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

KENMORE MERCY HOSPITAL

Kenmore, NY · CCN 330102 · Rates published

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You selected 470 (MS_DRG)

Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC

This hospital’s price: $17,983 across 47 payers · range $14,030-$40,137

Source: https://www.chsbuffalo.org/wp-content/uploads/2025/02/16-0762843_Kenmore-Mercy-Hospital_StandardCharges.csv · 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.

4,132 distinct procedures filed
101 distinct payers
6,927,778 rate rows
2026-04-01 last MRF observed
Data quality

2,313,782 of 6,927,778 rate rows are consumer-grade (33.4%)

4,613,996 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
professional (physician) fee — not the facility price 4,393,201
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 175,464
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 23,835
placeholder amount (≤ $0.02) — excluded from medians 6,329
percent-of-charges filed in the dollar field — excluded from medians 5,727
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 3,329
per-diem day rate — not a per-procedure price 3,280
exceeds 10× this hospital's gross charge — excluded from medians 1,173
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1,103
exceeds 3× this hospital's gross charge for a DRG stay — excluded 555
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chsbuffalo.org/wp-content/uploads/2026/09/16-0762843_Kenmore-Mercy-Hospital_StandardCharges.csv
Found on page https://www.chsbuffalo.org/billing-insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-10-05
Content fingerprint 4fc2a7966ea7aa2a… · 4,111,849,140 bytes · first seen 2026-10-05

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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 66 $25,329.31 $580,739.28 $202,040.98 nat. median
$186,516
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 89 $20.71 $439,849.82 $158,959.30 nat. median
$145,435
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 29 $17,956.18 $234,559.49 $117,448.78 nat. median
$2,110
outlier · 55.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 82 $35,941.08 $320,338.85 $109,599.85 nat. median
$97,418
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $18,566.20 $228,392.33 $103,907.20 nat. median
$2,736
outlier · 38.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 $77,474.52 $186,705.94 $85,024.19 nat. median
$2,596
outlier · 32.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 29 $79,175.22 $179,450.82 $80,418.27 nat. median
$2,633
outlier · 30.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 72 $7,848.35 $225,343.97 $80,303.88 nat. median
$74,509
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 82 $25,329.31 $206,338.91 $76,159.22 nat. median
$73,023
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 81 $19,085.16 $202,728.96 $72,360.50 nat. median
$69,822
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $13,918.02 $149,591.05 $66,075.06 nat. median
$9,905
outlier · 6.7×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 32 $57,970.87 $139,488.59 $63,635.80 nat. median
$47,340
1.3× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 $57,589.11 $138,564.34 $63,217.12 nat. median
$2,633
outlier · 24.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 $57,547.14 $138,462.80 $63,171.14 nat. median
$2,958
outlier · 21.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 81 $11,951.34 $163,065.14 $63,019.17 nat. median
$56,428
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 81 $18,664.73 $174,143.66 $62,847.69 nat. median
$59,651
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 $56,432.66 $135,764.66 $61,948.95 nat. median
$43,299
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With McC 81 $24,819.48 $174,692.82 $60,505.08 nat. median
$60,505
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 82 $18,952.66 $158,431.48 $58,152.04 nat. median
$55,935
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 81 $15,305.61 $159,117.41 $57,492.95 nat. median
$55,923
1.0× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 30 $49,012.71 $110,445.30 $55,730.61 nat. median
$2,736
outlier · 20.4×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 $49,719.16 $119,511.61 $54,586.68 nat. median
$2,596
outlier · 21.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 81 $25,329.31 $136,259.94 $54,078.13 nat. median
$45,446
1.2× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 30 $17,956.18 $118,264.09 $54,021.56 nat. median
$2,222
outlier · 24.3×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 82 $21,643.77 $133,346.29 $54,015.12 nat. median
$47,121
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With McC 70 $5,477.49 $157,907.19 $53,923.87 nat. median
$52,327
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And McC 81 $25,329.31 $147,763.28 $52,457.32 nat. median
$51,518
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 75 $3,710.56 $143,233.23 $51,928.71 nat. median
$48,611
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $10,575.43 $116,504.71 $51,559.33 nat. median
$10,799
outlier · 4.8×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 58 $13,795.51 $142,530.72 $51,107.08 nat. median
$49,569
1.0× median
31
MS_DRG 		Ventricular Shunt Procedures With McC 81 $20,698.89 $92,849.40 $49,786.50 nat. median
$30,700
