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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

WINONA HEALTH SERVICES

Winona, MN · CCN 240044 · Rates published

9,263 distinct procedures filed
18 distinct payers
167,064 rate rows
2026-04-01 last MRF observed
Data quality

52,806 of 167,064 rate rows are consumer-grade (31.6%)

114,258 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 100,923
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,335
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.winonahealth.org/wp-content/uploads/2026/06/41-0713914_winona-health-services_standardcharges-2.csv
Found on page https://www.winonahealth.org/patients-and-visitors/patients/billing-insurance/pricing-guides/chargemaster-inpatient-services-pricing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 492aeb672b0267fc… · 20,278,815 bytes · first seen 2026-06-22

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 10 $321,511.77 $321,511.77 $321,511.77 nat. median
$168,055
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $208,648.20 $208,648.20 $208,648.20 nat. median
$186,516
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $158,962.30 $158,962.30 $158,962.30 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $158,029.39 $158,029.39 $158,029.39 nat. median
$145,435
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $110,901.76 $110,901.76 $110,901.76 nat. median
$108,243
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $103,128.75 $103,128.75 $103,128.75 nat. median
$97,418
1.1× median
7
MS_DRG 		Lung Transplant 10 $96,418.98 $96,418.98 $96,418.98 nat. median
$70,649
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $89,477.67 $89,477.67 $89,477.67 nat. median
$72,715
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $84,369.40 $84,369.40 $84,369.40 nat. median
$65,418
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $84,272.61 $84,272.61 $84,272.61 nat. median
$2,110
outlier · 39.9×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $82,056.87 $82,056.87 $82,056.87 nat. median
$2,736
outlier · 30.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $80,961.66 $80,961.66 $80,961.66 nat. median
$74,509
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $76,765.45 $76,765.45 $76,765.45 nat. median
$69,922
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 10 $74,133.51 $74,133.51 $74,133.51 nat. median
$73,023
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $72,836.53 $72,836.53 $72,836.53 nat. median
$69,822
1.0× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 1 $68,801.71 $68,801.71 $68,801.71 nat. median
$68,802
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $67,079.77 $67,079.77 $67,079.77 nat. median
$2,596
outlier · 25.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $64,473.15 $64,473.15 $64,473.15 nat. median
$2,633
outlier · 24.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $62,763.69 $62,763.69 $62,763.69 nat. median
$60,505
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $62,566.39 $62,566.39 $62,566.39 nat. median
$59,651
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $58,586.10 $58,586.10 $58,586.10 nat. median
$56,428
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $57,167.76 $57,167.76 $57,167.76 nat. median
$55,923
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $56,921.32 $56,921.32 $56,921.32 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $56,732.95 $56,732.95 $56,732.95 nat. median
$52,327
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $53,745.12 $53,745.12 $53,745.12 nat. median
$9,905
outlier · 5.4×
10
MS_DRG 		Pancreas Transplant 10 $53,425.72 $53,425.72 $53,425.72 nat. median
$23,080
outlier · 2.3×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $53,403.38 $53,403.38 $53,403.38 nat. median
$37,013
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $53,119.71 $53,119.71 $53,119.71 nat. median
$45,605
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $53,088.44 $53,088.44 $53,088.44 nat. median
$51,518
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $51,460.88 $51,460.88 $51,460.88 nat. median
$48,611
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $51,208.49 $51,208.49 $51,208.49 nat. median
$49,569
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $50,115.51 $50,115.51 $50,115.51 nat. median
$47,340
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $49,783.44 $49,783.44 $49,783.44 nat. median
$2,633
outlier · 18.9×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $49,746.96 $49,746.96 $49,746.96 nat. median
$2,958
outlier · 16.8×
L7181
HCPCS 		Electronic Elbo Simultaneous 1 $49,338.18 $49,338.18 $49,338.18 nat. median
$48,410
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $48,955.52 $48,955.52 $48,955.52 nat. median
$47,458
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $48,955.52 $48,955.52 $48,955.52 nat. median
$45,446
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $48,777.57 $48,777.57 $48,777.57 nat. median
$43,299
1.1× median
L7180
HCPCS 		Electronic Elbow Sequential 1 $47,919.99 $47,919.99 $47,919.99 nat. median
$42,745
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $47,908.70 $47,908.70 $47,908.70 nat. median
$47,121
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $45,628.18 $45,628.18 $45,628.18 nat. median
$44,036
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $45,575.32 $45,575.32 $45,575.32 nat. median
$41,943
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 10 $45,138.28 $45,138.28 $45,138.28 nat. median
$43,803
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 10 $44,734.00 $44,734.00 $44,734.00 nat. median
$41,895
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 $44,721.34 $44,721.34 $44,721.34 nat. median
$43,533
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $44,397.46 $44,397.46 $44,397.46 nat. median
$42,674
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $44,251.54 $44,251.54 $44,251.54 nat. median
$40,584
1.1× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 10 $44,148.79 $44,148.79 $44,148.79 nat. median
$38,932
1.1× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 10 $43,693.88 $43,693.88 $43,693.88 nat. median
$43,023
