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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 LUDINGTON HOSPITAL

Ludington, MI · CCN 230110 · Rates published

10,668 distinct procedures filed
22 distinct payers
86,679 rate rows
2026-04-01 last MRF observed
Data quality

54,601 of 86,679 rate rows are consumer-grade (63.0%)

32,078 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,953
placeholder amount (≤ $0.02) — excluded from medians 125
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt9149eef2876519c3/381359266_corewell-health-ludington-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 789139b024c0857b… · 17,681,738 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 11 $109,346.39 $886,392.71 $327,309.80 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $207,230.14 $575,233.21 $217,591.65 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $157,881.92 $438,251.52 $165,776.02 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $156,955.35 $435,679.55 $164,803.12 nat. median
$202,976
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $81,228.70 $181,893.73 $129,579.51 nat. median
$87,428
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $110,901.76 $199,623.17 $116,446.85 nat. median
$111,989
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $102,427.84 $284,321.08 $107,549.23 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 11 $95,763.68 $265,822.57 $100,551.86 nat. median
$122,708
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $61,405.52 $136,138.06 $96,983.57 nat. median
$65,393
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $88,869.54 $246,685.70 $93,313.02 nat. median
$117,357
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $55,553.99 $125,546.37 $89,438.15 nat. median
$62,372
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $83,795.99 $232,602.45 $87,985.79 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $83,699.86 $232,335.60 $87,884.85 nat. median
$98,047
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $81,499.18 $226,226.91 $85,574.14 nat. median
$98,894
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $80,411.41 $223,207.46 $84,431.98 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $76,243.72 $211,638.71 $80,055.91 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $73,629.67 $204,382.59 $77,311.15 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $72,341.50 $200,806.86 $75,958.58 nat. median
$93,672
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 3 $68,801.71 $123,843.08 $72,241.80 nat. median
$70,825
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $66,623.87 $184,935.76 $69,955.06 nat. median
$82,711
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $102,284.19 $68,140.74 nat. median
$62,507
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $45,707.80 $94,536.96 $67,347.30 nat. median
$48,483
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $64,034.96 $177,749.42 $67,236.71 nat. median
$83,470
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $67,138.44 $77,209.21 $67,138.44 nat. median
$76,329
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $62,337.12 $173,036.53 $65,453.98 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $62,141.16 $172,492.58 $65,248.22 nat. median
$81,118
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $58,187.92 $161,519.10 $61,097.32 nat. median
$77,570
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $56,779.22 $157,608.80 $59,618.18 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $56,534.45 $156,929.37 $59,361.17 nat. median
$73,807
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $99,490.18 $59,168.69 nat. median
$66,682
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $56,347.36 $156,410.05 $59,164.73 nat. median
$72,135
0.8× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 1 $58,051.10 $58,051.10 $58,051.10 nat. median
$20,658
outlier · 2.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $53,379.85 $148,172.75 $56,048.84 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 11 $53,062.61 $147,292.17 $55,715.74 nat. median
$68,884
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $53,040.43 $147,230.59 $55,692.45 nat. median
$64,023
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $52,758.69 $146,448.53 $55,396.62 nat. median
$71,271
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $52,727.63 $146,362.32 $55,364.01 nat. median
$68,886
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $12,520.35 $141,875.21 $53,666.69 nat. median
$66,526
0.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 2 $39,434.84 $75,083.97 $53,489.17 nat. median
$39,075
1.4× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $50,860.45 $141,179.37 $53,403.47 nat. median
$65,950
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $49,774.90 $138,166.07 $52,263.64 nat. median
$64,732
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $49,445.09 $137,250.59 $51,917.34 nat. median
$60,691
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $49,408.86 $137,150.01 $51,879.30 nat. median
$63,724
0.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 3 $49,338.18 $88,808.72 $51,805.09 nat. median
$50,598
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $48,622.79 $134,968.05 $51,053.93 nat. median
$61,920
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $48,622.79 $134,968.05 $51,053.93 nat. median
