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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 WAYNE HOSPITAL

Wayne, MI · CCN 230142 · Rates published

14,565 distinct procedures filed
20 distinct payers
175,733 rate rows
2026-04-01 last MRF observed
Data quality

133,898 of 175,733 rate rows are consumer-grade (76.2%)

41,835 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 40,985
placeholder amount (≤ $0.02) — excluded from medians 773
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 59
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blta24a919a1d4f1e64/381405141_1295785285_oakwood-healthcare-inc_standardcharges.csv
Found on page https://corewellhealth.org/billing/price-estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 77ad0d2d52f99ef5… · 32,279,832 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 14 $163,567.55 $604,904.66 $374,259.07 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $236,139.67 $591,921.25 $275,276.31 nat. median
$261,939
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $180,070.82 $404,125.68 $209,815.10 nat. median
$205,166
1.0× median
0100T
OTHER 		Prosth Retina Receive&Gen 1 $197,834.36 $197,834.36 $197,834.36 nat. median
$5,118
outlier · 38.7×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $92,875.49 $454,289.35 $182,671.49 nat. median
$199,832
0.9× median
7
MS_DRG 		Lung Transplant 14 $109,492.80 $218,349.31 $127,414.25 nat. median
$122,690
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $53,851.32 $219,175.34 $119,453.62 nat. median
$132,706
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $101,659.77 $337,789.05 $118,269.07 nat. median
$114,305
1.0× median
9259
OTHER 		Pralatrexate Injection 1 $112,244.44 $112,244.44 $112,244.44 nat. median
$393
outlier · 285.8×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $95,895.26 $217,950.78 $111,538.93 nat. median
$108,240
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $95,786.04 $232,167.32 $111,411.41 nat. median
$96,134
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $93,285.65 $154,384.97 $108,492.17 nat. median
$96,835
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $92,049.74 $229,467.00 $107,049.23 nat. median
$100,978
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $87,314.46 $223,807.92 $101,520.72 nat. median
$99,646
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $1,855.21 $198,203.16 $92,183.75 nat. median
$92,900
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 16 $24,001.81 $181,242.82 $90,713.26 nat. median
$98,002
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $76,384.50 $137,416.93 $88,759.83 nat. median
$81,124
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $73,443.01 $156,456.86 $85,325.60 nat. median
$81,364
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $71,513.95 $147,817.28 $83,073.39 nat. median
$79,040
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $71,291.31 $129,272.49 $82,813.45 nat. median
$80,459
1.0× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 1 $78,485.95 $78,485.95 $78,485.95 nat. median
$229
outlier · 342.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $66,799.68 $177,378.32 $77,569.41 nat. median
$77,385
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $65,199.13 $143,943.11 $75,700.74 nat. median
$74,472
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $64,921.03 $117,133.12 $75,376.06 nat. median
$73,475
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $64,708.46 $154,708.17 $75,127.88 nat. median
$71,485
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $56,576.95 $159,429.85 $73,255.16 nat. median
$68,581
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $61,336.80 $101,118.15 $71,191.42 nat. median
$66,640
1.1× median
10
MS_DRG 		Pancreas Transplant 14 $60,976.36 $100,517.21 $70,770.60 nat. median
$67,750
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 $60,951.16 $106,090.30 $70,741.18 nat. median
$62,911
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $60,631.04 $142,288.62 $70,367.44 nat. median
$69,153
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $58,474.30 $110,940.25 $67,849.40 nat. median
$65,792
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $57,240.90 $182,426.33 $66,409.40 nat. median
$64,357
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 $56,866.18 $111,821.84 $65,971.90 nat. median
$59,832
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $56,825.02 $100,293.54 $65,923.84 nat. median
$62,262
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $55,931.89 $106,812.48 $64,881.12 nat. median
$60,895
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 $55,731.09 $124,903.18 $64,646.68 nat. median
$59,159
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $8,248.75 $133,238.44 $62,437.70 nat. median
$62,218
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $31,577.84 $132,806.10 $62,209.96 nat. median
$63,840
