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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

Devos Childrens Hospital - Transplant Unit

Grand Rapids, MI · CCN 239807 · Rates published

14,290 distinct procedures filed
16 distinct payers
150,178 rate rows
2026-04-01 last MRF observed
Data quality

114,449 of 150,178 rate rows are consumer-grade (76.2%)

35,729 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 35,604
placeholder amount (≤ $0.02) — excluded from medians 125
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://assets.contentstack.io/v3/assets/blt3055f692fe7bf193/blt3e15b2397d60b0fa/381360529_corewell-helen-devos-childrens-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint a9f155773ed8d94b… · 31,052,645 bytes · first seen 2026-05-13

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 12 $235,795.85 $1,086,476.66 $374,370.67 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $243,215.31 $853,302.37 $255,376.08 nat. median
$265,286
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $115,250.49 $1,524,509.95 $234,707.63 nat. median
$202,986
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $88,952.66 $862,776.54 $194,750.65 nat. median
$206,368
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $175,164.00 $175,164.00 $175,164.00 nat. median
$87,411
outlier · 2.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $104,730.81 $486,950.24 $146,803.92 nat. median
$117,303
1.3× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $119,798.00 $153,885.74 $133,813.70 nat. median
$62,270
outlier · 2.1×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $132,417.00 $132,417.00 $132,417.00 nat. median
$65,381
outlier · 2.0×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $36,407.95 $588,265.46 $126,624.04 nat. median
$133,176
1.0× median
7
MS_DRG 		Lung Transplant 12 $112,797.11 $325,826.25 $118,436.97 nat. median
$122,708
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $110,901.76 $199,623.17 $116,446.85 nat. median
$111,989
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $98,794.65 $314,193.68 $103,734.38 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $98,682.17 $334,687.98 $103,616.28 nat. median
$98,017
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $88,133.89 $277,292.73 $100,912.70 nat. median
$98,905
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $98,566.00 $115,876.62 $100,762.28 nat. median
$48,483
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $94,834.61 $330,795.25 $99,576.34 nat. median
$102,358
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $89,958.33 $322,637.22 $94,456.25 nat. median
$100,136
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 12 $86,899.83 $261,276.19 $91,244.82 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $85,392.65 $285,725.90 $89,662.28 nat. median
$93,672
1.0× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,338.18 $121,009.27 $86,127.03 nat. median
$50,598
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $50,806.60 $250,595.01 $84,500.30 nat. median
$74,915
1.1× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $47,919.99 $117,531.02 $83,651.43 nat. median
$49,027
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $68,758.01 $226,681.00 $82,638.03 nat. median
$82,712
1.0× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 2 $55,894.83 $92,032.54 $82,533.15 nat. median
$39,075
outlier · 2.1×
9489
OTHER 		Inj, Nusinersen, 0.1mg 5 $136.41 $421,740.10 $80,577.59 nat. median
$1,280
outlier · 63.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $28,569.32 $225,545.22 $79,457.50 nat. median
$83,442
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $1,958.81 $315,785.78 $79,143.84 nat. median
$52,278
1.5× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $32,698.34 $141,449.18 $78,814.14 nat. median
$54,211
1.5× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $39,508.56 $201,501.19 $77,964.76 nat. median
$52,879
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $73,687.30 $213,090.57 $77,371.67 nat. median
$79,312
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $1,455.54 $211,429.04 $77,130.93 nat. median
$81,118
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 13 $43,623.10 $569,715.87 $75,248.27 nat. median
$51,307
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $68,832.65 $255,705.20 $72,274.28 nat. median
$77,576
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 3 $68,801.71 $123,843.08 $72,241.80 nat. median
$70,825
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $66,898.05 $192,352.77 $70,242.95 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $66,679.16 $223,024.35 $70,013.12 nat. median
$72,138
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 12 $52,055.48 $309,816.97 $69,627.46 nat. median
$56,920
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $102,284.19 $68,140.74 nat. median
$62,507
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $67,138.44 $77,209.21 $67,138.44 nat. median
$76,377
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 $50,330.27 $236,438.49 $66,594.88 nat. median
$55,929
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $30,014.33 $181,619.54 $66,367.44 nat. median
$68,090
1.0× median
10
MS_DRG 		Pancreas Transplant 12 $62,835.92 $180,540.18 $65,977.72 nat. median
$68,882
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $58,931.99 $180,464.70 $65,950.46 nat. median
$64,027
1.0× median
33231
HCPCS 		Insrt Pulse Gen W/mult Leads 4 $31,275.99 $84,034.49 $65,807.74 nat. median
$30,121
outlier · 2.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $62,480.32 $205,120.56 $65,604.34 nat. median
$71,240
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $62,443.98 $209,587.80 $65,566.18 nat. median
$68,887