$64,508
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $48,446.06 $134,477.46 $50,868.36 nat. median
$59,793
0.9× median
L7180
HCPCS 		Electronic Elbow Sequential 3 $47,919.99 $86,255.98 $50,315.99 nat. median
$49,027
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $47,583.09 $132,082.02 $49,962.24 nat. median
$62,134
0.8× median
90288
HCPCS 		Botulism Ig IV 1 $48,705.00 $56,010.75 $48,705.00 nat. median
$55,037
0.9× median

Other procedures at this hospital

Browse this hospital's 10,668 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 18 11 — — $109,346.39 $886,392.71 $327,309.80 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 11 — — $207,230.14 $575,233.21 $217,591.65 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 11 — — $157,881.92 $438,251.52 $165,776.02 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 11 — — $156,955.35 $435,679.55 $164,803.12 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 — — $81,228.70 $181,893.73 $129,579.51 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $110,901.76 $199,623.17 $116,446.85 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 11 — — $102,427.84 $284,321.08 $107,549.23 2026-04-01
7 MS_DRG Lung Transplant 18 11 — — $95,763.68 $265,822.57 $100,551.86 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $61,405.52 $136,138.06 $96,983.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 11 — — $88,869.54 $246,685.70 $93,313.02 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 — — $55,553.99 $125,546.37 $89,438.15 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 11 — — $83,795.99 $232,602.45 $87,985.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 11 — — $83,699.86 $232,335.60 $87,884.85 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $81,499.18 $226,226.91 $85,574.14 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 11 — — $80,411.41 $223,207.46 $84,431.98 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 11 — — $76,243.72 $211,638.71 $80,055.91 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 11 — — $73,629.67 $204,382.59 $77,311.15 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 11 — — $72,341.50 $200,806.86 $75,958.58 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
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 11 — — $66,623.87 $184,935.76 $69,955.06 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 4 — — $56,824.55 $102,284.19 $68,140.74 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 2 — — $45,707.80 $94,536.96 $67,347.30 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 11 — — $64,034.96 $177,749.42 $67,236.71 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $67,138.44 $77,209.21 $67,138.44 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 11 — — $62,337.12 $173,036.53 $65,453.98 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 11 — — $62,141.16 $172,492.58 $65,248.22 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 11 — — $58,187.92 $161,519.10 $61,097.32 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 11 — — $56,779.22 $157,608.80 $59,618.18 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 11 — — $56,534.45 $156,929.37 $59,361.17 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $55,272.32 $99,490.18 $59,168.69 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 11 — — $56,347.36 $156,410.05 $59,164.73 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $58,051.10 $58,051.10 $58,051.10 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $53,379.85 $148,172.75 $56,048.84 2026-04-01
10 MS_DRG Pancreas Transplant 18 11 — — $53,062.61 $147,292.17 $55,715.74 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 11 — — $53,040.43 $147,230.59 $55,692.45 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 11 — — $52,758.69 $146,448.53 $55,396.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 11 — — $52,727.63 $146,362.32 $55,364.01 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 12 — — $12,520.35 $141,875.21 $53,666.69 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $39,434.84 $75,083.97 $53,489.17 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 11 — — $50,860.45 $141,179.37 $53,403.47 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 11 — — $49,774.90 $138,166.07 $52,263.64 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 11 — — $49,445.09 $137,250.59 $51,917.34 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 11 — — $49,408.86 $137,150.01 $51,879.30 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $49,338.18 $88,808.72 $51,805.09 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 11 — — $48,622.79 $134,968.05 $51,053.93 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 11 — — $48,622.79 $134,968.05 $51,053.93 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 11 — — $48,446.06 $134,477.46 $50,868.36 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $47,919.99 $86,255.98 $50,315.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 11 — — $47,583.09 $132,082.02 $49,962.24 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $48,705.00 $56,010.75 $48,705.