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With McC 78 $18,823.55 $127,074.87 $49,448.92 nat. median
$2,106
outlier · 23.5×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 81 $21,845.05 $211,357.07 $48,018.69 nat. median
$47,458
1.0× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With McC 81 $24,819.48 $121,615.00 $47,216.20 nat. median
$43,023
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 66 $10,358.30 $126,998.83 $46,569.50 nat. median
$44,036
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 81 $17,433.18 $124,474.77 $46,301.84 nat. median
$43,533
1.1× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 81 $11,951.34 $117,669.22 $45,788.88 nat. median
$38,173
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 78 $18,823.55 $117,188.31 $45,601.74 nat. median
$2,106
outlier · 21.7×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 81 $27,134.26 $123,573.32 $45,296.05 nat. median
$42,674
1.1× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With McC 81 $8,425.03 $121,536.25 $45,082.82 nat. median
$40,726
1.1× median
28
MS_DRG 		Spinal Procedures With McC 81 $10,074.51 $124,510.00 $44,929.23 nat. median
$41,895
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without McC 78 $24,819.48 $113,975.18 $44,351.41 nat. median
$43,803
1.0× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 $38,977.20 $87,368.17 $44,150.96 nat. median
$28,888
1.5× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 81 $11,951.34 $118,749.01 $42,265.28 nat. median
$40,301
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 67 $4,894.92 $118,110.74 $42,227.26 nat. median
$38,795
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 $5,962.59 $123,167.15 $42,135.73 nat. median
$40,584
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With McC 78 $9,327.13 $113,365.17 $41,045.52 nat. median
$38,859
1.1× median
277
MS_DRG 		Cardiac Defibrillator Implant Without McC 81 $25,329.31 $95,709.18 $39,887.29 nat. median
$33,459
1.2× median
33249
CPT 		Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 93 $757.81 $69,360.00 $39,535.20 nat. median
$32,069
1.2× median
33264
CPT 		Hc Remove & Replace Impltbl Dfbplse Gen Mult Lead 93 $337.58 $69,360.00 $39,535.20 nat. median
$32,779
1.2× median

Other procedures at this hospital

Browse this hospital's 4,132 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 245 66 $519,142.95 $512,076.63 $25,329.31 $580,739.28 $202,040.98 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 292 89 $492,020.30 $614,687.32 $20.71 $439,849.82 $158,959.30 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 61 29 $276,522.98 — $17,956.18 $234,559.49 $117,448.78 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 275 82 $580,328.77 $571,022.88 $35,941.08 $320,338.85 $109,599.85 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 32 $234,452.51 — $18,566.20 $228,392.33 $103,907.20 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 68 33 $105,426.21 — $77,474.52 $186,705.94 $85,024.19 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 61 29 $74,857.68 — $79,175.22 $179,450.82 $80,418.27 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 259 72 $337,600.43 $327,201.68 $7,848.35 $225,343.97 $80,303.88 2026-04-01
215 MS_DRG Other Heart Assist System Implant 278 82 $278,290.44 $276,638.02 $25,329.31 $206,338.91 $76,159.22 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 276 81 $200,972.92 $197,958.54 $19,085.16 $202,728.96 $72,360.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 32 $213,116.40 — $13,918.02 $149,591.05 $66,075.06 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 67 32 $66,533.05 — $57,970.87 $139,488.59 $63,635.80 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 67 32 $163,401.28 — $57,589.11 $138,564.34 $63,217.12 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 67 32 $99,571.38 — $57,547.14 $138,462.80 $63,171.14 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 275 81 $398,528.69 $392,082.47 $11,951.34 $163,065.14 $63,019.17 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 277 81 $85,431.64 $83,986.56 $18,664.73 $174,143.66 $62,847.69 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 67 32 $346,879.03 — $56,432.66 $135,764.66 $61,948.95 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With McC 277 81 $168,856.14 $161,850.86 $24,819.48 $174,692.82 $60,505.08 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 277 82 $168,805.69 $162,442.18 $18,952.66 $158,431.48 $58,152.04 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 273 81 $108,626.66 $106,866.98 $15,305.61 $159,117.41 $57,492.95 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 65 30 $86,525.67 — $49,012.71 $110,445.30 $55,730.61 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 33 $110,787.04 — $49,719.16 $119,511.61 $54,586.68 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 272 81 $147,546.72 $137,066.21 $25,329.31 $136,259.94 $54,078.13 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 62 30 $283,007.14 — $17,956.18 $118,264.09 $54,021.56 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 276 82 $176,200.06 $173,851.15 $21,643.77 $133,346.29 $54,015.12 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 252 70 $157,042.54 $152,461.74 $5,477.49 $157,907.19 $53,923.