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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

MCCONE COUNTY HEALTH CENTER

Circle, MT · CCN 271305 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

TTE W/DOPPLER COMPLETE

This hospital’s price: $332 across 5 payers · range $302-$337

Source: https://mcconecounty.pt.panaceainc.com/MRFDownload/mcconecounty/mcconecounty · observed 2026-01-01

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.

19,882 distinct procedures filed
29 distinct payers
163,308 rate rows
2026-01-01 last MRF observed
Data quality

145,868 of 163,308 rate rows are consumer-grade (89.3%)

17,440 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 15,420
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,975
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 25
percent-of-charges filed in the dollar field — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcconecounty.pt.panaceainc.com/MRFDownload/mcconecounty/mcconecounty
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-21
Content fingerprint 300c2d5e69a1dd40… · 1,509,022 bytes · first seen 2026-05-15

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
E0766NU
OTHER 		Elec Stim Cancer Treatment 5 $211,452.49 $236,329.26 $232,597.74 nat. median
$185,002
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $180,025.82 $204,029.27 $200,028.69 nat. median
$359,358
0.6× median
E0766UE
OTHER 		Elec Stim Cancer Treatment 5 $158,589.24 $177,246.80 $174,448.17 nat. median
$72,536
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $134,464.20 $152,392.76 $149,404.66 nat. median
$249,124
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $113,243.16 $128,342.25 $125,825.73 nat. median
$198,433
0.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $102,305.89 $115,946.67 $113,673.21 nat. median
$190,557
0.6× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 5 $101,780.62 $113,754.81 $111,958.68 nat. median
$68,423
1.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 13 $99,125.27 $168,157.28 $110,139.19 nat. median
$111,503
1.0× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $89,938.25 $100,519.22 $98,932.08 nat. median
$63,643
1.6× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $89,153.64 $99,642.31 $98,069.01 nat. median
$65,720
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 13 $83,895.03 $142,839.88 $93,216.70 nat. median
$97,020
1.0× median
J9226
HCPCS 		Supprelin La Implant 5 $72,659.72 $81,207.92 $79,925.69 nat. median
$55,159
1.4× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 5 $72,594.28 $81,134.79 $79,853.71 nat. median
$1,683
outlier · 47.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $67,450.97 $76,444.43 $74,945.52 nat. median
$126,722
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $62,542.75 $70,881.79 $69,491.95 nat. median
$110,192
0.6× median
7
MS_DRG 		Lung Transplant 8 $62,385.22 $70,703.25 $69,316.92 nat. median
$117,894
0.6× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 13 $60,707.39 $103,360.65 $67,452.66 nat. median
$70,178
1.0× median
E0194NU
OTHER 		Air Fluidized Bed 5 $59,854.12 $66,895.78 $65,839.53 nat. median
$44,512
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $52,603.64 $59,617.46 $58,448.49 nat. median
$103,967
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $52,003.12 $58,936.87 $57,781.25 nat. median
$97,414
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $50,835.98 $57,614.11 $56,484.42 nat. median
$94,964
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 8 $50,575.34 $57,318.72 $56,194.82 nat. median
$93,917
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $50,005.37 $56,672.75 $55,561.52 nat. median
$93,270
0.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $46,070.49 $52,213.22 $51,189.43 nat. median
$90,581
0.6× median
E0194UE
OTHER 		Air Fluidized Bed 5 $44,890.46 $50,171.69 $49,379.51 nat. median
$28,155
1.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 13 $44,011.01 $74,791.51 $48,901.12 nat. median
$50,453
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $43,973.93 $49,837.12 $48,859.92 nat. median
$78,262
0.6× median
J9266
HCPCS 		Pegaspargase Injection 5 $43,456.77 $48,569.33 $47,802.45 nat. median
$33,238
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $40,451.01 $45,844.48 $44,945.57 nat. median
$77,043
0.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $40,428.57 $45,819.05 $44,920.64 nat. median
