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

BOONE HOSPITAL CENTER

Columbia, MO · CCN 260068 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $564 across 10 payers · range $273-$1,012

Source: https://hospitalpricedisclosure.com/download.aspx?ci=ZwX4h2zH3S*_*Sa7onYBZVMQ*-* · 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.

12,660 distinct procedures filed
14 distinct payers
148,899 rate rows
2026-04-01 last MRF observed
Data quality

130,028 of 148,899 rate rows are consumer-grade (87.3%)

18,871 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 15,274
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
placeholder amount (≤ $0.02) — excluded from medians 33
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?ci=ZwX4h2zH3S*_*Sa7onYBZVMQ*-*
Found on page https://boone.health/patients-visitors/before-after-your-visit/billing-and-insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint 52c938a80a49ab43… · 57,384,705 bytes · first seen 2026-05-14

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,691,450.00 $4,060,595.00 $3,783,736.25 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,321,376.38 $4,982,064.57 $3,421,017.67 nat. median
$3,324,572
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $614,180.81 $1,136,234.49 $639,362.22 nat. median
$738,272
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $588,494.81 $1,088,715.39 $612,623.09 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,260.84 $1,040,182.55 $585,313.53 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $559,781.08 $1,035,595.00 $582,732.11 nat. median
$622,245
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,290.60 $905,187.61 $509,351.52 nat. median
$591,650
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $307,428.55 $568,742.82 $322,799.98 nat. median
$359,358
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $74,190.00 $369,091.21 $219,459.64 nat. median
$249,124
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $151,999.25 $342,557.67 $193,697.68 nat. median
$198,433
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $150.00 $279,548.34 $166,217.93 nat. median
$190,557
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $111,218.58 $111,218.58 $111,218.58 nat. median
$75,037
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $80,673.76 $171,625.78 $111,114.50 nat. median
$103,967
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $76,491.60 $115,207.53 $107,270.79 nat. median
$71,201
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 12 $70,886.23 $157,816.07 $106,329.34 nat. median
$93,917
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $76,188.03 $191,041.20 $106,007.24 nat. median
$126,722
0.8× median
7
MS_DRG 		Lung Transplant 12 $89,698.87 $170,561.73 $103,649.32 nat. median
$117,894
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $85,558.27 $158,282.80 $102,499.71 nat. median
$110,192
0.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $66,091.77 $102,196.32 $93,881.83 nat. median
$47,579
2.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $73,402.88 $135,795.33 $87,550.80 nat. median
$94,964
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $77,415.29 $143,218.29 $85,156.82 nat. median
$97,414
0.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $61,193.97 $92,131.24 $85,102.77 nat. median
$39,629
outlier · 2.1×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $80,581.21 $149,075.24 $83,885.04 nat. median
$92,655
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $2,070.00 $128,845.21 $83,512.60 nat. median
$90,581
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $69,466.76 $145,155.66 $80,973.32 nat. median
$93,270
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 4 $56,981.23 $86,193.37 $79,245.18 nat. median
$52,841
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $56,019.84 $132,524.79 $78,495.44 nat. median
$74,460
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 $55,252.57 $83,186.10 $76,893.07 nat. median
$38,225
outlier · 2.0×
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $75,532.13 $75,532.13 $75,532.13 nat. median
$1,683
outlier · 44.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $59,825.79 $128,417.42 $75,519.26 nat. median
$77,696
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $50,935.50 $79,487.43 $71,319.51 nat. median
$49,639
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $60,014.45 $111,026.73 $69,168.62 nat. median
$77,043
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $64,282.30 $118,922.25 $66,917.87 nat. median
$68,423
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $64,141.47 $118,661.72 $66,771.27 nat. median
$78,037
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 $45,047.82 $73,517.52 $65,729.79 nat. median
$32,619
outlier · 2.0×
38240
HCPCS 		Transplt Allo Hct/donor 10 $532.01 $116,554.94 $64,892.75 nat. median
$12,855
outlier · 5.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $61,649.02 $114,050.69 $64,176.63 nat. median