1.0× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 $39,678.39 $140,646.21 $61,709.65 nat. median
$58,419
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $52,177.11 $119,161.98 $60,497.36 nat. median
$60,162
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 18 $14,708.05 $129,613.05 $59,958.28 nat. median
$65,958
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 14 $51,624.27 $132,429.31 $59,851.90 nat. median
$59,257
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 14 $51,168.05 $93,924.35 $59,319.26 nat. median
$56,970
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 14 $50,507.66 $214,914.73 $58,548.24 nat. median
$55,867
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 8 $486.00 $84,647.59 $58,312.78 nat. median
$13,835
outlier · 4.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 14 $46,726.71 $135,999.14 $57,967.38 nat. median
$60,294
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 14 $49,994.31 $99,672.80 $57,948.90 nat. median
$57,082
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 $49,962.39 $108,640.87 $57,911.62 nat. median
$56,397
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $19,796.69 $76,713.14 $57,847.39 nat. median
$63,643
0.9× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $56,953.96 $56,953.96 $56,953.96 nat. median
$39,896
1.4× median

Other procedures at this hospital

Browse this hospital's 14,565 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 24 14 — — $163,567.55 $604,904.66 $374,259.07 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 14 — — $236,139.67 $591,921.25 $275,276.31 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 14 — — $180,070.82 $404,125.68 $209,815.10 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $197,834.36 $197,834.36 $197,834.36 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 15 — — $92,875.49 $454,289.35 $182,671.49 2026-04-01
7 MS_DRG Lung Transplant 24 14 — — $109,492.80 $218,349.31 $127,414.25 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 17 — — $53,851.32 $219,175.34 $119,453.62 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 14 — — $101,659.77 $337,789.05 $118,269.07 2026-04-01
9259 OTHER Pralatrexate Injection 1 1 — — $112,244.44 $112,244.44 $112,244.44 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 14 — — $95,895.26 $217,950.78 $111,538.93 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 24 14 — — $95,786.04 $232,167.32 $111,411.41 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $93,285.65 $154,384.97 $108,492.17 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 14 — — $92,049.74 $229,467.00 $107,049.23 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 14 — — $87,314.46 $223,807.92 $101,520.72 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $1,855.21 $198,203.16 $92,183.75 2026-04-01
215 MS_DRG Other Heart Assist System Implant 26 16 — — $24,001.81 $181,242.82 $90,713.26 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 14 — — $76,384.50 $137,416.93 $88,759.83 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 14 — — $73,443.01 $156,456.86 $85,325.60 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 14 — — $71,513.95 $147,817.28 $83,073.39 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — — $71,291.31 $129,272.49 $82,813.45 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 1 1 — — $78,485.95 $78,485.95 $78,485.95 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 14 — — $66,799.68 $177,378.32 $77,569.41 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $65,199.13 $143,943.11 $75,700.74 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 14 — — $64,921.03 $117,133.12 $75,376.06 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 14 — — $64,708.46 $154,708.17 $75,127.88 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 15 — — $56,576.95 $159,429.85 $73,255.16 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $61,336.80 $101,118.15 $71,191.42 2026-04-01
10 MS_DRG Pancreas Transplant 24 14 — — $60,976.36 $100,517.21 $70,770.60 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 14 — — $60,951.16 $106,090.30 $70,741.18 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 14 — — $60,631.04 $142,288.62 $70,367.44 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 14 — — $58,474.30 $110,940.25 $67,849.40 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 14 — — $57,240.90 $182,426.33 $66,409.40 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 14 — — $56,866.18 $111,821.84 $65,971.90 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 14 — — $56,825.02 $100,293.54 $65,923.84 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $55,931.89 $106,812.48 $64,881.12 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 14 — — $55,731.09 $124,903.18 $64,646.68 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 17 — — $8,248.75 $133,238.44 $62,437.70 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $31,577.84 $132,806.10 $62,209.96 