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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

MUNSON HEALTHCARE MANISTEE HOSPITAL

Manistee, MI · CCN 230303 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,793 across 15 payers · range $6,690-$21,838

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8130/380350304_munson-healthcare-manistee-hospital_standardcharges.csv · observed 2026-04-17

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.

17,050 distinct procedures filed
28 distinct payers
987,680 rate rows
2026-04-17 last MRF observed
Data quality

615,936 of 987,680 rate rows are consumer-grade (62.4%)

371,744 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
professional (physician) fee — not the facility price 351,602
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,480
per-diem day rate — not a per-procedure price 2,046
exceeds 10× this hospital's gross charge — excluded from medians 678
placeholder amount (≤ $0.02) — excluded from medians 642
percent-of-charges filed in the dollar field — excluded from medians 270
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8130/380350304_munson-healthcare-manistee-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/MunsonHealthcareManisteeHospital/8130
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint 6036c1096d7adc38… · 1,356,311,598 bytes · first seen 2026-05-06

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 14 $2,356,115.00 $4,865,400.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 14 $1,927,394.47 $3,980,088.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 14 $1,744,633.86 $3,602,685.60 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $1,740,470.64 $3,594,088.51 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 14 $1,701,061.72 $3,512,708.72 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 14 $1,663,140.00 $3,434,400.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 14 $1,537,603.73 $3,175,166.40 $2,939,968.89 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $1,354,037.18 $2,796,099.72 $2,588,981.23 nat. median
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 14 $1,219,636.00 $2,518,560.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 14 $403,034.26 $832,269.60 $770,620.00 nat. median
$809,151
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 14 $307,340.73 $634,661.54 $587,649.57 nat. median
$631,793
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 14 $296,295.87 $611,853.81 $566,531.30 nat. median
$691,418
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 14 $294,031.25 $607,177.34 $562,201.24 nat. median
$624,417
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $521,094.62 $955,110.32 $561,829.60 nat. median
$370,165
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 14 $291,876.74 $602,728.26 $558,081.73 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 14 $278,336.54 $574,767.62 $532,192.24 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $255,982.46 $671,403.63 $489,450.20 nat. median
$577,541
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $338,169.45 $619,828.18 $364,604.81 nat. median
$261,939
1.4× median
5834
APR_DRG 		Neonate With Ecmo 6 $295,676.74 $295,676.74 $295,676.74 nat. median
$311,018
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 14 $145,524.75 $300,510.00 $278,250.00 nat. median
$302,242
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $257,640.33 $472,226.99 $277,780.58 nat. median
$205,166
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 14 $256,128.31 $469,455.61 $276,150.36 nat. median
$199,832
1.4× median
J3403
HCPCS 		Revakinagene, Per Implant 15 $138,595.00 $286,200.00 $265,000.00 nat. median
$265,000
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 15 $105,472.90 $217,802.54 $201,669.02 nat. median
$209,736
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $198,046.24 $198,046.24 $198,046.24 nat. median
$254,667
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $182,258.00 $182,258.00 $182,258.00 nat. median
$119,243
1.5× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 14 $167,147.34 $306,363.07 $180,213.57 nat. median
$132,706
1.4× median
5833
APR_DRG 		Neonate With Ecmo 6 $178,977.52 $178,977.52 $178,977.52 nat. median
$250,089
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $171,908.31 $171,908.31 $171,908.31 nat. median
$147,677
1.2× median
7
MS_DRG 		Lung Transplant 14 $156,272.39 $286,430.48 $168,488.52 nat. median
$122,690
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $161,844.40 $161,844.40 $161,844.40 nat. median