$78,262
0.8× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 $43,658.07 $69,180.85 $62,769.54 nat. median
$34,024
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $39,279.81 $101,127.72 $62,664.13 nat. median
$72,473
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $54,247.87 $100,358.56 $62,540.60 nat. median
$68,004
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $3,660.75 $225,548.01 $62,238.47 nat. median
$71,758
0.9× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 $43,338.68 $65,249.02 $60,222.07 nat. median
$31,634
1.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $51,064.14 $94,468.66 $57,950.70 nat. median
$61,329
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $50,792.90 $103,883.53 $55,872.19 nat. median
$66,660
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 $39,755.54 $59,854.38 $55,333.79 nat. median
$38,944
1.4× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 12 $42,214.93 $84,323.04 $55,288.59 nat. median
$53,907
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $259.64 $90,585.97 $55,133.01 nat. median
$63,896
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $41,406.01 $86,600.55 $54,945.27 nat. median
$62,038
0.9× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 $37,687.81 $101,328.00 $54,772.14 nat. median
$51,590
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $44,525.91 $93,911.55 $54,570.23 nat. median
$66,649
0.8× median

Other procedures at this hospital

Browse this hospital's 12,660 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,691,450.00 $4,060,595.00 $3,783,736.25 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — — $3,321,376.38 $4,982,064.57 $3,421,017.67 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 9 — — $614,180.81 $1,136,234.49 $639,362.22 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 9 — — $588,494.81 $1,088,715.39 $612,623.09 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 9 — — $562,260.84 $1,040,182.55 $585,313.53 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 9 — — $559,781.08 $1,035,595.00 $582,732.11 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 9 — — $489,290.60 $905,187.61 $509,351.52 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 12 — — $307,428.55 $568,742.82 $322,799.98 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 12 — — $74,190.00 $369,091.21 $219,459.64 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $151,999.25 $342,557.67 $193,697.68 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 12 — — $150.00 $279,548.34 $166,217.93 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $111,218.58 $111,218.58 $111,218.58 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $80,673.76 $171,625.78 $111,114.50 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 4 — — $76,491.60 $115,207.53 $107,270.79 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 12 — — $70,886.23 $157,816.07 $106,329.34 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 12 — — $76,188.03 $191,041.20 $106,007.24 2026-04-01
7 MS_DRG Lung Transplant 18 12 — — $89,698.87 $170,561.73 $103,649.32 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $85,558.27 $158,282.80 $102,499.71 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 4 — — $66,091.77 $102,196.32 $93,881.83 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $73,402.88 $135,795.33 $87,550.80 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 12 — — $77,415.29 $143,218.29 $85,156.82 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 4 — — $61,193.97 $92,131.24 $85,102.77 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $80,581.21 $149,075.24 $83,885.04 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $2,070.00 $128,845.21 $83,512.60 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 10 — — $69,466.76 $145,155.66 $80,973.32 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 4 — — $56,981.23 $86,193.37 $79,245.18 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $56,019.84 $132,524.79 $78,495.44 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 4 — — $55,252.57 $83,186.10 $76,893.07 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $75,532.13 $75,532.13 $75,532.13 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $59,825.79 $128,417.42 $75,519.26 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 4 — — $50,935.50 $79,487.43 $71,319.51 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 — — $60,014.45 $111,026.73 $69,168.62 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 9 — — $64,282.30 $118,922.25 $66,917.87 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 10 — — $64,141.47 $118,661.72 $66,771.27 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 4 — — $45,047.82 $73,517.52 $65,729.79 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 13 10 — — $532.01 $116,554.94 $64,892.75 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 12 10 — — $61,649.02 $114,050.69 $64,176.63 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 4 — — $43,658.07 $69,180.85 $62,769.54 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $39,279.81 $101,127.72 $62,664.13 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $54,247.87 $100,358.56 $62,540.60 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 12 — — $3,660.75 $225,548.01 $62,238.47 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 4 — — $43,338.68 $65,249.02 $60,222.07 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 12 — — $51,064.14 $94,468.66 $57,950.70 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 12 — — $50,792.90 $103,883.53 $55,872.19 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 4 — — $39,755.54 $59,854.38 $55,333.79 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 12 — — $42,214.93 $84,323.04 $55,288.59 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 12 — — $259.64 $90,585.97 $55,133.01 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 12 — — $41,406.01 $86,600.55 $54,945.27 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 12 — — $37,687.81 $101,328.00 $54,772.14 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $44,525.91 $93,911.55 $54,570.23 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 12 — — $42,667.58 $107,335.18 $54,460.85 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 12 — — $43,578.98 $89,316.31 $53,789.76 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $9,669.58 $95,073.20 $53,497.95 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $36,537.39 $79,768.39 $53,303.29 2026-04-01
10 MS_DRG Pancreas Transplant 18 12 — — $33,065.25 $94,508.18 $52,669.15 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $47,920.29 $88,652.54 $52,641.46 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $47,602.77 $88,065.12 $52,363.05 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 — — $39,319.54 $88,613.23 $51,793.69 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $18,950.51 $86,285.78 $51,305.06 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $43,161.08 $79,848.00 $50,566.03 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $44,918.04 $86,600.55 $50,333.07 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 12 — — $37,038.74 $78,582.91 $49,867.60 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 10 — — $33,318.07 $88,000.60 $49,090.06 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 12 — — $975.00 $72,764.60 $48,330.57 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 12 — — $20,076.67 $89,776.37 $48,100.66 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 12 — — $34,689.62 $76,988.32 $47,885.46 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 12 — — $37,434.99 $78,140.41 $47,447.14 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 12 — — $37,094.00 $79,132.84 $47,051.96 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 12 — — $590.00 $82,478.44 $47,038.64 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $36,994.40 $70,355.15 $46,385.86 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 12 — — $6,939.00 $184,716.86 $46,345.07 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 12 — — $39,900.47 $73,815.87 $46,061.24 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 12 — — $36,984.58 $80,276.29 $45,822.47 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 12 — — $34,202.95 $73,369.33 $45,816.45 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 12 — — $8,179.97 $87,215.79 $45,811.01 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 9 — — $6,897.00 $81,617.54 $45,485.24 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 9 — — $6,897.00 $81,617.54 $45,485.24 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 13 10 — — $1,407.56 $81,617.54 $45,441.12 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 12 — — $38,945.78 $72,049.69 $45,145.07 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 12 — — $14,375.00 $75,471.42 $44,874.90 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 12 — — $28,680.96 $82,431.00 $44,868.27 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 4 — — $31,574.99 $48,503.02 $44,706.97 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 12 — — $29,472.05 $89,583.29 $44,697.62 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $34,892.80 $73,857.57 $44,690.82 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 10 — — $41,057.35 $76,788.94 $44,136.65 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 12 — — $7,240.01 $75,065.77 $42,725.22 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 12 — — $19,339.15 $71,833.71 $42,711.93 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 10 — — $40,628.77 $75,163.22 $42,294.55 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 12 — — $34,376.66 $63,927.32 $41,997.12 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 12 — — $32,242.31 $64,389.98 $41,942.46 2026-04-01
