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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

ASCENSION GENESYS HOSPITAL

Grand Blanc, MI · CCN 230197 · Rates published

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You selected 93306 (CPT)

TTE W/DOPPLER COMPLETE

This hospital’s price: $876 across 5 payers · range $208-$876

Source: https://www.henryford.com/-/media/files/henry-ford/patients-visitors/price-transparency-2026/legacy-ascension/382377821_henry-ford-genesys-hospital_standardcharges.csv · observed 2026-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

10,910 distinct procedures filed
21 distinct payers
65,725 rate rows
2026-01-01 last MRF observed
Data quality

65,045 of 65,725 rate rows are consumer-grade (99.0%)

680 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
placeholder amount (≤ $0.02) — excluded from medians 334
per-diem day rate — not a per-procedure price 184
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 147
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.henryford.com/-/media/files/henry-ford/patients-visitors/price-transparency-2026/legacy-ascension/382377821_henry-ford-genesys-hospital_standardcharges.csv
Found on page https://www.henryford.com/visitors/billing/cost-of-care/hospital-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint 3f3b24e834a84154… · 54,664,999 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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $5,443.00 $469,229.57 $222,229.02 nat. median
$249,124
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $59,819.76 $184,780.73 $184,780.73 nat. median
$58,331
outlier · 3.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $5,443.00 $260,514.75 $147,185.90 nat. median
$190,557
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $79,080.80 $133,954.01 $133,954.01 nat. median
$90,581
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $5,443.00 $329,738.78 $118,484.26 nat. median
$198,433
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $5,443.00 $309,198.72 $117,715.08 nat. median
$103,967
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $66,142.84 $115,967.67 $115,967.67 nat. median
$77,043
1.5× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $51,822.36 $111,671.96 $111,671.96 nat. median
$62,038
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $76,282.08 $108,367.89 $108,367.89 nat. median
$77,696
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 11 $5,443.00 $264,407.67 $108,243.24 nat. median
$93,917
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $61,398.32 $103,289.10 $103,289.10 nat. median
$71,758
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $63,231.84 $96,899.73 $96,899.73 nat. median
$72,473
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $5,443.00 $207,723.18 $95,453.74 nat. median
$110,192
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $51,698.54 $93,047.70 $93,047.70 nat. median
$63,896
1.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $48,276.68 $93,027.26 $93,027.26 nat. median
$57,804
1.6× median
653
MS_DRG 		Major Bladder Procedures With Mcc 7 $9,588.00 $92,233.95 $92,233.95 nat. median
$49,999
1.8× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 7 $9,588.00 $92,096.96 $92,096.96 nat. median
$50,825
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $5,443.00 $189,401.52 $89,590.74 nat. median
$126,722
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $45,371.76 $87,375.98 $87,375.98 nat. median
$59,558
1.5× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $9,588.00 $85,642.16 $85,642.16 nat. median
$55,188
1.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $5,443.00 $374,767.00 $84,231.22 nat. median
$94,964
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $5,443.00 $180,454.35 $79,583.46 nat. median
$74,460
1.1× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 $9,588.00 $79,532.90 $79,532.90 nat. median
$51,613
1.5× median
7
MS_DRG 		Lung Transplant 11 $5,443.00 $369,661.64 $79,485.06 nat. median
$117,894
0.7× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 7 $9,588.00 $79,287.54 $79,287.54 nat. median
$49,396
1.6× median
799
MS_DRG 		Splenic Procedures With Mcc 7 $9,588.00 $78,649.63 $78,649.63 nat. median
$43,294
1.8× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $9,588.00 $75,212.66 $75,212.66 nat. median
$50,679
