Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

MEMORIAL HEALTHCARE

Owosso, MI · CCN 230121 · Rates published

12,669 distinct procedures filed
13 distinct payers
61,955 rate rows
2026-04-01 last MRF observed
Data quality

39,694 of 61,955 rate rows are consumer-grade (64.1%)

22,261 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 19,963
professional (physician) fee — not the facility price 2,224
template filing: same amount across many unrelated codes — excluded 52
placeholder amount (≤ $0.02) — excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://memorialhealthcare.org/wp-content/uploads/2026/03/381358208_memorial-healthcare_standardcharges-1.json
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint 078913700e1dc3b4… · 20,598,045 bytes · first seen 2026-05-13

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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,455,110.60 $2,455,110.60 $2,455,110.60 nat. median
$2,469,189
1.0× median
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $1,406,299.50 $1,406,299.50 $1,406,299.50 nat. median
$57,174
outlier · 24.6×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $591,726.20 $1,614,193.44 $1,102,959.82 nat. median
$754,974
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $557,317.93 $1,268,693.85 $913,005.89 nat. median
$625,184
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $562,538.19 $1,240,870.29 $901,704.24 nat. median
$674,188
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $489,304.61 $1,257,160.00 $873,232.30 nat. median
$620,080
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $406,980.00 $1,508,592.00 $533,230.17 nat. median
$634,511
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 9 $293,643.04 $865,987.87 $324,699.15 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $190,562.52 $561,991.29 $210,928.84 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $145,183.40 $428,162.93 $160,843.76 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $144,331.36 $425,650.16 $159,903.36 nat. median
$202,986
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $94,189.52 $277,775.98 $104,561.65 nat. median
$133,176
0.8× median
7
MS_DRG 		Lung Transplant 9 $88,061.36 $259,703.31 $97,797.98 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $81,721.72 $241,006.97 $90,800.90 nat. median
$117,303
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $77,056.24 $227,247.92 $85,651.59 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $76,967.84 $226,987.22 $85,554.02 nat. median
$98,017
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $74,944.16 $221,019.14 $83,320.48 nat. median
$98,905
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $73,943.88 $218,069.20 $82,216.47 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $70,111.40 $206,766.77 $77,986.55 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 9 $67,707.60 $199,677.68 $75,333.47 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $66,523.04 $196,184.27 $74,026.06 nat. median
$93,672
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $61,265.28 $180,678.52 $68,223.06 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $58,884.60 $173,657.61 $65,595.49 nat. median
$83,442
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $57,323.32 $169,053.21 $63,872.30 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $57,143.12 $168,521.78 $63,673.42 nat. median
$81,118
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $53,507.84 $157,800.92 $59,661.15 nat. median
$77,576
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $52,212.44 $153,980.63 $58,231.41 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $51,987.36 $153,316.84 $57,982.99 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $51,815.32 $152,809.47 $57,793.11 nat. median
$72,138
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $11,624.64 $63,005.77 $56,824.55 nat. median
$62,507
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $53,664.41 $161,637.18 $55,381.52 nat. median
$66,682
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $49,086.48 $144,761.80 $54,781.28 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $48,794.76 $143,901.49 $54,459.30 nat. median
$68,882
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $48,774.36 $143,841.33 $54,436.79 nat. median
$64,027
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $48,515.28 $143,077.27 $54,150.84 nat. median
$71,240
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $48,486.72 $142,993.04 $54,119.32 nat. median
$68,887
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $47,000.24 $138,609.24 $52,478.69 nat. median
$66,526
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $46,769.72 $137,929.41 $52,224.26 nat. median
$65,950
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $45,771.48 $134,985.48 $51,122.50 nat. median
$64,732