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 277 81 $287,511.37 $281,239.74 $25,329.31 $147,763.28 $52,457.32 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 265 75 $207,064.19 $204,257.31 $3,710.56 $143,233.23 $51,928.71 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 32 $224,540.44 — $10,575.43 $116,504.71 $51,559.33 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 209 58 $191,344.51 $191,023.14 $13,795.51 $142,530.72 $51,107.08 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With McC 276 81 $28,684.94 $46,783.86 $20,698.89 $92,849.40 $49,786.50 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With McC 210 78 $77,926.93 $75,296.96 $18,823.55 $127,074.87 $49,448.92 2025-02-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 276 81 $232,707.19 $225,569.39 $21,845.05 $211,357.07 $48,018.69 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 276 81 $149,184.95 $142,606.62 $24,819.48 $121,615.00 $47,216.20 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 235 66 $149,605.09 $144,999.10 $10,358.30 $126,998.83 $46,569.50 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 277 81 $359,263.89 $356,028.11 $17,433.18 $124,474.77 $46,301.84 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 277 81 $328,421.55 $320,085.52 $11,951.34 $117,669.22 $45,788.88 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 210 78 $80,019.09 $78,944.44 $18,823.55 $117,188.31 $45,601.74 2025-02-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 277 81 $61,038.82 $60,812.82 $27,134.26 $123,573.32 $45,296.05 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 277 81 $63,850.83 $59,886.80 $8,425.03 $121,536.25 $45,082.82 2026-04-01
28 MS_DRG Spinal Procedures With McC 276 81 $48,549.01 $47,377.66 $10,074.51 $124,510.00 $44,929.23 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without McC 210 78 $166,414.89 $160,352.06 $24,819.48 $113,975.18 $44,351.41 2025-02-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 66 31 $73,028.72 — $38,977.20 $87,368.17 $44,150.96 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 277 81 $131,923.51 $126,999.80 $11,951.34 $118,749.01 $42,265.28 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 246 67 $31,417.35 $30,297.10 $4,894.92 $118,110.74 $42,227.26 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 251 66 $208,494.85 $208,428.45 $5,962.59 $123,167.15 $42,135.73 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 272 78 $84,088.36 $79,760.68 $9,327.13 $113,365.17 $41,045.52 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 277 81 $237,505.10 $230,717.45 $25,329.31 $95,709.18 $39,887.29 2026-04-01
33264 CPT Hc Remove & Replace Impltbl Dfbplse Gen Mult Lead 428 93 $67,261.00 $67,261.00 $337.58 $69,360.00 $39,535.20 2026-04-01
33249 CPT Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 421 93 $67,261.00 $67,261.00 $757.81 $69,360.00 $39,535.20 2026-04-01
33270 CPT Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 426 93 $67,261.00 $67,261.00 $468.33 $69,360.00 $39,535.20 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 67 32 $113,826.88 — $36,540.04 $87,882.10 $39,358.67 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 275 81 $126,249.57 $125,989.75 $19,085.16 $110,511.61 $39,102.54 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 275 80 $129,059.16 $124,258.77 $24,819.48 $113,203.53 $38,970.88 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 276 81 $88,039.10 $86,332.73 $11,233.78 $107,871.50 $38,670.11 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 253 67 $61,758.63 $60,774.81 $4,168.08 $113,025.31 $38,444.20 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 212 58 $54,979.67 $53,231.83 $9,281.54 $103,353.89 $37,867.87 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 259 73 $89,327.83 $83,881.35 $15,305.61 $109,340.76 $37,703.09 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With McC 277 81 $63,238.41 $56,415.54 $15,305.61 $102,524.97 $37,567.40 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 277 81 $96,195.70 $94,638.37 $6,654.33 $107,554.25 $37,273.64 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 67 32 $93,556.10 — $11,277.59 $83,316.82 $36,999.04 2026-04-01
799 MS_DRG Splenic Procedures With McC 278 82 $101,627.33 $98,805.40 $8,596.43 $94,930.14 $36,940.37 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With McC 68 32 $29,035.19 $26,998.11 $33,486.23 $80,212.52 $36,785.06 2026-04-01
471 MS_DRG Cervical Spinal Fusion With McC 277 81 $63,301.21 $63,076.80 $10,295.65 $100,065.15 $36,674.94 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 259 73 $153,493.16 $153,408.59 $9,309.43 $98,658.06 $36,385.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 275 82 $43,900.65 $43,783.10 $8,356.75 $106,399.94 $35,838.41 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 67 32 $48,857.21 — $30,853.16 $80,092.32 $35,584.40 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With McC 210 78 $73,804.34 $73,556.39 $10,295.65 $169,784.42 $35,489.02 2025-02-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 278 82 $77,908.87 $72,672.87 $8,596.43 $111,184.78 $35,343.34 2026-04-01
163 MS_DRG Major Chest Procedures With McC 277 82 $99,476.60 $97,791.16 $8,596.43 $92,876.34 $35,143.53 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 225 81 $108,562.51 $108,405.23 $19,085.16 $116,303.97 $34,658.90 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 278 82 $70,271.95 $64,474.11 $8,732.72 $194,579.52 $34,503.08 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/McC 210 78 $74,271.19 $74,045.19 $11,281.29 $88,243.30 $34,338.30 2025-02-25