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 $43,665.59 $43,665.59 $43,665.59 nat. median
$40,726
1.1× median

Other procedures at this hospital

Browse this hospital's 9,263 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 10 — — $321,511.77 $321,511.77 $321,511.77 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 10 — — $208,648.20 $208,648.20 $208,648.20 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $158,962.30 $158,962.30 $158,962.30 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 10 — — $158,029.39 $158,029.39 $158,029.39 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $110,901.76 $110,901.76 $110,901.76 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 10 — — $103,128.75 $103,128.75 $103,128.75 2026-04-01
7 MS_DRG Lung Transplant 20 10 — — $96,418.98 $96,418.98 $96,418.98 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $89,477.67 $89,477.67 $89,477.67 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 10 — — $84,369.40 $84,369.40 $84,369.40 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 10 — — $84,272.61 $84,272.61 $84,272.61 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $82,056.87 $82,056.87 $82,056.87 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $80,961.66 $80,961.66 $80,961.66 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 10 — — $76,765.45 $76,765.45 $76,765.45 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 10 — — $74,133.51 $74,133.51 $74,133.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $72,836.53 $72,836.53 $72,836.53 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $67,079.77 $67,079.77 $67,079.77 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $64,473.15 $64,473.15 $64,473.15 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $62,763.69 $62,763.69 $62,763.69 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $62,566.39 $62,566.39 $62,566.39 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $58,586.10 $58,586.10 $58,586.10 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $57,167.76 $57,167.76 $57,167.76 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $56,921.32 $56,921.32 $56,921.32 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $56,732.95 $56,732.95 $56,732.95 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $53,745.12 $53,745.12 $53,745.12 2026-04-01
10 MS_DRG Pancreas Transplant 20 10 — — $53,425.72 $53,425.72 $53,425.72 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 10 — — $53,403.38 $53,403.38 $53,403.38 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $53,119.71 $53,119.71 $53,119.71 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 — — $53,088.44 $53,088.44 $53,088.44 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 10 — — $51,460.88 $51,460.88 $51,460.88 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $51,208.49 $51,208.49 $51,208.49 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $50,115.51 $50,115.51 $50,115.51 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $49,783.44 $49,783.44 $49,783.44 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 — — $49,746.96 $49,746.96 $49,746.96 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 2 1 — — $49,338.18 $49,338.18 $49,338.18 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $48,955.52 $48,955.52 $48,955.52 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $48,955.52 $48,955.52 $48,955.52 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $48,777.57 $48,777.57 $48,777.57 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 2 1 — — $47,919.99 $47,919.99 $47,919.99 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 20 10 — — $47,908.70 $47,908.70 $47,908.70 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $45,628.18 $45,628.18 $45,628.18 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $45,575.32 $45,575.32 $45,575.32 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $45,138.28 $45,138.28 $45,138.28 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $44,734.00 $44,734.00 $44,734.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $44,721.34 $44,721.34 $44,721.34 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $44,397.46 $44,397.46 $44,397.46 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 10 — — $44,251.54 $44,251.54 $44,251.54 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 10 — — $44,148.79 $44,148.79 $44,148.79 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $43,693.88 $43,693.88 $43,693.88 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $43,665.59 $43,665.59 $43,665.59 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $42,938.17 $42,938.17 $42,938.17 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $42,664.18 $42,664.18 $42,664.18 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 10 — — $42,489.96 $42,489.96 $42,489.96 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 10 — — $42,434.87 $58,786.53 $42,434.87 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $41,857.85 $41,857.85 $41,857.85 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 10 — — $41,728.30 $41,728.30 $41,728.30 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $41,442.40 $41,442.40 $41,442.40 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $41,120.76 $41,120.76 $41,120.76 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $40,874.32 $40,874.32 $40,874.32 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 — — $40,729.88 $40,729.88 $40,729.88 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $40,671.80 $40,671.80 $40,671.80 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $40,607.77 $40,607.77 $40,607.77 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 10 — — $40,445.46 $40,445.46 $40,445.46 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $39,704.65 $39,704.65 $39,704.65 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 — — $39,680.82 $39,680.82 $39,680.82 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $39,414.28 $39,414.28 $39,414.28 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 10 — — $39,283.99 $39,283.99 $39,283.99 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 10 — — $38,756.11 $38,756.11 $38,756.11 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 10 — — $38,689.10 $38,689.10 $38,689.10 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $37,526.14 $37,526.14 $37,526.14 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 10 — — $37,133.02 $37,133.02 $37,133.02 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $36,835.21 $36,835.21 $36,835.21 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 10 — — $36,769.69 $36,769.69 $36,769.69 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 10 — — $36,643.86 $36,643.86 $36,643.86 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $36,491.23 $36,491.23 $36,491.23 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 10 — — $35,951.44 $35,951.44 $35,951.44 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $35,769.77 $35,769.77 $35,769.77 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $35,445.90 $35,445.90 $35,445.90 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 10 — — $35,003.65 $35,003.65 $35,003.65 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 2 1 — — $34,970.13 $34,970.13 $34,970.13 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $34,932.17 $34,932.17 $34,932.17 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $34,827.94 $34,827.94 $34,827.94 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 10 — — $34,524.16 $34,524.16 $34,524.16 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $34,386.42 $34,386.42 $34,386.42 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 10 — — $34,222.63 $121,332.87 $34,222.63 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 10 — — $34,135.52 $34,135.52 $34,135.52 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 10 — — $33,968.74 $33,968.74 $33,968.74 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 — — $33,866.74 $33,866.74 $33,866.74 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $33,851.85 $33,851.85 $33,851.85 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 10 — — $33,719.32 $33,719.32 $33,719.32 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 10 — — $33,368.64 $33,368.64 $33,368.64 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $33,358.96 $33,358.96 $33,358.96 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 — — $33,227.93 $33,227.93 $33,227.93 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 10 — — $32,706.01 $32,706.01 $32,706.01 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 — — $32,219.08 $32,219.08 $32,219.08 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 — — $31,962.21 $31,962.21 $31,962.21 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $31,756.72 $31,756.72 $31,756.72 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $31,574.31 $31,574.31 $31,574.31 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 10 — — $31,443.27 $31,443.27 $31,443.27 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $31,389.66 $31,389.66 $31,389.66 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $31,374.03 $31,374.03 $31,374.03 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 10 — — $31,282.45 $31,282.45 $31,282.45 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $31,245.22 $31,245.22 $31,245.22 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $31,187.15 $31,187.15 $31,187.15 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $31,066.54 $31,066.54 $31,066.54 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 24 10 — — $2,301.58 $31,044.20 $31,044.20 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $30,920.61 $30,920.61 $30,920.61 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $30,715.86 $30,715.86 $30,715.86 2026-04-01
791 MS_DRG Prematurity With Major Problems 22 10 — — $2,218.26 $30,220.74 $30,220.74 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 10 — — $29,934.10 $29,934.10 $29,934.10 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $29,663.08 $29,663.08 $29,663.08 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 2 1 — — $29,559.78 $29,559.78 $29,559.78 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 2 1 — — $29,510.19 $29,510.19 $29,510.19 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 2 1 — — $29,420.21 $29,420.21 $29,420.21 2026-04-01
944 OTHER Gammagard Liquid Injection 2 1 — — $29,269.73 $29,269.73 $29,269.73 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $29,125.53 $29,125.53 $29,125.53 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $28,993.75 $28,993.75 $28,993.75 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $28,818.78 $28,818.78 $28,818.78 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 10 — — $28,775.60 $28,775.60 $28,775.60 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $28,748.05 $28,748.05 $28,748.05 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 4 2 — — $17,529.30 $39,958.72 $28,744.01 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 10 — — $28,585.00 $28,585.00 $28,585.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 10 — — $28,016.91 $28,016.91 $28,016.91 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $27,894.81 $27,894.81 $27,894.81 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 10 — — $27,828.55 $27,828.55 $27,828.55 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 10 — — $27,825.57 $27,825.57 $27,825.57 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 10 — — $27,747.39 $27,747.39 $27,747.39 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 10 — — $27,591.04 $27,591.04 $27,591.04 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 10 — — $27,347.58 $27,347.58 $27,347.58 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $27,336.41 $27,336.41 $27,336.41 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $27,015.51 $27,015.51 $27,015.51 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 10 — — $26,994.67 $26,994.67 $26,994.