$77,696
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $39,814.69 $45,123.31 $44,238.54 nat. median
$78,037
0.6× median
L7180
HCPCS 		Electronic Elbow Sequential 13 $38,568.52 $67,863.81 $42,853.91 nat. median
$46,980
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $38,480.47 $43,611.20 $42,756.07 nat. median
$74,460
0.6× median
10
MS_DRG 		Pancreas Transplant 8 $38,059.91 $43,134.57 $42,288.79 nat. median
$64,903
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $37,841.76 $42,887.33 $42,046.40 nat. median
$66,660
0.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 8 $37,312.37 $42,287.35 $41,458.19 nat. median
$71,758
0.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $36,935.73 $41,860.49 $41,039.70 nat. median
$72,473
0.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $35,631.11 $40,381.92 $39,590.12 nat. median
$68,004
0.6× median
L2006
HCPCS 		Kaf Sng/dbl Swg/stn Mcpr Cus 13 $35,534.16 $65,475.07 $39,482.40 nat. median
$39,921
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $33,905.45 $38,426.18 $37,672.72 nat. median
$63,648
0.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $33,735.03 $38,233.04 $37,483.37 nat. median
$66,649
0.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $33,207.55 $37,635.22 $36,897.28 nat. median
$62,721
0.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $32,595.57 $36,941.65 $36,217.30 nat. median
$61,711
0.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $32,005.56 $36,272.96 $35,561.73 nat. median
$60,543
0.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 $31,882.40 $36,133.38 $35,424.89 nat. median
$61,329
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 $31,828.46 $36,072.25 $35,364.95 nat. median
$63,896
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $30,871.83 $34,988.07 $34,302.03 nat. median
$59,384
0.6× median
L8701
HCPCS 		Ewh S/d Uprt Micro Sensor 13 $30,856.00 $52,535.48 $34,284.44 nat. median
$35,670
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $30,827.43 $34,937.76 $34,252.70 nat. median
$62,038
0.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 8 $30,189.68 $34,214.97 $33,544.09 nat. median
$58,216
0.6× median

Other procedures at this hospital

Browse this hospital's 19,882 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
             
E0766NU OTHER Elec Stim Cancer Treatment 5 5 — — $211,452.49 $236,329.26 $232,597.74 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 8 — — $180,025.82 $204,029.27 $200,028.69 2026-01-01
E0766UE OTHER Elec Stim Cancer Treatment 5 5 — — $158,589.24 $177,246.80 $174,448.17 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 8 — — $134,464.20 $152,392.76 $149,404.66 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 8 — — $113,243.16 $128,342.25 $125,825.73 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 8 — — $102,305.89 $115,946.67 $113,673.21 2026-01-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 5 5 — — $101,780.62 $113,754.81 $111,958.68 2026-01-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 13 13 — — $99,125.27 $168,157.28 $110,139.19 2026-01-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 5 — — $89,938.25 $100,519.22 $98,932.08 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 5 — — $89,153.64 $99,642.31 $98,069.01 2026-01-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 13 13 — — $83,895.03 $142,839.88 $93,216.70 2026-01-01
J9226 HCPCS Supprelin La Implant 5 5 — — $72,659.72 $81,207.92 $79,925.69 2026-01-01
A9699 HCPCS Radiopharm Rx Agent Noc 5 5 — — $72,594.28 $81,134.79 $79,853.71 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 8 — — $67,450.97 $76,444.43 $74,945.52 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 8 8 — — $62,542.75 $70,881.79 $69,491.95 2026-01-01
7 MS_DRG Lung Transplant 8 8 — — $62,385.22 $70,703.25 $69,316.92 2026-01-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 13 13 — — $60,707.39 $103,360.65 $67,452.66 2026-01-01
E0194NU OTHER Air Fluidized Bed 5 5 — — $59,854.12 $66,895.78 $65,839.53 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 8 — — $52,603.64 $59,617.46 $58,448.49 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 8 — — $52,003.12 $58,936.87 $57,781.25 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 8 — — $50,835.98 $57,614.11 $56,484.42 2026-01-01
