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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

MIDWEST SURGICAL HOSPITAL LLC

Omaha, NE · CCN 280131 · Rates published

2,636 distinct procedures filed
19 distinct payers
76,397 rate rows
2026-07-15 last MRF observed
Data quality

72,051 of 76,397 rate rows are consumer-grade (94.3%)

4,346 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 2,783
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,544
exceeds 10× this hospital's gross charge — excluded from medians 17
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/14677e342f2d86ddd5320d28b4b4eb86/charges/mrf
Found on page https://mwsurgicalhospital.com/patients/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-19
Content fingerprint 367e5aae991a4109… · 25,573,913 bytes · first seen 2026-05-16

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 18 $319,905.89 $639,811.78 $479,858.84 nat. median
$370,165
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $207,606.05 $415,212.10 $311,409.08 nat. median
$261,939
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $158,168.31 $316,336.62 $237,252.46 nat. median
$205,166
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $157,240.07 $314,480.14 $235,860.11 nat. median
$199,832
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $102,613.64 $205,227.28 $153,920.46 nat. median
$132,706
1.2× median
7
MS_DRG 		Lung Transplant 18 $95,937.39 $191,874.78 $143,906.08 nat. median
$122,690
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $89,030.75 $178,061.50 $133,546.12 nat. median
$114,305
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $83,948.00 $171,526.04 $127,737.02 nat. median
$108,240
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $83,851.69 $167,703.38 $125,777.54 nat. median
$96,134
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $81,647.02 $163,294.04 $122,470.53 nat. median
$96,835
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 18 $80,557.27 $161,114.54 $120,835.90 nat. median
$100,978
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $76,382.03 $152,764.06 $114,573.04 nat. median
$99,646
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 19 $73,763.23 $147,526.46 $110,644.85 nat. median
$98,002
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $72,472.73 $144,945.46 $108,709.10 nat. median
$92,900
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $66,744.73 $133,489.46 $100,117.10 nat. median
$81,124
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $64,151.12 $128,302.24 $96,226.68 nat. median
$81,364
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 19 $62,450.20 $124,900.40 $93,675.30 nat. median
$79,040
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 $62,253.89 $124,507.78 $93,380.84 nat. median
$80,459
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 $58,293.47 $118,440.31 $88,366.89 nat. median
$77,385
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 $56,882.21 $113,764.42 $85,323.32 nat. median
$74,472
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 $56,637.00 $113,274.00 $84,955.50 nat. median
$73,475
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $56,449.57 $112,899.14 $84,674.35 nat. median
$71,485
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $53,476.68 $106,953.36 $80,215.02 nat. median
$66,640
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 $53,136.64 $106,273.28 $79,704.96 nat. median
$62,911
1.3× median
10
MS_DRG 		Pancreas Transplant 18 $52,792.91 $106,317.74 $79,555.32 nat. median
$67,750
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $52,854.39 $105,708.78 $79,281.59 nat. median
$69,153
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $52,823.28 $105,646.56 $79,234.92 nat. median
$68,581
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 19 $51,203.85 $102,407.70 $76,805.77 nat. median
$65,958
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 $50,952.71 $101,905.42 $76,429.07 nat. median
$65,792
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 19 $49,865.19 $99,730.38 $74,797.79 nat. median
$64,357
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 $49,534.78 $99,069.56 $74,302.17 nat. median
$59,832
1.2× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $49,498.49 $98,996.98 $74,247.74 nat. median
$62,262
1.2× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $48,710.99 $97,421.98 $73,066.49 nat. median
$60,895
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 $48,710.99 $97,421.98 $73,066.49 nat. median
$63,840
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 $48,533.94 $97,067.88 $72,800.91 nat. median
$59,159
