Price Transparencybeta Hospital negotiated rates

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

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Hospital

BEAUMONT HOSPITAL ROYAL OAK

Royal Oak, MI · CCN 230130 · Rates published

16,659 distinct procedures filed
22 distinct payers
219,387 rate rows
2026-04-01 last MRF observed
Data quality

176,413 of 219,387 rate rows are consumer-grade (80.4%)

42,974 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 42,018
placeholder amount (≤ $0.02) — excluded from medians 956
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt3135a4c399d0ea80/6777fb0b6a4e90d0ccd0652d/381459362_1811044878_william-beaumont-hospital_standardcharges[1].csv
Found on page https://corewellhealth.org/billing/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 8354790a06717b17… · 6,611,153 bytes · first seen 2026-05-09

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
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,084,310.21 $4,795,270.40 $4,394,312.93 nat. median
$3,325,455
1.3× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,021,054.51 $4,645,418.20 $4,304,190.57 nat. median
$3,286,000
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,427,298.00 $4,975,110.00 $4,016,940.67 nat. median
$3,710,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,739,538.20 $4,195,861.60 $3,903,105.50 nat. median
$3,004,655
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,283,252.86 $3,479,634.56 $3,253,021.55 nat. median
$2,468,984
1.3× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,168,760.00 $3,296,748.40 $3,089,900.00 nat. median
$2,448,600
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $550,305.37 $799,622.42 $784,037.22 nat. median
$753,246
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $526,258.12 $779,398.74 $749,776.35 nat. median
$674,867
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $518,305.68 $752,379.21 $735,694.30 nat. median
$625,184
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $523,160.51 $759,426.55 $730,156.22 nat. median
$673,137
1.1× median
C9081
HCPCS 		Idecabtagene Car Pos T 1 $711,656.58 $711,656.58 $711,656.58 nat. median
$30,475
outlier · 23.4×
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $696,812.73 $696,812.73 $696,812.73 nat. median
$57,174
outlier · 12.2×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $696,049.33 $696,049.33 $696,049.33 nat. median
$30,475
outlier · 22.8×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $495,904.06 $719,860.73 $692,030.39 nat. median
$634,303
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $455,053.29 $689,958.42 $648,328.60 nat. median
$619,808
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $153,150.36 $604,904.66 $332,234.32 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $211,420.73 $554,223.35 $280,456.07 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $161,160.18 $378,387.98 $213,783.91 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $150,221.83 $425,356.87 $193,260.17 nat. median
$202,976
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $61,101.65 $205,216.65 $138,862.40 nat. median
$133,161
1.0× median
7
MS_DRG 		Lung Transplant 14 $97,893.51 $204,443.22 $129,858.74 nat. median
$122,708
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $90,871.92 $316,276.16 $120,544.38 nat. median
$117,357
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $118,307.68 $118,307.68 $118,307.68 nat. median
$87,428
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $103,138.64 $149,717.38 $117,337.04 nat. median
$111,989
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $85,704.58 $204,070.07 $113,689.74 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $85,606.67 $217,381.20 $113,559.86 nat. median
$98,047
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $82,257.42 $214,852.86 $109,116.98 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $78,012.67 $209,554.19 $103,486.20 nat. median
$100,136
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $2,692.74 $154,384.97 $101,654.62 nat. median
$98,894
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $74,038.31 $185,580.13 $98,280.76 nat. median
$93,672
1.0× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $91,033.89 $91,033.89 $91,033.89 nat. median
$54,196
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $68,214.98 $128,665.21 $90,489.26 nat. median
$82,711
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $65,578.21 $146,492.54 $86,991.50 nat. median
$83,470
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $57,939.03 $138,492.30 $84,896.35 nat. median
$73,807
1.2× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $58,908.32 $89,631.46 $83,928.52 nat. median
$69,774
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $83,649.69 $83,649.69 $83,649.69 nat. median
$96,983
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $59,623.07 $166,081.56 $79,091.83 nat. median
$77,570
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $17,523.40 $94,367.28 $77,997.92 nat. median