215 MS_DRG Other Heart Assist System Implant 8 8 — — $50,575.34 $57,318.72 $56,194.82 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 8 — — $50,005.37 $56,672.75 $55,561.52 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 8 — — $46,070.49 $52,213.22 $51,189.43 2026-01-01
E0194UE OTHER Air Fluidized Bed 5 5 — — $44,890.46 $50,171.69 $49,379.51 2026-01-01
L7181 HCPCS Electronic Elbo Simultaneous 13 13 — — $44,011.01 $74,791.51 $48,901.12 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 8 8 — — $43,973.93 $49,837.12 $48,859.92 2026-01-01
J9266 HCPCS Pegaspargase Injection 5 5 — — $43,456.77 $48,569.33 $47,802.45 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 8 — — $40,451.01 $45,844.48 $44,945.57 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 8 — — $40,428.57 $45,819.05 $44,920.64 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 8 — — $39,814.69 $45,123.31 $44,238.54 2026-01-01
L7180 HCPCS Electronic Elbow Sequential 13 13 — — $38,568.52 $67,863.81 $42,853.91 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 8 — — $38,480.47 $43,611.20 $42,756.07 2026-01-01
10 MS_DRG Pancreas Transplant 8 8 — — $38,059.91 $43,134.57 $42,288.79 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 8 — — $37,841.76 $42,887.33 $42,046.40 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 8 8 — — $37,312.37 $42,287.35 $41,458.19 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 8 — — $36,935.73 $41,860.49 $41,039.70 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 8 — — $35,631.11 $40,381.92 $39,590.12 2026-01-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 13 13 — — $35,534.16 $65,475.07 $39,482.40 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 8 — — $33,905.45 $38,426.18 $37,672.72 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 8 — — $33,735.03 $38,233.04 $37,483.37 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 8 — — $33,207.55 $37,635.22 $36,897.28 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 8 8 — — $32,595.57 $36,941.65 $36,217.30 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 8 — — $32,005.56 $36,272.96 $35,561.73 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 8 8 — — $31,882.40 $36,133.38 $35,424.89 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 8 8 — — $31,828.46 $36,072.25 $35,364.95 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 8 — — $30,871.83 $34,988.07 $34,302.03 2026-01-01
L8701 HCPCS Ewh S/d Uprt Micro Sensor 13 13 — — $30,856.00 $52,535.48 $34,284.44 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 8 — — $30,827.43 $34,937.76 $34,252.70 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 8 8 — — $30,189.68 $34,214.97 $33,544.09 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 8 — — $29,569.59 $33,512.20 $32,855.10 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 8 — — $29,531.40 $33,468.92 $32,812.67 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 8 8 — — $29,396.78 $33,316.35 $32,663.09 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 8 8 — — $29,294.15 $33,200.04 $32,549.06 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 8 — — $29,160.49 $33,048.56 $32,400.54 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 8 8 — — $29,021.10 $32,890.58 $32,245.67 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 8 8 — — $28,812.97 $32,654.70 $32,014.41 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 8 8 — — $28,812.97 $32,654.70 $32,014.41 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 8 8 — — $28,597.68 $32,410.71 $31,775.20 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 8 — — $28,399.58 $32,186.19 $31,555.09 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 8 — — $28,378.10 $32,161.84 $31,531.22 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 8 — — $28,088.82 $31,833.99 $31,209.80 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 8 — — $27,793.33 $31,499.11 $30,881.48 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 8 — — $27,397.60 $31,050.61 $30,441.78 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 8 — — $27,233.87 $30,865.05 $30,259.85 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 8 8 — — $26,610.91 $30,159.03 $29,567.68 2026-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 8 8 — — $26,385.12 $29,903.14 $29,316.80 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 8 — — $26,385.12 $29,903.14 $29,316.80 2026-01-01
