Price Transparencybeta Hospital negotiated rates

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

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Hospital

COREWELL HEALTH GERBER HOSPITAL

Fremont, MI · CCN 231338 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $704 across 1 payer · range $591-$872

Source: https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt0f1ce49eb743d06f/381359517_corewell-health-gerber-hospital_standardcharges.csv · observed 2026-04-01

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.

9,797 distinct procedures filed
25 distinct payers
70,232 rate rows
2026-04-01 last MRF observed
Data quality

38,182 of 70,232 rate rows are consumer-grade (54.4%)

32,050 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 31,883
placeholder amount (≤ $0.02) — excluded from medians 125
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 27
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt0f1ce49eb743d06f/381359517_corewell-health-gerber-hospital_standardcharges.csv
Found on page https://corewellhealth.org/billing/price-estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-21
Content fingerprint b71b979cfc0c0eb7… · 14,637,781 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 2 $108,372.43 $699,944.91 $498,634.67 nat. median
$359,358
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $308,090.56 $454,236.09 $392,180.13 nat. median
$249,124
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $233,346.67 $344,036.76 $300,076.95 nat. median
$190,557
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $234,724.21 $346,067.74 $267,755.31 nat. median
$198,433
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 2 $132,122.99 $223,803.68 $182,092.59 nat. median
$110,192
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 $145,215.63 $224,515.71 $159,943.04 nat. median
$126,722
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 2 $124,437.19 $183,465.09 $153,823.52 nat. median
$92,655
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $119,548.23 $176,257.00 $152,034.41 nat. median
$97,414
1.6× median
7
MS_DRG 		Lung Transplant 2 $142,372.56 $209,908.26 $150,684.70 nat. median
$117,894
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $113,352.10 $167,121.68 $146,804.08 nat. median
$94,964
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 $124,580.11 $183,675.80 $144,404.29 nat. median
$103,967
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $107,550.64 $158,568.26 $131,320.41 nat. median
$90,581
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $92,611.29 $178,641.33 $127,262.54 nat. median
$93,270
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 2 $109,465.77 $161,391.84 $120,282.89 nat. median
$93,917
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $86,508.41 $127,544.45 $114,215.52 nat. median
$74,460
1.5× median
850
MS_DRG 		Acute Leukemia With Other Procedures 2 $95,201.25 $140,360.81 $104,221.80 nat. median
$78,262
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $91,046.22 $146,035.54 $104,034.46 nat. median
$78,037
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $83,772.04 $123,510.06 $102,502.61 nat. median
$68,004
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $80,505.19 $143,633.39 $102,323.18 nat. median
$71,201
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $74,000.71 $120,867.40 $101,988.15 nat. median
$61,711
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $92,677.06 $136,639.25 $99,970.59 nat. median
$77,043
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 $85,650.08 $136,209.71 $97,034.61 nat. median
$77,696
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 $78,390.55 $115,575.82 $96,327.13 nat. median
$66,649
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 $84,414.08 $124,456.66 $95,370.17 nat. median
$72,473
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $78,436.72 $115,643.89 $94,273.98 nat. median
$66,660
1.4× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 2 $65,190.23 $142,392.74 $89,845.51 nat. median
$53,907
1.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 $66,035.66 $97,360.27 $88,923.45 nat. median
$56,686
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $77,607.08 $123,920.15 $88,279.64 nat. median
$71,758
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 2 $70,742.13 $104,299.30 $88,277.74 nat. median
$59,384
1.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 2 $67,296.65 $99,219.42 $88,192.30 nat. median
$58,216
1.5× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $72,287.87 $106,578.26 $87,991.29 nat. median
$62,038
1.4× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 2 $66,651.32 $98,267.97 $86,596.02 nat. median
$57,804
1.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 2 $75,987.30 $112,032.55 $85,875.72 nat. median
$62,721
1.4× median
69930
HCPCS 		Implant Cochlear Device 1 $70,083.18 $103,327.76 $83,493.32 nat. median
$29,205