$76,329
1.0× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $77,923.14 $77,923.14 $77,923.14 nat. median
$775
outlier · 100.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $39,111.06 $138,403.19 $77,856.67 nat. median
$79,312
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $63,985.59 $92,882.31 $77,291.98 nat. median
$70,825
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 15 $31,856.91 $169,699.95 $76,888.06 nat. median
$99,019
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $63,649.39 $121,039.47 $76,313.88 nat. median
$81,118
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $51,403.26 $78,511.95 $73,235.83 nat. median
$66,682
1.1× median
10
MS_DRG 		Pancreas Transplant 14 $54,403.00 $100,517.21 $72,167.25 nat. median
$68,884
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 $54,380.41 $100,475.18 $72,137.27 nat. median
$64,023
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $54,093.46 $133,226.64 $71,756.63 nat. median
$71,271
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $54,061.83 $136,128.13 $71,714.67 nat. median
$68,886
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $19,796.69 $97,192.45 $69,418.56 nat. median
$62,507
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $58,188.32 $134,775.76 $67,393.54 nat. median
$74,915
0.9× median

Other procedures at this hospital

Browse this hospital's 16,659 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
             
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 6 — — $3,084,310.21 $4,795,270.40 $4,394,312.93 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 6 — — $3,021,054.51 $4,645,418.20 $4,304,190.57 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 5 — — $3,427,298.00 $4,975,110.00 $4,016,940.67 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 6 — — $2,739,538.20 $4,195,861.60 $3,903,105.50 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 6 — — $2,283,252.86 $3,479,634.56 $3,253,021.55 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 8 6 — — $2,168,760.00 $3,296,748.40 $3,089,900.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 6 — — $550,305.37 $799,622.42 $784,037.22 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 6 — — $526,258.12 $779,398.74 $749,776.35 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 6 — — $518,305.68 $752,379.21 $735,694.30 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 6 — — $523,160.51 $759,426.55 $730,156.22 2026-04-01
C9081 HCPCS Idecabtagene Car Pos T 3 1 — — $711,656.58 $711,656.58 $711,656.58 2026-04-01
C9098 HCPCS Ciltacabtagene Car Pos T 3 1 — — $696,812.73 $696,812.73 $696,812.73 2026-04-01
C9076 HCPCS Lisocabtagene Car Pos T 3 1 — — $696,049.33 $696,049.33 $696,049.33 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 6 — — $495,904.06 $719,860.73 $692,030.39 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 6 — — $455,053.29 $689,958.42 $648,328.60 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 14 — — $153,150.36 $604,904.66 $332,234.32 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 14 — — $211,420.73 $554,223.35 $280,456.07 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 14 — — $161,160.18 $378,387.98 $213,783.91 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 32 15 — — $150,221.83 $425,356.87 $193,260.17 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 15 — — $61,101.65 $205,216.65 $138,862.40 2026-04-01
7 MS_DRG Lung Transplant 25 14 — — $97,893.51 $204,443.22 $129,858.74 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 14 — — $90,871.92 $316,276.16 $120,544.38 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $118,307.68 $118,307.68 $118,307.68 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 6 — — $103,138.64 $149,717.38 $117,337.04 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 14 — — $85,704.58 $204,070.07 $113,689.74 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 25 14 — — $85,606.67 $217,381.20 $113,559.86 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 25 14 — — $82,257.42 $214,852.86 $109,116.98 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 14 — — $78,012.67 $209,554.19 $103,486.20 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 14 — — $2,692.74 $154,384.97 $101,654.62 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 15 — — $74,038.31 $185,580.13 $98,280.76 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $91,033.89 $91,033.89 $91,033.89 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 14 — — $68,214.98 $128,665.21 $90,489.26 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 25 14 — — $65,578.21 $146,492.54 $86,991.50 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 38 17 — — $57,939.03 $138,492.30 $84,896.35 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 6 — — $58,908.32 $89,631.46 $83,928.52 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 3 1 — — $83,649.69 $83,649.69 $83,649.69 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 14 — — $59,623.07 $166,081.56 $79,091.83 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 9 4 — — $17,523.40 $94,367.28 $77,997.92 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 3 1 — — $77,923.14 $77,923.14 $77,923.14 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 14 — — $39,111.06 $138,403.19 $77,856.67 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 6 — — $63,985.59 $92,882.31 $77,291.98 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 15 — — $31,856.91 $169,699.95 $76,888.06 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 15 — — $63,649.39 $121,039.47 $76,313.88 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 6 — — $51,403.26 $78,511.95 $73,235.83 2026-04-01