$209,486
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $145,022.16 $265,810.03 $156,358.84 nat. median
$114,305
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $136,742.87 $250,634.94 $147,432.32 nat. median
$108,240
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $136,586.00 $250,347.42 $147,263.19 nat. median
$96,134
1.5× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $145,994.96 $145,994.96 $145,994.96 nat. median
$168,174
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $132,994.80 $243,765.16 $143,391.27 nat. median
$96,835
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $131,219.72 $240,511.61 $141,477.42 nat. median
$100,978
1.4× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $140,558.00 $140,558.00 $140,558.00 nat. median
$67,603
outlier · 2.1×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $137,215.25 $137,215.25 $137,215.25 nat. median
$165,646
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $124,418.66 $228,046.01 $134,144.71 nat. median
$99,646
1.3× median
E0766
HCPCS 		Elec Stim Cancer Treatment 2 $132,877.11 $132,877.11 $132,877.11 nat. median
$16,786
outlier · 7.9×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 15 $69,103.10 $262,949.20 $132,128.29 nat. median
$111,503
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 14 $120,152.91 $220,227.33 $129,545.49 nat. median
$98,002
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $118,050.81 $216,374.44 $127,279.08 nat. median
$92,900
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $126,058.74 $126,058.74 $126,058.74 nat. median
$175,480
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $125,716.01 $125,716.01 $125,716.01 nat. median
$160,171
0.8× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $119,351.43 $119,351.43 $119,351.43 nat. median
$63,564
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $118,929.39 $118,929.39 $118,929.39 nat. median
$156,285
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $118,547.80 $118,547.80 $118,547.80 nat. median
$165,599
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $117,457.33 $117,457.33 $117,457.33 nat. median
$168,361
0.7× median

Other procedures at this hospital

Browse this hospital's 17,050 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 18 14 — — $2,356,115.00 $4,865,400.00 $4,505,000.00 2026-04-17
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 18 14 — — $1,927,394.47 $3,980,088.00 $3,685,266.67 2026-04-17
J3389 HCPCS Topi Adm Prad Zami Per Treat 18 14 — — $1,744,633.86 $3,602,685.60 $3,335,820.00 2026-04-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 14 — — $1,740,470.64 $3,594,088.51 $3,327,859.73 2026-04-17
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 14 — — $1,701,061.72 $3,512,708.72 $3,252,508.08 2026-04-17
J3387 HCPCS Inj Elivaldogene Autotemecel 18 14 — — $1,663,140.00 $3,434,400.00 $3,180,000.00 2026-04-17
J3393 HCPCS Inj, Betibeglogene Autotemce 18 14 — — $1,537,603.73 $3,175,166.40 $2,939,968.89 2026-04-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 18 14 — — $1,354,037.18 $2,796,099.72 $2,588,981.23 2026-04-17
J3392 HCPCS Inj, Exagamglogene Autotem 18 14 — — $1,219,636.00 $2,518,560.00 $2,332,000.00 2026-04-17
Q2057 HCPCS Afamitresgene Autoleucel 18 14 — — $403,034.26 $832,269.60 $770,620.00 2026-04-17
Q2056 HCPCS Ciltacabtagene Car-pos T 18 14 — — $307,340.73 $634,661.54 $587,649.57 2026-04-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 18 14 — — $296,295.87 $611,853.81 $566,531.30 2026-04-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 14 — — $294,031.25 $607,177.34 $562,201.24 2026-04-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 14 — — $521,094.62 $955,110.32 $561,829.60 2026-04-17
Q2055 HCPCS Idecabtagene Vicleucel Car 18 14 — — $291,876.74 $602,728.26 $558,081.73 2026-04-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 18 14 — — $278,336.54 $574,767.62 $532,192.24 2026-04-17
Q2053 HCPCS Brexucabtagene Car Pos T 20 15 — — $255,982.46 $671,403.63 $489,450.20 2026-04-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 14 — — $338,169.45 $619,828.18 $364,604.81 2026-04-17
5834 APR_DRG Neonate With Ecmo 6 6 — — $295,676.74 $295,676.74 $295,676.74 2026-04-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 18 14 — — $145,524.75 $300,510.00 $278,250.00 2026-04-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 15 14 — — $257,640.33 $472,226.99 $277,780.58 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 15 14 — — $256,128.31 $469,455.61 $276,150.36 2026-04-17
