 9 $92,845.85 $139,268.78 $92,845.85 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $86,161.77 $129,242.66 $86,161.77 nat. median
$117,303
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $81,242.81 $121,864.22 $81,242.81 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $81,149.60 $121,724.40 $81,149.60 nat. median
$98,017
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $79,015.98 $118,523.97 $79,015.98 nat. median
$98,905
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $77,961.35 $116,942.02 $77,961.35 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $73,920.65 $110,880.98 $73,920.65 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 9 $71,386.24 $107,079.36 $71,386.24 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $70,137.32 $105,205.98 $70,137.32 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $64,593.90 $96,890.85 $64,593.90 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $62,083.88 $93,125.82 $62,083.88 nat. median
$83,442
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $60,437.77 $90,656.66 $60,437.77 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $60,247.78 $90,371.67 $60,247.78 nat. median
$81,118
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $56,414.99 $84,622.48 $56,414.99 nat. median
$77,576
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $55,049.21 $82,573.82 $55,049.21 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $54,811.90 $82,217.85 $54,811.90 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $54,630.51 $81,945.76 $54,630.51 nat. median
$72,138
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $51,753.41 $77,630.12 $51,753.41 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $51,445.84 $77,168.76 $51,445.84 nat. median
$68,882
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $51,424.34 $77,136.51 $51,424.34 nat. median
$64,027
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $51,151.18 $76,726.77 $51,151.18 nat. median
$71,240
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $51,121.07 $76,681.60 $51,121.07 nat. median
$68,887
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $49,553.83 $74,330.74 $49,553.83 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $49,310.78 $73,966.17 $49,310.78 nat. median
$65,950
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $48,258.31 $72,387.46 $48,258.31 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $47,938.55 $71,907.83 $47,938.55 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $47,903.42 $71,855.13 $47,903.42 nat. median
$63,738
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $47,141.30 $70,711.95 $47,141.30 nat. median
$64,510
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $47,141.30 $70,711.95 $47,141.30 nat. median
$61,920
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $46,969.95 $70,454.92 $46,969.95 nat. median
$59,793
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $46,133.28 $69,199.92 $46,133.28 nat. median
$62,134
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $43,937.28 $65,905.92 $43,937.28 nat. median
$60,726
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $43,886.37 $65,829.56 $43,886.37 nat. median
$60,185
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $43,465.53 $65,198.30 $43,465.53 nat. median
$59,899
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 9 $43,076.22 $64,614.33 $43,076.22 nat. median
$57,823
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $43,064.04 $64,596.06 $43,064.04 nat. median
$59,099
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $42,752.17 $64,128.26 $42,752.17 nat. median
$58,024
0.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $42,611.64 $63,917.46 $42,611.64 nat. median
$52,278
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 9 $42,512.71 $63,769.06 $42,512.71 nat. median
$56,920
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $42,074.65 $63,111.98 $42,074.65 nat. median
$57,424
0.7× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 $42,047.41 $63,071.12 $42,047.41 nat. median
$56,697
0.7× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 $41,346.95 $62,020.42 $41,346.95 nat. median
$54,596
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $41,083.12 $61,624.68 $41,083.12 nat. median
$55,929
0.7× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 9 $40,915.35 $61,373.02 $40,915.35 nat. median
$51,061
0.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 9 $40,862.30 $61,293.45 $40,862.30 nat. median
$52,753
0.8× median

Other procedures at this hospital

Browse this hospital's 6,463 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 10 9 — — $309,597.05 $464,395.57 $309,597.05 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 9 — — $200,916.03 $301,374.04 $200,916.03 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 9 — — $153,071.41 $229,607.12 $153,071.41 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 9 — — $152,173.07 $228,259.60 $152,173.07 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 9 — — $99,306.96 $148,960.44 $99,306.96 2026-04-01
7 MS_DRG Lung Transplant 10 9 — — $92,845.85 $139,268.78 $92,845.85 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 9 — — $86,161.77 $129,242.66 $86,161.77 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 9 — — $81,242.81 $121,864.22 $81,242.81 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 10 9 — — $81,149.60 $121,724.40 $81,149.60 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 9 — — $79,015.98 $118,523.97 $79,015.98 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 9 — — $77,961.35 $116,942.02 $77,961.35 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 9 — — $73,920.65 $110,880.98 $73,920.65 2026-04-01