10 MS_DRG Pancreas Transplant 25 14 — — $54,403.00 $100,517.21 $72,167.25 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 25 14 — — $54,380.41 $100,475.18 $72,137.27 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 14 — — $54,093.46 $133,226.64 $71,756.63 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 15 — — $54,061.83 $136,128.13 $71,714.67 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 8 — — $19,796.69 $97,192.45 $69,418.56 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 15 — — $58,188.32 $134,775.76 $67,393.54 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 14 — — $50,718.61 $104,700.20 $67,279.78 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 15 — — $49,881.11 $137,828.52 $66,860.55 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 14 — — $51,858.06 $101,118.15 $66,732.34 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 15 — — $49,881.11 $100,009.87 $66,168.82 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 6 — — $65,095.81 $65,095.81 $65,095.81 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 15 — — $45,842.47 $103,874.76 $63,603.42 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 19 10 — — $63,341.25 $63,341.25 $63,341.25 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 19 12 — — $17,185.01 $85,397.22 $62,542.75 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 14 — — $46,461.81 $127,337.72 $61,633.01 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 15 — — $48,019.07 $144,855.22 $61,578.74 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 14 — — $46,019.71 $123,995.24 $61,046.56 2026-04-01
J9226 HCPCS Supprelin La Implant 9 6 — — $41,869.20 $80,353.19 $60,777.88 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 14 — — $2,361.04 $116,948.43 $60,604.92 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 15 — — $45,610.76 $87,942.56 $60,504.07 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 15 — — $40,523.98 $131,688.82 $60,487.08 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 25 14 — — $45,018.78 $201,227.38 $59,718.79 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 19 — — $14,833.93 $121,358.34 $59,086.21 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 16 — — $38,609.13 $97,732.55 $58,853.10 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 14 — — $43,794.16 $90,439.25 $58,094.30 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 15 — — $43,517.01 $101,882.39 $57,726.64 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 25 14 — — $43,340.77 $88,236.56 $57,492.86 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 38 18 — — $1,594.85 $83,256.55 $57,248.82 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 16 — — $40,265.34 $170,808.08 $56,785.12 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 14 — — $41,111.52 $140,451.61 $56,644.64 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 14 — — $42,570.30 $87,696.06 $56,470.80 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 16 — — $30,812.88 $166,877.61 $55,863.07 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 16 — — $44,558.61 $93,324.91 $55,328.79 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 16 — — $5,459.68 $97,366.19 $55,236.65 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 15 — — $40,523.25 $100,134.25 $54,787.27 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 25 14 — — $41,272.62 $102,952.07 $54,749.40 2026-04-01
5166 OTHER Cochlear Implant Procedure 1 1 — — $54,278.98 $54,278.98 $54,278.98 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 14 — — $47,963.25 $93,906.11 $54,043.24 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 14 — — $40,229.52 $121,394.52 $53,365.69 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 14 — — $39,495.95 $72,791.17 $52,392.59 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 16 — — $17,824.30 $124,752.83 $52,190.54 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 15 — — $44,529.99 $101,721.82 $52,160.11 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 14 — — $37,389.25 $100,120.69 $51,557.04 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 16 — — $36,215.24 $93,634.73 $51,377.40 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 14 — — $19,033.38 $100,290.30 $51,160.31 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 