L5856 HCPCS Elec Knee-shin Swing/stance 13 13 — — $26,349.59 $44,874.21 $29,277.32 2026-01-01
L6880 HCPCS Elec Hand Ind Art Digits 13 13 — — $26,296.14 $44,608.99 $29,217.93 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 8 — — $26,274.37 $29,777.62 $29,193.75 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 8 — — $26,113.98 $29,595.84 $29,015.53 2026-01-01
L6700 HCPCS Ue Add Ext Power Myoel 8 8 — — $26,038.40 $29,510.19 $28,931.56 2026-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 8 8 — — $25,973.63 $29,436.79 $28,859.59 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 8 8 — — $25,914.44 $29,369.70 $28,793.82 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 8 — — $25,782.21 $29,219.84 $28,646.90 2026-01-01
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 8 8 — — $25,757.87 $29,192.25 $28,619.85 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 8 8 — — $25,755.00 $29,189.00 $28,616.67 2026-01-01
E0738NU OTHER Upper Extremity Rehab 5 5 — — $25,892.63 $28,938.82 $28,481.90 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 8 8 — — $25,396.51 $28,782.71 $28,218.34 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 8 — — $25,284.33 $28,655.57 $28,093.70 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 8 — — $24,584.52 $27,862.45 $27,316.13 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 8 8 — — $24,502.89 $27,769.94 $27,225.43 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 8 8 — — $24,319.58 $27,562.19 $27,021.76 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 8 8 — — $24,245.11 $27,477.80 $26,939.02 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 8 8 — — $24,044.15 $27,250.03 $26,715.72 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 8 8 — — $23,902.37 $27,089.35 $26,558.19 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 8 — — $23,883.75 $27,068.25 $26,537.50 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 8 — — $23,874.21 $27,057.43 $26,526.90 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 8 — — $23,788.28 $26,960.05 $26,431.42 2026-01-01
245 MS_DRG Aicd Generator Procedures 8 8 — — $23,327.63 $26,437.98 $25,919.59 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 8 8 — — $23,186.81 $26,278.38 $25,763.12 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 8 8 — — $23,148.14 $26,234.56 $25,720.16 2026-01-01
E0469NU OTHER Lung Expans High Oscil Neb 5 5 — — $23,295.27 $26,035.89 $25,624.80 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 8 — — $22,796.33 $25,835.84 $25,329.25 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 8 8 — — $22,697.51 $25,723.85 $25,219.46 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 8 — — $22,693.22 $25,718.98 $25,214.69 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 8 8 — — $22,458.36 $25,452.80 $24,953.73 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 8 8 — — $22,338.06 $25,316.47 $24,820.07 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 8 — — $22,206.31 $25,167.15 $24,673.68 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 8 8 — — $22,002.48 $24,936.14 $24,447.20 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 8 8 — — $21,993.41 $24,925.86 $24,437.12 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 8 — — $21,923.24 $24,846.33 $24,359.15 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 8 — — $21,919.89 $24,842.55 $24,355.44 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 8 8 — — $21,536.57 $24,408.12 $23,929.53 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 8 8 — — $21,408.16 $24,262.59 $23,786.85 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 8 8 — — $21,348.97 $24,195.50 $23,721.08 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 8 8 — — $21,149.43 $23,969.36 $23,499.37 2026-01-01
L8614 HCPCS Cochlear Device 13 13 — — $20,972.10 $36,104.47 $23,302.33 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 8 8 — — $20,969.47 $23,765.40 $23,299.41 2026-01-01
E0766RR OTHER Elec Stim Cancer Treatment 5 5 — — $21,144.99 $23,632.64 $23,259.49 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 8 8 — — $20,654.89 $23,408.88 $22,949.88 2026-01-01
Q0483 HCPCS Monitor Elec Vad, Rep 13 13 — — $20,635.74 $35,007.02 $22,928.60 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 8 — — $20,612.40 $23,360.73 $22,902.67 2026-01-01
E0467NU OTHER Home Vent Multi-function 5 5 — — $20,704.66 $23,140.50 $22,775.12 2026-01-01