63660 HCPCS Revise/remove Neuroelectrode 1 1 — — $41,911.00 $41,911.00 $41,911.00 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 12 — — $33,302.36 $61,609.37 $41,704.74 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 12 — — $32,121.37 $68,558.17 $41,584.22 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $33,433.87 $74,045.05 $41,265.10 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 12 — — $23,452.59 $73,310.12 $41,251.80 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 12 — — $33,011.90 $62,860.35 $41,133.42 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 12 — — $7,839.63 $106,657.08 $40,380.47 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $14,340.48 $66,382.38 $39,798.67 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 12 — — $17,208.58 $65,044.26 $39,651.81 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 10 — — $37,942.68 $70,193.96 $39,498.33 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 12 — — $3,684.13 $64,821.67 $38,687.92 2026-04-01
33245 HCPCS Insert Epic Eltrd Pace-defib 1 1 — — $38,333.00 $38,333.00 $38,333.00 2026-04-01
33246 HCPCS Insert Epic Eltrd/generator 1 1 — — $38,333.00 $38,333.00 $38,333.00 2026-04-01
33247 HCPCS Description Not Available 1 1 — — $38,333.00 $38,333.00 $38,333.00 2026-04-01
33242 HCPCS Description Not Available 1 1 — — $38,333.00 $38,333.00 $38,333.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 12 — — $17,208.58 $66,006.68 $38,169.46 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 12 — — $19,032.75 $63,779.93 $37,421.96 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $29,636.27 $69,509.07 $37,282.59 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 12 — — $33,470.38 $61,920.20 $36,817.42 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 12 — — $23,496.61 $61,793.76 $36,742.23 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 12 — — $31,772.44 $58,779.01 $36,300.80 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 4 — — $25,856.29 $38,928.22 $36,221.71 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 12 — — $29,422.70 $56,244.09 $35,985.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 12 — — $31,897.74 $59,010.82 $35,956.41 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 12 — — $25,447.71 $52,918.06 $35,932.60 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 12 — — $29,766.38 $60,384.50 $35,904.30 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 4 — — $25,750.49 $39,115.36 $35,890.43 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $26,163.18 $58,884.88 $35,855.38 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 12 — — $3,065.44 $59,909.05 $35,621.60 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 12 — — $26,477.19 $59,882.71 $35,605.93 2026-04-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 12 9 — — $6,897.00 $63,480.51 $35,377.51 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 12 — — $911.44 $55,499.54 $34,851.52 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 12 — — $25,646.13 $55,297.20 $34,501.88 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 12 — — $1,375.00 $60,538.60 $34,417.15 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $27,134.92 $59,742.08 $34,400.72 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 28 12 — — $11,472.39 $61,257.95 $34,300.01 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 12 — — $2,149.49 $62,152.07 $34,228.28 2026-04-01
69930 HCPCS Implant Cochlear Device 13 10 — — $2,703.29 $61,096.91 $34,082.17 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 12 — — $22,620.66 $60,399.75 $33,895.87 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 12 — — $30,014.70 $55,527.20 $33,793.24 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 12 — — $24,827.62 $51,434.27 $33,716.76 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 12 — — $19,921.11 $56,540.01 $33,618.39 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 12 — — $27,172.79 $51,522.02 $33,053.07 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 12 — — $27,488.79 $50,854.26 $33,002.94 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 12 — — $26,531.97 $52,172.44 $32,666.69 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 6 4 — — $22,930.91 $35,639.99 $32,655.05 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 12 — — $24,314.60 $50,401.09 $32,626.16 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 12 — — $30,365.68 $56,176.51 $32,612.56 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 13 10 — — $921.80 $58,163.15 $32,445.61 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 13 10 — — $2,090.80 $58,163.15 $32,445.61 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 13 10 — — $1,289.18 $58,163.15 $32,445.61 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 13 10 — — $913.68 $58,163.15 $32,445.61 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 11 9 — — $31,439.54 $58,163.15 $32,445.61 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 