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 11 — — $45,318.07 $125,794.74 $47,583.97 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 11 — — $45,265.57 $125,649.00 $47,528.85 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,020.65 $81,037.17 $47,279.65 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 11 — — $44,831.50 $124,444.10 $47,073.08 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 11 — — $44,429.96 $123,329.51 $46,651.46 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 11 — — $44,417.39 $123,294.61 $46,638.26 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 11 — — $44,095.72 $122,401.71 $46,300.51 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 13 — — $75.00 $94,350.16 $46,260.01 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 11 — — $43,848.73 $143,672.45 $46,041.17 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 11 — — $43,396.91 $120,461.95 $45,566.76 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 11 — — $43,368.81 $120,383.94 $45,537.25 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 11 — — $42,646.35 $118,378.50 $44,778.67 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 11 — — $42,374.22 $117,623.13 $44,492.93 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 1 1 — — $44,445.48 $44,445.48 $44,445.48 2025-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 11 — — $42,201.18 $117,142.81 $44,311.24 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 11 — — $42,146.46 $116,990.91 $44,253.78 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 11 — — $36,880.65 $102,373.98 $44,115.65 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 11 — — $1,613.26 $121,999.38 $43,950.78 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 11 — — $41,573.36 $115,400.11 $43,652.03 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 11 — — $41,444.70 $115,042.95 $43,516.94 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 11 — — $41,160.74 $114,254.73 $43,218.78 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 11 — — $40,841.28 $113,367.99 $42,883.34 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 11 — — $40,596.52 $119,147.38 $42,626.35 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 11 — — $40,453.06 $112,290.35 $42,475.71 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 11 — — $40,395.38 $112,130.23 $42,415.15 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 11 — — $40,331.78 $111,953.71 $42,348.37 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 11 — — $40,170.58 $111,506.23 $42,179.11 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 11 — — $39,434.80 $109,463.84 $41,406.54 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 11 — — $39,411.14 $109,398.15 $41,381.70 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 11 — — $39,146.40 $108,663.30 $41,103.72 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 11 — — $39,016.99 $108,304.09 $40,967.84 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 11 — — $38,492.71 $106,848.77 $40,417.35 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 11 — — $38,426.15 $106,664.02 $40,347.46 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 11 — — $37,271.09 $103,457.78 $39,134.64 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 11 — — $36,584.86 $101,552.91 $38,414.10 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 29 13 — — $19,268.54 $105,416.59 $38,345.77 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 11 — — $36,394.81 $101,025.38 $38,214.55 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 11 — — $36,243.22 $100,604.59 $38,055.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 11 — — $35,707.10 $99,116.42 $37,492.46 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 11 — — $35,526.67 $98,615.57 $37,303.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 11 — — $35,204.99 $97,722.66 $36,965.24 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 11 — — $34,765.74 $123,989.74 $36,504.03 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 11 — — $34,694.76 $96,306.34 $36,429.50 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 11 — — $34,591.23 $96,018.96 $36,320.79 2026-04-01
9284 OTHER Ipilimumab Injection 2 2 — — $36,095.39 $36,095.39 $36,095.39 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 18 11 — — $34,289.52 $95,181.49 $36,004.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 11 — — $34,152.72 $94,801.75 $35,860.36 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 11 — — $33,903.52 $94,110.00 $35,598.70 2026-04-01
245 MS_DRG Aicd Generator Procedures 18 11 — — $33,737.87 $93,650.20 $35,424.76 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 11 — — $9,552.02 $93,368.99 $35,318.39 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 11 — — $33,621.77 $93,327.94 $35,302.86 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 11 — — $33,490.15 $92,962.57 $35,164.66 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 11 — — $33,141.85 $91,995.77 $34,798.94 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 11 — — $33,132.24 $91,969.09 $34,788.85 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 11 — — $33,002.09 $91,607.82 $34,652.19 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 11 — — $32,483.72 $90,168.91 $34,107.91 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 11 — — $32,000.10 $88,826.47 $33,600.11 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 11 — — $31,744.98 $88,118.31 $33,332.23 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 11 — — $31,540.89 $87,551.78 $33,117.93 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 