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 15 — — $39,678.39 $140,646.21 $61,709.65 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 14 — — $52,177.11 $119,161.98 $60,497.36 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 47 18 — — $14,708.05 $129,613.05 $59,958.28 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 14 — — $51,624.27 $132,429.31 $59,851.90 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 14 — — $51,168.05 $93,924.35 $59,319.26 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 14 — — $50,507.66 $214,914.73 $58,548.24 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 11 8 — — $486.00 $84,647.59 $58,312.78 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 14 — — $46,726.71 $135,999.14 $57,967.38 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 14 — — $49,994.31 $99,672.80 $57,948.90 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 14 — — $49,962.39 $108,640.87 $57,911.62 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 8 — — $19,796.69 $76,713.14 $57,847.39 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $56,953.96 $56,953.96 $56,953.96 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 14 — — $49,141.52 $96,590.86 $56,953.26 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 14 — — $48,832.34 $108,812.36 $56,592.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 15 — — $41,379.97 $104,380.25 $56,489.01 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 14 — — $48,635.73 $94,238.35 $56,362.74 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $47,922.42 $78,752.98 $55,529.93 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 14 — — $47,776.22 $93,661.09 $55,359.25 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 14 — — $47,453.60 $106,930.83 $54,982.57 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 14 — — $47,090.64 $107,111.97 $54,558.82 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 14 — — $46,649.54 $91,013.90 $54,043.83 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 14 — — $46,584.01 $96,701.97 $53,967.32 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 14 — — $46,511.75 $99,938.49 $53,882.96 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 14 — — $46,328.59 $109,954.80 $53,669.11 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $45,492.61 $106,945.32 $52,693.10 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 14 — — $45,465.72 $82,572.37 $52,661.70 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 14 — — $45,164.94 $129,651.69 $52,310.54 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 15 — — $12,453.69 $178,228.51 $52,067.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 14 — — $4,412.66 $83,256.55 $51,656.75 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 14 — — $44,422.21 $75,538.98 $51,443.40 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 14 — — $44,346.60 $72,791.17 $51,355.11 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 31 15 — — $21,552.45 $87,279.77 $50,862.68 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $43,034.23 $91,455.90 $49,822.90 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 16 — — $6,212.41 $105,022.73 $49,564.86 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 10 8 — — $17,185.01 $67,898.63 $49,348.43 2026-04-01
J9226 HCPCS Supprelin La Implant 7 6 — — $41,869.20 $80,353.19 $49,072.51 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 14 — — $41,866.37 $110,039.34 $48,459.41 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 14 — — $41,257.24 $67,640.43 $47,748.24 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 3 — — $17,523.40 $94,367.28 $47,573.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 14 — — $41,052.23 $97,764.71 $47,508.89 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 14 — — $40,686.75 $100,003.70 $47,082.19 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 14 — — $40,187.68 $185,472.04 $46,499.52 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 17 — — $1,692.38 $103,988.97 $45,936.63 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 14 — — $39,646.61 $86,098.73 $45,867.80 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 14 — — $41,400.77 $119,565.34 $45,445.18 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 15 — — $37,916.16 $87,424.74 $45,428.69 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 30 15 — — $9,612.18 $68,943.17 $45,106.58 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 14 — — $38,887.92 $93,450.95 $44,982.03 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 51 17 — — $9,179.53 $98,986.60 $44,507.46 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 14 — — $20,943.20 $65,526.62 $44,478.01 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 14 — — $38,331.71 $95,694.78 $44,332.65 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 7 — — $1,156.71 $59,274.43 $44,302.15 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 8 7 — — $1,236.93 $59,274.43 $44,302.15 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 11 8 — — $17,026.96 $59,274.43 $44,297.67 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 14 — — $38,183.84 $72,737.21 $44,160.01 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 14 — — $37,281.44 $92,132.19 $43,608.93 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 14 — — $83.56 $88,431.93 $43,399.60 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 29 15 — — $21,868.76 $78,517.06 $43,271.57 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 14 — — $9,650.40 $63,812.62 $43,086.54 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 14 — — $36,523.64 $80,942.04 $42,221.70 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 14 — — $36,317.79 $63,662.87 $41,981.36 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 14 — — $36,169.92 $69,594.89 $41,808.72 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 14 — — $36,109.42 $99,841.88 $41,738.10 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 14 — — $36,091.78 $73,459.39 $41,717.49 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 14 — — $35,880.90 $79,289.96 $41,471.28 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — — $35,744.78 $99,312.92 $41,312.37 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 14 — — $35,580.11 $78,756.18 $41,120.11 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 17 — — $842.35 $107,254.48 $40,925.53 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 14 — — $35,349.06 $71,160.01 $40,850.35 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 16 — — $32,090.83 $65,686.91 $40,484.62 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 16 — — $32,275.86 $109,280.93 $40,297.11 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 40 17 — — $23,159.03 $69,198.77 $40,108.50 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 6 — — $39,844.31 $39,844.31 $39,844.31 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 14 — — $33,554.43 $84,523.95 $38,755.10 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 14 — — $33,405.71 $54,549.95 $38,581.47 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $38,568.28 $38,568.28 $38,568.28 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 14 — — $33,217.42 $100,612.36 $38,481.85 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $38,397.05 $38,397.05 $38,397.05 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 31 16 — — $5,235.75 $69,119.07 $38,362.11 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 14 — — $33,208.27 $64,486.50 $38,350.96 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 14 — — $32,189.00 $59,626.88 $38,335.59 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 25 15 — — $33,899.73 $58,774.28 $37,995.44 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 15 — — $20,709.08 $77,355.29 $37,843.19 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 16 — — $28,354.33 $65,839.07 $37,769.10 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 8 7 — — $29,099.20 $42,240.77 $37,341.79 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 8 7 — — $29,099.20 $42,240.77 $37,341.79 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 8 7 — — $29,099.20 $42,240.77 $37,341.79 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 15 — — $10,138.10 $68,203.66 $37,340.27 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 14 — — $32,165.60 $74,898.92 $37,133.62 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 14 — — $32,087.46 $57,368.56 $37,042.40 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 15 — — $10,528.29 $54,139.52 $36,881.52 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 14 — — $14,158.26 $62,769.21 $36,846.95 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 14 — — $31,822.80 $118,413.23 $36,733.40 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 38 16 — — $7,155.48 $66,855.92 $36,722.90 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 35 17 — — $1,428.50 $58,407.76 $36,448.55 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 14 — — $31,548.06 $60,989.12 $36,412.64 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 8 7 — — $28,606.78 $41,525.97 $36,048.32 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 14 — — $31,173.34 $58,955.42 $35,975.15 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 14 — — $31,149.82 $67,486.32 $35,947.68 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 14 — — $31,107.81 $59,438.49 $35,898.63 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 14 — — $31,086.81 $73,174.38 $35,874.11 2026-04-01
69930 HCPCS Implant Cochlear Device 11 8 — — $2,452.28 $55,194.96 $35,825.80 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 14 — — $23,552.21 $52,205.01 $35,591.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 36 17 — — $9,852.55 $91,088.77 $35,568.23 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 14 — — $30,789.38 $60,742.76 $35,526.87 2026-04-01