L5858 HCPCS Stance Phase Only 13 13 — — $20,414.06 $34,691.30 $22,682.29 2026-01-01
L6975 HCPCS Interscap-thor Myoelectronic 13 13 — — $20,388.17 $33,198.62 $22,653.52 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 8 8 — — $20,362.75 $23,077.78 $22,625.27 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 8 8 — — $20,332.67 $23,043.69 $22,591.86 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 8 8 — — $20,188.51 $22,880.31 $22,431.68 2026-01-01
E0764NU OTHER Functional Neuromuscularstim 5 5 — — $20,353.63 $22,748.18 $22,389.00 2026-01-01
E0739NU OTHER Rehab Sys Active Assist Rt 5 5 — — $20,281.97 $22,668.08 $22,310.17 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 8 8 — — $20,004.25 $22,671.48 $22,226.94 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 8 8 — — $19,999.47 $22,666.07 $22,221.64 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 8 8 — — $19,908.30 $22,562.74 $22,120.33 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 8 8 — — $19,861.52 $22,509.72 $22,068.35 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 8 — — $19,629.52 $22,246.79 $21,810.58 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 8 8 — — $19,618.54 $22,234.35 $21,798.38 2026-01-01
12 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Cc 8 8 — — $19,589.42 $22,201.35 $21,766.02 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 8 — — $19,493.00 $22,092.06 $21,658.88 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 8 8 — — $19,416.14 $22,004.96 $21,573.49 2026-01-01
791 MS_DRG Prematurity With Major Problems 8 8 — — $19,380.34 $21,964.38 $21,533.71 2026-01-01
E0483NU OTHER Hi Freq Chest Wall Oscil Sys 5 5 — — $19,553.44 $21,853.85 $21,508.79 2026-01-01
E0738UE OTHER Upper Extremity Rehab 5 5 — — $19,419.47 $21,704.12 $21,361.42 2026-01-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 13 13 — — $19,157.28 $32,574.17 $21,285.87 2026-01-01
81416TC OTHER Exome Sequence Analysis 5 5 — — $19,263.69 $21,530.01 $21,190.06 2026-01-01
L6970 HCPCS Interscapular-thor Switch CT 13 13 — — $19,029.46 $30,299.18 $21,143.84 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 8 — — $19,016.59 $21,552.14 $21,129.54 2026-01-01
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 8 8 — — $19,003.22 $21,536.99 $21,114.69 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 8 — — $18,835.19 $21,346.55 $20,927.99 2026-01-01
L6965 HCPCS Shldr Disartic Myoelectronic 13 13 — — $18,797.39 $29,442.57 $20,885.99 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 8 8 — — $18,796.53 $21,302.73 $20,885.03 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 8 8 — — $18,758.34 $21,259.45 $20,842.60 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 8 — — $18,675.28 $21,165.31 $20,750.31 2026-01-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 8 8 — — $18,666.21 $21,155.04 $20,740.23 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 8 8 — — $18,563.10 $21,038.18 $20,625.66 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 8 — — $18,449.96 $20,909.96 $20,499.96 2026-01-01
E0468NU OTHER Home Vent Dual Fnct Incl All 5 5 — — $18,635.90 $20,828.36 $20,499.49 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 8 8 — — $18,431.35 $20,888.86 $20,479.27 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 8 — — $18,379.79 $20,830.43 $20,421.99 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 8 8 — — $18,246.61 $20,679.49 $20,274.01 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 8 8 — — $18,147.80 $20,567.50 $20,164.22 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 8 8 — — $18,006.50 $20,407.36 $20,007.22 2026-01-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 13 13 — — $17,890.07 $30,349.08 $19,877.86 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 8 8 — — $17,862.81 $20,244.52 $19,847.57 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 8 8 — — $17,417.43 $19,739.76 $19,352.70 2026-01-01
E0465NU OTHER Home Vent Invasive Interface 5 5 — — $17,555.83 $19,621.22 $19,311.42 2026-01-01
E0466NU OTHER Home Vent Non-invasive Inter 5 5 — — $17,555.83 $19,621.22 $19,311.42 2026-01-01
L6960 HCPCS Shldr Disartic Switch Contro 13 13 — — $17,349.65 $25,024.91 $19,277.39 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 8 — — $17,296.66 $19,602.88 $19,218.51 2026-01-01
E0469UE OTHER Lung Expans High Oscil Neb 5 5 — — $17,471.19 $19,526.62 $19,218.31 2026-01-01