11 — — $31,359.72 $87,048.88 $32,927.71 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 11 — — $31,229.57 $86,687.61 $32,791.05 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 11 — — $31,176.33 $86,539.82 $32,735.15 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 11 — — $31,160.80 $86,496.71 $32,718.84 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 11 — — $31,069.84 $86,244.24 $32,623.33 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 11 — — $31,032.87 $86,141.60 $32,584.51 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 11 — — $30,975.19 $85,981.50 $32,523.95 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 11 — — $30,855.39 $85,648.96 $32,398.16 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 11 — — $30,710.46 $85,246.65 $32,245.98 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 11 — — $30,507.10 $84,682.17 $32,032.46 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 11 — — $29,730.65 $82,526.89 $31,217.18 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 3 — — $29,559.78 $53,207.60 $31,037.77 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 3 3 — — $29,510.19 $53,118.34 $30,985.70 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 11 — — $29,461.48 $81,779.72 $30,934.55 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 3 3 — — $29,420.21 $52,956.38 $30,891.22 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 28 14 — — $1,700.00 $85,587.39 $30,833.21 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 11 — — $28,927.58 $80,297.70 $30,373.96 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 11 — — $28,796.69 $79,934.38 $30,236.52 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 11 — — $28,622.91 $79,452.01 $30,054.06 2026-04-01
791 MS_DRG Prematurity With Major Problems 23 13 — — $1,509.28 $83,317.16 $30,015.35 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 11 — — $28,580.02 $79,332.96 $30,009.02 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 11 — — $28,552.66 $79,257.01 $29,980.29 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 11 — — $28,390.72 $78,807.48 $29,810.26 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 12 — — $26,078.38 $72,388.83 $29,504.53 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 4 — — $28,424.06 $51,163.31 $29,496.67 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 12 — — $27,826.50 $77,241.30 $29,217.82 2026-04-01
509 MS_DRG Arthroscopy 4 1 — — $24,454.58 $36,054.83 $29,133.88 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 11 — — $27,705.22 $76,904.67 $29,090.48 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 11 — — $27,639.41 $76,721.99 $29,021.38 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 11 — — $27,636.45 $76,713.77 $29,018.27 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 11 — — $27,558.81 $76,498.24 $28,936.75 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 11 — — $27,403.52 $79,160.32 $28,773.70 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 11 — — $27,161.71 $75,395.97 $28,519.80 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 11 — — $27,150.62 $75,365.18 $28,508.15 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 11 — — $26,831.90 $74,480.49 $28,173.50 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 11 — — $26,811.20 $74,423.01 $28,151.76 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 11 — — $26,774.22 $74,320.38 $28,112.93 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 11 — — $26,755.74 $74,269.06 $28,093.53 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 11 — — $26,708.41 $74,137.69 $28,043.83 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 11 — — $26,668.48 $74,026.85 $28,001.90 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 11 — — $26,493.96 $73,542.42 $27,818.66 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 11 — — $26,432.59 $73,372.06 $27,754.22 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 11 — — $24,328.67 $73,298.16 $27,726.26 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 11 — — $26,366.77 $73,189.37 $27,685.11 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 11 — — $26,344.59 $73,127.79 $27,661.82 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 11 — — $26,319.45 $73,057.99 $27,635.42 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 11 — — $26,298.00 $72,998.47 $27,612.90 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 12 — — $12,939.79 $72,241.05 $27,326.39 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 18 11 — — $25,795.16 $71,602.67 $27,084.92 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 11 — — $25,788.50 $71,584.20 $27,077.93 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 11 — — $25,670.18 $71,255.77 $26,953.69 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 11 — — $25,545.95 $70,910.92 $26,823.25 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 11 — — $25,427.64 $70,582.50 $26,699.02 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 11 — — $25,352.21 $70,373.13 $26,619.82 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 11 — — $25,227.98 $70,028.28 $26,489.38 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 11 — — $25,194.70 $69,935.92 $26,454.44 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 18 11 — — $24,702.95 $68,570.90 $25,938.10 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 11 — — $24,427.12 $67,805.27 $25,648.48 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 4 1 — — $21,526.72 $31,738.11 $25,645.78 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 11 — — $24,344.30 $67,575.37 $25,561.52 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 11 — — $24,341.35 $67,567.16 $25,558.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 11 — — $24,053.69 $66,768.68 $25,256.37 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 11 — — $23,947.94 $66,475.14 $25,145.34 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 11 — — $23,921.32 $66,401.25 $25,117.39 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 11 — — $23,888.05 $66,308.87 $25,082.45 2026-04-01