1.2× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $47,669.41 $95,338.82 $71,504.12 nat. median
$62,218
1.1× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 19 $45,347.68 $92,269.20 $68,808.44 nat. median
$60,294
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 $45,400.28 $90,800.56 $68,100.42 nat. median
$60,162
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 19 $44,912.82 $89,825.64 $67,369.23 nat. median
$59,257
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 19 $44,510.56 $89,021.12 $66,765.84 nat. median
$56,970
1.2× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 $44,497.96 $88,995.92 $66,746.94 nat. median
$58,419
1.1× median
457
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 19 $44,175.71 $88,351.42 $66,263.57 nat. median
$57,394
1.2× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 $44,030.50 $88,061.00 $66,045.75 nat. median
$51,433
1.3× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 18 $43,928.28 $87,856.56 $65,892.42 nat. median
$55,867
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 19 $43,475.64 $86,951.28 $65,213.46 nat. median
$57,082
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 $43,447.49 $86,894.98 $65,171.24 nat. median
$56,397
1.2× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 $42,723.70 $85,447.40 $64,085.55 nat. median
$53,268
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 $42,451.09 $84,902.18 $63,676.64 nat. median
$55,685
1.1× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 14 $42,277.73 $84,555.46 $63,416.60 nat. median
$50,294
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 19 $42,222.91 $84,445.82 $63,334.36 nat. median
$51,984
1.2× median

Other procedures at this hospital

Browse this hospital's 2,636 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 18 — — $207,606.05 $415,212.10 $311,409.08 2026-07-15
10 MS_DRG Pancreas Transplant 20 18 — — $52,792.91 $106,317.74 $79,555.32 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 19 — — $40,404.94 $80,809.88 $60,607.41 2026-07-15
113 MS_DRG Orbital Procedures With Cc/mcc 22 19 — — $17,417.37 $34,834.74 $26,126.06 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 19 — — $31,232.88 $62,465.76 $46,849.32 2026-07-15
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 22 19 — — $21,348.89 $42,697.78 $32,023.33 2026-07-15
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 22 19 — — $16,075.74 $32,151.48 $24,113.61 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 20 18 — — $89,030.75 $178,061.50 $133,546.12 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 22 19 — — $31,598.10 $63,196.20 $47,397.15 2026-07-15
141 MS_DRG Major Head And Neck Procedures With Cc 22 19 — — $16,157.98 $32,315.96 $24,236.97 2026-07-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 22 19 — — $27,755.48 $55,510.96 $41,633.22 2026-07-15
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 22 19 — — $15,686.08 $31,372.16 $23,529.12 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 18 — — $43,928.28 $87,856.56 $65,892.42 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 22 19 — — $33,201.97 $66,403.94 $49,802.96 2026-07-15
164 MS_DRG Major Chest Procedures With Cc 22 19 — — $18,698.24 $37,396.48 $28,047.36 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 19 — — $27,689.55 $55,379.10 $41,534.32 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 18 — — $40,243.44 $80,486.88 $60,365.16 2026-07-15
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 18 — — $22,049.70 $44,099.40 $33,074.55 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 18 — — $319,905.89 $639,811.78 $479,858.84 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 18 — — $52,854.39 $105,708.78 $79,281.59 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 18 — — $83,948.00 $171,526.04 $127,737.02 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 19 — — $58,293.47 $118,440.31 $88,366.89 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 19 — — $47,669.41 $95,338.82 $71,504.12 2026-07-15
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 22 19 — — $20,362.86 $40,725.72 $30,544.29 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 15 14 — — $83,851.69 $167,703.38 $125,777.54 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 19 — — $39,217.42 $86,433.31 $62,825.36 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 18 — — $80,557.27 $161,114.54 $120,835.90 2026-07-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 14 — — $42,277.73 $84,555.46 $63,416.60 2026-07-15