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $45,468.20 $134,091.07 $50,787.77 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $45,434.88 $133,992.81 $50,750.99 nat. median
$63,738
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $44,712.04 $131,861.07 $49,953.19 nat. median
$64,510
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $44,712.04 $131,861.07 $49,953.19 nat. median
$61,920
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $44,549.52 $131,381.78 $49,773.82 nat. median
$59,793
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $28,592.64 $129,041.47 $48,897.96 nat. median
$62,134
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $41,673.12 $122,898.93 $46,599.13 nat. median
$60,726
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $41,624.84 $122,756.55 $46,545.84 nat. median
$60,185
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $41,225.68 $121,579.38 $46,105.29 nat. median
$59,899
0.8× median
J9226
HCPCS 		Supprelin La Implant 4 $43,217.08 $115,608.23 $45,701.18 nat. median
$60,368
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 9 $40,856.44 $120,490.45 $45,697.76 nat. median
$57,823
0.8× median

Other procedures at this hospital

Browse this hospital's 12,669 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,455,110.60 $2,455,110.60 $2,455,110.60 2026-04-01
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $1,406,299.50 $1,406,299.50 $1,406,299.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $591,726.20 $1,614,193.44 $1,102,959.82 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 2 2 — — $557,317.93 $1,268,693.85 $913,005.89 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 2 — — $562,538.19 $1,240,870.29 $901,704.24 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 2 2 — — $489,304.61 $1,257,160.00 $873,232.30 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 3 — — $406,980.00 $1,508,592.00 $533,230.17 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 9 — — $293,643.04 $865,987.87 $324,699.15 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 9 — — $190,562.52 $561,991.29 $210,928.84 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 9 — — $145,183.40 $428,162.93 $160,843.76 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 9 — — $144,331.36 $425,650.16 $159,903.36 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 9 — — $94,189.52 $277,775.98 $104,561.65 2026-04-01
7 MS_DRG Lung Transplant 15 9 — — $88,061.36 $259,703.31 $97,797.98 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 9 — — $81,721.72 $241,006.97 $90,800.90 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 9 — — $77,056.24 $227,247.92 $85,651.59 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 15 9 — — $76,967.84 $226,987.22 $85,554.02 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $74,944.16 $221,019.14 $83,320.48 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 9 — — $73,943.88 $218,069.20 $82,216.47 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 9 — — $70,111.40 $206,766.77 $77,986.55 2026-04-01
215 MS_DRG Other Heart Assist System Implant 15 9 — — $67,707.60 $199,677.68 $75,333.47 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $66,523.04 $196,184.27 $74,026.06 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 9 — — $61,265.28 $180,678.52 $68,223.06 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 9 — — $58,884.60 $173,657.61 $65,595.49 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 9 — — $57,323.32 $169,053.21 $63,872.30 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $57,143.12 $168,521.78 $63,673.42 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 9 — — $53,507.84 $157,800.92 $59,661.15 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $52,212.44 $153,980.63 $58,231.41 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 9 — — $51,987.36 $153,316.84 $57,982.99 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 9 — — $51,815.32 $152,809.47 $57,793.11 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 3 3 — — $11,624.64 $63,005.77 $56,824.55 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 4 — — $53,664.41 $161,637.18 $55,381.52 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $49,086.48 $144,761.80 $54,781.28 2026-04-01