652 MS_DRG Kidney Transplant 18 11 — — $23,881.39 $98,665.41 $25,075.46 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 11 — — $23,863.64 $66,241.14 $25,056.82 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 11 — — $23,817.06 $66,111.82 $25,007.91 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 11 — — $23,740.15 $65,898.35 $24,927.16 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 11 — — $23,610.00 $65,537.09 $24,790.50 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 29 13 — — $8,614.94 $49,206.18 $24,767.24 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 11 — — $23,566.37 $65,415.98 $24,744.69 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 11 — — $23,543.45 $65,352.34 $24,720.62 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 11 — — $23,496.12 $65,220.97 $24,670.93 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 11 — — $23,402.95 $64,962.34 $24,573.10 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 11 — — $23,367.46 $64,863.81 $24,535.83 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 11 — — $23,300.90 $64,679.07 $24,465.95 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 11 — — $23,289.81 $64,648.29 $24,454.30 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 11 — — $23,235.09 $64,496.38 $24,396.84 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 3 3 — — $23,087.32 $41,557.18 $24,241.69 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 11 — — $23,080.54 $64,067.39 $24,234.57 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 4 — — $23,789.46 $43,611.16 $24,228.42 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 11 — — $23,032.47 $63,933.96 $24,184.09 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 11 — — $22,991.80 $63,821.07 $24,141.39 2026-04-01
L5858 HCPCS Stance Phase Only 3 3 — — $22,885.05 $41,193.09 $24,029.30 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 11 — — $21,535.77 $59,779.39 $23,891.01 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 18 11 — — $22,639.07 $62,841.95 $23,771.02 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 11 — — $22,608.75 $62,757.79 $23,739.19 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 11 — — $22,429.80 $62,261.05 $23,551.29 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 11 — — $22,335.89 $62,000.36 $23,452.68 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 11 — — $22,332.93 $61,992.15 $23,449.58 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 11 — — $22,308.52 $61,924.42 $23,423.95 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 11 — — $22,009.78 $61,095.14 $23,110.27 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 3 3 — — $21,834.21 $39,301.58 $22,925.92 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 18 11 — — $21,785.72 $60,473.19 $22,875.01 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 18 11 — — $21,770.93 $60,432.13 $22,859.48 2026-04-01
570 MS_DRG Skin Debridement With Mcc 18 11 — — $21,748.74 $60,370.56 $22,836.18 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 3 — — $21,739.52 $39,131.14 $22,826.50 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 18 11 — — $21,592.71 $59,937.45 $22,672.35 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 11 — — $21,459.61 $59,567.96 $22,532.59 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 18 11 — — $21,446.30 $59,531.02 $22,518.62 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 11 — — $21,351.64 $59,268.29 $22,419.22 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 11 — — $6,639.77 $59,239.55 $22,408.35 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 18 11 — — $21,310.23 $59,153.33 $22,375.74 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 11 — — $21,224.45 $58,915.22 $22,285.67 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 11 — — $21,078.78 $58,510.85 $22,132.72 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 31 13 — — $8,614.94 $34,544.08 $22,078.01 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 11 — — $18,789.36 $52,155.85 $21,836.31 2026-04-01
800 MS_DRG Splenic Procedures With Cc 18 11 — — $20,774.85 $57,667.21 $21,813.59 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 18 11 — — $20,700.16 $57,459.90 $21,735.17 2026-04-01
503 MS_DRG Foot Procedures With Mcc 18 11 — — $20,639.53 $57,291.57 $21,671.51 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 24 12 — — $15,659.89 $43,469.01 $21,538.30 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 11 — — $18,669.98 $56,897.47 $21,522.43 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 11 — — $20,388.10 $56,593.67 $21,407.50 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 13 — — $4,773.96 $56,421.25 $21,342.29 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 12 — — $20,320.81 $56,406.88 $21,336.85 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 11 — — $20,215.81 $56,115.41 $21,226.60 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 18 11 — — $20,119.67 $55,848.57 $21,125.65 2026-04-01