215 MS_DRG Other Heart Assist System Implant 22 19 — — $73,763.23 $147,526.46 $110,644.85 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 19 — — $72,472.73 $144,945.46 $108,709.10 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 19 — — $48,710.99 $97,421.98 $73,066.49 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 19 — — $48,710.99 $97,421.98 $73,066.49 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 19 — — $56,882.21 $113,764.42 $85,323.32 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 22 19 — — $23,538.74 $55,488.06 $39,513.40 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 19 — — $39,506.33 $79,012.66 $59,259.50 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 19 — — $37,338.70 $74,677.40 $56,008.05 2026-07-15
22556 CPT Arthrd Ant Ntrbd Min Dsc Thc 21 19 $38,348.00 $28,761.00 25% off $9,696.14 $36,960.31 $23,328.22 2026-07-15
22558 CPT Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 21 19 $19,547.00 $14,660.25 25% off $9,696.14 $57,197.01 $33,446.57 2026-07-15
22600 CPT Fusion Of Spine In Neck By Posterior Approach 21 19 $28,856.00 $21,642.00 25% off $9,696.14 $36,960.31 $23,328.22 2026-07-15
22610 CPT Arthrd Pst Tq 1ntrspc Thrc 21 19 $46,688.00 $35,016.00 25% off $9,696.14 $36,960.31 $23,328.22 2026-07-15
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 21 19 $30,299.00 $22,724.25 25% off $9,696.14 $36,960.31 $23,328.22 2026-07-15
22630 CPT Fusion Of Lower Spine Bone And Partial Removal Of Spine Bone Or Disc Through Bac… 22 19 $35,957.00 $26,967.75 25% off $9,696.14 $57,197.01 $33,446.57 2026-07-15
22633 CPT Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 22 19 $35,957.00 $26,967.75 25% off $9,696.14 $57,197.01 $33,446.57 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 19 — — $36,651.23 $73,302.46 $54,976.85 2026-07-15
22808 CPT Arthrd Ant Dfrm 2-3 Vrt Sgm 21 19 $30,295.00 $22,721.25 25% off $9,696.14 $36,960.31 $23,328.22 2026-07-15
22856 CPT Insertion Of Artificial Upper Spine Disc; Anterior Approach 21 19 $40,727.00 $30,545.25 25% off $9,696.14 $37,098.97 $23,328.22 2026-07-15
22857 CPT Tot Disc Arthrp 1ntrspc Lmbr 21 19 $18,026.00 $13,519.50 25% off $9,696.14 $36,960.31 $23,328.22 2026-07-15
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 22 19 — — $23,332.06 $46,664.12 $34,998.09 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 19 — — $42,451.09 $84,902.18 $63,676.64 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 19 — — $62,450.20 $124,900.40 $93,675.30 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 19 — — $44,912.82 $89,825.64 $67,369.23 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 19 — — $56,637.00 $113,274.00 $84,955.50 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 19 — — $40,468.66 $80,937.32 $60,702.99 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 19 — — $43,475.64 $86,951.28 $65,213.46 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 19 — — $31,031.38 $62,062.76 $46,547.07 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 19 — — $36,460.84 $72,921.68 $54,691.26 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 19 — — $28,980.05 $57,960.10 $43,470.07 2026-07-15
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 22 19 — — $21,117.01 $42,234.02 $31,675.51 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 19 — — $23,652.84 $47,305.68 $35,479.26 2026-07-15
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 22 19 — — $15,786.09 $31,572.18 $23,679.13 2026-07-15
24363 CPT Replace Elbow Joint 21 19 $26,340.00 $19,755.00 25% off $10,977.72 $36,960.31 $23,969.01 2026-07-15
245 MS_DRG Aicd Generator Procedures 22 19 — — $33,799.08 $67,598.16 $50,698.62 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 19 — — $33,682.76 $67,365.52 $50,524.14 2026-07-15
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 22 19 — — $16,168.35 $32,336.70 $24,252.53 2026-07-15
252 MS_DRG Other Vascular Procedures With Mcc 22 19 — — $25,841.95 $51,683.90 $38,762.93 2026-07-15
253 MS_DRG Other Vascular Procedures With Cc 22 19 — — $19,228.67 $38,457.34 $28,843.01 2026-07-15
25446 CPT Arthrp W/prostc Dst Rds&crps 21 19 $26,340.00 $19,755.00 25% off $10,977.72 $36,960.31 $23,969.01 2026-07-15
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 19 — — $19,982.82 $39,965.64 $29,974.23 2026-07-15
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 19 — — $23,277.24 $46,554.48 $34,915.86 2026-07-15
26 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Complication 22 19 — — $23,033.51 $46,067.02 $34,550.26 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 19 — — $24,097.32 $48,194.64 $36,145.98 2026-07-15
263 MS_DRG Vein Ligation And Stripping 22 19 — — $22,649.77 $45,299.54 $33,974.65 2026-07-15