245 MS_DRG Aicd Generator Procedures 242 64 $65,479.88 $64,491.08 $8,426.50 $94,546.62 $33,785.09 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 278 82 $66,809.63 $66,083.72 $18,823.55 $86,813.96 $33,782.10 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 277 81 $53,498.39 $50,139.41 $9,126.61 $95,253.27 $33,676.23 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 277 81 $428,565.22 $422,935.80 $5,982.92 $281,838.30 $33,565.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 278 82 $177,288.02 $174,845.54 $9,054.52 $115,348.36 $33,255.73 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 275 81 $94,604.80 $89,158.78 $7,111.09 $94,262.71 $33,017.14 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 277 81 $94,676.61 $90,064.29 $11,628.35 $94,221.26 $32,924.69 2026-04-01
37231 CPT Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Stent/Atherectomy Init 237 90 $32,886.00 $32,886.00 $680.12 $32,886.00 $32,886.00 2025-02-25
C9775 HCPCS Revasc Lith-sten-ath Tib/Per 269 90 $32,886.00 $32,886.00 $18,745.02 $38,847.00 $32,886.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 63 31 $58,598.53 — $17,956.18 $71,258.11 $32,728.92 2026-04-01
93653 CPT Ep Ephys Eval W/Ablation Supravent Arrhythmia 423 93 $43,940.00 $43,940.00 $675.19 $53,072.00 $32,627.47 2026-04-01
93656 CPT Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein 429 93 $43,940.00 $43,940.00 $765.53 $53,072.00 $32,627.47 2026-04-01
93654 CPT Ep Ephys Eval W/Ablation Ventricular Tachycardia 421 93 $43,940.00 $43,940.00 $800.00 $53,072.00 $32,627.47 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With McC 277 81 $87,759.50 $86,395.02 $9,309.43 $92,484.68 $32,521.33 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With McC 210 57 $29,246.59 $28,757.51 $7,776.34 $77,747.45 $32,509.03 2026-04-01
901 MS_DRG Wound Debridements For Injuries With McC 276 81 $67,219.56 $65,272.95 $7,308.61 $86,966.14 $32,267.09 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 275 82 $247,153.94 $245,165.39 $8,286.24 $88,961.77 $32,080.70 2026-04-01
263 MS_DRG Vein Ligation And Stripping 65 30 $30,236.78 — $27,218.91 $63,358.50 $32,068.67 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With McC 277 82 $69,173.14 $66,814.36 $6,444.17 $91,031.99 $31,901.01 2026-04-01
0266T OTHER Implant/Replace Baroreflex Device - Total 35 17 $55,915.00 $55,915.00 $783.77 $55,915.00 $31,871.55 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 261 76 $102,713.32 $102,355.41 $9,133.61 $87,517.37 $31,005.57 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 277 81 $91,502.59 $87,050.22 $9,309.43 $89,676.71 $30,866.90 2026-04-01
791 MS_DRG Prematurity With Major Problems 251 66 $101,373.91 $101,342.76 $2,586.19 $84,114.66 $30,551.52 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 276 81 $109,137.34 $108,954.17 $18,952.66 $90,138.47 $30,290.89 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 67 32 $68,904.27 — $27,920.28 $66,943.58 $30,283.85 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 67 32 $86,846.69 — $27,892.12 $66,875.19 $30,253.39 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 67 32 $81,409.80 — $27,249.52 $65,113.74 $29,945.66 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 277 81 $93,950.51 $92,531.98 $7,157.14 $77,230.48 $29,931.20 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 274 82 $49,618.84 $49,127.87 $8,588.86 $75,829.53 $29,507.71 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 278 82 $160,437.40 $159,428.80 $9,475.38 $75,158.93 $29,246.76 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without McC 277 81 $79,459.79 $79,269.25 $19,851.80 $68,428.97 $29,244.83 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 278 82 $42,436.01 $40,422.52 $8,822.95 $86,062.62 $29,158.78 2026-04-01
834 MS_DRG Acute Leukemia With McC 210 79 $11,116.76 $9,083.41 $8,434.27 $113,767.20 $29,072.85 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 278 82 $127,180.05 $127,008.47 $9,309.43 $96,638.40 $29,055.14 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC 275 81 $60,258.37 $51,399.13 $7,797.41 $74,478.75 $28,982.08 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 275 81 $67,566.88 $65,162.33 $11,329.37 $77,980.65 $28,914.98 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 275 80 $58,218.13 $55,419.48 $5,030.78 $80,015.65 $28,708.45 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 274 81 $61,470.39 $59,800.32 $4,724.15 $73,757.30 $28,522.80 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 275 81 $73,715.53 $69,860.13 $9,475.38 $84,276.16 $28,248.43 2026-04-01
653 MS_DRG Major Bladder Procedures With McC 210 58 $72,152.50 $72,037.18 $10,257.28 $103,724.58 $27,848.34 2026-04-01
33263 CPT Remove & Replace Impltbl Dfb Plse Gen Dual Lead 425 93 $47,219.00 $47,219.00 $325.21 $48,559.00 $27,766.30 2026-04-01
33262 CPT Remove & Replace Impltbl Dfb Plse Gen 1 Lead 424 93 $47,219.00 $47,219.00 $312.90 $48,559.00 $27,766.30 2026-04-01
33240 CPT Insj Implntbl Defib Pulse Gen W/1 Existing Ld 433 93 $28,442.00 $28,442.00 $304.21 $48,559.00 $27,766.30 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 278 82 $339,564.34 $331,530.34 $8,822.95 $106,666.17 $27,751.87 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With McC 210 57 $33,764.20 $31,910.28 $6,781.64 $65,977.89 $27,734.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With McC 278 82 $101,205.60 $97,983.85 $5,350.68 $119,702.71 $27,731.74 2026-04-01