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 10 — — $26,957.44 $26,957.44 $26,957.44 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $26,938.82 $26,938.82 $26,938.82 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 10 — — $26,891.17 $26,891.17 $26,891.17 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $26,850.97 $26,850.97 $26,850.97 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $26,675.26 $26,675.26 $26,675.26 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 10 — — $26,613.46 $26,613.46 $26,613.46 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 10 — — $26,586.66 $26,586.66 $26,586.66 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 — — $26,547.20 $26,547.20 $26,547.20 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $26,524.86 $26,524.86 $26,524.86 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 10 — — $26,499.55 $26,499.55 $26,499.55 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 10 — — $26,477.96 $26,477.96 $26,477.96 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 10 — — $26,256.83 $26,256.83 $26,256.83 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 10 — — $26,203.22 $26,203.22 $26,203.22 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 10 — — $25,971.67 $25,971.67 $25,971.67 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 10 — — $25,964.97 $25,964.97 $25,964.97 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 10 — — $25,845.85 $25,845.85 $25,845.85 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 10 — — $25,720.76 $25,720.76 $25,720.76 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 10 — — $25,601.64 $25,601.64 $25,601.64 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $25,525.69 $25,525.69 $25,525.69 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 10 — — $25,400.61 $25,400.61 $25,400.61 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $25,367.11 $25,367.11 $25,367.11 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 10 — — $24,871.99 $24,871.99 $24,871.99 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $24,594.28 $24,594.28 $24,594.28 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 10 — — $24,510.89 $24,510.89 $24,510.89 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 10 — — $24,507.91 $24,507.91 $24,507.91 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 10 — — $24,218.29 $24,218.29 $24,218.29 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 10 — — $24,111.82 $24,111.82 $24,111.82 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 10 — — $24,085.02 $24,085.02 $24,085.02 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $24,051.51 $24,051.51 $24,051.51 2026-04-01
652 MS_DRG Kidney Transplant 20 10 — — $24,044.81 $24,044.81 $24,044.81 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 10 — — $24,026.94 $24,026.94 $24,026.94 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 10 — — $23,980.04 $23,980.04 $23,980.04 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 10 — — $23,902.60 $23,902.60 $23,902.60 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 10 — — $23,771.57 $23,771.57 $23,771.57 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 10 — — $23,727.64 $23,727.64 $23,727.64 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 10 — — $23,704.56 $23,704.56 $23,704.56 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $23,656.91 $23,656.91 $23,656.91 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 10 — — $23,563.10 $23,563.10 $23,563.10 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 10 — — $23,527.36 $23,527.36 $23,527.36 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $23,460.35 $23,460.35 $23,460.35 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $23,449.18 $23,449.18 $23,449.18 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 10 — — $23,394.09 $23,394.09 $23,394.09 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 10 — — $23,238.48 $23,238.48 $23,238.48 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 10 — — $23,190.08 $23,190.08 $23,190.08 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $23,149.13 $23,149.13 $23,149.13 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 2 1 — — $23,087.32 $23,087.32 $23,087.32 2026-04-01
L5858 HCPCS Stance Phase Only 2 1 — — $22,885.05 $22,885.05 $22,885.05 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 10 — — $22,793.99 $22,793.99 $22,793.99 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 10 — — $22,763.46 $22,763.46 $22,763.46 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 10 — — $22,583.29 $22,583.29 $22,583.29 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 10 — — $22,488.73 $22,488.73 $22,488.73 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 20 10 — — $22,485.75 $22,485.75 $22,485.75 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 10 — — $22,461.18 $22,461.18 $22,461.18 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 10 — — $22,160.39 $22,160.39 $22,160.39 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 10 — — $21,934.79 $21,934.79 $21,934.79 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 10 — — $21,919.90 $21,919.90 $21,919.90 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 10 — — $21,897.57 $21,897.57 $21,897.57 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 18 7 — — $9,511.20 $29,095.86 $21,841.82 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 2 1 — — $21,834.21 $21,834.21 $21,834.21 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 20 10 — — $21,740.47 $21,740.47 $21,740.47 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 2 1 — — $21,739.52 $21,739.52 $21,739.52 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 10 — — $21,683.14 $21,683.14 $21,683.14 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 20 10 — — $21,606.45 $21,606.45 $21,606.45 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 10 — — $21,593.05 $21,593.05 $21,593.05 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 10 — — $21,497.75 $21,497.75 $21,497.75 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 10 — — $21,487.33 $21,487.33 $21,487.33 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 10 — — $21,456.06 $21,456.06 $21,456.06 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 10 — — $21,369.69 $21,369.69 $21,369.69 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 10 — — $21,223.02 $21,223.02 $21,223.02 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 10 — — $20,917.01 $20,917.01 $20,917.01 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 10 — — $20,841.81 $20,841.81 $20,841.81 2026-04-01