1.5× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $47,268.08 $74,229.20 $74,229.20 nat. median
$55,491
1.3× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 7 $9,588.00 $73,372.52 $73,372.52 nat. median
$46,224
1.6× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 7 $9,588.00 $70,469.18 $70,469.18 nat. median
$44,860
1.6× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 $5,443.00 $137,568.87 $59,786.20 nat. median
$51,590
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $5,443.00 $108,662.31 $56,511.94 nat. median
$68,004
0.8× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 10 $5,824.00 $93,820.56 $55,458.75 nat. median
$47,451
1.2× median
69930
CPT 		Implant Cochlear Device 7 $1,595.71 $53,251.31 $53,251.31 nat. median
$29,205
1.8× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 $8,180.00 $123,052.21 $53,070.40 nat. median
$45,888
1.2× median
33270
CPT 		Ins/rep Subq Defibrillator 6 $25,045.85 $175,607.50 $52,899.71 nat. median
$32,113
1.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 11 $5,443.00 $82,616.15 $50,061.00 nat. median
$53,907
0.9× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 $5,443.00 $83,288.83 $49,254.94 nat. median
$45,443
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $5,443.00 $114,851.32 $48,347.20 nat. median
$62,721
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $5,443.00 $62,110.86 $48,185.66 nat. median
$58,216
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $5,443.00 $100,234.47 $48,020.28 nat. median
$53,879
0.9× median
834
MS_DRG 		Acute Leukemia With Mcc 11 $5,443.00 $117,701.49 $46,179.12 nat. median
$50,391
0.9× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 5 $25,835.17 $45,607.54 $45,607.54 nat. median
$30,121
1.5× median
28
MS_DRG 		Spinal Procedures With Mcc 11 $5,443.00 $66,831.84 $45,459.98 nat. median
$54,505
0.8× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 11 $5,443.00 $131,461.65 $44,988.48 nat. median
$50,788
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $5,443.00 $108,598.93 $44,968.80 nat. median
$61,711
0.7× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 6 $25,835.17 $147,610.57 $44,465.96 nat. median
$31,564
1.4× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 $5,443.00 $97,396.57 $44,084.84 nat. median
$53,532
0.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 11 $5,443.00 $68,332.58 $43,913.52 nat. median
$49,960
0.9× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $8,180.00 $65,468.09 $43,778.98 nat. median
$40,320
1.1× median

Other procedures at this hospital

Browse this hospital's 10,910 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 11 11 — — $5,443.00 $469,229.57 $222,229.02 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 6 — — $59,819.76 $184,780.73 $184,780.73 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 11 — — $5,443.00 $260,514.75 $147,185.90 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $79,080.80 $133,954.01 $133,954.01 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 11 — — $5,443.00 $329,738.78 $118,484.26 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 11 — — $5,443.00 $309,198.72 $117,715.08 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 6 — — $66,142.84 $115,967.67 $115,967.67 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $51,822.36 $111,671.96 $111,671.96 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 6 — — $76,282.08 $108,367.89 $108,367.89 2026-01-01
215 MS_DRG Other Heart Assist System Implant 11 11 — — $5,443.00 $264,407.67 $108,243.24 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 6 — — $61,398.32 $103,289.10 $103,289.10 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 6 — — $63,231.84 $96,899.73 $96,899.73 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 11 11 — — $5,443.00 $207,723.18 $95,453.74 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 6 — — $51,698.54 $93,047.70 $93,047.70 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 6 — — $48,276.68 $93,027.26 $93,027.26 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 7 7 — — $9,588.00 $92,233.95 $92,233.95 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 7 — — $9,588.00 $92,096.96 $92,096.96 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 11 — — $5,443.00 $189,401.52 $89,590.74 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 6 — — $45,371.76 $87,375.98 $87,375.98 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 7 — — $9,588.00 $85,642.16 $85,642.16 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 11 11 — — $5,443.00 $374,767.00 $84,231.22 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 11 — — $5,443.00 $180,454.35 $79,583.46 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 7 — — $9,588.00 $79,532.90 $79,532.90 2026-01-01