J3403 HCPCS Revakinagene, Per Implant 20 15 — — $138,595.00 $286,200.00 $265,000.00 2026-04-17
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 20 15 — — $105,472.90 $217,802.54 $201,669.02 2026-04-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $198,046.24 $198,046.24 $198,046.24 2026-04-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $182,258.00 $182,258.00 $182,258.00 2026-04-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 15 14 — — $167,147.34 $306,363.07 $180,213.57 2026-04-17
5833 APR_DRG Neonate With Ecmo 6 6 — — $178,977.52 $178,977.52 $178,977.52 2026-04-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $171,908.31 $171,908.31 $171,908.31 2026-04-17
7 MS_DRG Lung Transplant 15 14 — — $156,272.39 $286,430.48 $168,488.52 2026-04-17
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $161,844.40 $161,844.40 $161,844.40 2026-04-17
14 MS_DRG Allogeneic Bone Marrow Transplant 15 14 — — $145,022.16 $265,810.03 $156,358.84 2026-04-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 14 — — $136,742.87 $250,634.94 $147,432.32 2026-04-17
209 MS_DRG Complex Aortic Arch Procedures 15 14 — — $136,586.00 $250,347.42 $147,263.19 2026-04-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $145,994.96 $145,994.96 $145,994.96 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $132,994.80 $243,765.16 $143,391.27 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 14 — — $131,219.72 $240,511.61 $141,477.42 2026-04-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $140,558.00 $140,558.00 $140,558.00 2026-04-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $137,215.25 $137,215.25 $137,215.25 2026-04-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 14 — — $124,418.66 $228,046.01 $134,144.71 2026-04-17
E0766 HCPCS Elec Stim Cancer Treatment 2 2 — — $132,877.11 $132,877.11 $132,877.11 2026-04-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 20 15 — — $69,103.10 $262,949.20 $132,128.29 2026-04-17
215 MS_DRG Other Heart Assist System Implant 15 14 — — $120,152.91 $220,227.33 $129,545.49 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $118,050.81 $216,374.44 $127,279.08 2026-04-17
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $126,058.74 $126,058.74 $126,058.74 2026-04-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $125,716.01 $125,716.01 $125,716.01 2026-04-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $119,351.43 $119,351.43 $119,351.43 2026-04-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $118,929.39 $118,929.39 $118,929.39 2026-04-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $118,547.80 $118,547.80 $118,547.80 2026-04-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $117,457.33 $117,457.33 $117,457.33 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 14 — — $108,720.46 $199,272.90 $117,219.35 2026-04-17
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 18 14 — — $59,672.86 $123,225.02 $114,097.24 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 15 14 — — $104,495.75 $191,529.46 $112,664.39 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 14 — — $101,725.12 $186,451.19 $109,677.17 2026-04-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $109,421.11 $109,421.11 $109,421.11 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $101,405.34 $185,865.08 $109,332.40 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 14 — — $94,954.23 $174,040.87 $102,376.98 2026-04-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $100,951.14 $100,951.14 $100,951.14 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $92,655.43 $169,827.43 $99,898.49 2026-04-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $99,555.18 $99,555.18 $99,555.18 2026-04-17
5832 APR_DRG Neonate With Ecmo 6 6 — — $99,476.42 $99,476.42 $99,476.42 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 14 — — $92,256.00 $169,095.31 $99,467.83 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 14 — — $91,950.70 $168,535.76 $99,138.68 2026-04-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $94,550.91 $94,550.91 $94,550.91 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $87,108.15 $159,659.85 $93,917.56 2026-04-17