37229 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial 222 88 $32,886.00 $32,886.00 $652.61 $35,371.72 $27,721.67 2025-02-25
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 63 30 $32,622.46 — $26,965.58 $60,100.84 $27,674.92 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 268 74 $38,366.81 $37,316.24 $3,322.09 $87,069.76 $27,571.45 2026-04-01
37230 CPT Hc Revascularize Tibial/Peron Artery,Angioplasty/Stent Initial 225 90 $32,886.00 $32,886.00 $638.47 $35,371.72 $27,480.78 2025-02-25
37227 CPT Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy 229 90 $32,886.00 $32,886.00 $660.03 $35,371.72 $27,480.78 2025-02-25
460 MS_DRG Spinal Fusion Except Cervical Without McC 210 78 $67,271.27 $66,794.69 $18,823.55 $70,085.36 $27,272.47 2025-02-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurost… 275 81 $47,702.06 $45,437.74 $10,017.41 $77,448.07 $27,226.99 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 247 77 $22,617.43 $21,267.62 $4,735.48 $67,257.19 $27,115.90 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 248 78 $110,187.11 $103,926.94 $7,151.00 $69,410.93 $27,010.03 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 272 80 $387,540.37 $380,983.65 $6,666.37 $109,494.91 $26,962.31 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 276 81 $28,853.84 $28,770.74 $6,470.04 $75,135.38 $26,700.61 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With McC 274 81 $42,317.56 $40,851.95 $7,378.15 $73,999.76 $26,654.39 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 212 58 $42,347.34 $40,603.48 $6,164.46 $67,111.44 $26,454.03 2026-04-01
265 MS_DRG Aicd Lead Procedures 277 81 $82,377.97 $80,722.80 $8,797.08 $74,979.96 $26,349.44 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With McC 276 81 $27,856.24 $26,641.94 $8,065.13 $73,827.76 $26,283.09 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With McC 85 24 $55,095.99 $54,789.04 $3,143.91 $33,346.95 $26,173.36 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 274 80 $73,274.84 $73,225.68 $11,329.37 $73,081.73 $25,993.06 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 277 81 $58,916.09 $56,240.80 $7,548.38 $110,122.11 $25,812.63 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 265 79 $81,780.53 $80,813.27 $9,054.52 $88,063.04 $25,768.64 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With McC 278 82 $77,154.72 $76,753.98 $10,977.74 $66,199.72 $25,760.44 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 277 81 $245,909.04 $238,657.88 $6,570.36 $82,562.50 $25,579.26 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 278 82 $71,355.48 $60,455.26 $10,074.51 $82,267.47 $25,559.88 2026-04-01
33274 CPT Tcat Insj/Rpl Perm Ldls Pm 379 92 $32,886.00 $32,886.00 $398.62 $41,257.00 $25,501.89 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With McC 278 82 $102,789.90 $99,471.43 $10,295.65 $66,042.13 $25,487.42 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 99 32 $32,060.94 $31,940.29 $3,143.91 $28,836.98 $25,303.27 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 277 81 $78,454.44 $75,724.96 $5,811.93 $71,046.73 $25,175.91 2026-04-01
37 MS_DRG Extracranial Procedures With McC 278 82 $232,230.96 $228,385.39 $9,141.52 $68,222.19 $25,167.70 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 278 82 $47,318.02 $45,156.91 $5,235.22 $71,589.68 $25,118.50 2026-04-01
252 MS_DRG Other Vascular Procedures With McC 275 81 $71,155.54 $69,487.01 $9,467.18 $72,288.04 $25,005.17 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC… 275 81 $59,545.16 $58,521.92 $11,233.78 $63,798.97 $24,826.23 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With McC 163 38 $21,320.06 $21,208.85 $7,786.42 $77,640.79 $24,794.92 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With McC 100 33 $63,380.05 $63,069.49 $3,305.99 $77,572.00 $24,736.43 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 277 81 $165,833.95 $164,073.95 $10,977.74 $67,407.77 $24,717.38 2026-04-01
0414T CPT Removal & Replace Cardiac Pulse Generator Only 269 90 $24,700.00 $24,700.00 $14,079.00 $46,658.00 $24,700.00 2026-04-01
0409T CPT Nsj/Rplc Cardiac Modulj Sys Pls Generator Only 269 90 $24,700.00 $24,700.00 $14,079.00 $46,658.00 $24,700.00 2026-04-01
0408T CPT Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 274 90 $24,700.00 $24,700.00 $800.00 $66,363.85 $24,700.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With McC 277 82 $46,550.88 $45,493.78 $11,644.05 $59,479.15 $24,276.32 2026-04-01
500 MS_DRG Soft Tissue Procedures With McC 264 75 $32,521.44 $31,364.73 $5,993.65 $65,584.15 $24,177.58 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without McC 277 81 $84,972.22 $84,677.35 $9,309.43 $68,213.90 $24,162.67 2026-04-01
33229 CPT Remove & Replace Pm Gen Mult Leads 427 93 $38,136.00 $38,136.00 $313.20 $41,257.00 $24,044.06 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC 116 41 $61,040.21 $25,001.27 59% off $5,980.64 $53,448.76 $24,030.85 2026-04-01
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 269 90 $23,917.23 $23,917.23 $8,222.40 $28,169.19 $23,917.23 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 277 81 $45,290.28 $45,036.14 $9,054.52 $74,735.43 $23,862.94 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without McC 277 81 $84,372.41 $84,224.70 $11,136.74 $65,298.17 $23,755.14 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 65 30 $29,979.11 — $20,539.10 $44,968.91 $23,572.36 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 258 73 $15,000.76 $10,295.88 31% off $4,546.72 $35,197.37 $23,514.01 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without McC 101 34 $66,912.15 $66,133.31 $3,305.99 $49,042.25 $23,413.82 2026-04-01