7 MS_DRG Lung Transplant 11 11 — — $5,443.00 $369,661.64 $79,485.06 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 7 — — $9,588.00 $79,287.54 $79,287.54 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 7 7 — — $9,588.00 $78,649.63 $78,649.63 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 7 — — $9,588.00 $75,212.66 $75,212.66 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 6 — — $47,268.08 $74,229.20 $74,229.20 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 7 — — $9,588.00 $73,372.52 $73,372.52 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 7 7 — — $9,588.00 $70,469.18 $70,469.18 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 11 11 — — $5,443.00 $137,568.87 $59,786.20 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 11 — — $5,443.00 $108,662.31 $56,511.94 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 10 — — $5,824.00 $93,820.56 $55,458.75 2026-01-01
69930 CPT Implant Cochlear Device 7 7 — — $1,595.71 $53,251.31 $53,251.31 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 9 — — $8,180.00 $123,052.21 $53,070.40 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 6 6 — — $25,045.85 $175,607.50 $52,899.71 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 11 11 — — $5,443.00 $82,616.15 $50,061.00 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 11 11 — — $5,443.00 $83,288.83 $49,254.94 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 11 11 — — $5,443.00 $114,851.32 $48,347.20 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 11 11 — — $5,443.00 $62,110.86 $48,185.66 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 11 — — $5,443.00 $100,234.47 $48,020.28 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 11 11 — — $5,443.00 $117,701.49 $46,179.12 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 5 5 — — $25,835.17 $45,607.54 $45,607.54 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 11 11 — — $5,443.00 $66,831.84 $45,459.98 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 11 11 — — $5,443.00 $131,461.65 $44,988.48 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 11 — — $5,443.00 $108,598.93 $44,968.80 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 6 6 — — $25,835.17 $147,610.57 $44,465.96 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 11 — — $5,443.00 $97,396.57 $44,084.84 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 11 — — $5,443.00 $68,332.58 $43,913.52 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 9 — — $8,180.00 $65,468.09 $43,778.98 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 11 11 — — $5,443.00 $87,670.40 $43,758.48 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 — — $5,824.00 $70,213.61 $43,640.36 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 11 11 — — $5,443.00 $78,563.76 $42,596.54 2026-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 5 5 — — $791.98 $42,263.05 $42,263.05 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 10 — — $5,824.00 $58,483.74 $42,018.31 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 11 11 — — $5,443.00 $78,334.76 $41,899.54 2026-01-01
22632 CPT Arthrd Pst Tq 1ntrspc Lm Ea 3 3 — — $41,843.15 $41,843.15 $41,843.15 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 6 6 — — $410.64 $138,230.90 $41,640.44 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 9 9 — — $8,180.00 $66,917.71 $41,220.48 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 11 11 — — $5,443.00 $87,016.13 $41,010.66 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 11 11 — — $5,443.00 $68,941.87 $40,939.08 2026-01-01
33230 CPT Insrt Pulse Gen W/dual Leads 5 5 — — $25,835.17 $40,044.85 $40,044.85 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 11 — — $5,443.00 $91,702.35 $39,922.52 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 11 11 — — $5,443.00 $161,580.65 $39,437.90 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 11 11 — — $5,443.00 $96,439.69 $39,225.48 2026-01-01