10 MS_DRG Pancreas Transplant 15 9 — — $48,794.76 $143,901.49 $54,459.30 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 9 — — $48,774.36 $143,841.33 $54,436.79 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 9 — — $48,515.28 $143,077.27 $54,150.84 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 9 — — $48,486.72 $142,993.04 $54,119.32 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 9 — — $47,000.24 $138,609.24 $52,478.69 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 9 — — $46,769.72 $137,929.41 $52,224.26 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 9 — — $45,771.48 $134,985.48 $51,122.50 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 9 — — $45,468.20 $134,091.07 $50,787.77 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 9 — — $45,434.88 $133,992.81 $50,750.99 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $44,712.04 $131,861.07 $49,953.19 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $44,712.04 $131,861.07 $49,953.19 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 9 — — $44,549.52 $131,381.78 $49,773.82 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 9 — — $28,592.64 $129,041.47 $48,897.96 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 9 — — $41,673.12 $122,898.93 $46,599.13 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 9 — — $41,624.84 $122,756.55 $46,545.84 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 9 — — $41,225.68 $121,579.38 $46,105.29 2026-04-01
J9226 HCPCS Supprelin La Implant 4 4 — — $43,217.08 $115,608.23 $45,701.18 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 9 — — $40,856.44 $120,490.45 $45,697.76 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 9 — — $40,844.88 $120,456.36 $45,685.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $40,549.08 $119,584.01 $45,358.52 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 9 — — $40,415.80 $119,190.95 $45,211.42 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 9 — — $40,321.96 $118,914.20 $45,107.85 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 9 — — $39,906.48 $117,688.90 $44,649.28 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 9 — — $39,880.64 $117,612.70 $44,620.76 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 9 — — $39,216.28 $115,653.42 $43,887.51 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 9 — — $38,966.04 $114,915.44 $43,611.31 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 9 — — $38,806.92 $114,446.17 $43,435.69 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 9 — — $38,756.60 $114,297.77 $43,380.16 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $38,942.58 $57,294.42 $42,911.16 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $38,229.60 $112,743.59 $42,798.50 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 9 — — $38,111.28 $112,394.65 $42,667.91 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 — — $37,850.16 $111,624.57 $42,379.71 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 9 — — $37,556.40 $110,758.24 $42,055.49 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 15 9 — — $37,331.32 $110,094.45 $41,807.07 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 9 — — $37,199.40 $109,705.41 $41,661.47 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 9 — — $37,146.36 $109,548.99 $41,602.93 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 9 — — $37,087.88 $109,376.52 $41,538.38 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 9 — — $36,939.64 $108,939.34 $41,374.77 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $36,263.04 $106,943.97 $40,628.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 9 — — $36,241.28 $106,879.80 $40,603.99 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 9 — — $35,997.84 $106,161.87 $40,335.30 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 9 — — $35,878.84 $105,810.92 $40,203.96 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 9 — — $35,396.72 $104,389.09 $39,671.84 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 15 9 — — $35,335.52 $104,208.61 $39,604.30 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $34,273.36 $101,076.17 $38,431.99 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 9 — — $33,914.32 $100,017.32 $38,035.71 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 9 — — $33,642.32 $99,215.16 $37,735.51 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 10 — — $571.64 $99,038.68 $37,669.46 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 9 — — $33,467.56 $98,699.77 $37,542.62 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 9 — — $33,328.16 $98,288.66 $37,388.77 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 9 — — $32,835.16 $96,834.75 $36,844.64 2026-04-01
9494 OTHER Injection, Ocrelizumab 1 1 — — $36,676.92 $36,676.92 $36,676.92 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 9 — — $32,669.24 $96,345.43 $36,661.52 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 9 — — $32,373.44 $95,473.08 $36,335.04 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 9 — — $31,969.52 $94,281.88 $35,889.23 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 9 — — $31,904.24 $94,089.36 $35,817.18 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 9 — — $31,809.04 $93,808.60 $35,712.11 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 15 9 — — $31,531.60 $92,990.40 $35,405.90 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 9 — — $31,405.80 $92,619.40 $35,267.05 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 10 — — $25,164.64 $92,178.21 $35,101.94 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 9 — — $31,176.64 $91,943.58 $35,014.13 2026-04-01