264 MS_DRG Other Circulatory System O.r. Procedures 22 19 — — $24,747.76 $49,495.52 $37,121.64 2026-07-15
265 MS_DRG Aicd Lead Procedures 22 19 — — $26,804.27 $53,608.54 $40,206.40 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 19 — — $45,400.28 $90,800.56 $68,100.42 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 19 — — $35,268.85 $70,537.70 $52,903.28 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 19 — — $50,952.71 $101,905.42 $76,429.07 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 19 — — $31,286.22 $62,572.44 $46,929.33 2026-07-15
27 MS_DRG Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 22 19 — — $18,690.10 $37,380.20 $28,035.15 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 19 — — $39,087.78 $78,175.56 $58,631.67 2026-07-15
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 19 — — $26,345.71 $52,691.42 $39,518.57 2026-07-15
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 22 19 — — $18,913.08 $37,826.16 $28,369.62 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 19 — — $30,562.44 $61,124.88 $45,843.66 2026-07-15
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 19 — — $24,385.50 $48,771.00 $36,578.25 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 18 — — $52,823.28 $105,646.56 $79,234.92 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 18 — — $44,497.96 $88,995.92 $66,746.94 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 18 — — $34,214.68 $68,429.36 $51,322.02 2026-07-15
27702 CPT Reconstruction Of Ankle Joint With Prosthesis 63 19 $35,340.00 $26,505.00 25% off $9,696.14 $57,197.01 $33,446.57 2026-07-15
27703 CPT Reconstruction Ankle Joint 42 19 $36,223.50 $27,167.62 25% off $9,696.14 $36,960.31 $23,328.22 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 18 — — $39,166.77 $82,470.80 $60,818.79 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 18 — — $26,716.86 $53,433.72 $40,075.29 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 22 19 — — $44,510.56 $89,021.12 $66,765.84 2026-07-15
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 22 19 — — $16,392.81 $32,785.62 $24,589.22 2026-07-15
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 19 — — $20,048.01 $40,096.02 $30,072.01 2026-07-15
29 MS_DRG Spinal Procedures With Complication Or Spinal Neurostimulators 22 19 — — $25,273.74 $50,547.48 $37,910.61 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 19 — — $157,240.07 $314,480.14 $235,860.11 2026-07-15
30 MS_DRG Spinal Procedures Without Complication/comorbity 22 19 — — $16,262.44 $32,524.88 $24,393.66 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 19 — — $33,192.34 $66,384.68 $49,788.51 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 14 — — $49,534.78 $99,069.56 $74,302.17 2026-07-15
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 15 14 — — $17,944.09 $35,888.18 $26,916.13 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 19 — — $33,061.96 $66,123.92 $49,592.94 2026-07-15
32 MS_DRG Ventricular Shunt Procedures With Cc 22 19 — — $15,786.83 $31,573.66 $23,680.24 2026-07-15
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 22 19 — — $17,818.89 $35,637.78 $26,728.33 2026-07-15
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 18 — — $20,156.18 $40,312.36 $30,234.27 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 18 — — $32,058.15 $64,116.30 $48,087.22 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 18 — — $23,343.17 $46,686.34 $35,014.75 2026-07-15
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 18 — — $23,219.60 $47,566.42 $35,393.01 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 19 — — $36,947.55 $73,895.10 $55,421.32 2026-07-15
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 19 — — $18,107.07 $36,214.14 $27,160.60 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 19 — — $34,051.69 $68,103.38 $51,077.54 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 22 19 — — $17,758.89 $35,517.78 $26,638.33 2026-07-15
332 MS_DRG Rectal Resection With Mcc 22 19 — — $26,822.79 $53,645.58 $40,234.18 2026-07-15
33240 CPT Insrt Pulse Gen W/singl Lead 21 19 $78,548.00 $58,911.00 25% off $10,977.72 $50,947.00 $30,962.36 2026-07-15
33249 CPT Insj/rplcmt Defib W/lead(s) 21 19 $84,888.00 $63,666.00 25% off $10,977.72 $66,165.99 $38,571.86 2026-07-15
333 MS_DRG Rectal Resection With Cc 22 19 — — $17,351.43 $34,702.86 $26,027.15 2026-07-15
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 19 — — $26,453.86 $52,907.72 $39,680.79 2026-07-15
336 MS_DRG Peritoneal Adhesiolysis With Cc 22 19 — — $15,621.62 $31,243.24 $23,432.43 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 19 — — $28,674.84 $57,349.68 $43,012.26 2026-07-15