791 MS_DRG Prematurity With Major Problems 28 15 — — $1,803.64 $56,858.47 $35,500.34 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 14 — — $30,719.65 $72,589.88 $35,445.45 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 14 — — $30,619.66 $65,215.92 $35,328.71 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 25 14 — — $29,577.83 $65,858.39 $35,326.94 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 14 — — $26,699.95 $112,611.65 $34,943.04 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 14 — — $30,256.71 $70,618.98 $34,904.96 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 38 12 — — $6,897.16 $34,802.83 $34,802.83 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 15 — — $28,732.79 $48,851.50 $34,778.38 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 11 8 — — $13,249.85 $49,585.29 $34,764.69 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 14 — — $26,879.46 $53,847.03 $34,465.87 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 14 — — $29,853.42 $48,627.37 $34,434.11 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 14 — — $26,727.18 $55,653.69 $34,269.32 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 27 15 — — $6,677.07 $66,020.22 $34,221.89 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 8 — — $804.84 $42,240.77 $34,105.51 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 8 — — $799.45 $42,240.77 $34,105.51 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 15 — — $29,220.16 $49,857.27 $34,024.79 2026-04-01
61886 HCPCS Implant Neurostim Arrays 11 8 — — $2,533.01 $43,791.59 $33,528.37 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 16 — — $4,316.15 $50,594.09 $33,376.34 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $33,301.30 $33,301.30 $33,301.30 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 14 — — $27,660.53 $44,971.28 $32,982.49 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 26 15 — — $25,011.08 $93,047.60 $32,958.86 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 14 — — $28,441.06 $48,559.91 $32,785.17 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 24 14 — — $28,346.96 $46,115.74 $32,675.31 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 14 — — $28,343.60 $59,742.82 $32,671.38 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 14 — — $29,282.49 $61,870.71 $32,645.48 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 25 14 — — $29,313.17 $80,840.59 $32,603.43 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 14 — — $28,016.77 $80,775.38 $32,289.81 2026-04-01
9389 OTHER Inj. Lurbinectedin, 0.1 Mg 1 1 — — $32,207.63 $32,207.63 $32,207.63 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 17 — — $9,116.62 $63,624.23 $32,179.04 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 14 — — $27,828.57 $54,407.39 $32,070.08 2026-04-01
652 MS_DRG Kidney Transplant 24 14 — — $27,821.00 $147,590.24 $32,061.25 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 24 14 — — $27,747.92 $49,298.99 $31,975.91 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 15 — — $18,805.69 $56,755.07 $31,879.39 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 8 — — $1,700.02 $41,525.97 $31,865.64 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 29 16 — — $25,885.78 $66,339.04 $31,621.52 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $31,553.98 $31,553.98 $31,553.98 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 14 — — $27,383.27 $83,777.62 $31,550.18 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 15 — — $24,441.99 $52,571.75 $31,492.76 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 14 — — $27,237.08 $78,418.03 $31,379.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 14 — — $22,801.91 $70,701.10 $31,276.51 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 48 16 — — $10,740.21 $61,771.02 $31,235.80 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 14 — — $27,086.69 $49,535.70 $31,203.92 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 8 — — $662.62 $38,599.90 $31,165.84 2026-04-01
A9555 HCPCS Rb82 Rubidium 5 2 — — $609.39 $31,099.26 $31,099.26 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 7 — — $1,206.59 $41,525.97 $31,036.82 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 7 — — $778.55 $41,525.97 $31,036.82 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 14 — — $26,911.08 $52,748.06 $30,998.90 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 14 — — $11,548.86 $73,879.66 $30,994.24 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 14 — — $23,211.87 $48,972.93 $30,921.35 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 14 — — $26,810.26 $69,621.45 $30,881.19 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 8 — — $1,116.27 $42,240.77 $30,635.31 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 16 — — $26,539.13 $64,491.33 $30,600.81 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 14 — — $4,095.21 $80,067.69 $30,339.16 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 