245 MS_DRG Aicd Generator Procedures 11 11 — — $5,443.00 $75,200.39 $39,151.72 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $8,180.00 $66,754.15 $38,608.08 2026-01-01
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 6 6 — — $25,835.17 $127,792.24 $38,495.92 2026-01-01
33240 CPT Insrt Pulse Gen W/singl Lead 6 6 — — $410.64 $127,687.17 $38,464.27 2026-01-01
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 6 6 — — $25,835.17 $126,531.87 $38,116.25 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 11 11 — — $5,443.00 $106,850.80 $37,797.90 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 11 — — $5,443.00 $82,679.53 $37,721.88 2026-01-01
22552 CPT Arthrd Ant Ntrbd Cervical Ea 3 3 — — $37,587.93 $37,587.93 $37,587.93 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 11 — — $5,443.00 $68,025.89 $37,175.88 2026-01-01
20931 CPT Sp Bone Algrft Struct Add-on 3 3 — — $36,874.28 $36,874.28 $36,874.28 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 9 9 — — $8,180.00 $54,768.70 $36,749.94 2026-01-01
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 7 7 — — $470.76 $36,722.73 $36,722.73 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 10 — — $5,824.00 $64,274.05 $36,698.77 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 9 — — $8,180.00 $55,907.54 $35,837.76 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 11 11 — — $5,443.00 $82,716.34 $35,533.68 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 11 11 — — $5,443.00 $67,606.74 $35,476.48 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 11 11 — — $5,443.00 $50,109.06 $35,421.54 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 11 11 — — $5,443.00 $75,840.35 $34,778.66 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 11 — — $5,443.00 $46,813.20 $34,500.58 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 11 11 — — $5,443.00 $67,326.63 $34,225.98 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $33,971.73 $33,971.73 $33,971.73 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 9 9 — — $8,180.00 $60,311.61 $33,844.44 2026-01-01
0308T OTHER Insj Ocular Telescope Prosth 7 7 — — $1,540.53 $111,965.06 $33,728.17 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 11 11 — — $5,443.00 $71,456.73 $33,648.70 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 11 11 — — $5,443.00 $43,656.30 $33,393.68 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 11 11 — — $5,443.00 $56,134.49 $33,378.92 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 11 11 — — $5,443.00 $72,746.87 $33,374.82 2026-01-01
61886 CPT Implant Neurostim Arrays 7 7 — — $1,515.30 $33,206.68 $33,206.68 2026-01-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 1 1 — — $33,155.02 $33,155.02 $33,155.02 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 11 — — $5,443.00 $75,911.91 $32,893.48 2026-01-01
22551 CPT Arthrd Ant Ntrbdy Cervical 3 3 — — $32,259.06 $32,259.06 $32,259.06 2026-01-01
22614 CPT Arthrd Pst Tq 1ntrspc Ea Add 5 5 — — $2,961.90 $32,137.31 $32,137.31 2026-01-01
22630 CPT Arthrd Pst Tq 1ntrspc Lum 3 3 — — $31,965.99 $31,965.99 $31,965.99 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 11 11 — — $5,443.00 $62,284.65 $31,718.42 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 11 11 — — $5,443.00 $61,057.89 $31,644.62 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 11 11 — — $5,443.00 $64,132.97 $31,572.46 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 11 11 — — $5,443.00 $93,843.05 $31,531.08 2026-01-01
10 MS_DRG Pancreas Transplant 11 11 — — $5,443.00 $81,873.96 $31,490.46 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 9 9 — — $8,180.00 $61,650.82 $31,337.88 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 11 11 — — $5,443.00 $72,900.21 $31,313.34 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 9 9 — — $8,180.00 $58,682.06 $31,166.52 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 10 — — $5,824.00 $59,714.59 $30,968.26 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 10 — — $5,824.00 $54,318.89 $30,758.67 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 11 — — $5,443.00 $76,934.21 $30,748.36 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 11 11 — — $5,443.00 $51,730.42 $30,435.94 2026-01-01
0424T OTHER Insj/rplc Nstim Apnea Compl 1 1 — — $30,203.08 $30,203.08 $30,203.08 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 11 11 — — $5,443.00 $39,902.41 $30,185.84 2026-01-01