245 MS_DRG Aicd Generator Procedures 15 9 — — $31,024.32 $91,494.37 $34,846.01 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 9 — — $30,931.16 $91,219.63 $34,743.19 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 9 — — $30,917.56 $91,179.52 $34,728.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 15 9 — — $30,796.52 $90,822.56 $34,594.59 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 15 9 — — $30,476.24 $89,878.02 $34,241.09 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 9 — — $30,467.40 $89,851.95 $34,231.34 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 9 — — $30,347.72 $89,499.00 $34,099.25 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 9 — — $29,871.04 $88,093.21 $33,573.13 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 9 — — $29,426.32 $86,781.68 $33,082.29 2026-04-01
69930 HCPCS Implant Cochlear Device 3 3 — — $14,000.00 $62,940.20 $32,853.56 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 9 — — $29,191.72 $86,089.82 $32,823.37 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 9 — — $29,004.04 $85,536.33 $32,616.22 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 9 — — $28,837.44 $85,045.00 $32,432.35 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 9 — — $28,717.76 $84,692.05 $32,300.25 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 9 — — $28,668.80 $84,547.66 $32,246.22 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 9 — — $28,654.52 $84,505.55 $32,230.46 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 10 — — $12,904.78 $84,258.89 $32,138.14 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 9 — — $28,536.88 $84,158.62 $32,100.62 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 9 — — $28,483.84 $84,002.20 $32,042.08 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $28,373.68 $83,677.32 $31,920.49 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 10 — — $3,246.88 $83,617.16 $31,897.98 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 9 — — $28,240.40 $83,284.26 $31,773.39 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 9 — — $28,053.40 $82,732.78 $31,567.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 3 3 — — $14,000.00 $53,905.67 $31,275.99 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 3 3 — — $14,000.00 $37,222.21 $31,275.99 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 3 3 — — $14,000.00 $62,524.62 $31,275.99 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 3 3 — — $14,000.00 $52,556.37 $31,275.99 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 3 3 — — $14,000.00 $49,216.77 $31,275.99 2026-04-01
791 MS_DRG Prematurity With Major Problems 15 9 — — $27,601.20 $81,399.19 $31,067.90 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 9 — — $27,339.40 $80,627.11 $30,778.95 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 3 3 — — $13,000.00 $52,970.34 $30,746.74 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 3 3 — — $13,000.00 $33,026.42 $30,746.74 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 3 3 — — $13,000.00 $43,404.29 $30,746.74 2026-04-01
61886 HCPCS Implant Neurostim Arrays 3 3 — — $14,000.00 $39,248.50 $30,746.74 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 3 3 — — $14,000.00 $43,888.09 $30,539.60 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 9 — — $27,091.88 $79,897.14 $30,505.77 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 9 — — $26,600.92 $78,449.24 $29,963.89 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 9 — — $26,480.56 $78,094.29 $29,831.05 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 9 — — $26,320.76 $77,623.02 $29,654.68 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 9 — — $26,281.32 $77,506.70 $29,611.15 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 9 — — $26,256.16 $77,432.50 $29,583.38 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 10 — — $15,528.11 $76,993.32 $29,419.02 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 9 — — $25,588.40 $75,463.20 $28,846.37 2026-04-01
G0448 HCPCS Place Perm Pacing Cardiovert 2 2 — — $3,000.00 $54,661.99 $28,830.99 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 9 — — $25,476.88 $75,134.32 $28,723.29 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 9 — — $25,416.36 $74,955.84 $28,656.49 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 9 — — $25,413.64 $74,947.81 $28,653.49 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 9 — — $25,342.24 $74,737.25 $28,574.68 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 9 — — $25,199.44 $74,316.11 $28,417.07 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 15 9 — — $24,977.08 $73,660.35 $28,171.65 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 9 — — $24,966.88 $73,630.27 $28,160.40 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 9 — — $24,673.80 $72,765.94 $27,836.92 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 9 — — $24,654.76 $72,709.79 $27,815.91 2026-04-01