10 MS_DRG Pancreas Transplant 15 14 — — $86,590.46 $158,711.00 $93,359.41 2026-04-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 14 — — $86,554.26 $158,644.65 $93,320.38 2026-04-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 14 — — $86,094.50 $157,801.94 $92,824.67 2026-04-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $92,815.40 $92,815.40 $92,815.40 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 14 — — $86,043.82 $157,709.07 $92,770.04 2026-04-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $92,748.88 $92,748.88 $92,748.88 2026-04-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $91,624.87 $91,624.87 $91,624.87 2026-04-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $90,063.40 $90,063.40 $90,063.40 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 15 14 — — $83,405.93 $152,874.08 $89,925.93 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 14 — — $82,996.86 $152,124.31 $89,484.89 2026-04-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $88,644.02 $88,644.02 $88,644.02 2026-04-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $88,539.71 $88,539.71 $88,539.71 2026-04-17
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $87,897.34 $87,897.34 $87,897.34 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 14 — — $81,225.40 $148,877.40 $87,574.94 2026-04-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 14 — — $80,687.20 $147,890.94 $86,994.67 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 14 — — $80,628.07 $147,782.56 $86,930.92 2026-04-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $79,345.33 $145,431.45 $85,547.91 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 14 — — $79,345.33 $145,431.45 $85,547.91 2026-04-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $79,056.92 $144,902.83 $85,236.96 2026-04-17
5831 APR_DRG Neonate With Ecmo 6 6 — — $84,942.57 $84,942.57 $84,942.57 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 15 14 — — $77,648.68 $142,321.69 $83,718.64 2026-04-17
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 18 14 — — $43,179.95 $89,167.01 $82,562.05 2026-04-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $80,580.66 $80,580.66 $80,580.66 2026-04-17
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $79,881.35 $79,881.35 $79,881.35 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 14 — — $73,952.51 $135,546.97 $79,733.51 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 14 — — $73,866.83 $135,389.94 $79,641.14 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 14 — — $73,158.49 $134,091.61 $78,877.42 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 15 14 — — $72,503.24 $132,890.63 $78,170.96 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 14 — — $72,482.72 $132,853.05 $78,148.85 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $71,957.80 $131,890.90 $77,582.88 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 14 — — $77,327.88 $131,457.40 $77,327.88 2026-04-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 14 — — $71,554.76 $131,152.16 $77,148.33 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 14 — — $70,817.45 $129,800.76 $76,353.39 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 14 — — $70,771.60 $129,716.75 $76,303.97 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 14 — — $69,592.63 $127,555.81 $75,032.83 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $69,148.56 $126,741.89 $74,554.05 2026-04-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 14 — — $68,866.19 $126,224.32 $74,249.60 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $68,776.89 $126,060.66 $74,153.33 2026-04-17
0266T CPT Professional Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
0268T CPT Professional Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $67,841.69 $124,346.50 $73,145.00 2026-04-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 14 — — $67,631.72 $123,961.67 $72,918.63 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 14 — — $67,168.34 $123,112.32 $72,419.01 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 14 — — $66,647.04 $122,156.83 $71,856.96 2026-04-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $71,520.48 $71,520.48 $71,520.48 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 15 14 — — $66,247.61 $121,424.76 $71,426.33 2026-04-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 14 — — $66,013.51 $120,995.65 $71,173.91 2026-04-17