215 MS_DRG Other Heart Assist System Implant 10 9 — — $71,386.24 $107,079.36 $71,386.24 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 9 — — $70,137.32 $105,205.98 $70,137.32 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 9 — — $64,593.90 $96,890.85 $64,593.90 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 10 9 — — $62,083.88 $93,125.82 $62,083.88 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 9 — — $60,437.77 $90,656.66 $60,437.77 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 9 — — $60,247.78 $90,371.67 $60,247.78 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 9 — — $56,414.99 $84,622.48 $56,414.99 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 9 — — $55,049.21 $82,573.82 $55,049.21 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 9 — — $54,811.90 $82,217.85 $54,811.90 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 9 — — $54,630.51 $81,945.76 $54,630.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 9 — — $51,753.41 $77,630.12 $51,753.41 2026-04-01
10 MS_DRG Pancreas Transplant 10 9 — — $51,445.84 $77,168.76 $51,445.84 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 9 — — $51,424.34 $77,136.51 $51,424.34 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 9 — — $51,151.18 $76,726.77 $51,151.18 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 9 — — $51,121.07 $76,681.60 $51,121.07 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 9 — — $49,553.83 $74,330.74 $49,553.83 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 9 — — $49,310.78 $73,966.17 $49,310.78 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 9 — — $48,258.31 $72,387.46 $48,258.31 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 9 — — $47,938.55 $71,907.83 $47,938.55 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 9 — — $47,903.42 $71,855.13 $47,903.42 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 9 — — $47,141.30 $70,711.95 $47,141.30 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 9 — — $47,141.30 $70,711.95 $47,141.30 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 9 — — $46,969.95 $70,454.92 $46,969.95 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 9 — — $46,133.28 $69,199.92 $46,133.28 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 9 — — $43,937.28 $65,905.92 $43,937.28 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 9 — — $43,886.37 $65,829.56 $43,886.37 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 9 — — $43,465.53 $65,198.30 $43,465.53 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 10 9 — — $43,076.22 $64,614.33 $43,076.22 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 9 — — $43,064.04 $64,596.06 $43,064.04 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 9 — — $42,752.17 $64,128.26 $42,752.17 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 9 — — $42,611.64 $63,917.46 $42,611.64 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 10 9 — — $42,512.71 $63,769.06 $42,512.71 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 9 — — $42,074.65 $63,111.98 $42,074.65 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 9 — — $42,047.41 $63,071.12 $42,047.41 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 9 — — $41,346.95 $62,020.42 $41,346.95 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 9 — — $41,083.12 $61,624.68 $41,083.12 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 9 — — $40,915.35 $61,373.02 $40,915.35 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 9 — — $40,862.30 $61,293.45 $40,862.30 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 9 — — $40,306.66 $60,459.99 $40,306.66 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 9 — — $40,181.92 $60,272.88 $40,181.92 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 9 — — $39,906.61 $59,859.92 $39,906.61 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 9 — — $39,596.89 $59,395.34 $39,596.89 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 10 9 — — $39,359.58 $59,039.37 $39,359.58 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 9 — — $39,220.49 $58,830.74 $39,220.49 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 9 — — $39,164.57 $58,746.86 $39,164.57 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 9 — — $39,102.91 $58,654.37 $39,102.91 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 10 9 — — $38,946.62 $58,419.93 $38,946.62 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 9 — — $38,233.26 $57,349.89 $38,233.26 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 9 — — $38,210.32 $57,315.48 $38,210.32 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 9 — — $37,953.65 $56,930.48 $37,953.65 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 9 — — $37,828.18 $56,742.27 $37,828.18 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 9 — — $37,319.87 $55,979.81 $37,319.87 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 10 9 — — $37,255.35 $55,883.02 $37,255.35 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 9 — — $36,135.48 $54,203.22 $36,135.48 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 9 — — $35,756.93 $53,635.40 $35,756.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 9 — — $35,470.15 $53,205.23 $35,470.15 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 9 — — $35,407.06 $53,110.59 $35,407.06 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 9 — — $35,285.90 $52,928.85 $35,285.90 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 9 — — $35,138.92 $52,708.38 $35,138.92 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 10 9 — — $34,619.14 $51,928.71 $34,619.14 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 9 — — $34,444.20 $51,666.30 $34,444.20 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 9 — — $34,132.33 $51,198.50 $34,132.33 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 10 9 — — $33,706.47 $50,559.70 $33,706.47 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 9 — — $33,637.64 $50,456.46 $33,637.64 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 9 — — $33,537.27 $50,305.90 $33,537.27 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 10 9 — — $33,244.75 $49,867.12 $33,244.75 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 9 — — $33,112.12 $49,668.18 $33,112.12 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 9 — — $32,954.39 $49,431.58 $32,954.39 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 9 — — $32,870.51 $49,305.76 $32,870.51 2026-04-01