332 MS_DRG Rectal Resection With Mcc 15 9 — — $24,620.76 $72,609.52 $27,778.38 2026-04-01
265 MS_DRG Aicd Lead Procedures 15 9 — — $24,603.76 $72,559.38 $27,759.62 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 9 — — $24,560.24 $72,431.04 $27,711.59 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 9 — — $24,523.52 $72,322.75 $27,671.06 2026-04-01
J9266 HCPCS Pegaspargase Injection 4 4 — — $22,357.12 $71,224.79 $27,589.20 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 9 — — $24,363.04 $71,849.47 $27,493.94 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 2 — — $24,197.70 $30,746.74 $27,472.22 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $11,000.00 $43,888.09 $27,444.04 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 9 — — $24,306.60 $71,683.02 $27,431.64 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 9 — — $24,282.12 $71,610.83 $27,404.62 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 9 — — $24,246.08 $71,504.54 $27,364.85 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 9 — — $24,225.68 $71,444.38 $27,342.33 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 9 — — $24,202.56 $71,376.20 $27,316.81 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 9 — — $24,182.84 $71,318.04 $27,295.05 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 9 — — $23,980.88 $70,722.44 $27,072.15 2026-04-01
22630 HCPCS Lumbar Spine Fusion 3 3 — — $11,000.00 $37,782.08 $27,036.45 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 3 3 — — $9,500.00 $29,983.29 $27,036.45 2026-04-01
22558 HCPCS Lumbar Spine Fusion 3 3 — — $11,000.00 $32,307.33 $27,036.45 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 9 — — $23,931.92 $70,578.05 $27,018.11 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 3 3 — — $14,000.00 $30,740.71 $26,820.69 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 9 — — $23,720.44 $69,954.37 $26,784.70 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 9 — — $23,714.32 $69,936.32 $26,777.94 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 9 — — $23,605.52 $69,615.46 $26,657.86 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 2 2 — — $19,087.14 $34,135.29 $26,611.22 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 9 — — $23,491.28 $69,278.55 $26,531.77 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 9 — — $23,382.48 $68,957.68 $26,411.69 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 9 — — $23,313.12 $68,753.13 $26,335.14 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 9 — — $23,198.88 $68,416.23 $26,209.05 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 9 — — $23,168.28 $68,325.98 $26,175.28 2026-04-01
22552 HCPCS Addl Neck Spine Fusion 2 2 — — $7,000.00 $44,426.92 $25,713.46 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 15 9 — — $22,716.08 $66,992.39 $25,676.18 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 9 — — $22,462.44 $66,244.38 $25,396.24 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 9 — — $22,386.28 $66,019.77 $25,312.18 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 9 — — $22,383.56 $66,011.75 $25,309.18 2026-04-01
22632 HCPCS Spine Fusion Extra Segment 2 2 — — $1,100.00 $49,456.36 $25,278.18 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 3 3 — — $12,000.00 $27,036.45 $25,204.19 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 9 — — $22,119.04 $65,231.65 $25,017.23 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 9 — — $22,021.80 $64,944.88 $24,909.90 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 9 — — $21,997.32 $64,872.68 $24,882.88 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 9 — — $21,966.72 $64,782.44 $24,849.11 2026-04-01
652 MS_DRG Kidney Transplant 15 9 — — $21,960.60 $64,764.39 $24,842.36 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 9 — — $21,944.28 $64,716.26 $24,824.34 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 15 9 — — $21,901.44 $64,589.92 $24,777.06 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 9 — — $21,830.72 $64,381.36 $24,699.01 2026-04-01
90288 HCPCS Botulism Ig IV 2 2 — — $465.50 $48,705.00 $24,585.25 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 9 — — $21,711.04 $64,028.41 $24,566.92 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 9 — — $21,670.92 $63,910.09 $24,522.63 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 9 — — $21,649.84 $63,847.93 $24,499.37 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 9 — — $21,606.32 $63,719.58 $24,451.34 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 17 10 — — $2,960.53 $63,466.90 $24,356.77 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 9 — — $21,488.00 $63,370.64 $24,320.75 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 9 — — $21,426.80 $63,190.15 $24,253.20 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 9 — — $21,416.60 $63,160.07 $24,241.94 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 9 — — $21,366.28 $63,011.67 $24,186.40 2026-04-01