outlier · 2.9×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 $61,914.76 $117,005.44 $83,353.65 nat. median
$63,648
1.3× median
834
MS_DRG 		Acute Leukemia With Mcc 2 $60,355.14 $118,086.11 $83,181.76 nat. median
$50,391
1.7× median
10
MS_DRG 		Pancreas Transplant 2 $56,771.46 $116,310.08 $82,858.29 nat. median
$64,903
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 $70,290.61 $116,261.45 $82,823.64 nat. median
$61,329
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $72,025.11 $106,190.87 $82,755.18 nat. median
$58,118
1.4× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 $58,199.25 $85,901.32 $80,210.50 nat. median
$51,590
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $73,503.97 $111,483.07 $79,419.57 nat. median
$63,896
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 2 $67,374.72 $99,334.52 $78,951.32 nat. median
$58,331
1.4× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 1 $66,094.27 $97,446.68 $78,741.15 nat. median
$31,584
outlier · 2.5×
33231
HCPCS 		Insrt Pulse Gen W/mult Leads 1 $66,094.27 $97,446.68 $78,741.15 nat. median
$30,121
outlier · 2.6×
33270
HCPCS 		Ins/rep Subq Defibrillator 1 $66,094.27 $97,446.68 $78,741.15 nat. median
$32,113
outlier · 2.5×
33264
HCPCS 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $66,094.27 $97,446.68 $78,741.15 nat. median
$31,564
outlier · 2.5×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $73,510.38 $108,380.69 $77,498.30 nat. median
$57,560
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 $66,449.94 $108,301.26 $77,152.88 nat. median
$60,543
1.3× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $60,858.57 $107,502.17 $76,583.62 nat. median
$52,841
1.4× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $70,769.09 $106,578.26 $75,925.43 nat. median
$59,558
1.3× median

Other procedures at this hospital

Browse this hospital's 9,797 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 6 2 — — $108,372.43 $699,944.91 $498,634.67 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 2 — — $308,090.56 $454,236.09 $392,180.13 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 2 — — $233,346.67 $344,036.76 $300,076.95 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 2 — — $234,724.21 $346,067.74 $267,755.31 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 2 — — $132,122.99 $223,803.68 $182,092.59 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 2 — — $145,215.63 $224,515.71 $159,943.04 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 2 — — $124,437.19 $183,465.09 $153,823.52 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 2 — — $119,548.23 $176,257.00 $152,034.41 2026-04-01
7 MS_DRG Lung Transplant 6 2 — — $142,372.56 $209,908.26 $150,684.70 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 2 — — $113,352.10 $167,121.68 $146,804.08 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 2 — — $124,580.11 $183,675.80 $144,404.29 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $107,550.64 $158,568.26 $131,320.41 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $92,611.29 $178,641.33 $127,262.54 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 2 — — $109,465.77 $161,391.84 $120,282.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 2 — — $86,508.41 $127,544.45 $114,215.52 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 2 — — $95,201.25 $140,360.81 $104,221.80 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 2 — — $91,046.22 $146,035.54 $104,034.46 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 2 — — $83,772.04 $123,510.06 $102,502.61 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 — — $80,505.19 $143,633.39 $102,323.18 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 2 — — $74,000.71 $120,867.40 $101,988.15 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 2 — — $92,677.06 $136,639.25 $99,970.59 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $85,650.08 $136,209.71 $97,034.61 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 2 — — $78,390.55 $115,575.82 $96,327.13 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $84,414.08 $124,456.66 $95,370.17 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 2 — — $78,436.72 $115,643.89 $94,273.98 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 2 — — $65,190.23 $142,392.74 $89,845.51 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 2 — — $66,035.66 $97,360.27 $88,923.45 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 2 — — $77,607.08 $123,920.15 $88,279.64 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 2 — — $70,742.13 $104,299.30 $88,277.74 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 2 — — $67,296.65 $99,219.42 $88,192.30 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $72,287.87 $106,578.26 $87,991.29 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 2 — — $66,651.32 $98,267.97 $86,596.02 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 2 — — $75,987.30 $112,032.55 $85,875.72 2026-04-01