17 — — $41,501.58 $90,543.28 $50,882.40 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 15 — — $21,383.13 $93,573.67 $50,752.44 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 15 — — $36,687.82 $85,217.47 $50,678.16 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 41 16 — — $28,730.06 $87,499.31 $50,488.97 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 6 — — $49,652.09 $49,652.09 $49,652.09 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 15 — — $40,844.84 $111,572.87 $49,600.49 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 14 — — $37,272.66 $103,031.22 $49,443.33 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 6 — — $45,884.51 $66,606.54 $49,415.80 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 14 — — $38,511.28 $77,313.56 $49,384.17 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 4 — — $49,098.94 $49,098.94 $49,098.94 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $48,981.62 $48,981.62 $48,981.62 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 29 16 — — $36,542.86 $91,538.33 $48,475.22 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 44 17 — — $14,772.72 $99,498.33 $48,381.00 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 6 — — $44,565.59 $64,691.99 $47,995.43 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 70 19 — — $878.29 $72,761.18 $47,816.35 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 16 — — $18,458.87 $100,423.72 $47,665.14 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 14 — — $35,767.87 $173,659.82 $47,447.18 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 16 — — $33,379.15 $86,264.54 $47,102.58 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 25 14 — — $35,282.84 $80,615.33 $46,803.77 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 14 — — $30,813.57 $85,631.32 $46,726.38 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 17 — — $31,367.47 $102,321.12 $46,618.95 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 14 — — $32,548.94 $111,950.54 $45,874.11 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 5 — — $45,101.28 $45,101.28 $45,101.28 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 25 14 — — $33,971.61 $68,104.77 $45,064.38 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 39 15 — — $1,073.27 $68,570.71 $44,364.03 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 16 — — $14,194.31 $98,334.11 $44,168.40 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 40 19 — — $7,729.46 $81,856.89 $43,396.11 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 16 — — $36,340.09 $78,922.40 $43,357.93 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 25 14 — — $32,483.39 $75,787.05 $43,090.22 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 15 — — $31,907.23 $74,240.19 $43,034.22 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 34 16 — — $30,628.78 $90,795.47 $43,028.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 32 16 — — $18,476.21 $67,640.43 $42,709.24 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 15 — — $32,112.09 $93,483.21 $42,597.67 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 60 18 — — $29,981.95 $70,142.05 $42,019.33 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 8 — — $1,904.73 $59,274.43 $40,833.50 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 6 — — $29,099.20 $42,240.77 $40,676.30 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 14 — — $29,294.43 $75,369.67 $40,644.49 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 14 — — $31,535.40 $94,204.63 $40,180.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 26 14 — — $31,965.98 $63,859.95 $39,924.96 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 6 — — $36,770.24 $53,376.15 $39,826.46 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 16 — — $30,675.82 $65,526.62 $39,584.94 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 14 — — $29,821.77 $79,140.84 $39,559.49 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 16 — — $34,104.17 $89,600.23 $39,409.80 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 25 14 — — $29,688.46 $54,549.95 $39,382.66 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 6 — — $32,522.22 $47,209.68 $39,285.52 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 15 — — $9,023.69 $68,780.96 $39,137.81 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 36 16 — — $24,860.56 $96,624.59 $39,124.01 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 7 6 — — $28,606.78 $41,525.97 $38,754.07 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 16 — — $16,879.44 $117,208.68 $38,685.69 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 16 — — $23,168.73 $105,439.71 $38,659.71 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 15 — — $9,819.18 $68,943.17 $38,647.69 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 14 — — $29,656.54 $82,799.93 $38,618.25 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 15 — — $25,714.88 $63,440.83 $38,337.62 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 14 — — $28,576.82 $70,128.80 $37,908.03 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 17 — — $28,318.54 $53,714.91 $37,650.08 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 25 14 — — $28,269.53 $110,871.81 $37,500.40 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 16 — — $31,045.04 $73,740.40 $37,440.58 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 25 14 — — $28,023.26 $57,104.88 $37,173.71 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 14 — — $10,215.56 $55,809.27 $37,027.38 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 14 — — $27,687.35 $55,200.71 $36,728.12 2026-04-01