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $7,335.94 $202,914.15 $63,580.28 nat. median
$66,526
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $24,115.32 $173,047.55 $63,272.31 nat. median
$65,950
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $58,989.22 $262,982.31 $61,938.68 nat. median
$64,732
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $58,603.34 $168,231.94 $61,533.51 nat. median
$60,691
1.0× median

Other procedures at this hospital

Browse this hospital's 14,290 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
             
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 39 16 — — $1,958.81 $315,785.78 $79,143.84 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 39 16 — — $5,148.97 $685,121.39 $36,827.03 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 36 15 — — $8,363.14 $69,157.13 $24,533.35 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 14 — — $27,244.74 $339,857.23 $59,246.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 33 14 — — $11,103.65 $120,620.09 $48,507.09 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 14 — — $18,387.10 $149,891.32 $41,939.48 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 14 — — $14,761.47 $101,802.97 $32,761.55 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 32 14 — — $10,233.80 $423,016.12 $30,244.19 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 31 14 — — $16,036.49 $81,276.67 $30,136.09 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 13 — — $115,250.49 $1,524,509.95 $234,707.63 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 13 — — $36,407.95 $588,265.46 $126,624.04 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 13 — — $50,806.60 $250,595.01 $84,500.30 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 13 — — $28,569.32 $225,545.22 $79,457.50 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 13 — — $39,508.56 $201,501.19 $77,964.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 13 — — $43,623.10 $569,715.87 $75,248.27 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 13 — — $30,014.33 $181,619.54 $66,367.44 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 22 13 — — $58,931.99 $180,464.70 $65,950.46 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 13 — — $7,335.94 $202,914.15 $63,580.28 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 13 — — $22,035.65 $150,472.58 $54,961.68 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 13 — — $21,850.12 $231,015.94 $49,197.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 13 — — $7,688.66 $152,470.20 $44,434.40 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 13 — — $7,803.25 $124,254.88 $43,480.45 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 13 — — $13,429.97 $254,544.26 $42,122.40 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 23 13 — — $23,066.83 $64,892.52 $39,411.67 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 34 13 — — $14,141.01 $106,698.27 $39,315.21 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 13 — — $30,485.15 $94,030.24 $38,226.60 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 13 — — $14,450.42 $101,155.54 $37,313.86 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 13 — — $25,213.27 $97,977.84 $36,166.47 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 13 — — $13,520.55 $128,352.52 $35,866.68 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 25 13 — — $8,285.65 $107,972.85 $34,825.58 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 13 — — $27,657.36 $107,109.06 $32,172.87 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 13 — — $14,638.14 $161,675.80 $31,873.56 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 13 — — $15,427.23 $94,718.82 $31,782.23 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 13 — — $10,568.31 $318,220.16 $29,496.54 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 25 13 — — $20,624.22 $105,330.10 $29,401.14 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 13 — — $19,351.54 $75,995.60 $28,229.23 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 13 — — $8,787.70 $72,646.81 $27,020.06 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 33 13 — — $13,898.72 $74,123.70 $26,241.27 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 35 13 — — $10,464.09 $101,061.99 $25,753.66 2026-04-01
849 MS_DRG Radiotherapy 20 13 — — $14,861.34 $88,011.28 $25,403.90 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 23 13 — — $16,834.77 $205,315.35 $24,971.48 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 25 13 — — $18,609.81 $88,677.96 $24,747.36 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 13 — — $10,568.31 $128,572.59 $24,341.01 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 19 12 — — $235,795.85 $1,086,476.66 $374,370.67 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 12 — — $243,215.31 $853,302.37 $255,376.08 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 12 — — $88,952.66 $862,776.54 $194,750.65 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 12 — — $104,730.81 $486,950.24 $146,803.92 2026-04-01