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 19 — — $19,133.85 $38,267.70 $28,700.78 2026-07-15
347 MS_DRG Anal And Stomal Procedures With Mcc 22 19 — — $17,006.21 $34,012.42 $25,509.31 2026-07-15
35 MS_DRG Carotid Artery Stent Procedures With Cc 22 19 — — $17,709.25 $35,418.50 $26,563.88 2026-07-15
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 19 — — $18,460.44 $36,920.88 $27,690.66 2026-07-15
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 19 — — $21,498.54 $42,997.08 $32,247.81 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 19 — — $32,542.65 $65,085.30 $48,813.97 2026-07-15
357 MS_DRG Other Digestive System O.r. Procedures With Cc 22 19 — — $17,227.71 $34,455.42 $25,841.56 2026-07-15
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 14 — — $25,473.76 $50,947.52 $38,210.64 2026-07-15
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 15 14 — — $17,885.56 $35,771.12 $26,828.34 2026-07-15
37 MS_DRG Extracranial Procedures With Mcc 22 19 — — $24,388.46 $48,776.92 $36,582.69 2026-07-15
374 MS_DRG Digestive Malignancy With Mcc 22 19 — — $15,843.87 $31,687.74 $23,765.81 2026-07-15
397 MS_DRG Appendix Procedures With Mcc 21 18 — — $17,741.85 $35,483.70 $26,612.78 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 19 — — $102,613.64 $205,227.28 $153,920.46 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 19 — — $28,604.45 $57,208.90 $42,906.68 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 14 — — $29,784.58 $59,569.16 $44,676.87 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 19 — — $40,526.44 $81,052.88 $60,789.66 2026-07-15
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 22 19 — — $21,485.20 $42,970.40 $32,227.80 2026-07-15
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 22 19 — — $16,443.19 $32,886.38 $24,664.78 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 19 — — $26,414.60 $52,829.20 $39,621.90 2026-07-15
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 19 — — $16,129.83 $32,259.66 $24,194.74 2026-07-15
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 22 19 — — $16,288.37 $32,576.74 $24,432.56 2026-07-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 19 — — $24,471.43 $48,942.86 $36,707.14 2026-07-15
412 MS_DRG Cholecystectomy With C.d.e. With Cc 22 19 — — $15,575.69 $31,151.38 $23,363.53 2026-07-15
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 19 — — $26,392.37 $52,784.74 $39,588.56 2026-07-15
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 22 19 — — $17,678.88 $35,357.76 $26,518.32 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 22 19 — — $25,240.40 $50,480.80 $37,860.60 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 19 — — $30,766.17 $61,532.34 $46,149.25 2026-07-15
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 22 19 — — $16,208.35 $32,416.70 $24,312.53 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $81,647.02 $163,294.04 $122,470.53 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $53,476.68 $106,953.36 $80,215.02 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 14 — — $41,648.78 $83,297.56 $62,473.17 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 14 — — $66,744.73 $133,489.46 $100,117.10 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 14 — — $42,723.70 $85,447.40 $64,085.55 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 14 — — $49,498.49 $98,996.98 $74,247.74 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 14 — — $31,416.60 $62,833.20 $47,124.90 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 14 — — $39,482.62 $78,965.24 $59,223.93 2026-07-15
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 14 — — $23,931.38 $47,862.76 $35,897.07 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 19 — — $62,253.89 $124,507.78 $93,380.84 2026-07-15
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 22 19 — — $44,175.71 $88,351.42 $66,263.57 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 19 — — $30,911.36 $61,822.72 $46,367.04 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 19 — — $40,915.37 $81,830.74 $61,373.06 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity 22 19 — — $19,705.75 $39,411.50 $29,558.62 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 19 — — $42,222.91 $84,445.82 $63,334.36 2026-07-15
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 19 — — $23,074.26 $46,148.52 $34,611.39 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 19 — — $38,562.53 $77,125.06 $57,843.79 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 22 19 — — $26,125.68 $52,251.36 $39,188.52 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Complication/comorbity 22 19 — — $20,357.68 $40,715.36 $30,536.52 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 22 19 — — $22,470.49 $44,940.98 $33,705.74 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 22 19 — — $35,771.87 $71,543.74 $53,657.81 2026-07-15