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $71,167.10 $71,167.10 $71,167.10 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 14 — — $65,919.38 $120,823.13 $71,072.43 2026-04-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $70,992.54 $70,992.54 $70,992.54 2026-04-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 14 — — $65,815.61 $120,632.90 $70,960.53 2026-04-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 14 — — $65,552.54 $120,150.75 $70,676.91 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $64,351.86 $117,950.03 $69,382.37 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 14 — — $64,313.24 $117,879.22 $69,340.72 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 14 — — $63,881.24 $117,087.43 $68,874.96 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 14 — — $63,670.06 $116,700.36 $68,647.27 2026-04-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $68,107.48 $68,107.48 $68,107.48 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 14 — — $62,814.50 $115,132.21 $67,724.83 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 15 14 — — $62,705.89 $114,933.12 $67,607.72 2026-04-17
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $67,411.37 $67,411.37 $67,411.37 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 14 — — $60,821.00 $111,478.33 $65,575.49 2026-04-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 14 — — $60,183.85 $110,310.52 $64,888.54 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 14 — — $59,701.17 $109,425.82 $64,368.13 2026-04-17
J9029 HCPCS Instill Adstiladrin, Tx Dose 18 14 — — $33,615.72 $69,416.77 $64,274.79 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 14 — — $59,594.98 $109,231.17 $64,253.63 2026-04-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $64,095.76 $64,095.76 $64,095.76 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 14 — — $59,391.04 $108,857.36 $64,033.74 2026-04-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $63,869.58 $63,869.58 $63,869.58 2026-04-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 14 — — $59,143.66 $108,403.99 $63,767.05 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 15 14 — — $58,268.79 $106,800.41 $62,823.77 2026-04-17
38240 CPT Transplt Allo Hct/donor 20 15 — — $32,778.99 $67,688.92 $62,674.93 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 14 — — $57,974.35 $106,260.76 $62,506.33 2026-04-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 14 — — $57,449.43 $105,298.61 $61,940.36 2026-04-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $61,858.92 $61,858.92 $61,858.92 2026-04-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 14 — — $56,732.64 $103,984.78 $61,167.52 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $56,616.80 $103,772.49 $61,042.64 2026-04-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 14 — — $56,447.85 $103,462.83 $60,860.49 2026-04-17
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $60,392.71 $60,392.71 $60,392.71 2026-04-17
6 MS_DRG Liver Transplant Without Mcc 15 14 — — $55,955.51 $102,560.42 $60,329.66 2026-04-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 14 — — $55,732.27 $102,151.28 $60,088.99 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 14 — — $55,466.79 $101,664.64 $59,802.73 2026-04-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 14 — — $55,325.61 $101,405.88 $59,650.52 2026-04-17
245 MS_DRG Aicd Generator Procedures 15 14 — — $55,055.30 $100,910.47 $59,359.10 2026-04-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 14 — — $54,889.98 $100,607.41 $59,180.83 2026-04-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 14 — — $54,865.85 $100,563.19 $59,154.82 2026-04-17
799 MS_DRG Splenic Procedures With Mcc 15 14 — — $54,651.05 $100,169.51 $58,923.24 2026-04-17
90288 CPT Botulism Ig IV 2 2 — — $58,905.00 $58,905.00 $58,905.00 2026-04-17
L7181 HCPCS Electronic Elbo Simultaneous 18 14 — — $30,735.04 $63,468.15 $58,766.81 2026-04-17
163 MS_DRG Major Chest Procedures With Mcc 15 14 — — $54,082.69 $99,127.77 $58,310.45 2026-04-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 14 — — $54,067.00 $99,098.98 $58,293.52 2026-04-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 14 — — $53,854.62 $98,709.70 $58,064.53 2026-04-17
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $58,046.78 $58,046.78 $58,046.78 2026-04-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $57,633.79 $57,633.79 $57,633.79 2026-04-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 14 — — $53,008.71 $97,159.27 $57,152.51 2026-04-17
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $56,685.94 $56,685.94 $56,685.94 2026-04-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $56,543.84 $56,543.84 $56,543.84 2026-04-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $56,378.86 $56,378.86 $56,378.86 2026-04-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 14 — — $52,219.51 $95,712.77 $56,301.63 2026-04-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $55,926.49 $55,926.49 $55,926.49 2026-04-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 14 — — $51,803.20 $94,949.68 $55,852.75 2026-04-17