16 — — $10,836.93 $80,031.46 $30,094.01 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 14 — — $26,061.66 $43,456.35 $30,007.18 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 14 — — $26,033.94 $53,269.77 $29,974.82 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 36 16 — — $20,206.84 $118,214.49 $29,871.53 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 14 — — $24,946.73 $42,055.46 $29,664.11 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 14 — — $25,694.50 $52,120.08 $29,578.52 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 9 7 — — $517.86 $39,717.28 $29,420.21 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 25 14 — — $24,812.70 $53,245.62 $29,373.83 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 32 15 — — $4,952.99 $51,095.99 $29,341.28 2026-04-01
263 MS_DRG Vein Ligation And Stripping 25 14 — — $20,547.54 $55,298.64 $29,335.52 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 26 14 — — $12,418.81 $47,132.46 $29,281.30 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 14 — — $25,423.12 $43,796.91 $29,261.68 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 8 — — $826.37 $42,240.77 $29,099.20 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 32 16 — — $20,004.26 $68,895.38 $29,042.40 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 14 — — $23,362.50 $42,615.82 $28,990.69 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 15 — — $20,958.59 $57,351.65 $28,884.42 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 14 — — $25,054.28 $65,327.02 $28,831.05 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 25 14 — — $24,206.54 $63,834.36 $28,759.00 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 7 — — $1,621.25 $46,471.08 $28,679.88 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 24 14 — — $24,899.68 $69,959.60 $28,650.57 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 11 8 — — $1,518.87 $41,525.97 $28,606.78 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 11 8 — — $692.94 $41,525.97 $28,606.78 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 14 — — $12,321.03 $90,625.03 $28,527.98 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 15 — — $16,280.73 $45,364.91 $28,465.94 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 15 — — $22,661.67 $69,338.86 $28,248.96 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 25 14 — — $22,607.93 $45,306.48 $28,051.52 2026-04-01
800 MS_DRG Splenic Procedures With Cc 24 14 — — $24,291.40 $46,434.43 $27,940.37 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 14 — — $25,069.40 $60,774.16 $27,883.31 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 14 — — $21,177.09 $38,828.78 $27,572.53 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 15 — — $25,927.61 $68,008.02 $27,458.15 2026-04-01
22558 HCPCS Lumbar Spine Fusion 8 7 — — $3,428.60 $36,514.92 $27,291.53 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 8 7 — — $2,375.43 $36,514.92 $27,291.53 2026-04-01
22630 HCPCS Lumbar Spine Fusion 8 7 — — $3,535.25 $36,514.92 $27,291.53 2026-04-01
849 MS_DRG Radiotherapy 24 14 — — $23,452.05 $61,051.92 $26,960.42 2026-04-01
503 MS_DRG Foot Procedures With Mcc 26 14 — — $22,472.67 $47,994.72 $26,857.62 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 28 15 — — $16,646.31 $52,390.60 $26,817.82 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 11 7 — — $26,716.40 $26,716.40 $26,716.40 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 14 — — $23,036.15 $57,699.46 $26,474.86 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 14 — — $22,958.02 $70,570.67 $26,383.64 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 25 15 — — $22,259.83 $39,958.97 $26,378.60 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 14 — — $568.59 $57,610.09 $26,311.50 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 8 7 — — $20,621.01 $29,933.73 $26,288.64 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 8 7 — — $20,621.01 $29,933.73 $26,288.64 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 8 7 — — $20,621.01 $29,933.73 $26,288.64 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 8 7 — — $20,621.01 $29,933.73 $26,288.64 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 8 7 — — $20,621.01 $29,933.73 $26,288.64 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 24 14 — — $22,846.28 $44,033.61 $26,253.18 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 14 — — $21,371.46 $65,305.29 $26,053.58 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 17 10 — — $8,202.28 $30,546.58 $25,977.37 2026-04-01