7 MS_DRG Lung Transplant 19 12 — — $112,797.11 $325,826.25 $118,436.97 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 12 — — $98,794.65 $314,193.68 $103,734.38 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 19 12 — — $98,682.17 $334,687.98 $103,616.28 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 12 — — $88,133.89 $277,292.73 $100,912.70 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 12 — — $94,834.61 $330,795.25 $99,576.34 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 12 — — $89,958.33 $322,637.22 $94,456.25 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 12 — — $86,899.83 $261,276.19 $91,244.82 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $85,392.65 $285,725.90 $89,662.28 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 12 — — $68,758.01 $226,681.00 $82,638.03 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 12 — — $32,698.34 $141,449.18 $78,814.14 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 12 — — $73,687.30 $213,090.57 $77,371.67 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 12 — — $1,455.54 $211,429.04 $77,130.93 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 12 — — $68,832.65 $255,705.20 $72,274.28 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 12 — — $66,898.05 $192,352.77 $70,242.95 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 12 — — $66,679.16 $223,024.35 $70,013.12 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 22 12 — — $52,055.48 $309,816.97 $69,627.46 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 12 — — $50,330.27 $236,438.49 $66,594.88 2026-04-01
10 MS_DRG Pancreas Transplant 19 12 — — $62,835.92 $180,540.18 $65,977.72 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 12 — — $62,480.32 $205,120.56 $65,604.34 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 12 — — $62,443.98 $209,587.80 $65,566.18 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $24,115.32 $173,047.55 $63,272.31 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 12 — — $58,989.22 $262,982.31 $61,938.68 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 12 — — $58,603.34 $168,231.94 $61,533.51 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $46,123.39 $168,108.66 $61,489.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $57,641.24 $165,434.15 $60,523.30 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $57,641.24 $191,450.73 $60,523.30 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $57,434.45 $180,058.05 $60,306.17 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 12 — — $53,774.64 $171,781.64 $56,463.37 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 12 — — $53,713.21 $196,053.77 $56,398.87 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 12 — — $53,205.34 $190,907.56 $55,865.61 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 12 — — $22,906.05 $151,168.47 $55,372.31 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 12 — — $52,720.82 $202,752.89 $55,356.86 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 12 — — $51,526.84 $147,653.62 $54,103.18 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 12 — — $51,493.97 $156,614.60 $54,068.67 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 12 — — $25,968.76 $145,099.89 $53,181.09 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 12 — — $50,127.81 $143,585.26 $52,634.20 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $8,544.31 $275,663.14 $52,566.97 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 12 — — $49,242.71 $141,011.40 $51,704.85 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 12 — — $48,910.47 $154,149.44 $51,355.99 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 12 — — $48,536.70 $154,410.58 $50,963.54 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 22 12 — — $22,721.10 $256,930.82 $50,662.84 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 12 — — $23,390.08 $137,637.45 $50,486.59 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 12 — — $48,014.98 $139,403.71 $50,415.73 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 12 — — $47,940.57 $144,069.42 $50,337.60 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 12 — — $47,751.96 $158,508.74 $50,139.56 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 25 12 — — $42,976.35 $172,363.11 $49,802.74 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $43,679.64 $134,092.42 $49,206.57 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 12 — — $46,553.65 $186,903.41 $48,881.33 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 12 — — $24,179.16 $130,967.55 $48,078.25 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $28,579.80 $130,741.11 $47,996.49 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $44,359.50 $131,841.08 $46,577.48 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 12 — — $19,020.12 $140,829.82 $45,598.21 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 12 — — $43,334.23 $123,829.68 $45,500.94 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $43,156.86 $158,630.61 $45,314.70 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 12 — — $1,255.11 $126,029.84 $45,000.24 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $41,319.49 $121,489.80 $44,656.07 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 12 — — $41,942.12 $144,163.43 $44,039.23 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 12 — — $41,428.19 $267,372.95 $43,499.60 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 12 — — $41,224.00 $117,693.17 $43,285.20 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 19 12 — — $40,870.99 $124,118.29 $42,914.54 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 12 — — $40,710.93 $157,537.30 $42,746.48 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 12 — — $17,492.14 $223,648.68 $42,440.33 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 12 — — $40,225.55 $127,481.78 $42,236.83 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 12 — — $11,144.03 $114,445.02 $42,112.37 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 12 — — $39,935.71 $113,946.85 $41,932.50 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 24 12 — — $24,100.44 $152,574.72 $41,504.61 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 12 — — $9,797.79 $137,951.77 $41,492.80 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 12 — — $39,364.67 $112,286.30 $41,332.90 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 12 — — $11,041.98 $110,522.58 $40,696.08 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 12 — — $38,192.32 $145,040.86 $40,101.94 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 12 — — $15,363.30 $111,513.91 $39,788.52 2026-04-01