12 9 — — $6,897.00 $58,163.15 $32,414.17 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 12 9 — — $6,897.00 $58,163.15 $32,414.17 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 12 — — $5,600.54 $69,808.68 $32,348.17 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 12 — — $22,910.66 $54,335.26 $32,307.45 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 12 — — $21,234.41 $49,540.34 $32,249.23 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 9 — — $30,907.52 $57,178.91 $32,174.72 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 11 9 — — $30,907.52 $57,178.91 $31,896.56 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 11 9 — — $30,907.52 $57,178.91 $31,896.56 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 11 9 — — $30,907.52 $57,178.91 $31,896.56 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 10 — — $807.07 $57,178.91 $31,896.56 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 10 — — $1,902.28 $57,178.91 $31,896.56 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 10 — — $1,150.39 $57,178.91 $31,896.56 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 11 9 — — $30,907.52 $57,178.91 $31,896.56 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 11 9 — — $30,907.52 $57,178.91 $31,896.56 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 12 9 — — $6,897.00 $57,178.91 $31,865.65 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 12 9 — — $6,897.00 $57,178.91 $31,865.65 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 9 — — $6,897.00 $57,178.91 $31,865.65 2026-04-01
791 MS_DRG Prematurity With Major Problems 24 12 — — $370.80 $81,207.83 $31,719.52 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 12 — — $24,194.17 $55,168.96 $31,312.11 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 12 — — $16,126.36 $55,622.03 $31,298.67 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 12 — — $27,515.14 $50,903.01 $31,240.28 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 12 — — $24,526.57 $50,979.40 $31,215.77 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 12 — — $25,506.80 $47,187.58 $31,177.58 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 12 — — $16,115.97 $55,337.53 $31,138.58 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 10 — — $25,163.75 $55,853.83 $31,127.19 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 24 12 — — $1,208.00 $54,916.08 $30,901.43 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 12 — — $25,384.35 $48,373.71 $30,882.47 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 12 — — $25,713.26 $47,569.53 $30,565.45 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 12 — — $26,215.36 $52,472.94 $30,491.03 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 12 — — $25,776.62 $47,686.75 $30,291.28 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $14,340.48 $50,565.83 $30,066.17 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 12 — — $23,307.77 $54,716.99 $30,054.03 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 12 — — $26,113.90 $51,288.90 $29,803.01 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 12 — — $25,812.21 $47,752.59 $29,729.21 2026-04-01
131 MS_DRG Cranial/Facial Procedures W Cc/Mcc 3 1 — — $22,364.22 $32,935.86 $29,692.56 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 13 10 — — $756.96 $53,149.88 $29,649.01 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 13 5 — — $29.52 $44,396.00 $29,504.47 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 12 — — $25,758.82 $47,653.82 $29,420.53 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 12 — — $25,362.99 $46,921.53 $29,420.15 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 12 — — $25,832.15 $47,789.48 $29,402.68 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 25 12 — — $16,667.94 $52,735.17 $29,270.53 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 12 — — $26,149.67 $48,376.89 $29,090.83 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 12 — — $23,516.97 $46,910.91 $29,049.17 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 12 — — $26,382.47 $48,807.57 $29,020.72 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 12 — — $22,797.87 $49,222.43 $28,806.65 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 12 — — $26,672.93 $49,344.92 $28,706.58 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 12 — — $7,172.75 $47,080.61 $28,686.09 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 12 — — $21,664.43 $45,309.00 $28,616.81 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 12 — — $24,713.72 $45,720.38 $28,291.98 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 6 4 — — $19,499.69 $31,329.05 $28,229.44 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 12 — — $24,255.95 $44,873.51 $28,096.56 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 12 — — $1,180.26 $48,357.13 $28,048.53 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 13 10 — — $2,674.46 $50,278.98 $27,993.16 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 13 10 — — $4,197.45 $50,278.98 $27,993.16 2026-04-01