332 MS_DRG Rectal Resection With Mcc 25 14 — — $27,628.60 $55,653.01 $36,650.19 2026-04-01
265 MS_DRG Aicd Lead Procedures 25 14 — — $27,609.78 $68,514.10 $36,625.21 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 35 16 — — $25,150.75 $55,937.96 $36,552.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 41 16 — — $868.89 $88,350.79 $36,536.15 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 15 — — $27,520.90 $50,518.45 $36,507.32 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 14 — — $27,343.16 $56,874.21 $36,271.53 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 36 17 — — $25,337.24 $61,503.48 $36,205.37 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 15 — — $27,280.65 $67,966.82 $36,188.62 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 32 15 — — $14,899.56 $53,140.49 $36,152.65 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 35 15 — — $24,395.91 $61,815.57 $35,992.86 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 26 14 — — $25,889.45 $60,379.52 $35,985.93 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 14 — — $17,970.33 $54,139.52 $35,932.66 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 16 — — $31,430.49 $66,628.02 $35,906.96 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 14 — — $26,865.66 $66,121.44 $35,638.12 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 42 16 — — $9,298.25 $85,287.57 $35,582.48 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 17 — — $18,315.80 $65,055.73 $35,376.46 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 15 — — $31,062.76 $92,987.95 $35,352.95 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 17 — — $1,062.94 $73,516.52 $35,324.30 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 31 16 — — $20,707.96 $52,109.25 $34,990.72 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 25 14 — — $26,257.12 $61,664.05 $34,830.87 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 17 — — $9,195.46 $115,183.90 $34,728.97 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 34 15 — — $9,819.18 $48,851.50 $34,669.29 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 7 — — $1,621.25 $46,471.08 $33,966.75 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 15 — — $18,605.27 $50,594.09 $33,608.24 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 5 5 — — $28,606.78 $41,525.97 $33,528.37 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 5 — — $28,606.78 $41,525.97 $33,528.37 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 5 5 — — $28,606.78 $41,525.97 $33,528.37 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 16 — — $26,053.77 $57,930.33 $33,517.72 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 25 14 — — $25,238.12 $46,272.63 $33,479.13 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 20 11 — — $33,403.01 $33,403.01 $33,403.01 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 27 15 — — $23,875.03 $49,956.55 $33,367.23 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 14 — — $14,194.31 $72,428.74 $33,358.43 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 21 10 — — $9,184.14 $43,661.68 $33,314.42 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 15 — — $1,817.89 $59,572.17 $33,164.43 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 4 3 — — $33,158.14 $33,158.14 $33,158.14 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 38 15 — — $790.36 $94,714.90 $33,014.98 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 10 7 — — $13,249.85 $46,102.48 $32,996.99 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 29 15 — — $24,657.47 $75,631.01 $32,974.59 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 15 — — $20,843.87 $86,889.02 $32,958.03 2026-04-01
69930 HCPCS Implant Cochlear Device 13 8 — — $1,788.33 $55,194.96 $32,867.70 2026-04-01
652 MS_DRG Kidney Transplant 25 14 — — $24,682.29 $138,190.61 $32,741.81 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 35 16 — — $19,916.98 $84,853.37 $32,741.06 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 10 7 — — $899.44 $42,240.77 $32,697.49 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 10 7 — — $509.53 $42,240.77 $32,697.49 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 25 14 — — $24,616.77 $46,159.27 $32,654.90 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 26 14 — — $24,624.38 $48,627.37 $32,318.83 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 25 14 — — $24,289.90 $78,442.04 $32,221.29 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 15 10 — — $29,285.49 $37,098.86 $31,871.24 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 32 17 — — $24,091.07 $62,114.08 $31,846.72 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 14 — — $20,676.50 $75,692.07 $31,728.32 2026-04-01