652 MS_DRG Kidney Transplant 22 12 — — $28,693.25 $212,763.27 $39,738.27 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 12 — — $37,655.03 $116,684.49 $39,537.78 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 12 — — $12,101.73 $106,255.46 $39,155.32 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 12 — — $37,228.49 $143,930.14 $39,089.91 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 12 — — $37,210.32 $106,021.47 $39,070.84 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 12 — — $35,856.02 $105,586.20 $38,913.67 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 12 — — $36,993.15 $114,302.89 $38,842.81 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 12 — — $16,253.96 $144,962.17 $38,695.64 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 12 — — $36,683.41 $113,533.40 $38,517.58 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 12 — — $36,445.48 $103,797.33 $38,267.75 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 12 — — $8,317.30 $105,712.00 $38,031.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 12 — — $35,222.08 $100,239.72 $36,983.18 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 12 — — $17,590.44 $167,798.37 $36,327.27 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 12 — — $34,240.94 $97,386.58 $35,952.99 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 12 — — $9,860.54 $97,240.65 $35,900.30 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 12 — — $17,042.50 $162,338.80 $34,974.57 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 12 — — $6,324.95 $94,692.99 $34,744.73 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 12 — — $32,995.91 $93,766.06 $34,645.71 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 19 12 — — $32,814.22 $170,702.26 $34,454.93 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 12 — — $32,531.30 $92,414.98 $34,157.86 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 12 — — $27,530.96 $92,377.24 $34,144.24 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 12 — — $25,229.13 $91,292.84 $33,752.69 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 12 — — $32,121.19 $97,286.99 $33,727.25 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 12 — — $32,077.93 $91,096.59 $33,681.83 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 12 — — $32,056.30 $105,486.79 $33,659.12 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 12 — — $9,790.69 $90,872.67 $33,600.98 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 12 — — $31,954.21 $90,736.81 $33,551.92 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 12 — — $31,750.02 $90,143.03 $33,337.52 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 12 — — $31,678.21 $104,644.18 $33,262.12 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 12 — — $28,620.26 $143,262.39 $33,229.41 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 12 — — $29,793.13 $134,135.64 $33,181.26 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 12 — — $31,575.25 $94,014.03 $33,154.01 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 12 — — $21,711.07 $89,549.26 $33,123.12 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 12 — — $26,323.46 $116,202.94 $33,096.78 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 12 — — $14,182.80 $88,729.04 $32,826.96 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 24 12 — — $16,541.55 $205,772.87 $32,479.02 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 12 — — $9,053.04 $87,742.77 $32,470.84 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 12 — — $30,786.18 $87,340.22 $32,325.49 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 19 12 — — $30,502.39 $94,940.20 $32,027.51 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 12 — — $13,988.47 $115,371.83 $31,934.85 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 12 — — $3,802.99 $116,538.26 $31,741.34 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 12 — — $23,481.89 $83,110.83 $30,798.36 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 12 — — $29,234.87 $82,829.04 $30,696.61 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 12 — — $29,231.41 $86,124.10 $30,692.98 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 12 — — $28,894.85 $116,444.25 $30,339.59 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 12 — — $7,414.17 $81,480.47 $30,209.68 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 12 — — $21,243.84 $124,984.35 $30,176.97 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 12 — — $27,606.21 $81,193.64 $30,106.11 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 12 — — $10,773.50 $81,035.13 $30,048.88 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 12 — — $28,528.00 $80,773.47 $29,954.40 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 12 — — $20,721.09 $92,969.46 $29,794.51 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 12 — — $26,393.06 $130,643.32 $29,740.91 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 12 — — $27,908.14 $186,039.34 $29,712.74 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 12 — — $28,242.48 $120,772.21 $29,654.60 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 12 — — $13,562.02 $84,049.30 $29,654.49 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 24 12 — — $26,110.65 $139,574.00 $29,540.14 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 12 — — $28,014.07 $95,633.10 $29,414.77 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 12 — — $27,937.06 $79,055.05 $29,333.91 2026-04-01