140 MS_DRG Major Head And Neck Procedures With Mcc 15 14 — — $51,470.14 $94,339.24 $55,493.67 2026-04-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $55,373.54 $55,373.54 $55,373.54 2026-04-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 14 — — $51,174.50 $93,797.35 $55,174.91 2026-04-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 14 — — $50,962.11 $93,408.08 $54,945.93 2026-04-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 14 — — $50,875.23 $93,248.81 $54,852.24 2026-04-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 14 — — $50,849.89 $93,202.36 $54,824.92 2026-04-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 14 — — $50,701.46 $92,930.33 $54,664.90 2026-04-17
901 MS_DRG Wound Debridements For Injuries With Mcc 15 14 — — $50,641.13 $92,819.73 $54,599.84 2026-04-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 14 — — $50,547.00 $92,647.20 $54,498.35 2026-04-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 20 15 — — $28,453.35 $59,168.69 $54,404.11 2026-04-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 14 — — $50,351.52 $92,288.90 $54,287.59 2026-04-17
793 MS_DRG Full Term Neonate With Major Problems 15 14 — — $8,671.48 $92,222.55 $54,248.56 2026-04-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 14 — — $50,115.00 $91,855.39 $54,032.58 2026-04-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 14 — — $49,783.15 $91,247.14 $53,674.79 2026-04-17
L7180 HCPCS Electronic Elbow Sequential 18 14 — — $27,888.17 $57,589.34 $53,323.46 2026-04-17
791 MS_DRG Prematurity With Major Problems 15 14 — — $33,404.37 $89,776.30 $52,809.59 2026-04-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 14 — — $48,516.10 $88,924.79 $52,308.70 2026-04-17
8514 APR_DRG Gender Related Procedures 6 6 — — $52,286.24 $52,286.24 $52,286.24 2026-04-17
8513 APR_DRG Gender Related Procedures 6 6 — — $52,286.24 $52,286.24 $52,286.24 2026-04-17
C1824 HCPCS Generator Optimizer Ipg86302 19 19 $65,000.00 $55,250.00 $32,610.50 $59,800.00 $52,000.00 2026-04-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $51,961.60 $51,961.60 $51,961.60 2026-04-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 14 — — $48,076.85 $88,119.69 $51,835.11 2026-04-17
8634 APR_DRG Neonatal Aftercare 6 6 — — $51,603.96 $51,603.96 $51,603.96 2026-04-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $51,427.80 $51,427.80 $51,427.80 2026-04-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 14 — — $47,205.60 $86,522.78 $50,895.75 2026-04-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 15 14 — — $46,992.01 $86,131.30 $50,665.47 2026-04-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 14 — — $46,708.43 $85,611.52 $50,359.72 2026-04-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 14 — — $46,638.44 $85,483.24 $50,284.26 2026-04-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 14 — — $46,593.80 $85,401.39 $50,236.11 2026-04-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $50,122.32 $50,122.32 $50,122.32 2026-04-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $50,099.97 $50,099.97 $50,099.97 2026-04-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 14 — — $46,329.52 $84,917.02 $49,951.19 2026-04-17
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $49,832.80 $49,832.80 $49,832.80 2026-04-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $49,485.27 $49,485.27 $49,485.27 2026-04-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 14 — — $45,408.80 $83,229.45 $48,958.50 2026-04-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 14 — — $45,210.90 $82,866.69 $48,745.11 2026-04-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 14 — — $45,103.50 $82,669.86 $48,629.33 2026-04-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 14 — — $45,098.67 $82,661.00 $48,624.12 2026-04-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 14 — — $44,971.97 $82,428.80 $48,487.53 2026-04-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 14 — — $44,718.56 $81,964.31 $48,214.30 2026-04-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $48,188.30 $48,188.30 $48,188.30 2026-04-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 14 — — $44,323.96 $81,241.05 $47,788.85 2026-04-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 14 — — $44,305.86 $81,207.86 $47,769.33 2026-04-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 14 — — $43,785.76 $80,254.59 $47,208.58 2026-04-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 14 — — $43,751.97 $80,192.67 $47,172.16 2026-04-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $47,130.29 $47,130.29 $47,130.29 2026-04-17