665 MS_DRG Prostatectomy With Mcc 15 9 — — $21,224.16 $62,592.54 $24,029.54 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 9 — — $21,179.96 $62,462.19 $23,980.76 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 9 — — $21,142.56 $62,351.90 $23,939.48 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 1 1 — — $23,675.80 $23,675.80 $23,675.80 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 9 — — $20,818.20 $61,395.32 $23,581.48 2026-04-01
263 MS_DRG Vein Ligation And Stripping 15 9 — — $20,790.32 $61,313.10 $23,550.71 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 9 — — $20,625.76 $60,827.79 $23,369.09 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 4 — — $21,460.80 $63,588.84 $23,321.46 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 9 — — $20,539.40 $60,573.11 $23,273.77 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 9 — — $20,536.68 $60,565.09 $23,270.77 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 9 — — $20,514.24 $60,498.91 $23,246.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 9 — — $20,239.52 $59,688.73 $22,942.79 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 3 3 — — $7,000.00 $27,036.45 $22,818.87 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 9 — — $20,033.48 $59,081.09 $22,715.39 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 15 9 — — $20,019.88 $59,040.98 $22,700.38 2026-04-01
570 MS_DRG Skin Debridement With Mcc 15 9 — — $19,999.48 $58,980.82 $22,677.86 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 2 2 — — $14,000.00 $31,275.99 $22,638.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 15 9 — — $19,856.00 $58,557.68 $22,519.50 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 9 — — $17,886.64 $58,403.26 $22,461.71 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 9 — — $19,733.60 $58,196.71 $22,384.41 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 9 — — $19,721.36 $58,160.61 $22,370.90 2026-04-01
20931 HCPCS Sp Bone Algrft Struct Add-on 2 2 — — $1,100.00 $43,583.41 $22,341.71 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 9 — — $19,634.32 $57,903.92 $22,274.83 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 15 9 — — $19,624.80 $57,875.84 $22,264.33 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 15 9 — — $19,596.24 $57,791.62 $22,232.80 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 3 3 — — $14,000.00 $45,462.70 $22,163.59 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 3 3 — — $14,000.00 $47,330.86 $22,163.59 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 3 3 — — $14,000.00 $45,500.11 $22,163.59 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 3 3 — — $14,000.00 $38,344.11 $22,163.59 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 3 3 — — $14,000.00 $37,005.05 $22,163.59 2026-04-01
C7564 HCPCS Vein Mech Throm W/intrvas US 1 1 — — $22,149.58 $22,149.58 $22,149.58 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 9 — — $15,771.06 $57,558.99 $22,145.74 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 9 — — $19,383.40 $57,163.93 $21,997.89 2026-04-01
800 MS_DRG Splenic Procedures With Cc 15 9 — — $19,103.92 $56,339.71 $21,689.43 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 15 9 — — $19,035.24 $56,137.16 $21,613.63 2026-04-01
503 MS_DRG Foot Procedures With Mcc 15 9 — — $18,979.48 $55,972.72 $21,552.08 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 9 — — $18,848.92 $55,587.68 $21,407.98 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 9 — — $18,748.28 $55,290.88 $21,296.91 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 2 — — $14,000.00 $28,580.21 $21,290.10 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 9 — — $10,422.80 $55,122.43 $21,233.86 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 15 9 — — $18,686.40 $55,108.39 $21,228.61 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 9 — — $18,589.84 $54,823.63 $21,122.04 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 9 — — $18,501.44 $54,562.92 $21,024.47 2026-04-01
849 MS_DRG Radiotherapy 15 9 — — $18,424.60 $54,336.31 $20,939.66 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 9 — — $18,402.16 $54,270.13 $20,914.89 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 9 — — $18,342.32 $54,093.66 $20,848.85 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 3 3 — — $12,000.00 $21,853.48 $20,651.59 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 3 3 — — $12,000.00 $23,840.15 $20,651.59 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 3 3 — — $12,000.00 $21,853.48 $20,651.59 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 3 3 — — $12,000.00 $21,853.48 $20,651.59 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 3 3 — — $12,000.00 $21,853.48 $20,651.59 2026-04-01