245 MS_DRG Aicd Generator Procedures 10 9 — — $32,709.91 $49,064.86 $32,709.91 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 9 — — $32,611.69 $48,917.54 $32,611.69 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 9 — — $32,597.35 $48,896.02 $32,597.35 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 10 9 — — $32,469.74 $48,704.61 $32,469.74 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 10 9 — — $32,132.05 $48,198.08 $32,132.05 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 9 — — $32,122.73 $48,184.10 $32,122.73 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 9 — — $31,996.55 $47,994.82 $31,996.55 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 9 — — $31,493.97 $47,240.96 $31,493.97 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 9 — — $31,025.09 $46,537.64 $31,025.09 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 9 — — $30,777.74 $46,166.61 $30,777.74 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 9 — — $30,579.87 $45,869.80 $30,579.87 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 9 — — $30,404.22 $45,606.33 $30,404.22 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 9 — — $30,278.03 $45,417.04 $30,278.03 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 9 — — $30,226.41 $45,339.62 $30,226.41 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 9 — — $30,211.36 $45,317.04 $30,211.36 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 9 — — $30,123.17 $45,184.76 $30,123.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 10 9 — — $30,087.33 $45,131.00 $30,087.33 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 9 — — $30,031.40 $45,047.10 $30,031.40 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 9 — — $29,915.26 $44,872.89 $29,915.26 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 10 9 — — $29,893.75 $44,840.62 $29,893.75 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 9 — — $29,774.74 $44,662.11 $29,774.74 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 9 — — $29,577.58 $44,366.37 $29,577.58 2026-04-01
791 MS_DRG Prematurity With Major Problems 10 9 — — $29,100.81 $43,651.22 $29,100.81 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 16 11 — — $2,814.00 $43,540.76 $16,655.36 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 9 — — $28,824.79 $43,237.18 $28,824.79 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 9 — — $28,563.82 $42,845.73 $28,563.82 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 9 — — $28,046.18 $42,069.27 $28,046.18 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 9 — — $27,919.28 $41,878.92 $27,919.28 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 9 — — $27,750.80 $41,626.20 $27,750.80 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 9 — — $27,709.22 $41,563.83 $27,709.22 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 9 — — $27,682.69 $41,524.03 $27,682.69 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 9 — — $27,525.68 $41,288.52 $27,525.68 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 9 — — $26,978.65 $40,467.98 $26,978.65 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 9 — — $26,861.07 $40,291.60 $26,861.07 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 9 — — $26,797.26 $40,195.89 $26,797.26 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 9 — — $26,794.40 $40,191.60 $26,794.40 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 9 — — $26,719.12 $40,078.68 $26,719.12 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 10 9 — — $26,568.56 $39,852.84 $26,568.56 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 9 — — $26,334.12 $39,501.18 $26,334.12 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 9 — — $26,323.36 $39,485.04 $26,323.36 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 9 — — $26,014.36 $39,021.54 $26,014.36 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 9 — — $25,994.29 $38,991.44 $25,994.29 2026-04-01
332 MS_DRG Rectal Resection With Mcc 10 9 — — $25,958.44 $38,937.66 $25,958.44 2026-04-01
265 MS_DRG Aicd Lead Procedures 10 9 — — $25,940.51 $38,910.76 $25,940.51 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 9 — — $25,894.63 $38,841.94 $25,894.63 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 9 — — $25,855.92 $38,783.88 $25,855.92 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 9 — — $25,686.72 $38,530.08 $25,686.72 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 9 — — $25,627.21 $38,440.82 $25,627.21 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 9 — — $25,601.40 $38,402.10 $25,601.40 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 9 — — $25,563.40 $38,345.10 $25,563.40 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 9 — — $25,541.89 $38,312.84 $25,541.89 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 9 — — $25,517.52 $38,276.28 $25,517.52 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 9 — — $25,496.73 $38,245.10 $25,496.73 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 9 — — $25,283.79 $37,925.68 $25,283.79 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 9 — — $25,232.17 $37,848.25 $25,232.17 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 10 9 — — $25,009.20 $37,513.80 $25,009.20 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 9 — — $25,002.75 $37,504.12 $25,002.75 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 9 — — $24,888.04 $37,332.06 $24,888.04 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 9 — — $24,767.59 $37,151.38 $24,767.59 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 10 9 — — $24,652.88 $36,979.32 $24,652.88 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 