69930 HCPCS Implant Cochlear Device 4 1 — — $70,083.18 $103,327.76 $83,493.32 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $61,914.76 $117,005.44 $83,353.65 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 2 — — $60,355.14 $118,086.11 $83,181.76 2026-04-01
10 MS_DRG Pancreas Transplant 6 2 — — $56,771.46 $116,310.08 $82,858.29 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 2 — — $70,290.61 $116,261.45 $82,823.64 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $72,025.11 $106,190.87 $82,755.18 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 2 — — $58,199.25 $85,901.32 $80,210.50 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 2 — — $73,503.97 $111,483.07 $79,419.57 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 2 — — $67,374.72 $99,334.52 $78,951.32 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 1 — — $66,094.27 $97,446.68 $78,741.15 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 1 — — $66,094.27 $97,446.68 $78,741.15 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 1 — — $66,094.27 $97,446.68 $78,741.15 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 1 — — $66,094.27 $97,446.68 $78,741.15 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 2 — — $73,510.38 $108,380.69 $77,498.30 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 2 — — $66,449.94 $108,301.26 $77,152.88 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $60,858.57 $107,502.17 $76,583.62 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $70,769.09 $106,578.26 $75,925.43 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 2 — — $54,390.98 $80,191.82 $74,475.29 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 2 — — $59,721.89 $88,051.51 $72,851.06 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $62,998.06 $92,881.75 $72,094.12 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 2 — — $64,476.73 $95,061.85 $71,980.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 2 — — $51,686.49 $122,885.35 $71,234.58 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 2 — — $53,883.06 $79,442.98 $70,993.96 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 2 — — $60,719.04 $89,521.66 $70,967.53 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $58,628.01 $86,438.73 $70,857.11 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 2 — — $61,193.97 $90,221.88 $70,847.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $65,557.43 $96,655.19 $70,656.40 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 — — $55,059.16 $99,138.38 $70,625.33 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 2 — — $62,659.45 $92,382.52 $69,583.29 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 6 2 — — $62,230.01 $97,387.83 $69,378.24 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 2 — — $58,006.85 $85,522.92 $68,898.37 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 2 — — $50,775.10 $74,860.72 $68,750.43 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 2 — — $64,518.51 $95,123.45 $68,525.20 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 1 — — $68,140.74 $78,361.85 $68,140.74 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $67,138.44 $77,209.21 $67,138.44 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 2 — — $63,402.64 $93,478.24 $66,890.13 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 2 — — $52,339.52 $77,167.24 $66,257.91 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 2 — — $59,961.56 $88,404.86 $66,214.70 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 2 — — $9,918.07 $76,048.83 $66,129.42 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 2 — — $62,438.05 $92,502.47 $65,897.96 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 2 — — $60,056.11 $88,544.26 $65,085.28 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 2 — — $61,616.13 $90,844.30 $64,936.41 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $52,093.85 $91,126.33 $64,917.61 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 2 — — $52,817.75 $77,872.33 $64,774.45 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 2 — — $47,574.79 $70,142.32 $63,827.25 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 2 — — $49,257.94 $72,623.89 $63,277.11 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 2 — — $60,141.86 $88,670.69 $63,248.14 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 4 1 — — $52,707.70 $77,710.07 $62,793.11 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 4 1 — — $52,707.70 $77,710.07 $62,793.11 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 1 — — $52,707.70 $77,710.07 $62,793.11 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 2 — — $46,350.07 $68,336.65 $62,786.93 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $45,872.94 $67,633.18 $62,305.85 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 2 — — $49,985.74 $73,696.92 $61,916.36 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 2 — — $54,708.70 $86,386.86 $61,541.