472 MS_DRG Cervical Spinal Fusion With Complication 22 19 — — $21,825.23 $43,650.46 $32,737.85 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Complication/comorbity 22 19 — — $18,085.59 $37,437.17 $27,128.38 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 19 — — $31,802.57 $63,605.14 $47,703.86 2026-07-15
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 22 19 — — $16,858.80 $33,717.60 $25,288.20 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 19 — — $25,592.29 $51,184.58 $38,388.43 2026-07-15
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 22 19 — — $18,218.20 $36,436.40 $27,327.30 2026-07-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 19 — — $21,574.84 $43,149.68 $32,362.26 2026-07-15
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 22 19 — — $20,534.73 $41,069.46 $30,802.10 2026-07-15
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 19 — — $23,906.93 $47,813.86 $35,860.39 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 19 — — $27,199.87 $54,399.74 $40,799.81 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 19 — — $18,787.88 $37,575.76 $28,181.82 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 19 — — $26,859.83 $53,719.66 $40,289.75 2026-07-15
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 19 — — $22,348.99 $44,697.98 $33,523.49 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 18 — — $76,382.03 $152,764.06 $114,573.04 2026-07-15
500 MS_DRG Soft Tissue Procedures With Mcc 22 19 — — $23,445.41 $46,890.82 $35,168.11 2026-07-15
503 MS_DRG Foot Procedures With Mcc 22 19 — — $20,676.97 $41,353.94 $31,015.46 2026-07-15
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 19 — — $22,376.40 $44,752.80 $33,564.60 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 19 — — $23,609.13 $47,218.26 $35,413.69 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 19 — — $27,686.58 $55,373.16 $41,529.87 2026-07-15
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 19 — — $21,262.95 $42,525.90 $31,894.42 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 22 19 — — $15,688.30 $31,376.60 $23,532.45 2026-07-15
53444 CPT Insert Tandem Cuff 21 19 $20,849.00 $15,636.75 25% off $4,518.60 $43,689.52 $24,104.06 2026-07-15
53445 CPT Insert Uro/ves Nck Sphincter 21 19 $35,137.00 $26,352.75 25% off $3,588.88 $43,689.52 $23,639.20 2026-07-15
53447 CPT Remove/replace Ur Sphincter 21 19 $35,137.00 $26,352.75 25% off $3,588.88 $43,689.52 $23,639.20 2026-07-15
54401 CPT Insert Self-contd Prosthesis 21 19 $35,137.00 $26,352.75 25% off $6,059.29 $43,689.52 $24,874.40 2026-07-15
54405 CPT Insert Multi-comp Penis Pros 21 19 $35,137.00 $26,352.75 25% off $6,059.29 $43,689.52 $24,874.40 2026-07-15
54410 CPT Remove/replace Penis Prosth 21 19 $35,137.00 $26,352.75 25% off $6,059.29 $43,689.52 $24,874.40 2026-07-15
54416 CPT Remv/repl Penis Contain Pros 21 19 $35,137.00 $26,352.75 25% off $6,059.29 $43,689.52 $24,874.40 2026-07-15
545 MS_DRG Connective Tissue Disorders With Mcc 22 19 — — $18,384.88 $36,769.76 $27,577.32 2026-07-15
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 19 — — $17,209.94 $34,419.88 $25,814.91 2026-07-15
570 MS_DRG Skin Debridement With Mcc 22 19 — — $21,788.19 $43,576.38 $32,682.28 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 19 — — $48,533.94 $97,067.88 $72,800.91 2026-07-15
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 19 — — $25,716.75 $51,433.50 $38,575.12 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 19 — — $36,308.96 $72,617.92 $54,463.44 2026-07-15
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 22 19 — — $19,636.86 $39,273.72 $29,455.29 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 19 — — $23,991.39 $47,982.78 $35,987.08 2026-07-15
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 22 19 — — $15,858.69 $31,717.38 $23,788.03 2026-07-15
595 MS_DRG Major Skin Disorders With Mcc 22 19 — — $15,710.52 $31,421.04 $23,565.78 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 20 18 — — $34,351.72 $68,703.44 $51,527.58 2026-07-15
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 19 — — $20,425.09 $40,850.18 $30,637.63 2026-07-15
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 22 19 — — $16,237.24 $32,474.48 $24,355.86 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 19 — — $25,835.28 $51,670.56 $38,752.92 2026-07-15