22630 HCPCS Lumbar Spine Fusion 13 10 — — $3,552.35 $50,278.98 $27,993.16 2026-04-01
22558 HCPCS Lumbar Spine Fusion 13 10 — — $3,474.91 $50,278.98 $27,993.16 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 13 10 — — $2,171.42 $50,278.98 $27,993.16 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 13 10 — — $3,662.03 $50,278.98 $27,993.16 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 3 3 — — $8,304.78 $51,787.00 $27,846.45 2026-04-01
0871T CPT Rplcmt Subq Prtl Ascites Pmp 12 9 — — $6,897.00 $49,877.74 $27,796.73 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 9 — — $6,897.00 $49,877.74 $27,796.73 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 12 — — $22,316.14 $45,154.04 $27,723.05 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 12 — — $19,788.81 $50,272.71 $27,446.31 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 12 — — $14,012.85 $45,449.84 $27,413.88 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 12 — — $21,820.84 $45,942.96 $27,298.62 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 12 — — $20,191.20 $47,498.40 $27,293.07 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 12 — — $22,496.79 $41,619.06 $27,223.60 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 12 — — $5,490.70 $46,838.56 $27,217.00 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 12 — — $22,364.39 $41,932.51 $27,083.76 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 12 — — $255.51 $45,499.10 $27,071.07 2026-04-01
652 MS_DRG Kidney Transplant 18 12 — — $22,991.57 $42,534.40 $27,041.40 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 13 10 — — $2,578.67 $48,433.11 $26,965.46 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 13 10 — — $2,571.96 $48,433.11 $26,965.46 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 13 10 — — $1,920.45 $48,433.11 $26,965.46 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 12 — — $19,670.82 $41,973.34 $26,759.36 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 12 — — $22,664.56 $44,932.78 $26,716.79 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 12 — — $14,001.35 $49,717.50 $26,605.73 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 12 — — $22,929.64 $42,419.83 $26,489.40 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 12 — — $21,135.71 $43,869.30 $26,376.12 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 12 — — $3,047.50 $46,447.40 $26,362.04 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 12 — — $20,308.36 $42,808.82 $26,270.05 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 12 — — $17,466.53 $43,997.66 $26,160.77 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 18 12 — — $21,795.54 $40,321.75 $26,092.58 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 12 — — $6,062.06 $42,605.54 $25,952.15 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 12 — — $22,220.56 $41,108.04 $25,675.58 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 10 — — $24,480.21 $45,288.39 $25,483.90 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 12 — — $19,655.11 $43,435.23 $25,361.22 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 12 — — $18,937.17 $38,411.49 $25,325.78 2026-04-01
129 MS_DRG Major Head & Neck Procedures W Cc/Mcc Or Major Device 3 1 — — $19,037.82 $28,037.06 $25,276.16 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 12 — — $20,660.02 $38,640.13 $25,242.56 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 12 — — $4,278.56 $43,353.62 $25,191.97 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 12 — — $22,369.35 $41,383.30 $25,021.22 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 12 — — $11,660.51 $43,274.08 $24,932.44 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 12 — — $15,246.83 $42,143.43 $24,929.23 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 22 12 — — $72.00 $40,949.99 $24,838.75 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 12 — — $21,500.80 $39,776.48 $24,770.47 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $8,652.49 $41,022.42 $24,391.71 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 12 — — $20,000.78 $61,095.33 $24,322.39 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 12 — — $18,387.56 $36,680.99 $24,281.19 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 12 — — $18,429.13 $48,852.59 $24,182.25 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 12 — — $19,617.44 $40,267.75 $24,165.06 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 12 — — $18,776.27 $36,123.68 $24,125.64 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 12 — — $20,327.10 $41,500.51 $24,115.17 2026-04-01
22841 HCPCS Insert Spine Fixation Device 1 1 — — $24,107.00 $24,107.00 $24,107.00 2026-04-01