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 2 — — $50,404.61 $74,314.48 $61,042.60 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $55,411.21 $81,696.01 $60,791.19 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 2 — — $50,048.69 $84,373.72 $60,107.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 2 — — $42,332.15 $84,227.84 $60,003.18 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 1 — — $59,168.69 $68,043.99 $59,168.69 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 2 — — $50,158.34 $73,951.41 $58,590.98 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 9 3 — — $9,606.40 $80,840.18 $57,923.66 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 1 — — $48,549.63 $71,579.58 $57,839.41 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 1 — — $48,549.63 $71,579.58 $57,839.41 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 1 — — $48,549.63 $71,579.58 $57,839.41 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 1 — — $48,549.63 $71,579.58 $57,839.41 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 2 — — $50,978.48 $75,160.58 $57,045.11 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 2 — — $41,047.13 $79,775.26 $56,831.20 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 2 — — $40,741.01 $78,455.23 $56,149.47 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 2 — — $41,359.18 $78,267.83 $55,757.32 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 2 — — $43,006.84 $63,407.53 $55,569.36 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $39,199.67 $61,649.11 $54,025.19 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $38,232.24 $75,821.90 $54,014.86 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 2 — — $46,892.07 $69,135.75 $53,628.52 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 2 — — $50,007.73 $73,729.34 $53,531.20 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 2 — — $45,300.67 $74,651.63 $53,181.17 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 3 — — $15,306.08 $74,611.36 $53,038.28 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 6 2 — — $38,349.85 $60,351.28 $52,853.96 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 2 — — $46,051.04 $67,895.77 $52,533.93 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 2 — — $42,279.34 $73,408.41 $52,295.51 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 2 — — $45,657.46 $67,315.49 $52,180.26 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 4 1 — — $43,709.86 $64,444.02 $52,073.57 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 6 2 — — $46,417.66 $72,644.97 $51,751.65 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 2 — — $47,195.50 $69,583.11 $51,598.70 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 2 — — $48,192.37 $72,338.62 $51,533.40 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 2 — — $37,457.14 $55,225.28 $50,791.64 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 2 — — $37,691.32 $55,570.53 $50,673.71 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 2 — — $46,326.98 $68,302.61 $49,830.12 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 2 — — $41,189.56 $60,728.20 $49,624.62 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 2 — — $35,760.80 $53,518.10 $49,285.72 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 2 — — $42,180.13 $68,738.63 $48,968.80 2026-04-01
652 MS_DRG Kidney Transplant 6 2 — — $35,504.64 $97,786.59 $48,932.68 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 2 — — $46,110.41 $68,453.35 $48,765.57 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $48,705.00 $56,010.75 $48,705.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 2 — — $45,355.13 $66,869.74 $48,533.55 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 2 — — $44,295.70 $68,103.24 $48,516.15 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 2 — — $39,777.95 $58,646.98 $48,482.02 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 2 — — $45,188.65 $68,022.19 $48,458.42 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 2 — — $1,641.50 $71,202.38 $48,293.79 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 2 — — $35,036.31 $60,044.03 $48,287.21 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 2 — — $34,931.86 $55,507.24 $48,143.28 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 2 — — $39,297.52 $57,938.64 $48,094.76 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 2 — — $34,793.34 $53,049.22 $47,952.35 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 1 — — $40,142.17 $59,183.97 $47,823.22 2026-04-01