61885 CPT Insrt/redo Neurostim 1 Array 21 19 $48,421.00 $36,315.75 25% off $4,518.60 $65,046.32 $34,782.46 2026-07-15
61886 CPT Implant Neurostim Arrays 21 19 $64,372.00 $48,279.00 25% off $6,059.29 $65,046.32 $35,552.81 2026-07-15
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 19 — — $21,390.37 $42,780.74 $32,085.56 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 19 — — $26,367.19 $52,734.38 $39,550.79 2026-07-15
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 19 — — $22,373.44 $44,746.88 $33,560.16 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 19 — — $27,608.80 $55,217.60 $41,413.20 2026-07-15
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 22 19 — — $16,140.94 $32,281.88 $24,211.41 2026-07-15
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 42 19 $31,382.00 $23,536.50 25% off $9,696.14 $40,894.37 $25,295.26 2026-07-15
63685 CPT Insertion Of Spinal Neurostimulator Generator Or Receiver 42 19 $46,115.00 $34,586.25 25% off $4,518.60 $65,046.32 $34,782.46 2026-07-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 10 9 $106,367.00 $79,775.25 25% off $4,518.60 $93,304.72 $45,737.61 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 18 — — $34,828.81 $69,657.62 $52,243.21 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 18 — — $27,453.23 $54,906.46 $41,179.85 2026-07-15
652 MS_DRG Kidney Transplant 20 18 — — $23,924.71 $47,849.42 $35,887.07 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 22 19 — — $38,495.86 $76,991.72 $57,743.79 2026-07-15
654 MS_DRG Major Bladder Procedures With Cc 22 19 — — $20,737.72 $41,475.44 $31,106.58 2026-07-15
655 MS_DRG Major Bladder Procedures Without Cc/mcc 22 19 — — $15,680.15 $31,360.30 $23,520.22 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 19 — — $23,586.16 $47,172.32 $35,379.24 2026-07-15
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 19 — — $18,823.44 $37,646.88 $28,235.16 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 22 19 — — $22,680.13 $45,360.26 $34,020.19 2026-07-15
665 MS_DRG Prostatectomy With Mcc 22 19 — — $23,122.41 $46,244.82 $34,683.61 2026-07-15
668 MS_DRG Transurethral Procedures With Mcc 22 19 — — $21,631.88 $43,263.76 $32,447.82 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 19 — — $31,126.20 $62,252.40 $46,689.30 2026-07-15
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 22 19 — — $17,324.77 $34,649.54 $25,987.15 2026-07-15
69930 CPT Insertion Of Cochlear Device 63 19 $80,845.00 $60,633.75 25% off $10,977.72 $69,503.39 $40,240.56 2026-07-15
7 MS_DRG Lung Transplant 20 18 — — $95,937.39 $191,874.78 $143,906.08 2026-07-15
709 MS_DRG Penis Procedures With Cc/mcc 22 19 — — $17,239.57 $34,479.14 $25,859.35 2026-07-15
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 22 19 — — $16,574.31 $33,148.62 $24,861.47 2026-07-15
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 22 19 — — $15,779.42 $31,558.84 $23,669.13 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 19 — — $26,480.54 $54,300.26 $40,390.40 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 19 — — $26,542.02 $53,084.04 $39,813.03 2026-07-15
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 22 19 — — $19,021.24 $38,042.48 $28,531.86 2026-07-15
783 MS_DRG Cesarean Section With Sterilization With Mcc 22 19 — — $15,558.18 $36,375.64 $25,966.91 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 19 — — $44,030.50 $88,061.00 $66,045.75 2026-07-15
791 MS_DRG Prematurity With Major Problems 22 19 — — $30,069.80 $60,139.60 $45,104.70 2026-07-15
792 MS_DRG Prematurity Without Major Problems 22 19 — — $18,144.11 $36,288.22 $27,216.17 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 22 19 — — $30,889.14 $61,778.28 $46,333.71 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 22 19 — — $33,550.90 $67,101.80 $50,326.35 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 18 — — $41,519.88 $83,039.76 $62,279.82 2026-07-15
800 MS_DRG Splenic Procedures With Cc 22 19 — — $20,812.54 $41,625.08 $31,218.81 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 19 — — $29,514.92 $59,029.84 $44,272.38 2026-07-15
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 22 19 — — $16,356.52 $32,713.04 $24,534.78 2026-07-15
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 22 19 — — $15,754.98 $31,509.96 $23,632.47 2026-07-15
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 22 19 — — $16,902.50 $39,845.48 $28,373.99 2026-07-15
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 22 19 — — $16,932.13 $33,864.26 $25,398.19 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 19 — — $43,447.49 $86,894.98 $65,171.24 2026-07-15