665 MS_DRG Prostatectomy With Mcc 21 12 — — $27,756.24 $78,529.20 $29,144.05 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 12 — — $27,239.71 $77,027.16 $28,601.70 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 12 — — $27,204.24 $79,717.46 $28,564.45 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 12 — — $25,091.95 $98,039.07 $28,344.60 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 12 — — $26,881.52 $75,985.53 $28,225.60 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 12 — — $16,447.09 $76,792.69 $28,195.61 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 12 — — $26,503.42 $75,135.32 $27,828.59 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 12 — — $3,072.64 $82,677.05 $27,700.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 12 — — $26,223.96 $74,073.38 $27,535.16 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 12 — — $5,162.61 $73,997.90 $27,507.91 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 12 — — $25,059.25 $73,467.02 $27,316.22 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 29 12 — — $13,325.19 $88,749.44 $27,246.27 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 12 — — $24,883.28 $87,610.86 $27,152.70 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 12 — — $10,751.12 $94,174.19 $27,136.35 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 12 — — $25,112.83 $75,525.29 $27,007.34 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 12 — — $25,684.94 $100,852.42 $26,969.19 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 24 12 — — $19,429.60 $54,818.48 $26,938.01 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 12 — — $12,392.04 $105,006.30 $26,863.81 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 12 — — $25,414.13 $71,718.41 $26,684.84 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 12 — — $25,058.53 $70,684.34 $26,311.46 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 25 12 — — $9,404.48 $92,091.85 $26,219.71 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 12 — — $23,767.35 $70,223.91 $26,145.21 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 12 — — $21,897.24 $82,482.07 $25,836.33 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 12 — — $24,404.44 $106,104.16 $25,624.66 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 12 — — $24,291.96 $84,651.27 $25,506.56 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 12 — — $24,165.64 $94,142.86 $25,373.92 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 12 — — $10,609.24 $69,740.84 $25,352.43 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 12 — — $22,459.59 $67,866.42 $25,293.98 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 12 — — $23,765.92 $83,178.44 $24,954.22 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 12 — — $23,685.45 $101,733.34 $24,869.72 2026-04-01
333 MS_DRG Rectal Resection With Cc 25 12 — — $20,528.85 $66,740.52 $24,845.54 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 19 12 — — $23,570.38 $66,356.83 $24,748.90 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 23 12 — — $16,541.55 $71,844.95 $24,369.17 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 21 11 — — $9,857.07 $86,148.52 $29,234.56 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 18 9 — — $16,333.84 $141,683.24 $32,894.69 2026-04-01
5166 OTHER Cochlear Implant Procedure 13 6 — — $17,048.99 $194,829.79 $32,076.42 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 7 5 — — $136.41 $421,740.10 $80,577.59 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 4 — — $49,338.18 $121,009.27 $86,127.03 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 4 — — $47,919.99 $117,531.02 $83,651.43 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 4 — — $56,824.55 $102,284.19 $68,140.74 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 4 — — $31,275.99 $84,034.49 $65,807.74 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $55,272.32 $99,490.18 $59,168.69 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 4 — — $43,888.09 $93,403.26 $55,925.40 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 7 4 — — $29,559.78 $72,499.82 $51,600.96 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 4 — — $28,580.21 $88,580.61 $51,444.38 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 7 4 — — $29,420.21 $72,157.49 $51,357.31 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 4 — — $40,312.74 $78,998.56 $50,334.23 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 11 4 — — $22,163.59 $60,747.93 $49,073.59 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 4 — — $22,163.59 $61,063.36 $49,073.59 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 7 4 — — $27,222.56 $112,814.87 $47,751.59 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,020.65 $81,037.17 $47,279.65 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $31,275.99 $60,283.78 $42,906.33 2026-04-01
0308T HCPCS Insj Ocular Telescope Prosth 11 4 — — $16,401.63 $63,082.15 $41,837.47 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 4 — — $23,087.32 $56,625.16 $40,302.34 2026-04-01
L5858 HCPCS Stance Phase Only 7 4 — — $22,885.05 $56,128.99 $39,949.20 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 7 4 — — $22,163.59 $66,408.03 $39,894.46 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 4 — — $30,746.74 $67,165.23 $39,801.09 2026-04-01
64580 HCPCS Implant Neuroelectrodes 11 4 — — $19,330.35 $46,350.84 $38,353.52 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 4 — — $21,834.21 $53,551.67 $38,114.82 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 7 4 — — $21,739.52 $53,319.43 $37,949.52 2026-04-01