9 — — $24,579.75 $36,869.62 $24,579.75 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 29 14 — — $9,288.74 $36,745.53 $23,092.59 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 9 — — $24,459.31 $36,688.97 $24,459.31 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 9 — — $24,427.04 $36,640.56 $24,427.04 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 10 9 — — $23,950.27 $35,925.40 $23,950.27 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 9 — — $23,682.85 $35,524.27 $23,682.85 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 10 9 — — $23,602.56 $35,403.84 $23,602.56 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 9 — — $23,599.69 $35,399.53 $23,599.69 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 9 — — $23,320.80 $34,981.20 $23,320.80 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 9 — — $23,218.27 $34,827.40 $23,218.27 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 9 — — $23,192.46 $34,788.69 $23,192.46 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 9 — — $23,160.20 $34,740.30 $23,160.20 2026-04-01
652 MS_DRG Kidney Transplant 10 9 — — $23,153.75 $34,730.62 $23,153.75 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 9 — — $23,136.54 $34,704.81 $23,136.54 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 10 9 — — $23,091.37 $34,637.06 $23,091.37 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 9 — — $23,016.81 $34,525.22 $23,016.81 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 9 — — $22,890.63 $34,335.94 $22,890.63 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 9 — — $22,848.33 $34,272.50 $22,848.33 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 9 — — $22,826.10 $34,239.15 $22,826.10 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 9 — — $22,780.22 $34,170.33 $22,780.22 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 9 — — $22,689.88 $34,034.82 $22,689.88 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 9 — — $22,655.47 $33,983.20 $22,655.47 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 9 — — $22,590.95 $33,886.43 $22,590.95 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 9 — — $22,580.19 $33,870.28 $22,580.19 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 9 — — $22,527.14 $33,790.71 $22,527.14 2026-04-01
665 MS_DRG Prostatectomy With Mcc 10 9 — — $22,377.30 $33,565.95 $22,377.30 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 9 — — $22,330.70 $33,496.05 $22,330.70 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 9 — — $22,291.26 $33,436.89 $22,291.26 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 10 9 — — $21,949.28 $32,923.92 $21,949.28 2026-04-01
263 MS_DRG Vein Ligation And Stripping 10 9 — — $21,919.89 $32,879.84 $21,919.89 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 9 — — $21,746.38 $32,619.57 $21,746.38 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 9 — — $21,655.33 $32,483.00 $21,655.33 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 9 — — $21,652.46 $32,478.69 $21,652.46 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 9 — — $21,628.81 $32,443.22 $21,628.81 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 9 — — $21,339.16 $32,008.74 $21,339.16 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 10 9 — — $21,121.93 $31,682.90 $21,121.93 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 10 9 — — $21,107.59 $31,661.38 $21,107.59 2026-04-01
570 MS_DRG Skin Debridement With Mcc 10 9 — — $21,086.08 $31,629.12 $21,086.08 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 10 9 — — $20,934.80 $31,402.20 $20,934.80 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 9 — — $20,879.60 $31,319.40 $20,879.60 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 9 — — $20,805.75 $31,208.62 $20,805.75 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 9 — — $20,792.85 $31,189.28 $20,792.85 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 9 — — $20,701.08 $31,051.62 $20,701.08 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 10 9 — — $20,691.04 $31,036.56 $20,691.04 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 10 9 — — $20,660.93 $30,991.40 $20,660.93 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 9 — — $20,577.76 $30,866.64 $20,577.76 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 9 — — $20,436.53 $30,654.80 $20,436.53 2026-04-01
800 MS_DRG Splenic Procedures With Cc 10 9 — — $20,141.86 $30,212.79 $20,141.86 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 10 9 — — $20,069.45 $30,104.18 $20,069.45 2026-04-01
503 MS_DRG Foot Procedures With Mcc 10 9 — — $20,010.66 $30,015.99 $20,010.66 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 9 — — $19,873.01 $29,809.52 $19,873.01 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 9 — — $19,766.90 $29,650.35 $19,766.90 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 9 — — $19,706.68 $29,560.02 $19,706.68 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 11 9 — — $19,701.66 $29,552.49 $19,701.66 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 9 — — $19,599.85 $29,399.78 $19,599.85 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 9 — — $19,506.65 $29,259.98 $19,506.65 2026-04-01