570 MS_DRG Skin Debridement With Mcc 33 18 — — $1,842.90 $41,198.93 $25,916.24 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 28 16 — — $22,137.16 $48,084.09 $25,821.65 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 14 — — $22,469.04 $42,683.45 $25,812.74 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 30 16 — — $18,385.08 $35,816.71 $25,777.35 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 24 14 — — $22,357.29 $42,021.65 $25,682.28 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 34 16 — — $22,299.14 $61,563.96 $25,669.33 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 31 16 — — $5,860.64 $44,726.80 $25,485.67 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 30 15 — — $13,028.99 $72,841.07 $25,308.39 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 34 16 — — $6,500.63 $49,427.01 $25,236.29 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 8 — — $3,711.46 $36,514.92 $25,154.73 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 8 — — $1,970.99 $36,514.92 $25,154.73 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 11 8 — — $3,283.41 $36,514.92 $25,154.73 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 34 17 — — $9,612.18 $45,898.23 $25,139.50 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 24 14 — — $21,884.26 $62,933.45 $25,130.01 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 28 15 — — $17,752.18 $41,309.13 $25,113.58 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 25 14 — — $19,083.78 $51,934.10 $24,900.42 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 26 15 — — $19,722.47 $45,062.53 $24,719.21 2026-04-01
9363 OTHER Inj, Esmolol Hcl, 10mg 1 1 — — $24,696.06 $24,696.06 $24,696.06 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 27 15 — — $20,520.74 $60,781.68 $24,604.34 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 28 15 — — $15,358.61 $46,086.63 $24,479.07 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 11 8 — — $20,621.01 $29,933.73 $24,447.23 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 7 — — $2,521.01 $38,033.52 $24,446.47 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 29 16 — — $20,134.87 $57,216.40 $24,338.75 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 24 14 — — $21,198.67 $38,538.77 $24,329.58 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 35 12 — — $6,078.55 $35,661.43 $24,309.38 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 11 8 — — $4,183.09 $35,174.36 $24,231.23 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 11 8 — — $3,691.14 $35,174.36 $24,231.23 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 11 8 — — $4,448.66 $35,174.36 $24,231.23 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 8 — — $772.49 $36,337.64 $24,168.72 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 11 8 — — $742.84 $36,337.64 $24,168.72 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 8 — — $746.20 $36,337.64 $24,168.72 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 24 14 — — $21,038.20 $41,304.30 $24,142.22 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 25 15 — — $21,623.81 $34,906.54 $24,050.97 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 50 17 — — $3,423.12 $42,809.04 $24,024.08 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 25 14 — — $20,321.52 $39,727.10 $24,008.47 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 24 14 — — $20,896.21 $57,267.12 $23,976.44 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 24 14 — — $20,771.86 $41,280.15 $23,831.27 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 14 — — $20,105.59 $57,160.84 $23,744.44 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 41 16 — — $17,618.52 $50,608.10 $23,662.82 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 24 14 — — $20,440.83 $43,994.96 $23,444.78 2026-04-01
333 MS_DRG Rectal Resection With Cc 24 14 — — $20,366.06 $46,296.76 $23,357.48 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 25 15 — — $10,476.71 $51,042.85 $23,325.80 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 27 15 — — $15,867.78 $59,839.43 $23,224.20 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 37 16 — — $11,072.10 $41,949.19 $23,166.01 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 26 15 — — $17,463.96 $50,719.20 $23,164.46 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 8 7 — — $17,984.97 $27,140.65 $23,109.72 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 8 7 — — $17,984.97 $27,140.65 $23,109.72 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 8 7 — — $17,984.97 $27,140.65 $23,109.72 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 24 14 — — $19,974.53 $65,677.25 $22,900.37 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 24 14 — — $19,968.65 $32,432.85 $22,893.50 2026-04-01
L5858 HCPCS Stance Phase Only 9 7 — — $15,318.74 $30,894.82 $22,885.05 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 27 15 — — $15,049.54 $31,960.65 $22,880.27 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 28 15 — — $17,140.23 $46,644.56 $22,825.59 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 32 16 — — $2,957.54 $48,779.70 $22,802.28 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 26 15 — — $3,884.17 $34,391.04 $22,761.88 2026-04-01
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