L6955 HCPCS Above Elbow Myoelectronic CT 13 13 — — $17,202.14 $24,811.92 $19,113.49 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 8 8 — — $17,112.40 $19,394.05 $19,013.78 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 8 8 — — $17,111.45 $19,392.97 $19,012.72 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 8 — — $17,108.58 $19,389.73 $19,009.54 2026-01-01
265 MS_DRG Aicd Lead Procedures 8 8 — — $17,028.39 $19,298.84 $18,920.43 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 8 — — $16,952.01 $19,212.28 $18,835.56 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 8 8 — — $16,852.72 $19,099.75 $18,725.24 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 8 8 — — $16,848.42 $19,094.88 $18,720.47 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 8 8 — — $16,805.94 $19,046.73 $18,673.26 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 8 8 — — $16,725.74 $18,955.84 $18,584.16 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 8 — — $16,720.49 $18,949.89 $18,578.32 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 8 8 — — $16,713.81 $18,942.31 $18,570.90 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 8 8 — — $16,684.21 $18,908.77 $18,538.01 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 8 8 — — $16,576.33 $18,786.50 $18,418.14 2026-01-01
332 MS_DRG Rectal Resection With Mcc 8 8 — — $16,558.19 $18,765.94 $18,397.98 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 8 8 — — $16,540.05 $18,745.39 $18,377.83 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 8 8 — — $16,442.19 $18,634.48 $18,269.10 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 8 8 — — $16,416.41 $18,605.27 $18,240.46 2026-01-01
665 MS_DRG Prostatectomy With Mcc 8 8 — — $16,390.63 $18,576.05 $18,211.81 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 8 8 — — $16,375.36 $18,558.74 $18,194.84 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 8 8 — — $16,350.53 $18,530.61 $18,167.26 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 8 — — $16,259.84 $18,427.81 $18,066.48 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 8 — — $16,192.05 $18,350.99 $17,991.17 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 8 8 — — $16,023.54 $18,160.02 $17,803.94 2026-01-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 13 13 — — $15,992.73 $27,130.43 $17,769.70 2026-01-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 13 13 — — $15,937.07 $27,180.35 $17,707.86 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 8 8 — — $15,852.65 $17,966.33 $17,614.05 2026-01-01
E1008NU OTHER Pwr Seat Combo Pwr Shear 5 5 — — $16,004.79 $17,887.70 $17,605.26 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 8 8 — — $15,761.95 $17,863.54 $17,513.28 2026-01-01
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 8 8 — — $15,603.47 $17,683.93 $17,337.18 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 8 — — $15,559.07 $17,633.61 $17,287.86 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 8 8 — — $15,552.39 $17,626.04 $17,280.43 2026-01-01
E1007NU OTHER Pwr Seat Combo W/shear 5 5 — — $15,602.87 $17,438.50 $17,163.16 2026-01-01
E0467UE OTHER Home Vent Multi-function 5 5 — — $15,528.62 $17,355.51 $17,081.48 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 8 8 — — $15,367.65 $17,416.67 $17,075.17 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 8 — — $15,296.52 $17,336.06 $16,996.14 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 8 8 — — $15,252.13 $17,285.75 $16,946.81 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 8 8 — — $15,223.01 $17,252.75 $16,914.46 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 8 8 — — $15,181.96 $17,206.22 $16,868.84 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 8 8 — — $15,151.41 $17,171.59 $16,834.90 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 8 8 — — $15,126.11 $17,142.92 $16,806.78 2026-01-01
E0764UE OTHER Functional Neuromuscularstim 5 5 — — $15,265.35 $17,061.28 $16,791.89 2026-01-01
E0739UE OTHER Rehab Sys Active Assist Rt 5 5 — — $15,211.35 $17,000.92 $16,732.48 2026-01-01
E0783NU OTHER Programmable Infusion Pump 5 5 — — $15,057.65 $16,829.14 $16,563.41 2026-01-01