849 MS_DRG Radiotherapy 18 11 — — $20,036.11 $55,616.61 $21,037.92 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 3 — — $20,015.46 $36,027.83 $21,016.23 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 11 — — $20,011.71 $55,548.88 $21,012.30 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 11 — — $19,946.64 $55,368.25 $20,943.97 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 3 3 — — $19,809.02 $35,656.24 $20,799.47 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 11 — — $19,670.07 $54,600.55 $20,653.57 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 26 12 — — $6,896.62 $24,764.96 $20,634.92 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 11 — — $19,601.30 $54,409.65 $20,581.37 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 11 — — $19,502.95 $54,136.65 $20,478.10 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 4 1 — — $17,095.24 $25,204.52 $20,366.35 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 3 3 — — $19,330.35 $34,794.63 $20,296.87 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 3 3 — — $19,330.35 $34,794.63 $20,296.87 2026-04-01
64580 HCPCS Implant Neuroelectrodes 3 3 — — $19,330.35 $34,794.63 $20,296.87 2026-04-01
63655 HCPCS Implant Neuroelectrodes 3 3 — — $19,330.35 $34,794.63 $20,296.87 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 3 3 — — $19,330.35 $34,794.63 $20,296.87 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 3 3 — — $19,330.35 $34,794.63 $20,296.87 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 3 3 — — $19,330.35 $34,794.63 $20,296.87 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 18 11 — — $19,193.85 $53,278.64 $20,153.54 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 18 11 — — $19,170.93 $53,215.01 $20,129.48 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 11 — — $19,099.20 $53,015.90 $20,054.16 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 18 11 — — $19,072.58 $52,942.01 $20,026.21 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 18 11 — — $19,072.58 $52,942.01 $20,026.21 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 11 6 — — $9,908.75 $41,567.32 $19,978.45 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 18 11 — — $18,986.80 $52,703.90 $19,936.14 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 18 11 — — $18,878.83 $52,404.21 $19,822.77 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 12 — — $14,075.58 $52,057.31 $19,691.55 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 18 11 — — $18,664.39 $51,808.94 $19,597.61 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 18 11 — — $18,656.25 $51,786.36 $19,589.06 2026-04-01
27447 HCPCS Total Knee Arthroplasty 7 4 — — $12,792.51 $23,026.52 $19,463.58 2026-04-01
27130 HCPCS Total Hip Arthroplasty 7 4 — — $12,792.51 $23,026.52 $19,463.58 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 3 3 — — $18,506.37 $33,311.47 $19,431.69 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 18 11 — — $18,427.01 $51,150.05 $19,348.36 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 18 11 — — $18,351.59 $50,940.68 $19,269.17 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 11 — — $18,185.20 $50,478.82 $19,094.46 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 12 — — $18,180.03 $50,464.46 $19,089.03 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 19 12 — — $18,074.28 $50,170.92 $18,977.99 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 18 11 — — $18,052.84 $50,111.40 $18,955.48 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 18 11 — — $17,911.60 $49,719.34 $18,807.18 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 3 3 — — $17,892.75 $32,206.95 $18,787.39 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 3 3 — — $17,866.14 $32,159.05 $18,759.45 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 18 11 — — $17,853.18 $49,557.18 $18,745.84 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 18 11 — — $17,786.63 $49,372.44 $18,675.96 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 18 11 — — $15,631.52 $50,394.67 $18,608.76 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 18 11 — — $17,709.72 $49,158.97 $18,595.21 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 18 11 — — $17,677.18 $49,068.65 $18,561.04 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 11 — — $17,646.87 $48,984.49 $18,529.21 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 12 — — $13,830.43 $38,390.76 $18,369.99 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22610 HCPCS Thorax Spine Fusion 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22612 HCPCS Lumbar Spine Fusion 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22600 HCPCS Neck Spine Fusion 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22556 HCPCS Thorax Spine Fusion 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
25446 HCPCS Wrist Replacement 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 3 3 — — $17,470.77 $31,447.38 $18,344.30 2026-04-01
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