63082 CPT Remove Vertebral Body Add-on 5 5 — — $370.52 $29,999.42 $29,999.42 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 11 11 — — $5,443.00 $44,095.89 $29,934.24 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 9 — — $8,180.00 $52,441.95 $29,803.20 2026-01-01
64580 CPT Opn Impltj Nea Neuromuscular 7 7 — — $383.57 $29,348.36 $29,348.36 2026-01-01
332 MS_DRG Rectal Resection With Mcc 11 11 — — $5,443.00 $69,046.14 $29,331.96 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 11 11 — — $5,443.00 $53,893.61 $29,213.32 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 9 — — $8,180.00 $51,029.13 $28,940.52 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 10 — — $5,824.00 $45,496.44 $28,859.74 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 9 9 — — $8,180.00 $35,146.67 $28,777.90 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 11 11 — — $5,443.00 $53,165.73 $28,693.44 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 9 9 — — $8,180.00 $48,420.22 $28,632.24 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 11 11 — — $5,443.00 $56,543.41 $28,583.56 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 11 11 — — $5,443.00 $52,084.14 $28,552.40 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 11 — — $5,443.00 $59,383.36 $28,476.96 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 11 11 — — $5,443.00 $61,346.18 $28,038.26 2026-01-01
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 7 7 — — $206.01 $27,965.69 $27,965.69 2026-01-01
22858 CPT Tot Disc Arthrp 2nd Lvl Crv 5 5 — — $1,221.68 $27,904.22 $27,904.22 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 10 — — $5,824.00 $55,447.51 $27,819.43 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 9 9 — — $8,180.00 $58,038.02 $27,555.36 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 11 11 — — $5,443.00 $64,507.13 $27,468.36 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 11 11 — — $5,443.00 $71,342.23 $27,410.96 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 6 — — $27,360.84 $44,648.52 $27,360.84 2026-01-01
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 3 3 — — $27,334.01 $27,334.01 $27,334.01 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 11 — — $5,443.00 $48,706.46 $27,282.22 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 11 11 — — $5,443.00 $70,751.34 $27,115.76 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 10 — — $5,824.00 $44,508.90 $27,049.84 2026-01-01
652 MS_DRG Kidney Transplant 11 11 — — $5,443.00 $101,722.94 $27,030.48 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 11 11 — — $5,443.00 $62,033.16 $26,752.50 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 10 — — $5,824.00 $48,140.11 $26,679.04 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 10 — — $5,824.00 $50,297.16 $26,620.06 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 11 11 — — $5,443.00 $36,829.38 $26,375.16 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 9 9 — — $8,180.00 $32,443.71 $26,223.12 2026-01-01
265 MS_DRG Aicd Lead Procedures 11 11 — — $5,443.00 $50,209.24 $26,218.92 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 11 11 — — $5,443.00 $43,404.81 $26,143.24 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 10 — — $5,824.00 $62,309.18 $26,102.35 2026-01-01
93619 CPT Comprehensive Ep Evaluation 7 7 — — $398.93 $26,015.89 $26,015.89 2026-01-01
93600 CPT Bundle Of His Recording 7 7 — — $103.47 $26,015.89 $26,015.89 2026-01-01
93610 CPT Intra-atrial Pacing 7 7 — — $71.84 $26,015.89 $26,015.89 2026-01-01
93602 CPT Intra-atrial Recording 7 7 — — $60.09 $26,015.89 $26,015.89 2026-01-01
93612 CPT Intraventricular Pacing 7 7 — — $83.13 $26,015.89 $26,015.89 2026-01-01
93624 CPT Ep F-up Study Pacg&rec 7 7 — — $95.78 $26,015.89 $26,015.89 2026-01-01
93620 CPT Comp Ep Evl R At Ven Pac&rec 7 7 — — $466.60 $26,015.89 $26,015.89 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 11 11 — — $5,443.00 $47,921.33 $25,935.78 2026-01-01
62362 CPT Implant Spine Infusion Pump 7 7 — — $500.58 $25,663.62 $25,663.62 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 11 11 — — $5,443.00 $67,666.04 $25,626.64 2026-01-01
62361 CPT Implant Spine Infusion Pump 7 7 — — $452.23 $25,620.97 $25,620.97 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 11 — — $5,443.00 $49,667.42 $25,597.12 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 10 — — $5,824.00 $52,208.86 $25,467.32 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 11 11 — — $5,443.00 $53,351.79 $25,451.98 2026-01-01