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 22 19 — — $16,583.95 $33,167.90 $24,875.92 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 19 — — $33,965.01 $67,930.02 $50,947.51 2026-07-15
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 22 19 — — $16,783.97 $33,567.94 $25,175.96 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 19 — — $34,653.98 $69,307.96 $51,980.97 2026-07-15
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 19 — — $17,121.78 $34,243.56 $25,682.67 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 22 19 — — $23,409.84 $46,819.68 $35,114.76 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 22 19 — — $40,670.16 $81,340.32 $61,005.24 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 19 — — $35,591.12 $71,182.24 $53,386.68 2026-07-15
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 19 — — $23,964.71 $47,929.42 $35,947.07 2026-07-15
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 22 19 — — $19,205.71 $38,411.42 $28,808.56 2026-07-15
849 MS_DRG Radiotherapy 22 19 — — $20,072.46 $40,144.92 $30,108.69 2026-07-15
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 22 19 — — $16,830.64 $33,661.28 $25,245.96 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 15 14 — — $64,151.12 $128,302.24 $96,226.68 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 19 — — $36,586.03 $73,172.06 $54,879.04 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 19 — — $33,697.58 $67,395.16 $50,546.37 2026-07-15
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 22 19 — — $15,864.62 $31,729.24 $23,796.93 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 19 — — $51,203.85 $102,407.70 $76,805.77 2026-07-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 19 — — $28,631.87 $57,263.74 $42,947.81 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 22 19 — — $31,089.16 $62,178.32 $46,633.74 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 19 — — $27,210.98 $54,421.96 $40,816.47 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 19 — — $28,442.22 $56,884.44 $42,663.33 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 19 — — $158,168.31 $316,336.62 $237,252.46 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 19 — — $53,136.64 $106,273.28 $79,704.96 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 22 19 — — $23,860.27 $47,720.54 $35,790.40 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 19 — — $26,623.99 $57,697.86 $42,160.93 2026-07-15
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 22 19 — — $16,376.52 $32,753.04 $24,564.78 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 19 — — $26,880.58 $53,761.16 $40,320.87 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 19 — — $26,072.35 $52,144.70 $39,108.53 2026-07-15
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 22 19 — — $17,312.17 $34,624.34 $25,968.26 2026-07-15
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 19 — — $19,107.17 $38,214.34 $28,660.76 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 19 — — $49,865.19 $99,730.38 $74,797.79 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 19 — — $27,876.98 $55,753.96 $41,815.47 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 19 — — $56,449.57 $112,899.14 $84,674.35 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 19 — — $31,217.32 $62,434.64 $46,825.98 2026-07-15
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 22 19 — — $21,810.41 $43,620.82 $32,715.62 2026-07-15
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 22 19 — — $19,107.17 $38,214.34 $28,660.76 2026-07-15
963 MS_DRG Other Multiple Significant Trauma With Mcc 22 19 — — $20,252.48 $40,504.96 $30,378.72 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 19 — — $45,347.68 $92,269.20 $68,808.44 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 19 — — $26,756.86 $53,513.72 $40,135.29 2026-07-15
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 22 19 — — $19,538.33 $39,318.42 $29,428.38 2026-07-15
974 MS_DRG HIV With Major Related Condition With Mcc 22 19 — — $21,380.01 $42,760.02 $32,070.01 2026-07-15
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 22 19 — — $17,001.03 $34,002.06 $25,501.54 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 19 — — $34,757.69 $69,515.38 $52,136.54 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 19 — — $18,213.00 $36,426.00 $27,319.50 2026-07-15
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 19 — — $25,398.20 $50,796.40 $38,097.30 2026-07-15
L8614 HCPCS Cochlear Device; Includes All Internal And External Components 1 1 $52,006.50 $39,004.88 25% off $25,483.19 $25,483.19 $25,483.19 2026-07-15
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