665 MS_DRG Prostatectomy With Mcc 25 14 — — $23,866.63 $49,388.68 $31,659.81 2026-04-01
791 MS_DRG Prematurity With Major Problems 41 19 — — $1,635.50 $56,858.47 $31,560.87 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 8 — — $596.92 $42,240.77 $31,289.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 8 — — $595.99 $42,240.77 $31,289.46 2026-04-01
A9555 HCPCS Rb82 Rubidium 5 2 — — $610.81 $31,099.26 $31,099.26 2026-04-01
263 MS_DRG Vein Ligation And Stripping 25 14 — — $23,386.12 $51,776.81 $31,022.41 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 14 — — $24,442.09 $63,188.29 $30,771.66 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 13 8 — — $1,286.69 $41,525.97 $30,759.98 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 8 — — $1,282.30 $43,791.59 $30,759.98 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 37 17 — — $17,270.21 $61,084.95 $30,712.82 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 37 16 — — $15,882.97 $57,643.12 $30,710.16 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 14 — — $23,105.20 $42,305.56 $30,649.75 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 8 — — $824.48 $42,240.77 $30,635.31 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 41 16 — — $19,074.91 $43,260.39 $30,515.25 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 15 9 — — $15,842.63 $30,461.90 $30,461.90 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 15 — — $25,954.93 $87,121.64 $30,268.21 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 15 — — $27,191.02 $61,062.49 $30,243.07 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 50 18 — — $17,450.52 $54,981.34 $30,213.21 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 29 15 — — $22,700.14 $48,800.69 $30,213.16 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 25 14 — — $22,532.81 $41,240.95 $29,890.46 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 26 14 — — $15,903.81 $64,922.85 $29,677.58 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 6 — — $27,490.60 $39,905.70 $29,606.31 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 10 8 — — $21,561.72 $29,594.99 $29,594.99 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 31 12 — — $9,910.86 $40,241.64 $29,581.94 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 15 — — $19,685.62 $52,205.01 $29,557.46 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 17 9 — — $29,483.80 $29,483.80 $29,483.80 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 14 — — $22,105.77 $40,446.70 $29,323.98 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 34 16 — — $18,726.82 $68,202.02 $29,319.77 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 26 14 — — $17,985.69 $46,380.90 $29,294.61 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 26 15 — — $22,063.59 $65,504.06 $29,268.03 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 37 17 — — $9,174.39 $53,572.44 $29,099.97 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 7 — — $2,521.01 $38,033.52 $28,952.97 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 30 16 — — $11,515.30 $49,857.27 $28,599.28 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 8 — — $507.19 $38,599.90 $28,592.52 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 26 15 — — $22,090.53 $49,854.55 $28,554.40 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 7 6 — — $20,621.01 $29,933.73 $28,545.41 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 7 6 — — $20,621.01 $29,933.73 $28,545.41 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 28 15 — — $20,058.90 $59,768.92 $28,443.80 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 44 17 — — $15,785.89 $70,632.08 $28,027.83 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 30 16 — — $20,948.94 $53,941.06 $27,937.75 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 15 — — $24,538.44 $44,971.28 $27,596.23 2026-04-01
849 MS_DRG Radiotherapy 25 14 — — $20,765.93 $57,163.68 $27,546.64 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 14 — — $22,059.02 $50,942.32 $27,460.29 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 8 — — $799.80 $41,525.97 $27,331.40 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 31 17 — — $22,215.73 $56,903.61 $27,248.90 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 26 15 — — $15,431.55 $61,166.52 $27,073.06 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 28 15 — — $20,393.11 $54,024.73 $27,052.09 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 8 — — $527.13 $41,525.97 $26,984.62 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 25 14 — — $20,222.90 $41,229.22 $26,826.29 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 