J9226 HCPCS Supprelin La Implant 4 1 — — $47,279.65 $54,371.60 $47,279.65 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 2 — — $35,564.01 $52,434.11 $47,272.09 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 2 — — $38,691.76 $57,045.54 $46,788.93 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $39,506.06 $65,167.81 $46,424.98 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 2 — — $38,941.16 $64,577.80 $46,004.67 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 2 — — $34,625.13 $51,049.87 $45,617.26 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 2 — — $35,002.22 $51,605.84 $45,407.71 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 2 — — $34,182.08 $50,396.66 $44,975.60 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 2 — — $30,798.95 $63,120.63 $44,966.58 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 2 — — $42,553.90 $62,739.72 $44,781.19 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 2 — — $39,860.40 $58,768.54 $44,713.37 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 2 — — $31,789.52 $62,645.71 $44,628.25 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 2 — — $41,588.02 $62,585.74 $44,585.54 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 3 — — $9,970.96 $51,956.23 $44,539.19 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 2 — — $34,641.63 $51,074.19 $43,953.24 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 2 — — $33,346.54 $49,164.78 $43,905.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 4 — — $7,447.02 $62,230.76 $43,742.00 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 4 1 — — $36,687.94 $54,091.19 $43,708.04 2026-04-01
64580 HCPCS Implant Neuroelectrodes 4 1 — — $36,687.94 $54,091.19 $43,708.04 2026-04-01
63655 HCPCS Implant Neuroelectrodes 4 1 — — $36,687.94 $54,091.19 $43,708.04 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 4 1 — — $36,687.94 $54,091.19 $43,708.04 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 2 — — $37,803.46 $55,735.87 $43,634.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 2 — — $39,097.43 $57,643.65 $43,621.98 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 7 2 — — $18,047.68 $60,583.94 $43,521.16 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 2 — — $31,554.55 $48,261.18 $43,488.64 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 6 2 — — $31,682.08 $46,710.76 $43,485.05 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 2 — — $40,365.02 $59,512.53 $43,290.96 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 2 — — $39,166.69 $57,745.77 $43,209.11 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 2 — — $38,009.80 $60,577.46 $43,154.85 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 2 — — $32,789.70 $60,407.26 $43,033.60 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 2 — — $35,101.16 $51,751.71 $42,729.02 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 2 — — $40,381.51 $59,536.85 $42,427.09 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $39,083.59 $59,290.47 $42,238.01 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 2 — — $31,884.36 $47,009.00 $42,080.06 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 2 — — $39,061.19 $58,813.93 $41,898.54 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 2 — — $39,381.24 $58,687.50 $41,808.47 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 2 — — $39,388.77 $58,073.18 $41,799.14 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 2 — — $27,908.85 $58,543.25 $41,705.70 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 2 — — $35,676.60 $58,455.71 $41,643.34 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $41,579.60 $41,579.60 $41,579.60 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 2 — — $37,506.62 $55,298.22 $41,137.02 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 2 — — $27,704.01 $57,690.66 $41,098.32 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 6 2 — — $30,775.09 $45,373.53 $40,874.49 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 7 2 — — $7,390.71 $47,205.13 $40,789.49 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 2 — — $29,751.56 $43,864.47 $40,705.67 2026-04-01
9284 OTHER Ipilimumab Injection 3 2 — — $40,406.59 $40,406.59 $40,406.59 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 2 — — $27,769.62 $56,526.86 $40,269.24 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 2 — — $31,904.15 $47,038.17 $40,266.20 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 2 — — $29,141.40 $46,756.92 $40,162.83 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 4 — — $15,544.80 $74,504.13 $40,139.64 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 2 — — $28,360.13 $56,267.51 $40,084.49 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 2 — — $36,873.61 $55,995.20 $39,890.49 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 2 — — $36,188.46 $53,354.78 $39,706.69 2026-04-01
849 MS_DRG Radiotherapy 6 2 — — $29,787.84 $43,917.97 $39,319.89 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 2 — — $16,951.06 $57,880.29 $39,257.94 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 2 — — $29,912.07 $44,101.13 $38,627.38 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 6 2 — — $33,853.88 $54,147.39 $38,574.13 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 6 2 — — $27,736.39 $41,696.84 $38,226.43 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 2 — — $30,054.99 $44,311.85 $38,169.83 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 2 — — $32,173.59 $53,542.80 $38,143.43 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 4 1 — — $31,952.77 $47,109.85 $38,066.81 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 4 1 — — $31,952.77 $47,109.85 $38,066.81 2026-04-01