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 8 8 — — $14,898.41 $16,884.86 $16,553.78 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 8 8 — — $14,891.72 $16,877.29 $16,546.36 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 8 — — $14,828.23 $16,805.33 $16,475.82 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 8 8 — — $14,761.88 $16,730.13 $16,402.09 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 8 8 — — $14,731.33 $16,695.51 $16,368.14 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 8 8 — — $14,720.83 $16,683.60 $16,356.48 2026-01-01
L6945 HCPCS Elbow Disart Myoelectronic C 13 13 — — $14,701.36 $21,205.01 $16,334.84 2026-01-01
652 MS_DRG Kidney Transplant 8 8 — — $14,661.64 $16,616.52 $16,290.71 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 8 8 — — $14,648.27 $16,601.37 $16,275.85 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 8 8 — — $14,600.53 $16,547.27 $16,222.81 2026-01-01
E0786NU OTHER Implantable Pump Replacement 5 5 — — $14,687.41 $16,415.34 $16,156.15 2026-01-01
E0483UE OTHER Hi Freq Chest Wall Oscil Sys 5 5 — — $14,665.08 $16,390.39 $16,131.59 2026-01-01
E0766 HCPCS Elec Stim Cancer Treatment 8 8 — — $14,457.11 $16,384.73 $16,063.46 2026-01-01
570 MS_DRG Skin Debridement With Mcc 8 8 — — $14,369.49 $16,285.42 $15,966.10 2026-01-01
L6950 HCPCS Above Elbow Switch Control 13 13 — — $14,363.42 $20,717.51 $15,959.35 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 8 8 — — $14,254.92 $16,155.58 $15,838.80 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 8 — — $14,075.44 $15,952.16 $15,639.37 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 8 — — $14,039.16 $15,911.05 $15,599.06 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 8 8 — — $14,000.97 $15,867.76 $15,556.63 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 8 8 — — $13,921.25 $15,777.42 $15,468.06 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 8 — — $13,913.61 $15,768.76 $15,459.57 2026-01-01
800 MS_DRG Splenic Procedures With Cc 8 8 — — $13,909.32 $15,763.89 $15,454.80 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 8 8 — — $13,901.68 $15,755.23 $15,446.31 2026-01-01
E0468UE OTHER Home Vent Dual Fnct Incl All 5 5 — — $13,977.06 $15,621.42 $15,374.77 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 8 8 — — $13,830.07 $15,674.08 $15,366.75 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 8 8 — — $13,686.39 $15,511.24 $15,207.10 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 8 8 — — $13,670.64 $15,493.39 $15,189.60 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 8 8 — — $13,662.52 $15,484.19 $15,180.58 2026-01-01
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 8 8 — — $13,643.43 $15,462.55 $15,159.36 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mmc Or 4+ A… 8 8 — — $13,589.48 $15,401.42 $15,099.43 2026-01-01
0315UTC OTHER Onc Cutan Sq Cll Ca Mrna 40 5 5 — — $13,645.25 $15,250.57 $15,009.77 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 8 8 — — $13,471.58 $15,267.79 $14,968.42 2026-01-01
0211UTC OTHER Onc Pan-tum Dna&rna Gnrj Seq 5 5 — — $13,573.07 $15,169.90 $14,930.38 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 8 — — $13,406.18 $15,193.67 $14,895.75 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 8 — — $13,392.33 $15,177.98 $14,880.37 2026-01-01
L8687 HCPCS Implt Nrostm Pls Gen Dua Rec 5 5 — — $13,330.57 $14,898.87 $14,663.62 2026-01-01
Q0479 HCPCS Power Module Combo Vad, Rep 13 13 — — $13,185.23 $22,375.01 $14,650.25 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 8 8 — — $13,062.48 $14,804.14 $14,513.87 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 8 8 — — $13,039.09 $14,777.63 $14,487.88 2026-01-01
E0466UE OTHER Home Vent Non-invasive Inter 5 5 — — $13,167.00 $14,716.06 $14,483.70 2026-01-01
E0465UE OTHER Home Vent Invasive Interface 5 5 — — $13,167.00 $14,716.06 $14,483.70 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 8 8 — — $13,015.22 $14,750.58 $14,461.36 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 8 8 — — $12,968.44 $14,697.56 $14,409.38 2026-01-01
0238T OTHER Trluml Perip Athrc Iliac Art 5 5 — — $13,062.11 $14,598.83 $14,368.32 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 8 8 — — $12,904.95 $14,625.61 $14,338.83 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 8 8 — — $12,862.47 $14,577.46 $14,291.63 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 8 — — $12,811.39 $14,519.57 $14,234.88 2026-01-01
L7191 HCPCS Elbow Child Myoelectronic CT 13 13 — — $12,803.31 $19,202.21 $14,225.90 2026-01-01
263 MS_DRG Vein Ligation And Stripping 8 8 — — $12,803.27 $14,510.38 $14,225.86 2026-01-01