27702 CPT Reconstruct Ankle Joint 5 5 — — $1,093.74 $25,367.73 $25,367.73 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 11 11 — — $5,443.00 $61,544.50 $25,315.04 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 10 — — $5,824.00 $36,150.57 $25,290.45 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 11 11 — — $5,443.00 $55,897.32 $25,251.90 2026-01-01
61885 CPT Insrt/redo Neurostim 1 Array 7 7 — — $927.76 $25,215.24 $25,215.24 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 11 11 — — $5,443.00 $47,569.66 $25,158.84 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 11 11 — — $5,443.00 $48,309.81 $25,039.52 2026-01-01
665 MS_DRG Prostatectomy With Mcc 11 11 — — $5,443.00 $56,512.74 $24,935.40 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 11 11 — — $5,443.00 $38,640.90 $24,914.88 2026-01-01
0515T OTHER Insj Wcs Lv Compl Sys 1 1 — — $24,856.00 $24,856.00 $24,856.00 2026-01-01
0520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 1 1 — — $24,856.00 $24,856.00 $24,856.00 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 11 — — $5,443.00 $51,941.02 $24,802.68 2026-01-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 1 1 — — $24,780.93 $24,780.93 $24,780.93 2026-01-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 1 1 — — $24,780.93 $24,780.93 $24,780.93 2026-01-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 1 1 — — $24,780.93 $24,780.93 $24,780.93 2026-01-01
63655 CPT Implant Neuroelectrodes 7 7 — — $1,136.55 $24,770.20 $24,770.20 2026-01-01
0775T OTHER Arthrd Si Jt Prq Iartic Impl 1 1 — — $24,744.32 $24,744.32 $24,744.32 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 11 11 — — $5,443.00 $42,155.56 $24,611.48 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 10 10 — — $5,824.00 $36,091.28 $24,577.79 2026-01-01
64575 CPT Opn Impltj Nea Perph Nerve 7 7 — — $397.12 $24,403.37 $24,403.37 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 11 11 — — $5,443.00 $52,981.72 $24,372.86 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 11 11 — — $5,443.00 $36,551.31 $24,220.34 2026-01-01
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 5 5 — — $2,961.90 $24,180.59 $24,180.59 2026-01-01
39503 CPT Repair Of Diaphragm Hernia 5 5 — — $560.98 $23,797.86 $23,797.86 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 11 11 — — $5,443.00 $26,583.48 $23,724.24 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 10 — — $5,824.00 $44,588.64 $23,692.80 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 10 — — $5,824.00 $40,712.08 $23,645.39 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 11 11 — — $5,443.00 $51,172.25 $23,622.48 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 11 11 — — $5,443.00 $48,170.78 $23,571.72 2026-01-01
800 MS_DRG Splenic Procedures With Cc 11 11 — — $5,443.00 $34,780.69 $23,315.06 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 10 10 — — $5,824.00 $37,639.04 $23,264.58 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 11 11 — — $5,443.00 $43,889.38 $22,816.50 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 11 11 — — $5,443.00 $53,237.29 $22,510.32 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 11 11 — — $5,443.00 $43,396.64 $22,440.94 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 11 11 — — $5,443.00 $51,904.22 $22,322.16 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 11 — — $5,443.00 $44,989.38 $22,238.40 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 11 11 — — $5,443.00 $35,827.53 $22,174.44 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 10 — — $5,443.00 $82,565.04 $22,016.94 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 11 11 — — $5,443.00 $32,588.88 $21,950.58 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 11 11 — — $5,443.00 $63,353.98 $21,871.04 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 8 — — $8,180.00 $23,854.35 $21,785.78 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 11 11 — — $5,443.00 $31,681.08 $21,774.48 2026-01-01
33221 CPT Insert Pulse Gen Mult Leads 5 5 — — $7,816.05 $21,686.25 $21,686.25 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 11 11 — — $5,443.00 $48,381.37 $21,681.62 2026-01-01