33221 CPT Ins Pacemaker Pulse Gen Only W/Exist Mult Leads 665 96 $23,772.00 $23,772.00 $302.61 $41,257.00 $23,308.28 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 276 81 $66,431.35 $51,152.58 23% off $6,225.64 $67,036.83 $23,300.78 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 62 30 $65,208.61 — $17,956.18 $50,031.54 $23,113.76 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 278 82 $46,525.90 $45,921.64 $3,597.60 $69,227.25 $23,059.99 2026-04-01
665 MS_DRG Prostatectomy With McC 275 81 $81,280.27 $79,311.65 $4,818.70 $64,680.63 $23,031.63 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 67 32 $110,117.66 — $20,942.60 $49,845.03 $23,029.29 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 277 81 $56,209.46 $55,394.13 $7,626.62 $61,679.94 $22,926.50 2026-04-01
36906 CPT Hc Perq Thrmbc/Nfs Dial Circuit Tcat Plmt IV Stent 421 93 $32,886.00 $32,886.00 $429.70 $40,045.40 $22,883.09 2026-04-01
92933 CPT Perq Trluml C Athrc St Angiop 1 Maj C Art&/Brnch 429 93 $32,886.00 $32,886.00 $525.30 $38,847.00 $22,883.09 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 276 81 $74,069.68 $73,984.83 $6,295.19 $64,545.93 $22,377.75 2026-04-01
662 MS_DRG Minor Bladder Procedures With McC 277 82 $44,914.53 $44,369.87 $5,371.54 $63,443.46 $22,342.71 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With McC 278 82 $58,142.01 $55,349.85 $8,427.33 $60,351.59 $22,333.08 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 277 81 $46,403.97 $46,136.52 $10,017.41 $61,052.03 $22,034.79 2026-04-01
935 MS_DRG Non-extensive Burns 55 22 $11,177.76 — $9,923.55 $23,419.47 $22,025.14 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 278 82 $63,310.40 $62,697.40 $9,475.38 $64,431.95 $22,017.64 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With McC 275 81 $43,211.05 $43,112.73 $6,558.37 $60,138.15 $21,802.91 2026-04-01
570 MS_DRG Skin Debridement With McC 275 81 $43,955.16 $43,571.27 $4,855.37 $60,948.42 $21,787.26 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 66 31 $68,734.56 — $13,631.86 $41,752.70 $21,774.92 2026-04-01
974 MS_DRG HIV With Major Related Condition With McC 276 81 $19,568.35 $17,188.16 $4,383.57 $59,806.58 $21,744.76 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 278 82 $84,625.54 $76,554.67 $9,309.43 $66,529.12 $21,482.11 2026-04-01
0268T OTHER Implant/Replace Baroreflex Device - Pulse Gen Only 35 17 $37,685.00 $37,685.00 $155.20 $37,685.00 $21,480.45 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With McC 275 81 $35,435.91 $34,042.34 $8,189.15 $64,878.00 $21,450.45 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ A… 277 81 $65,534.76 $58,985.13 $11,136.74 $56,383.14 $21,433.11 2026-04-01
668 MS_DRG Transurethral Procedures With McC 210 58 $36,155.98 $35,252.40 $5,483.53 $60,511.16 $21,010.37 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With McC 269 81 $89,446.43 $86,409.03 $2,921.37 $53,969.89 $21,001.42 2026-04-01
0620T OTHER Endovascular Venous Arterialization Tibl/Prnl Vn 514 95 $32,886.00 $32,886.00 $800.00 $57,132.00 $20,981.75 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 274 81 $59,025.32 $58,573.83 $8,809.82 $59,070.91 $20,944.75 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 277 81 $74,694.52 $72,909.43 $5,030.78 $57,135.38 $20,897.04 2026-04-01
37184 CPT Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 420 93 $20,568.00 $20,568.00 $360.63 $40,045.40 $20,568.00 2026-04-01
37225 CPT Revascularize Fem/Pop Artery,Angioplasty/Atherectomy 226 89 $20,568.00 $20,568.00 $562.61 $35,371.72 $20,568.00 2025-02-25
37243 CPT Hc Vascular Embolize/Occlude Organ Tumor Infarct 430 93 $20,568.00 $20,568.00 $468.92 $25,218.25 $20,568.00 2026-04-01
37244 CPT Vascular Embolization Or Occlusion Hemorrhage 268 90 $20,568.00 $20,568.00 $550.34 $24,534.00 $20,568.00 2026-04-01
37242 CPT Hc Vascular Embolization Or Occlusion Arterial Rs&I 422 93 $20,568.00 $20,568.00 $398.56 $40,045.40 $20,568.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With McC 270 81 $30,596.93 $29,106.58 $6,442.96 $55,898.22 $20,483.99 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With McC 276 82 $39,743.07 $38,671.67 $7,425.97 $53,523.36 $20,431.80 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 278 82 $37,697.79 $37,558.39 $8,079.03 $58,009.89 $20,410.18 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With McC 278 82 $23,619.26 $21,292.25 $5,564.59 $56,652.54 $20,386.32 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/McC 274 81 $48,181.51 $48,101.11 $10,855.75 $52,905.82 $20,342.67 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC 211 58 $34,204.42 $33,473.38 $6,464.19 $62,593.82 $20,284.17 2026-04-01
J0139 HCPCS Adalimumab 80 Mg/0.8 Ml Subcutaneous Pen Kit 273 90 $20,262.05 $20,262.05 $7,578.01 $20,262.05 $20,262.05 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 277 81 $59,577.40 $58,489.59 $5,657.32 $56,961.31 $20,158.92 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC 275 81 $107,048.85 $106,538.39 $4,168.08 $59,719.54 $20,023.97 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 277 81 $90,159.96 $90,114.16 $9,971.33 $57,442.08 $20,021.56 2026-04-01