0520T HCPCS Rmvl&rplcmt Pg Wcs New Eltrd 7 4 — — $10,414.41 $66,408.03 $37,858.35 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 7 4 — — $28,257.82 $56,296.78 $35,279.18 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 7 4 — — $22,163.59 $49,567.56 $35,279.18 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 7 4 — — $22,163.59 $49,567.56 $35,279.18 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 4 — — $30,746.74 $61,473.34 $35,045.15 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 4 — — $20,015.46 $49,090.92 $34,939.93 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 7 4 — — $19,809.02 $48,584.63 $34,579.58 2026-04-01
69930 HCPCS Implant Cochlear Device 11 4 — — $11,975.81 $77,553.16 $34,496.23 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 4 — — $14,351.19 $75,678.90 $32,839.79 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 4 — — $6,434.29 $75,678.90 $32,839.79 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 4 — — $17,644.90 $75,678.90 $32,839.79 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 7 4 — — $18,506.37 $45,389.67 $32,305.61 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 11 4 — — $5,422.74 $57,884.36 $32,284.07 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 4 — — $24,688.47 $55,344.12 $32,284.07 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 11 4 — — $3,331.50 $55,344.12 $32,284.07 2026-04-01
61886 HCPCS Implant Neurostim Arrays 11 4 — — $3,171.64 $57,884.36 $32,284.07 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 11 4 — — $17,959.04 $38,484.04 $32,021.89 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 7 4 — — $17,771.01 $51,830.86 $31,987.82 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 7 4 — — $17,866.14 $43,819.36 $31,187.95 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 11 4 — — $19,192.43 $38,879.25 $30,273.31 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 11 4 — — $19,192.43 $39,958.13 $30,273.31 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 7 4 — — $22,163.59 $42,204.46 $30,038.57 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 7 4 — — $22,163.59 $42,204.46 $30,038.57 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 4 — — $28,424.06 $51,163.31 $29,496.67 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 11 4 — — $20,651.59 $38,224.55 $28,459.78 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 11 4 — — $20,651.59 $38,971.02 $28,459.78 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 11 4 — — $20,651.59 $38,528.65 $28,459.78 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 11 4 — — $20,651.59 $39,289.76 $28,459.78 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 11 4 — — $20,651.59 $39,480.56 $28,459.78 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 7 4 — — $19,192.43 $38,574.45 $27,454.95 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 7 4 — — $19,192.43 $38,574.45 $27,454.95 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 7 4 — — $15,621.74 $38,314.68 $27,270.05 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 4 — — $16,362.74 $46,878.96 $26,043.87 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 7 4 — — $14,850.10 $36,422.13 $25,923.06 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 11 4 — — $306.58 $78,998.56 $25,543.46 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 11 4 — — $4,942.79 $48,665.61 $25,318.49 2026-04-01
L6945 HCPCS Elbow Disart Myoelectronic C 7 4 — — $14,312.50 $35,103.58 $24,984.59 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 4 — — $14,039.35 $46,878.96 $24,626.68 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 7 4 — — $17,470.77 $34,577.90 $24,610.45 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $110,901.76 $199,623.17 $116,446.85 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 3 3 — — $68,801.71 $123,843.08 $72,241.80 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 3 3 — — $34,970.13 $62,946.23 $36,718.64 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 4 3 — — $5,609.79 $49,679.44 $35,816.85 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 3 3 — — $31,275.99 $56,296.78 $32,839.79 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 3 3 — — $30,746.74 $55,344.12 $32,284.07 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 3 3 — — $30,746.74 $55,344.12 $32,284.07 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 3 3 — — $30,746.74 $55,344.12 $32,284.07 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $30,746.74 $55,344.12 $32,284.07 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 3 3 — — $29,510.19 $53,118.34 $30,985.70 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 2 — — $119,798.00 $153,885.74 $133,813.70 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 2 — — $98,566.00 $115,876.62 $100,762.28 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $55,894.83 $92,032.54 $82,533.15 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 2 2 — — $47,650.01 $61,425.13 $54,537.57 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 3 2 — — $6,692.52 $41,775.34 $34,938.67 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $175,164.00 $175,164.00 $175,164.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $132,417.00 $132,417.00 $132,417.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $67,138.44 $77,209.21 $67,138.44 2026-04-01
L8614 HCPCS Cochlear Device 4 1 — — $44,018.66 $77,213.93 $61,049.37 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $48,705.00 $56,010.75 $48,705.00 2026-04-01
2646 OTHER Brachytx, Non-str, Hdr Ir-192 1 1 — — $41,013.78 $41,013.78 $41,013.78 2026-04-01
55881 HCPCS Ablt Trurl Prst8 Tis Thrm US 4 1 — — $26,220.68 $45,994.17 $36,365.39 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 1 1 — — $34,492.04 $34,492.04 $34,492.04 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $30,271.22 $30,271.22 $30,271.22 2026-04-01
1489 OTHER Inj Vedolizumab IV 1 Mg 1 1 — — $26,374.77 $26,374.77 $26,374.77 2026-04-01
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