62360 HCPCS Insert Spine Infusion Device 4 1 — — $31,952.77 $47,109.85 $38,066.81 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 6 2 — — $30,371.68 $53,361.27 $38,014.10 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 2 — — $28,355.34 $41,805.95 $37,999.94 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 3 — — $5,454.33 $50,485.81 $37,998.60 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 2 — — $29,243.64 $43,115.63 $37,860.44 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 2 — — $35,514.53 $52,361.17 $37,568.31 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 4 1 — — $31,278.80 $46,116.17 $37,263.88 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 4 1 — — $31,278.80 $46,116.17 $37,263.88 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 2 — — $32,447.24 $52,307.68 $37,263.54 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 2 — — $32,663.27 $52,205.57 $37,190.79 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 2 — — $26,041.32 $52,036.99 $37,070.71 2026-04-01
263 MS_DRG Vein Ligation And Stripping 6 2 — — $33,612.59 $49,557.03 $36,816.88 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 1 — — $30,679.12 $45,232.03 $36,549.44 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 2 — — $34,314.01 $50,591.17 $36,357.94 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 2 — — $32,820.10 $50,929.92 $36,282.04 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 6 2 — — $33,657.67 $49,623.49 $36,161.57 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 2 — — $26,443.51 $38,987.22 $35,922.26 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 2 — — $33,166.25 $48,898.95 $35,899.13 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 2 — — $32,722.10 $48,244.12 $35,273.85 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 2 — — $25,408.98 $37,872.18 $35,018.79 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 4 1 — — $29,347.50 $43,268.75 $34,963.03 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 4 1 — — $29,347.50 $43,268.75 $34,963.03 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 4 1 — — $29,347.50 $43,268.75 $34,963.03 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 4 1 — — $29,347.50 $43,268.75 $34,963.03 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 4 1 — — $29,347.50 $43,268.75 $34,963.03 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 4 1 — — $29,347.50 $43,268.75 $34,963.03 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 2 — — $28,235.31 $48,958.93 $34,877.91 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 2 — — $28,792.20 $48,952.44 $34,873.29 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 9 4 — — $2,428.08 $57,162.25 $34,831.65 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 2 — — $31,728.26 $46,778.84 $34,816.52 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 6 2 — — $25,237.49 $43,514.76 $34,782.43 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 2 — — $28,394.92 $41,864.30 $34,409.18 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 1 — — $28,865.77 $42,558.51 $34,389.12 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 6 2 — — $31,227.82 $47,752.99 $34,018.82 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 6 2 — — $29,017.84 $47,720.57 $33,995.72 2026-04-01
570 MS_DRG Skin Debridement With Mcc 6 2 — — $24,676.29 $47,671.94 $33,961.07 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 6 2 — — $26,542.46 $39,133.11 $33,818.67 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 6 2 — — $30,018.01 $47,329.94 $33,717.44 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 7 2 — — $7,298.34 $40,225.59 $33,604.24 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 2 — — $27,881.51 $41,107.35 $33,530.62 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 9 3 — — $1,876.21 $44,689.51 $33,361.69 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 2 — — $27,864.04 $46,801.53 $33,341.00 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 6 2 — — $24,096.32 $38,819.54 $33,209.68 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 6 2 — — $23,978.69 $40,931.91 $33,047.56 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 6 2 — — $28,535.64 $42,071.77 $33,020.14 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 2 — — $23,936.91 $38,131.42 $32,989.97 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 2 — — $30,410.08 $46,203.42 $32,914.92 2026-04-01
503 MS_DRG Foot Procedures With Mcc 6 2 — — $30,684.93 $45,240.61 $32,786.11 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 3 — — $7,457.44 $52,492.46 $32,638.76 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 6 2 — — $27,748.48 $40,911.22 $32,469.64 2026-04-01