503 MS_DRG Foot Procedures With Mcc 20 10 — — $20,780.76 $20,780.76 $20,780.76 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 10 — — $20,637.81 $20,637.81 $20,637.81 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 10 — — $20,527.62 $20,527.62 $20,527.62 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 10 — — $20,465.08 $20,465.08 $20,465.08 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 20 10 — — $20,459.87 $20,459.87 $20,459.87 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 10 — — $20,354.14 $20,354.14 $20,354.14 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 10 — — $20,257.35 $20,257.35 $20,257.35 2026-04-01
849 MS_DRG Radiotherapy 20 10 — — $20,173.22 $20,173.22 $20,173.22 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 20 10 — — $20,148.65 $20,148.65 $20,148.65 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 20 10 — — $20,083.13 $20,083.13 $20,083.13 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 2 1 — — $20,015.46 $20,015.46 $20,015.46 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 2 1 — — $19,809.02 $19,809.02 $19,809.02 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 10 — — $19,804.67 $19,804.67 $19,804.67 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 10 — — $19,735.43 $19,735.43 $19,735.43 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 10 — — $19,636.41 $19,636.41 $19,636.41 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 20 10 — — $19,325.19 $19,325.19 $19,325.19 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 10 — — $19,302.11 $19,302.11 $19,302.11 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 20 10 — — $19,229.89 $19,229.89 $19,229.89 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 20 10 — — $19,203.09 $19,203.09 $19,203.09 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 10 — — $19,203.09 $19,203.09 $19,203.09 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 20 10 — — $19,116.72 $19,116.72 $19,116.72 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 6 3 — — $18,880.02 $43,347.01 $19,016.09 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 20 10 — — $19,008.02 $19,008.02 $19,008.02 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 10 — — $18,917.93 $18,917.93 $18,917.93 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 10 — — $18,882.19 $23,726.81 $18,882.19 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 20 10 — — $18,792.10 $18,792.10 $18,792.10 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 20 10 — — $18,783.91 $18,783.91 $18,783.91 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 20 10 — — $18,553.11 $18,553.11 $18,553.11 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 2 1 — — $18,506.37 $18,506.37 $18,506.37 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 20 10 — — $18,477.17 $18,477.17 $18,477.17 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 10 — — $18,309.65 $18,309.65 $18,309.65 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 10 — — $18,304.43 $18,304.43 $18,304.43 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 20 10 — — $18,279.12 $18,279.12 $18,279.12 2026-04-01
792 MS_DRG Prematurity Without Major Problems 24 11 — — $1,706.44 $18,235.19 $18,235.19 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 10 — — $18,197.96 $25,510.64 $18,197.96 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 20 10 — — $18,176.37 $18,176.37 $18,176.37 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22600 HCPCS Neck Spine Fusion 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22610 HCPCS Thorax Spine Fusion 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22612 HCPCS Lumbar Spine Fusion 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22556 HCPCS Thorax Spine Fusion 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
0656T OTHER Vrt Bdy Tethering Ant 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
23616 HCPCS Treat Humerus Fracture 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
0657T OTHER Vrt Bdy Tethering Ant 8+ Seg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
25446 HCPCS Wrist Replacement 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
20802 HCPCS Replantation Arm Complete 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
20805 HCPCS Replant Forearm Complete 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
28705 HCPCS Fusion Of Foot Bones 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
20808 HCPCS Replantation Hand Complete 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
20838 HCPCS Replantation Foot Complete 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
27487 HCPCS Revise/replace Knee Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
24363 HCPCS Replace Elbow Joint 2 1 — — $18,096.31 $18,096.31 $18,096.31 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 20 10 — — $18,034.17 $18,034.17 $18,034.17 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 20 10 — — $17,975.35 $17,975.35 $17,975.35 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 20 10 — — $17,908.34 $17,908.34 $17,908.34 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 2 1 — — $17,892.75 $17,892.75 $17,892.75 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 2 1 — — $17,866.14 $17,866.14 $17,866.14 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 30 11 — — $13,960.23 $25,746.04 $17,848.03 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 20 10 — — $17,830.91 $17,830.91 $17,830.91 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 20 10 — — $17,798.15 $17,798.15 $17,798.15 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 22 11 — — $6,181.35 $17,767.62 $17,767.62 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 20 10 — — $17,504.80 $17,504.80 $17,504.80 2026-04-01
333 MS_DRG Rectal Resection With Cc 20 10 — — $17,438.54 $17,438.54 $17,438.54 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 20 10 — — $17,411.73 $17,411.73 $17,411.73 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 20 10 — — $17,399.08 $17,399.08 $17,399.08 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 20 10 — — $17,326.11 $17,326.11 $17,326.11 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 20 10 — — $17,314.20 $17,314.20 $17,314.20 2026-04-01
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