43 18 — — $12,829.57 $46,663.58 $26,666.26 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 33 16 — — $18,752.84 $48,626.56 $26,534.76 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 46 17 — — $7,898.08 $47,385.00 $26,431.04 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 32 16 — — $6,787.16 $56,028.41 $26,371.31 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 38 17 — — $18,098.43 $47,841.82 $26,039.83 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 14 — — $22,924.77 $65,187.45 $26,012.43 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 31 15 — — $3,821.74 $45,021.74 $25,983.09 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 44 17 — — $12,625.81 $44,130.72 $25,936.28 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 15 — — $18,922.54 $74,968.39 $25,799.78 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 48 17 — — $6,950.58 $66,556.79 $25,775.87 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 15 — — $18,451.54 $42,311.16 $25,701.99 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 16 — — $19,214.20 $66,198.34 $25,676.90 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 14 — — $17,181.47 $49,877.16 $25,670.99 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 16 — — $5,788.84 $53,699.08 $25,407.44 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 26 15 — — $17,225.71 $61,146.17 $25,291.40 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 25 14 — — $19,050.25 $47,489.03 $25,270.74 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 29 15 — — $22,641.76 $45,364.91 $25,255.18 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 15 — — $17,191.13 $38,678.26 $25,210.60 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 30 15 — — $15,417.03 $45,853.97 $25,167.57 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 7 6 — — $17,984.97 $27,271.40 $25,140.28 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 7 6 — — $17,984.97 $27,271.40 $25,140.28 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 7 6 — — $17,984.97 $27,271.40 $25,140.28 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 38 16 — — $6,214.14 $61,646.48 $24,896.09 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 15 — — $21,518.32 $43,477.15 $24,881.12 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 28 14 — — $17,068.40 $66,076.21 $24,781.71 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 29 17 — — $24,158.85 $73,423.80 $24,706.15 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 66 18 — — $8,934.07 $39,277.56 $24,695.76 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 25 14 — — $18,602.12 $38,673.74 $24,676.29 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 25 14 — — $18,474.84 $53,619.93 $24,507.44 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 13 8 — — $773.32 $29,933.73 $24,447.23 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 5 4 — — $24,420.18 $24,420.18 $24,420.18 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 27 15 — — $18,396.52 $33,547.76 $24,403.55 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 28 15 — — $8,486.58 $38,651.13 $24,359.58 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 15 — — $16,639.83 $42,975.09 $24,277.93 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 7 6 — — $17,856.64 $25,920.94 $24,253.30 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 7 6 — — $17,856.64 $25,920.94 $24,253.30 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 7 6 — — $17,856.64 $25,920.94 $24,253.30 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 7 6 — — $17,856.64 $25,920.94 $24,253.30 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 7 6 — — $17,856.64 $25,920.94 $24,253.30 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 7 6 — — $17,856.64 $25,920.94 $24,253.30 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 7 6 — — $17,856.64 $25,920.94 $24,253.30 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 7 6 — — $17,856.64 $25,920.94 $24,253.30 2026-04-01
L8614 HCPCS Cochlear Device 3 1 — — $24,147.75 $24,147.75 $24,147.75 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 19 10 — — $11,494.19 $39,840.12 $24,141.38 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 26 14 — — $19,752.36 $39,345.40 $24,125.07 2026-04-01
5212 OTHER Level 2 Electrophysiologic Procedures 1 1 — — $24,085.52 $24,085.52 $24,085.52 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 37 15 — — $14,728.27 $32,759.11 $24,023.19 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 25 14 — — $18,066.64 $41,193.04 $23,965.96 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 28 15 — — $18,800.67 $42,421.03 $23,833.78 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 27 14 — — $13,995.78 $37,196.99 $23,824.09 2026-04-01
503 MS_DRG Foot Procedures With Mcc 27 14 — — $8,642.81 $44,938.07 $23,780.34 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 25 14 — — $17,885.88 $35,175.22 $23,726.17 2026-04-01
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