47135 CPT Transplantation Of Liver 5 5 — — $6,292.05 $21,512.96 $21,512.96 2026-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 10 10 — — $5,824.00 $41,705.75 $21,493.01 2026-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 10 10 — — $5,824.00 $48,293.45 $21,422.06 2026-01-01
24361 CPT Reconstruct Elbow Joint 5 5 — — $7,295.74 $21,324.83 $21,324.83 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 11 11 — — $5,443.00 $41,480.84 $21,237.18 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 11 11 — — $5,443.00 $51,973.73 $21,174.04 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 11 11 — — $5,443.00 $42,419.32 $21,169.94 2026-01-01
43116 CPT Partial Removal Of Esophagus 3 3 — — $21,056.53 $21,056.53 $21,056.53 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 11 11 — — $5,443.00 $45,422.83 $20,981.34 2026-01-01
23474 CPT Revis Reconst Shoulder Joint 3 3 — — $20,970.65 $20,970.65 $20,970.65 2026-01-01
22867 CPT Insj Stablj Dev W/dcmprn 4 4 — — $16,608.65 $20,917.36 $20,917.36 2026-01-01
22869 CPT Insj Stablj Dev Without Dcmprn 4 4 — — $16,608.65 $20,917.36 $20,917.36 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 11 11 — — $5,443.00 $35,903.18 $20,832.10 2026-01-01
27130 CPT Total Hip Arthroplasty 5 5 — — $790.95 $20,757.73 $20,757.73 2026-01-01
27125 CPT Partial Hip Replacement 5 5 — — $790.95 $20,757.73 $20,757.73 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 11 11 — — $5,443.00 $41,247.76 $20,725.50 2026-01-01
25442 CPT Arthrp W/prostc Dstl Ulna 5 5 — — $7,295.74 $20,630.13 $20,630.13 2026-01-01
62360 CPT Insert Spine Infusion Device 7 7 — — $404.35 $20,603.98 $20,603.98 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 11 11 — — $5,443.00 $42,274.15 $20,480.04 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 11 11 — — $5,443.00 $42,494.97 $20,350.76 2026-01-01
23472 CPT Reconstruct Shoulder Joint 5 5 — — $1,516.60 $20,294.18 $20,294.18 2026-01-01
27447 CPT Total Knee Arthroplasty 5 5 — — $1,093.74 $20,242.01 $20,242.01 2026-01-01
27446 CPT Revision Of Knee Joint 5 5 — — $9,436.29 $20,242.01 $20,242.01 2026-01-01
27443 CPT Revision Of Knee Joint 5 5 — — $2,175.76 $20,242.01 $20,242.01 2026-01-01
27442 CPT Revision Of Knee Joint 5 5 — — $2,175.76 $20,242.01 $20,242.01 2026-01-01
27441 CPT Revision Of Knee Joint 5 5 — — $2,175.76 $20,242.01 $20,242.01 2026-01-01
27440 CPT Revision Of Knee Joint 5 5 — — $2,175.76 $20,242.01 $20,242.01 2026-01-01
27445 CPT Revision Of Knee Joint 5 5 — — $1,093.74 $20,242.01 $20,242.01 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 11 11 — — $5,443.00 $31,587.03 $20,223.66 2026-01-01
54405 CPT Insert Multi-comp Penis Pros 7 7 — — $1,035.94 $20,170.26 $20,170.26 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 11 11 — — $5,443.00 $40,399.25 $20,118.70 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 11 11 — — $5,443.00 $24,537.24 $20,117.88 2026-01-01
33274 CPT Tcat Insj/rpl Perm Ldls Pm 5 5 — — $17,350.58 $66,765.60 $20,112.36 2026-01-01
53444 CPT Insert Tandem Cuff 7 7 — — $1,015.17 $20,111.53 $20,111.53 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 11 11 — — $5,443.00 $36,475.66 $20,090.00 2026-01-01
33225 CPT L Ventric Pacing Lead Add-on 4 4 — — $20,081.85 $66,664.34 $20,081.85 2026-01-01
33224 CPT Insert Pacing Lead & Connect 6 6 — — $11,796.84 $66,664.34 $20,081.85 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 10 10 — — $5,824.00 $29,153.95 $19,978.80 2026-01-01
33935 CPT Transplantation Heart/lung 3 3 — — $19,976.31 $19,976.31 $19,976.31 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 11 11 — — $5,443.00 $23,547.66 $19,896.48 2026-01-01
69715 CPT Temple Bne Implnt W/stimulat 6 6 — — $1,730.80 $19,880.49 $19,880.49 2026-01-01
49605 CPT Repair Umbilical Lesion 5 5 — — $6,344.90 $19,833.84 $19,833.84 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 11 11 — — $5,443.00 $60,606.03 $19,820.22 2026-01-01
503 MS_DRG Foot Procedures With Mcc 11 11 — — $5,443.00 $64,341.52 $19,796.44 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 11 11 — — $5,443.00 $33,883.11 $19,759.54 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $19,717.20 $19,717.20 $19,717.20 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $19,717.20 $19,717.20 $19,717.20 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $19,717.20 $19,717.20 $19,717.20 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $19,717.20 $19,717.20 $19,717.20 2026-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 11 11 — — $5,443.00 $42,501.10 $19,696.40 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 11 11 — — $5,443.00 $32,625.68 $19,634.08 2026-01-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 1 1 — — $19,616.09 $19,616.09 $19,616.09 2026-01-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $19,616.09 $19,616.09 $19,616.09 2026-01-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 1 1 — — $19,616.09 $19,616.09 $19,616.09 2026-01-01