503 MS_DRG Foot Procedures With McC 276 82 $56,092.74 $54,812.22 $6,678.26 $57,839.97 $19,995.64 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/McC 277 82 $65,246.42 $65,181.79 $10,885.50 $56,946.80 $19,903.93 2026-04-01
92943 CPT Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd 427 93 $20,568.00 $20,568.00 $601.79 $38,463.29 $19,838.31 2026-04-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 66 31 $49,203.94 — $17,262.41 $37,434.03 $19,755.59 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 276 82 $42,951.80 $41,861.82 $7,581.31 $62,517.15 $19,747.15 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 625 97 $32,886.00 $32,886.00 $800.00 $38,847.00 $19,554.91 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 625 97 $32,886.00 $32,886.00 $800.00 $38,847.00 $19,554.91 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With McC 270 81 $33,331.93 $33,292.13 $6,939.69 $59,835.59 $19,403.65 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With McC 255 69 $111,620.62 $110,104.01 $6,334.48 $56,080.58 $19,332.82 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 620 97 $32,886.00 $32,886.00 $800.00 $38,847.00 $19,314.40 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With McC 278 82 $44,554.14 $42,117.93 $5,811.93 $82,215.14 $19,302.25 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/McC 277 82 $81,639.16 $78,457.49 $11,951.34 $52,282.06 $19,202.39 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC 277 81 $41,199.72 $36,577.72 $9,309.43 $45,227.95 $19,035.46 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 275 81 $63,046.75 $63,022.17 $9,054.52 $53,788.62 $19,020.42 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 278 82 $77,154.24 $76,725.14 $10,932.94 $52,304.85 $19,015.20 2026-04-01
347 MS_DRG Anal And Stomal Procedures With McC 277 81 $46,080.95 $44,234.67 $7,425.97 $48,840.76 $19,005.51 2026-04-01
883 MS_DRG Disorders Of Personality And Impulse Control 67 32 $34,379.00 — $11,208.11 $40,747.63 $18,908.37 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/Per 620 97 $32,886.00 $32,886.00 $800.00 $38,847.00 $18,893.63 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/Per 615 97 $32,886.00 $32,886.00 $800.00 $38,847.00 $18,893.63 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/McC 210 78 $58,274.42 $57,439.44 $14,916.30 $51,416.34 $18,881.00 2025-02-25
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/McC 274 81 $89,995.40 $86,880.32 $4,601.50 $53,208.37 $18,767.67 2026-04-01
0238T OTHER Hc Trluml Peripheral Atherectomy Iliac Artery Ea 514 95 $32,886.00 $32,886.00 $6,643.06 $34,710.00 $18,745.02 2026-04-01
93580 CPT Hc Cath Perc Clos,Cong Interatrial Commun W/Impl 666 98 $32,886.00 $32,886.00 $800.00 $38,847.00 $18,745.02 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 276 81 $48,814.53 $47,772.90 $7,548.38 $52,555.60 $18,725.64 2026-04-01
113 MS_DRG Orbital Procedures With Cc/McC 270 81 $57,860.23 $57,761.91 $4,895.53 $48,721.85 $18,693.86 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 204 56 $36,131.77 $36,068.11 $4,694.36 $50,651.16 $18,620.05 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 277 81 $85,193.16 $84,447.68 $10,977.74 $44,158.64 $18,593.77 2026-04-01
545 MS_DRG Connective Tissue Disorders With McC 276 81 $43,431.07 $39,541.71 $4,490.86 $51,428.27 $18,588.73 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 277 82 $34,848.05 $31,491.04 $5,677.53 $50,947.50 $18,535.05 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC 276 82 $50,106.75 $48,511.54 $11,329.37 $43,885.10 $18,422.34 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/McC 277 81 $50,195.71 $50,024.71 $10,017.41 $50,591.06 $18,345.67 2026-04-01
334 MS_DRG Rectal Resection Without Cc/mcc 65 30 $50,369.98 — $15,743.93 $33,942.20 $18,112.46 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 276 81 $33,263.96 $31,285.48 $5,982.92 $68,541.67 $17,942.09 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With McC 272 78 $46,352.04 $45,230.46 $4,773.10 $51,639.64 $17,893.85 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 64 29 $29,589.77 — $15,460.07 $33,289.43 $17,789.24 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 248 78 $40,967.48 $40,254.74 $7,349.62 $45,681.27 $17,776.05 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 276 81 $36,680.19 $36,494.12 $9,932.89 $50,962.00 $17,772.32 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 276 81 $53,905.59 $53,047.21 $3,205.04 $48,462.81 $17,761.14 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 276 81 $47,366.68 $47,268.36 $9,126.61 $49,677.18 $17,685.84 2026-04-01
52 MS_DRG Spinal Disorders And Injuries With Cc/McC 108 35 $128,945.84 $128,951.78 $14,333.10 $43,307.08 $17,453.37 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 277 82 $39,208.85 $38,108.29 $6,558.37 $43,698.59 $17,348.39 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 278 82 $54,907.71 $54,604.83 $11,329.37 $40,136.93 $17,346.74 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/McC 277 82 $29,655.75 $29,593.01 $9,989.51 $45,491.13 $17,289.94 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With McC 278 82 $51,815.11 $50,462.82 $5,581.62 $49,453.37 $17,280.99 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 275 81 $54,131.86 $45,044.43 $3,822.91 $47,895.00 $17,276.52 2026-04-01
37221 CPT Hc Revascularize Iliac Artery,Angioplasty/Stent, Initial Vessel 231 90 $20,568.00 $20,568.00 $453.59 $22,191.47 $17,240.86 2025-02-25