332 MS_DRG Rectal Resection With Mcc 15 14 — — $43,691.64 $80,082.09 $47,107.11 2026-04-17
265 MS_DRG Aicd Lead Procedures 15 14 — — $43,661.47 $80,026.77 $47,074.57 2026-04-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 14 — — $43,584.24 $79,885.23 $46,991.31 2026-04-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 14 — — $43,519.08 $79,765.79 $46,921.05 2026-04-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 14 — — $43,234.29 $79,243.82 $46,614.01 2026-04-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 14 — — $43,134.13 $79,060.22 $46,506.01 2026-04-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 14 — — $43,090.69 $78,980.59 $46,459.17 2026-04-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 14 — — $43,026.74 $78,863.39 $46,390.23 2026-04-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 14 — — $42,990.54 $78,797.01 $46,351.18 2026-04-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $46,346.36 $46,346.36 $46,346.36 2026-04-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 14 — — $42,949.51 $78,721.83 $46,306.96 2026-04-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 14 — — $42,914.51 $78,657.69 $46,269.23 2026-04-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 14 — — $42,556.12 $78,000.81 $45,882.83 2026-04-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 14 — — $42,469.23 $77,841.56 $45,789.15 2026-04-17
252 MS_DRG Other Vascular Procedures With Mcc 15 14 — — $42,093.94 $77,153.67 $45,384.51 2026-04-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 14 — — $42,083.08 $77,133.73 $45,372.78 2026-04-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 14 — — $41,890.01 $76,779.87 $45,164.63 2026-04-17
J3357 HCPCS Stelara 90 mg/mL Syringe 19 19 $56,262.32 $47,822.98 $289.09 $51,761.33 $45,009.86 2026-04-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 14 — — $41,687.28 $76,408.29 $44,946.05 2026-04-17
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 14 — — $41,494.21 $76,054.40 $44,737.88 2026-04-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 14 — — $41,371.12 $75,828.82 $44,605.19 2026-04-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 14 — — $41,168.39 $75,457.22 $44,386.60 2026-04-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 14 — — $41,114.09 $75,357.70 $44,328.06 2026-04-17
64568 CPT Opn Impltj Crnl Nrv Nea&pg 20 15 — — $22,953.47 $70,511.73 $43,888.09 2026-04-17
33276 CPT Insj Phrnc Nrv Stim Sys 20 15 — — $22,953.47 $49,800.61 $43,888.09 2026-04-17
64654 CPT 1st Opn Implt Bat Modulj Sys 20 15 — — $22,953.47 $47,399.13 $43,888.09 2026-04-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 20 15 — — $22,953.47 $47,399.13 $43,888.09 2026-04-17
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $43,681.63 $43,681.63 $43,681.63 2026-04-17
264 MS_DRG Other Circulatory System O.r. Procedures 15 14 — — $40,311.62 $73,886.86 $43,462.86 2026-04-17
J9226 HCPCS Supprelin La Implant 20 15 — — $22,585.93 $46,640.17 $43,185.34 2026-04-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 14 — — $39,861.52 $73,061.85 $42,977.56 2026-04-17
37 MS_DRG Extracranial Procedures With Mcc 15 14 — — $39,726.36 $72,814.13 $42,831.84 2026-04-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 14 — — $39,721.54 $72,805.31 $42,826.65 2026-04-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 14 — — $39,252.12 $71,944.92 $42,320.54 2026-04-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $42,261.72 $42,261.72 $42,261.72 2026-04-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 14 — — $39,079.56 $71,628.62 $42,134.48 2026-04-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 14 — — $39,036.12 $71,549.02 $42,087.66 2026-04-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 14 — — $38,981.82 $71,449.47 $42,029.10 2026-04-17
652 MS_DRG Kidney Transplant 15 14 — — $38,970.96 $71,429.56 $42,017.39 2026-04-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 14 — — $38,942.00 $71,376.49 $41,986.17 2026-04-17
L8701 HCPCS Ewh S/d Uprt Micro Sensor 18 14 — — $21,947.26 $45,321.29 $41,964.16 2026-04-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 14 — — $38,865.97 $71,237.12 $41,904.19 2026-04-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 14 — — $38,740.47 $71,007.11 $41,768.89 2026-04-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 14 — — $38,528.09 $70,617.85 $41,539.91 2026-04-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 14 — — $38,456.90 $70,487.36 $41,463.15 2026-04-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 14 — — $38,419.49 $70,418.79 $41,422.82 2026-04-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 14 — — $38,342.26 $70,277.24 $41,339.55 2026-04-17