849 MS_DRG Radiotherapy 8 8 — — $12,750.76 $14,450.86 $14,167.51 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 8 — — $12,711.14 $14,405.96 $14,123.49 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 8 8 — — $12,665.79 $14,354.57 $14,073.10 2026-01-01
13 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses Without Cc/mcc 8 8 — — $12,650.04 $14,336.71 $14,055.60 2026-01-01
L6940 HCPCS Elbow Disarticulation Switch 13 13 — — $12,636.72 $18,226.63 $14,040.80 2026-01-01
503 MS_DRG Foot Procedures With Mcc 8 8 — — $12,633.81 $14,318.32 $14,037.57 2026-01-01
0235T OTHER Trluml Perip Athrc Visceral 5 5 — — $12,754.71 $14,255.26 $14,030.18 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 8 8 — — $12,620.92 $14,303.71 $14,023.25 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 8 8 — — $12,522.58 $14,192.26 $13,913.98 2026-01-01
L7186 HCPCS Electron Elbow Child Switch 13 13 — — $12,496.24 $18,376.36 $13,884.71 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 8 8 — — $12,490.12 $14,155.47 $13,877.92 2026-01-01
K0826NU OTHER Pwc Gp 2 Vhd Seat/back 5 5 — — $12,495.60 $13,965.67 $13,745.15 2026-01-01
81552TC OTHER Onc Uveal Mlnma Mrna 15 Gene 5 5 — — $12,483.13 $13,951.74 $13,731.45 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 8 8 — — $12,356.94 $14,004.53 $13,729.93 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 8 8 — — $12,336.41 $13,981.27 $13,707.13 2026-01-01
E2510NU OTHER Sgd W Multi Methods Msg/accs 5 5 — — $12,448.34 $13,912.85 $13,693.18 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 8 8 — — $12,190.82 $13,816.26 $13,545.36 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 8 8 — — $12,187.00 $13,811.93 $13,541.11 2026-01-01
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 8 8 — — $12,164.09 $13,785.97 $13,515.65 2026-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 8 8 — — $12,101.55 $13,715.09 $13,446.17 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 8 8 — — $12,062.41 $13,670.73 $13,402.68 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 8 8 — — $12,052.86 $13,659.91 $13,392.07 2026-01-01
0094UTC OTHER Genome Rapid Sequence Alys 5 5 — — $12,172.09 $13,604.10 $13,389.30 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 8 8 — — $12,015.15 $13,617.17 $13,350.17 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 8 8 — — $11,953.57 $13,547.38 $13,281.75 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 8 8 — — $11,944.50 $13,537.10 $13,271.67 2026-01-01
E1006NU OTHER Pwr Seat Combo Without Shear 5 5 — — $12,039.16 $13,455.53 $13,243.08 2026-01-01
E1008UE OTHER Pwr Seat Combo Pwr Shear 5 5 — — $12,003.33 $13,415.48 $13,203.66 2026-01-01
0237T OTHER Trluml Perip Athrc Brchiocph 5 5 — — $11,950.88 $13,356.87 $13,145.97 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 8 8 — — $11,828.03 $13,405.10 $13,142.25 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 8 8 — — $11,780.29 $13,351.00 $13,089.21 2026-01-01
792 MS_DRG Prematurity Without Major Problems 8 8 — — $11,693.89 $13,253.07 $12,993.21 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 8 8 — — $11,687.20 $13,245.50 $12,985.78 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 8 8 — — $11,590.78 $13,136.22 $12,878.64 2026-01-01
E1007UE OTHER Pwr Seat Combo W/shear 5 5 — — $11,702.15 $13,078.88 $12,872.37 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 8 8 — — $11,545.91 $13,085.36 $12,828.78 2026-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 8 8 — — $11,509.63 $13,044.24 $12,788.47 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 8 8 — — $11,461.41 $12,989.60 $12,734.90 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 8 8 — — $11,443.27 $12,969.04 $12,714.75 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 8 8 — — $11,443.27 $12,969.04 $12,714.75 2026-01-01
81529TC OTHER Onc Cutan Mlnma Mrna 31 Gene 5 5 — — $11,546.89 $12,905.35 $12,701.58 2026-01-01
0505T OTHER Ev Fempop Artl Revsc 5 5 — — $11,471.60 $12,821.20 $12,618.76 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 8 8 — — $11,344.46 $12,857.06 $12,604.96 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 8 8 — — $11,301.02 $12,807.82 $12,556.69 2026-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 8 8 — — $11,298.16 $12,804.58 $12,553.51 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 8 8 — — $11,283.36 $12,787.81 $12,537.06 2026-01-01
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