37226 CPT Hc Revascularize Fem/Pop Artery,Angioplasty/Stent 231 90 $20,568.00 $20,568.00 $477.24 $22,191.47 $17,240.86 2025-02-25
37228 CPT Revsc Opn/Prq Tib/Pero W/Angioplasty Uni 235 90 $20,568.00 $20,568.00 $497.97 $22,191.47 $17,240.86 2025-02-25
165 MS_DRG Major Chest Procedures Without Cc/McC 277 81 $46,340.13 $46,340.13 $10,932.94 $39,667.97 $17,166.60 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 275 81 $60,743.13 $60,718.55 $776.77 $49,538.33 $17,144.55 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With McC 270 81 $6,984.61 $6,316.21 $3,513.91 $47,364.49 $16,986.49 2026-04-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/McC 278 82 $88,241.09 $87,741.50 $10,977.74 $37,840.16 $16,975.62 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With McC 276 81 $23,950.21 $20,346.71 $3,390.10 $47,080.58 $16,945.48 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 276 81 $53,221.34 $52,749.13 $6,678.26 $45,151.27 $16,870.92 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 278 82 $38,449.98 $38,449.98 $8,732.72 $46,390.51 $16,848.69 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/McC 276 81 $57,829.57 $56,968.85 $7,530.78 $45,420.67 $16,793.38 2026-04-01
397 MS_DRG Appendix Procedures With McC 277 81 $24,437.53 $23,330.04 $4,543.03 $49,629.51 $16,750.14 2026-04-01
835 MS_DRG Acute Leukemia With Cc 268 81 $11,012.30 $10,748.68 $8,206.34 $43,224.03 $16,667.38 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 277 81 $69,129.83 $66,776.41 $5,030.78 $45,563.66 $16,631.59 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC 276 81 $53,245.89 $48,579.89 $11,136.74 $40,307.68 $16,568.77 2026-04-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 277 81 $28,192.42 $27,913.31 $8,797.08 $39,176.83 $16,535.98 2026-04-01
80 MS_DRG Nontraumatic Stupor And Coma With McC 276 82 $32,481.67 $27,610.40 $3,503.82 $42,318.69 $16,467.56 2026-04-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 67 32 $48,962.75 — $14,937.85 $35,307.85 $16,444.26 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 277 81 $42,645.57 $40,139.91 $3,844.54 $48,191.34 $16,378.84 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 278 82 $39,454.79 $38,415.44 $4,280.90 $45,754.31 $16,328.89 2026-04-01
595 MS_DRG Major Skin Disorders With McC 267 81 $9,407.36 $8,376.13 $2,917.71 $43,947.27 $16,216.30 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 275 81 $46,410.44 $45,833.80 $7,326.27 $48,427.58 $16,153.68 2026-04-01
33230 CPT Insj Implntbl Defib Pulse Gen W/Exist Dual Leads 508 92 $28,290.00 $28,290.00 $316.18 $48,559.00 $16,125.30 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 276 81 $83,810.46 $79,576.94 $7,308.61 $39,674.18 $16,122.06 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With McC 278 82 $35,800.35 $29,145.41 $4,408.60 $45,855.85 $16,071.66 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 277 81 $39,247.00 $34,284.57 $4,607.51 $47,557.21 $16,063.46 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 277 81 $41,960.49 $41,454.91 $8,043.69 $44,160.71 $16,058.24 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/McC 246 73 $12,106.73 $10,905.33 $9,211.00 $45,996.77 $16,037.37 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 276 81 $28,990.57 $28,918.44 $8,356.75 $47,159.33 $15,990.39 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 278 82 $40,512.58 $39,585.49 $6,470.04 $43,064.47 $15,939.22 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 276 81 $42,595.38 $39,575.95 $7,308.61 $44,378.30 $15,923.29 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 174 60 $73,556.38 $67,545.65 $7,844.31 $40,843.37 $15,893.47 2025-02-25
814 MS_DRG Reticuloendothelial And Immunity Disorders With McC 278 82 $23,435.53 $21,404.72 $3,238.80 $44,071.60 $15,866.63 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 275 81 $25,231.09 $23,897.89 $6,470.04 $38,080.50 $15,794.70 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With McC 275 81 $49,465.33 $49,237.90 $4,365.92 $43,878.88 $15,739.13 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/McC 274 81 $55,028.15 $54,833.38 $7,860.70 $43,862.30 $15,715.28 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC 277 81 $76,390.09 $74,700.08 $7,548.38 $40,362.46 $15,706.33 2026-04-01
333 MS_DRG Rectal Resection With Cc 277 81 $32,770.68 $31,615.80 $9,126.61 $48,537.41 $15,679.29 2026-04-01
374 MS_DRG Digestive Malignancy With McC 270 77 $34,182.95 $30,457.35 $3,040.07 $44,320.28 $15,649.67 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With McC 211 59 $21,331.75 $19,916.97 $4,015.04 $48,780.60 $15,608.66 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With McC 276 81 $14,337.06 $14,014.14 $4,076.74 $43,377.38 $15,599.71 2026-04-01
592 MS_DRG Skin Ulcers With McC 277 81 $29,440.50 $27,841.33 $4,179.03 $40,105.22 $15,583.31 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 277 82 $42,558.63 $41,819.04 $8,199.58 $43,404.32 $15,469.98 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 275 81 $43,292.65 $42,782.88 $3,520.09 $45,198.94 $15,446.12 2026-04-01
38 MS_DRG Extracranial Procedures With Cc 275 81 $38,153.61 $38,117.28 $9,475.38 $33,625.14 $15,224.23 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 276 81 $30,320.80 $27,866.72 $3,813.62 $41,406.63 $15,196.35 2026-04-01
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