32854 CPT Lung Transplant With Bypass 3 3 — — $19,582.13 $19,582.13 $19,582.13 2026-01-01
33945 CPT Transplantation Of Heart 3 3 — — $19,530.96 $19,530.96 $19,530.96 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 11 11 — — $5,443.00 $45,451.46 $19,516.82 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 11 11 — — $5,443.00 $39,630.48 $19,484.02 2026-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 11 11 — — $5,443.00 $33,151.14 $19,452.04 2026-01-01
570 MS_DRG Skin Debridement With Mcc 11 11 — — $5,443.00 $35,126.23 $19,443.02 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 11 11 — — $5,443.00 $29,176.44 $19,421.70 2026-01-01
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 1 1 — — $19,410.69 $19,410.69 $19,410.69 2026-01-01
33902 CPT Perq P-art Revsc 1 Abnor Uni 1 1 — — $19,410.69 $19,410.69 $19,410.69 2026-01-01
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 1 1 — — $19,410.69 $19,410.69 $19,410.69 2026-01-01
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 5 5 — — $2,639.05 $19,353.64 $19,353.64 2026-01-01
37231 CPT Tib/per Revasc Stent & Ather 3 3 — — $19,321.90 $19,321.90 $19,321.90 2026-01-01
21243 CPT Reconstruction Of Jaw Joint 5 5 — — $2,577.38 $19,306.18 $19,306.18 2026-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 11 11 — — $5,443.00 $37,134.03 $19,256.88 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 11 11 — — $5,443.00 $37,109.49 $19,159.30 2026-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 11 11 — — $5,443.00 $33,269.73 $19,036.08 2026-01-01
333 MS_DRG Rectal Resection With Cc 11 11 — — $5,443.00 $36,216.00 $19,010.88 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 11 11 — — $5,443.00 $40,906.31 $18,958.40 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 11 11 — — $5,443.00 $39,661.15 $18,942.82 2026-01-01
22856 CPT Tot Disc Arthrp 1ntrspc Crv 3 3 — — $18,941.24 $18,941.24 $18,941.24 2026-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 11 11 — — $5,443.00 $41,640.32 $18,911.76 2026-01-01
61698 CPT Brain Aneurysm Repr Complx 5 5 — — $8,321.60 $18,890.57 $18,890.57 2026-01-01
43123 CPT Partial Removal Of Esophagus 3 3 — — $18,889.20 $18,889.20 $18,889.20 2026-01-01
47142 CPT Partial Removal Donor Liver 5 5 — — $4,951.78 $18,778.54 $18,778.54 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 11 11 — — $5,443.00 $29,873.65 $18,768.98 2026-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 11 11 — — $5,443.00 $49,035.64 $18,751.32 2026-01-01
43108 CPT Removal Of Esophagus 3 3 — — $18,721.85 $18,721.85 $18,721.85 2026-01-01
37227 CPT Fem/popl Revasc Stnt & Ather 3 3 — — $18,684.28 $18,684.28 $18,684.28 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 11 11 — — $5,443.00 $44,245.14 $18,595.14 2026-01-01
63076 CPT Neck Spine Disk Surgery 5 5 — — $344.09 $18,594.57 $18,594.57 2026-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 11 11 — — $5,443.00 $45,357.41 $18,502.48 2026-01-01
54410 CPT Remove/replace Penis Prosth 7 7 — — $1,101.01 $18,489.40 $18,489.40 2026-01-01
54401 CPT Insert Self-contd Prosthesis 7 7 — — $838.52 $18,489.40 $18,489.40 2026-01-01
54416 CPT Remv/repl Penis Contain Pros 7 7 — — $909.00 $18,489.40 $18,489.40 2026-01-01
53445 CPT Insert Uro/ves Nck Sphincter 7 7 — — $964.12 $18,489.40 $18,489.40 2026-01-01
53447 CPT Remove/replace Ur Sphincter 7 7 — — $1,035.50 $18,489.40 $18,489.40 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 11 11 — — $5,443.00 $36,224.18 $18,489.36 2026-01-01
24371 CPT Revise Reconst Elbow Joint 5 5 — — $9,601.88 $18,460.44 $18,460.44 2026-01-01
24363 CPT Replace Elbow Joint 5 5 — — $7,295.74 $18,460.44 $18,460.44 2026-01-01
32853 CPT Lung Transplant Double 3 3 — — $18,445.20 $18,445.20 $18,445.20 2026-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 11 11 — — $5,443.00 $35,807.08 $18,411.96 2026-01-01
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