800 MS_DRG Splenic Procedures With Cc 6 2 — — $30,765.34 $45,537.23 $32,440.32 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 6 2 — — $23,534.53 $40,896.70 $32,435.42 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 6 2 — — $24,596.54 $36,264.13 $32,395.51 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 2 — — $25,127.54 $37,047.02 $32,267.00 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 6 2 — — $23,269.58 $37,633.74 $32,070.26 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 6 2 — — $28,067.30 $41,381.28 $31,858.33 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 2 — — $23,994.08 $35,375.89 $31,754.86 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 6 2 — — $23,012.32 $36,193.49 $31,715.71 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 6 2 — — $23,314.66 $34,374.18 $31,604.19 2026-04-01
835 MS_DRG Acute Leukemia With Cc 6 2 — — $22,930.97 $56,977.90 $31,603.58 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 1 — — $26,419.55 $38,951.90 $31,474.83 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 2 — — $24,610.83 $36,285.20 $31,338.24 2026-04-01
9343 OTHER Inj Givosiran 0.5 Mg 1 1 — — $31,307.45 $31,307.45 $31,307.45 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 2 — — $27,369.55 $43,721.84 $31,147.06 2026-04-01
333 MS_DRG Rectal Resection With Cc 6 2 — — $25,749.80 $37,964.44 $30,674.13 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 2 — — $28,995.18 $42,749.31 $30,543.98 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 8 3 — — $3,975.38 $44,542.01 $30,534.90 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 2 — — $2,455.88 $44,929.40 $30,473.85 2026-04-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 6 2 — — $21,991.00 $35,390.15 $30,308.11 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 8 2 — — $5,963.93 $39,617.75 $30,240.04 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 6 2 — — $24,133.70 $35,581.74 $30,010.01 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 2 — — $28,280.11 $42,021.53 $29,935.77 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 2 — — $24,907.67 $36,722.85 $29,856.39 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 6 2 — — $27,841.64 $41,805.95 $29,782.19 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 6 2 — — $26,475.00 $41,617.93 $29,648.25 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 3 — — $23,681.56 $39,849.54 $29,633.95 2026-04-01
J9266 HCPCS Pegaspargase Injection 4 1 — — $29,496.67 $33,921.17 $29,496.67 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 2 — — $23,730.52 $41,185.15 $29,339.94 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 6 2 — — $21,208.24 $35,683.00 $29,229.31 2026-04-01
582 MS_DRG Mastectomy For Malignancy With Cc/Mcc 6 2 — — $21,180.75 $50,696.81 $29,191.42 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 6 2 — — $25,847.64 $38,108.70 $29,149.06 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 2 — — $25,539.81 $37,654.85 $29,118.66 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 6 2 — — $24,172.18 $35,638.47 $29,062.65 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 1 — — $24,345.17 $35,893.51 $29,003.52 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 1 — — $24,345.17 $35,893.51 $29,003.52 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 1 — — $24,345.17 $35,893.51 $29,003.52 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 1 — — $24,345.17 $35,893.51 $29,003.52 2026-04-01
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 6 2 — — $22,948.57 $33,834.43 $28,910.62 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 2 — — $27,036.08 $39,860.89 $28,867.34 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 2 — — $22,173.45 $40,390.91 $28,774.13 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 6 2 — — $24,401.95 $35,977.23 $28,744.19 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 6 2 — — $22,846.32 $33,683.67 $28,590.57 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 2 — — $23,426.79 $34,539.50 $28,393.73 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 10 5 — — $936.36 $44,553.36 $28,363.33 2026-04-01
801 MS_DRG Splenic Procedures Without Cc/Mcc 6 2 — — $20,986.16 $30,941.13 $28,338.45 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 6 2 — — $26,629.30 $39,261.15 $28,337.82 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 6 2 — — $21,047.72 $31,031.90 $28,204.28 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 6 2 — — $25,534.04 $39,570.74 $28,189.85 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 2 — — $26,280.80 $38,747.33 $28,138.03 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 6 2 — — $20,783.87 $30,642.89 $27,971.94 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 6 2 — — $21,776.62 $32,106.55 $27,742.42 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 2 — — $24,273.32 $35,787.59 $27,740.82 2026-04-01
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