849 MS_DRG Radiotherapy 10 9 — — $19,425.63 $29,138.44 $19,425.63 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 9 — — $19,401.97 $29,102.96 $19,401.97 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 10 9 — — $19,338.88 $29,008.32 $19,338.88 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 9 — — $19,070.74 $28,606.11 $19,070.74 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 10 9 — — $19,004.07 $28,506.10 $19,004.07 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 10 9 — — $18,908.72 $28,363.08 $18,908.72 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 10 9 — — $18,609.03 $27,913.54 $18,609.03 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 10 9 — — $18,586.81 $27,880.22 $18,586.81 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 10 9 — — $18,517.26 $27,775.89 $18,517.26 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 10 9 — — $18,491.45 $27,737.18 $18,491.45 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 9 — — $3,484.89 $27,737.18 $18,491.45 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 10 9 — — $18,408.29 $27,612.44 $18,408.29 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 10 9 — — $18,303.61 $27,455.42 $18,303.61 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 9 — — $18,216.86 $27,325.29 $18,216.86 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 9 — — $18,182.45 $27,273.68 $18,182.45 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 11 8 — — $9,765.80 $27,172.97 $16,353.06 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 10 9 — — $18,095.70 $27,143.55 $18,095.70 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 10 9 — — $18,087.81 $27,131.72 $18,087.81 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 10 9 — — $17,865.56 $26,798.34 $17,865.56 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 10 9 — — $17,792.43 $26,688.64 $17,792.43 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
23616 HCPCS Treat Humerus Fracture 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22600 HCPCS Neck Spine Fusion 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
20802 HCPCS Replantation Arm Complete 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
20805 HCPCS Replant Forearm Complete 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
20808 HCPCS Replantation Hand Complete 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22610 HCPCS Thorax Spine Fusion 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
20838 HCPCS Replantation Foot Complete 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
25446 HCPCS Wrist Replacement 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22612 HCPCS Lumbar Spine Fusion 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22556 HCPCS Thorax Spine Fusion 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
24363 HCPCS Replace Elbow Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
28705 HCPCS Fusion Of Foot Bones 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
27487 HCPCS Revise/replace Knee Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 2 2 — — $17,659.93 $26,489.90 $22,074.92 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 10 9 — — $17,631.12 $26,446.68 $17,631.12 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 10 9 — — $17,626.10 $26,439.15 $17,626.10 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 10 9 — — $17,601.72 $26,402.58 $17,601.72 2026-04-01
792 MS_DRG Prematurity Without Major Problems 10 9 — — $17,559.42 $26,339.13 $17,559.42 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 10 9 — — $17,523.58 $26,285.37 $17,523.58 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 10 9 — — $17,502.79 $26,254.18 $17,502.79 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 10 9 — — $17,365.85 $26,048.78 $17,365.85 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 10 9 — — $17,309.21 $25,963.82 $17,309.21 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 10 9 — — $17,244.69 $25,867.03 $17,244.69 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 10 9 — — $17,186.61 $25,779.92 $17,186.61 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 10 9 — — $17,170.12 $25,755.18 $17,170.12 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 10 9 — — $17,138.58 $25,707.87 $17,138.58 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 10 9 — — $17,109.18 $25,663.77 $17,109.18 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 10 9 — — $16,856.10 $25,284.15 $16,856.10 2026-04-01
333 MS_DRG Rectal Resection With Cc 10 9 — — $16,792.29 $25,188.44 $16,792.29 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 10 9 — — $16,766.48 $25,149.72 $16,766.48 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 10 9 — — $16,754.29 $25,131.44 $16,754.29 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 10 9 — — $16,684.03 $25,026.04 $16,684.03 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 10 9 — — $16,672.56 $25,008.84 $16,672.56 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 9 — — $16,570.04 $24,855.06 $16,570.04 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 10 9 — — $16,458.20 $24,687.30 $16,458.20 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 10 9 — — $16,453.18 $24,679.77 $16,453.18 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 10 9 — — $16,386.50 $24,579.75 $16,386.50 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 10 9 — — $16,357.82 $24,536.73 $16,357.82 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 10 9 — — $16,315.52 $24,473.28 $16,315.52 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 10 9 — — $16,288.28 $24,432.42 $16,288.28 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 10 9 — — $16,243.11 $24,364.66 $16,243.11 2026-04-01
5432 OTHER Level 2 Nerve Procedures 4 4 — — $3,605.05 $20,456.71 $20,456.71 2026-04-01
22590 HCPCS Spine & Skull Spinal Fusion 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
22595 HCPCS Neck Spinal Fusion 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
24666 HCPCS Treat Radius Fracture 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
22554 HCPCS Neck Spine Fusion 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
22548 HCPCS Neck Spine Fusion 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
1003T HCPCS Arthrp 1st Crp/mtcrpl Prostc 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
22849 HCPCS Reinsert Spinal Fixation 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
22551 HCPCS Neck Spine Fuse&remov Bel C2 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
25491 HCPCS Reinforce Ulna 2 2 — — $12,931.03 $19,396.54 $16,163.78 2026-04-01
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