53444 HCPCS Insert Tandem Cuff 3 3 — — $11,000.00 $23,770.76 $20,651.59 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 3 3 — — $12,000.00 $21,853.48 $20,651.59 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 3 — — $11,494.19 $20,674.61 $20,590.56 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 9 — — $18,088.00 $53,343.64 $20,568.15 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 9 — — $18,024.76 $53,157.14 $20,498.36 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 9 — — $17,934.32 $52,890.42 $20,398.54 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 15 9 — — $17,650.08 $52,052.16 $20,084.82 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 15 9 — — $17,629.00 $51,990.00 $20,061.55 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 9 — — $17,563.04 $51,795.47 $19,988.75 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 15 9 — — $17,538.56 $51,723.28 $19,961.74 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 9 — — $17,538.56 $51,723.28 $19,961.74 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 15 9 — — $17,459.68 $51,490.65 $19,874.68 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 15 9 — — $17,360.40 $51,197.86 $19,765.10 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 9 — — $17,278.12 $50,955.21 $19,674.29 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 17 9 — — $8,437.97 $50,858.95 $19,638.26 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 15 9 — — $17,163.20 $50,616.30 $19,547.45 2026-04-01
22614 HCPCS Spine Fusion Extra Segment 2 2 — — $1,100.00 $37,984.58 $19,542.29 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 15 9 — — $17,155.72 $50,594.24 $19,539.19 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 1 1 — — $19,330.35 $19,330.35 $19,330.35 2026-04-01
64580 HCPCS Implant Neuroelectrodes 3 3 — — $11,000.00 $34,688.19 $19,330.35 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 1 1 — — $19,330.35 $19,330.35 $19,330.35 2026-04-01
63655 HCPCS Implant Neuroelectrodes 3 3 — — $11,000.00 $29,277.05 $19,330.35 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 3 3 — — $13,000.00 $33,053.95 $19,330.35 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 1 1 — — $19,330.35 $19,330.35 $19,330.35 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 9 — — $16,944.92 $49,972.56 $19,306.53 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 17 10 — — $261.85 $49,768.01 $19,229.98 2026-04-01
63082 HCPCS Remove Vertebral Body Add-on 2 2 — — $3,000.00 $35,457.71 $19,228.85 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 2 2 — — $18,265.72 $20,123.79 $19,194.76 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 3 3 — — $11,000.00 $21,174.20 $19,192.43 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 3 3 — — $13,000.00 $23,771.73 $19,192.43 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 3 3 — — $11,000.00 $25,631.97 $19,192.43 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 15 9 — — $16,722.56 $49,316.80 $19,061.11 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 9 — — $12,077.63 $49,302.76 $19,055.86 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 16 10 — — $3,817.91 $49,234.58 $19,030.34 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 2 2 — — $12,000.00 $26,043.87 $19,021.93 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 2 2 — — $12,000.00 $26,043.87 $19,021.93 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 2 2 — — $12,000.00 $26,043.87 $19,021.93 2026-04-01
792 MS_DRG Prematurity Without Major Problems 17 10 — — $172.63 $49,116.26 $18,986.06 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 9 — — $16,620.56 $49,015.99 $18,948.54 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 15 9 — — $16,600.84 $48,957.83 $18,926.77 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 15 9 — — $16,470.96 $48,574.80 $18,783.42 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 15 9 — — $16,417.24 $48,416.37 $18,724.13 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 15 9 — — $16,356.04 $48,235.89 $18,656.58 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 10 — — $1,230.75 $48,073.45 $18,595.79 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 16 10 — — $10,856.13 $48,027.32 $18,578.53 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 15 9 — — $16,255.40 $47,939.09 $18,545.51 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 9 — — $16,160.20 $47,856.87 $18,514.74 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 3 3 — — $11,000.00 $23,313.28 $18,265.72 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 3 3 — — $11,000.00 $21,212.36 $18,265.72 2026-04-01
See an error in this hospital's data? Submit a correction