22851 HCPCS Apply Spine Prosth Device 1 1 — — $24,107.00 $24,107.00 $24,107.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 12 — — $20,556.08 $38,028.75 $24,106.25 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 16 12 — — $18,205.87 $42,282.86 $23,792.68 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 18 12 — — $20,788.17 $38,458.11 $23,756.24 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $16,674.76 $43,933.44 $23,710.92 2026-04-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc 3 1 — — $17,853.62 $26,293.08 $23,703.92 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 12 — — $19,462.57 $36,005.75 $23,602.48 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 12 — — $21,503.65 $39,781.75 $23,569.12 2026-04-01
570 MS_DRG Skin Debridement With Mcc 20 12 — — $17,993.07 $38,736.02 $23,462.88 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 12 — — $19,629.12 $36,868.43 $23,386.26 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 12 — — $21,189.69 $39,962.70 $23,308.66 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 12 — — $19,345.54 $38,197.34 $23,209.12 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 18 12 — — $20,959.74 $38,775.52 $23,172.33 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 4 — — $16,482.80 $24,918.97 $23,157.39 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 12 — — $20,358.40 $39,733.02 $23,088.11 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 13 10 — — $847.72 $41,217.05 $22,992.43 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 13 10 — — $881.77 $41,217.05 $22,992.43 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 11 9 — — $22,279.49 $41,217.05 $22,992.43 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 13 10 — — $869.33 $41,217.05 $22,992.43 2026-04-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 11 9 — — $22,279.49 $41,217.05 $22,992.43 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 13 10 — — $830.31 $41,217.05 $22,992.43 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 12 9 — — $6,897.00 $41,217.05 $22,970.15 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 12 9 — — $6,897.00 $41,217.05 $22,970.15 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 12 9 — — $6,897.00 $41,217.05 $22,970.15 2026-04-01
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 12 9 — — $6,897.00 $41,217.05 $22,970.15 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 12 9 — — $6,897.00 $41,217.05 $22,970.15 2026-04-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 12 9 — — $6,897.00 $41,217.05 $22,970.15 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 12 — — $10,965.55 $38,766.80 $22,952.16 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 18 12 — — $20,168.79 $37,954.99 $22,875.40 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 12 — — $19,203.43 $35,705.21 $22,874.82 2026-04-01
503 MS_DRG Foot Procedures With Mcc 18 12 — — $19,870.50 $36,760.43 $22,870.71 2026-04-01
93652 HCPCS Ablate Heart Dysrhythm Focus 1 1 — — $22,495.00 $22,495.00 $22,495.00 2026-04-01
93607 HCPCS Description Not Available 1 1 — — $22,495.00 $22,495.00 $22,495.00 2026-04-01
93651 HCPCS Ablate Heart Dysrhythm Focus 1 1 — — $22,495.00 $22,495.00 $22,495.00 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 12 — — $2,070.00 $41,901.51 $22,418.44 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 20 12 — — $17,215.14 $36,425.19 $22,411.03 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 12 — — $19,266.08 $35,642.25 $22,240.86 2026-04-01
849 MS_DRG Radiotherapy 18 12 — — $17,678.15 $35,685.70 $22,225.35 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 16 6 — — $16.17 $44,245.62 $22,138.42 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 18 12 — — $16,342.92 $33,128.10 $21,964.07 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 4 — — $15,681.75 $23,609.83 $21,925.88 2026-04-01
54407 HCPCS Description Not Available 1 1 — — $21,921.00 $21,921.00 $21,921.00 2026-04-01
54409 HCPCS Description Not Available 1 1 — — $21,921.00 $21,921.00 $21,921.00 2026-04-01
54402 HCPCS Description Not Available 1 1 — — $21,921.00 $21,921.00 $21,921.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 12 — — $18,870.96 $34,911.28 $21,812.54 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 23 12 — — $16,747.74 $38,356.70 $21,770.02 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 19 12 — — $18,279.35 $33,816.80 $21,555.90 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 12 — — $1,676.00 $38,912.62 $21,455.31 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 13 10 — — $2,048.60 $38,405.23 $21,423.89 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 13 10 — — $1,844.48 $38,405.23 $21,423.89 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 13 10 — — $2,344.48 $38,405.23 $21,423.89 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 13 10 — — $1,613.83 $38,405.23 $21,423.89 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 13 10 — — $1,483.57 $38,405.23 $21,423.89 2026-04-01
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