500 MS_DRG Soft Tissue Procedures With Mcc 15 14 — — $38,190.21 $69,998.57 $41,175.63 2026-04-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 14 — — $38,132.29 $69,892.36 $41,113.15 2026-04-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 14 — — $38,023.68 $69,693.34 $40,996.08 2026-04-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 14 — — $38,005.58 $69,660.15 $40,976.56 2026-04-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $40,908.34 $40,908.34 $40,908.34 2026-04-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 14 — — $37,916.29 $69,496.46 $40,880.27 2026-04-17
665 MS_DRG Prostatectomy With Mcc 15 14 — — $37,664.08 $69,034.20 $40,608.35 2026-04-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 14 — — $37,585.65 $68,890.43 $40,523.78 2026-04-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 14 — — $37,519.28 $68,768.79 $40,452.23 2026-04-17
A9543 HCPCS Kit Yttrium 90 Therasphere 3 Gbq36432 55 28 $45,862.50 $38,983.13 $23,009.22 $96,601.73 $40,359.00 2026-04-17
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $40,158.47 $40,158.47 $40,158.47 2026-04-17
662 MS_DRG Minor Bladder Procedures With Mcc 15 14 — — $36,943.67 $67,713.77 $39,831.63 2026-04-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $39,805.62 $39,805.62 $39,805.62 2026-04-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $39,796.57 $39,796.57 $39,796.57 2026-04-17
263 MS_DRG Vein Ligation And Stripping 15 14 — — $36,894.20 $67,623.08 $39,778.28 2026-04-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 14 — — $36,602.17 $67,087.81 $39,463.42 2026-04-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 14 — — $36,448.92 $66,806.94 $39,298.20 2026-04-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 14 — — $36,444.09 $66,798.12 $39,293.01 2026-04-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 14 — — $36,404.27 $66,725.12 $39,250.07 2026-04-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $39,148.35 $39,148.35 $39,148.35 2026-04-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $39,017.43 $39,017.43 $39,017.43 2026-04-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 14 — — $35,916.75 $65,831.51 $38,724.42 2026-04-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $38,671.50 $38,671.50 $38,671.50 2026-04-17
1784 APR_DRG External Heart Assist Devices 6 6 — — $38,565.60 $38,565.60 $38,565.60 2026-04-17
472 MS_DRG Cervical Spinal Fusion With Cc 15 14 — — $35,551.12 $65,161.37 $38,330.22 2026-04-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 15 14 — — $35,526.98 $65,117.12 $38,304.19 2026-04-17
570 MS_DRG Skin Debridement With Mcc 15 14 — — $35,490.78 $65,050.77 $38,265.16 2026-04-17
6904 APR_DRG Acute Leukemia 6 6 — — $38,098.32 $38,098.32 $38,098.32 2026-04-17
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $38,087.68 $38,087.68 $38,087.68 2026-04-17
668 MS_DRG Transurethral Procedures With Mcc 15 14 — — $35,236.17 $64,584.07 $37,990.63 2026-04-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $37,949.31 $37,949.31 $37,949.31 2026-04-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $37,906.20 $37,906.20 $37,906.20 2026-04-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 14 — — $35,143.25 $64,413.80 $37,890.47 2026-04-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 14 — — $35,018.96 $64,185.97 $37,756.45 2026-04-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 14 — — $34,997.24 $64,146.19 $37,733.05 2026-04-17
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $37,732.70 $37,732.70 $37,732.70 2026-04-17
C1767 HCPCS Controller Medtronic Dbs79104 380 19 $52,250.00 $44,412.50 $1,423.57 $95,052.10 $37,600.00 2026-04-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 14 — — $34,842.78 $63,863.05 $37,566.50 2026-04-17
974 MS_DRG HIV With Major Related Condition With Mcc 15 14 — — $34,825.88 $63,832.09 $37,548.29 2026-04-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 15 14 — — $34,775.20 $63,739.21 $37,493.65 2026-04-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 14 — — $34,635.22 $63,482.62 $37,342.72 2026-04-17
913 APR_DRG Other Major Head And Neck Procedures 6 6 — — $37,208.49 $37,208.49 $37,208.49 2026-04-17
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