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

HOSPITAL FOR SPECIAL SURGERY

New York, NY · CCN 330270 · Rates published

16,605 distinct procedures filed
50 distinct payers
1,958,215 rate rows
2026-04-01 last MRF observed
Data quality

1,679,288 of 1,958,215 rate rows are consumer-grade (85.8%)

278,927 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 177,062
per-diem day rate — not a per-procedure price 50,983
professional (physician) fee — not the facility price 49,220
placeholder amount (≤ $0.02) — excluded from medians 1,451
exceeds 10× this hospital's gross charge — excluded from medians 119
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 62
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://d2cg6hcwj0g0z0.cloudfront.net/131624135-1598703019_ny-society-for-the-relief-of-ruptured-and-crippled-maintaing-the-hospital-for-special-surgery_standardcharges.json
Found on page https://www.hss.edu/price-transparency.asp
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint 4651f43af8951420… · 4,869,712,272 bytes · first seen 2026-06-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 $102,700.03 $388,331.98 $265,447.00 nat. median
$93,276
outlier · 2.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 $67,265.86 $254,347.37 $179,775.00 nat. median
$63,648
outlier · 2.8×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 $62,261.87 $235,426.18 $169,784.00 nat. median
$60,596
outlier · 2.8×
28
MS_DRG 		Spinal Procedures With Mcc 12 $4,735.00 $211,702.45 $169,530.19 nat. median
$54,460
outlier · 3.1×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 20 $53,110.27 $200,821.88 $160,817.09 nat. median
$49,929
outlier · 3.2×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 $52,388.09 $198,091.17 $139,419.00 nat. median
$50,573
outlier · 2.8×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $4,735.00 $174,011.57 $139,347.54 nat. median
$45,430
outlier · 3.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 $51,465.56 $194,602.91 $139,027.00 nat. median
$53,342
outlier · 2.6×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 $53,740.19 $203,203.77 $138,531.00 nat. median
$51,241
outlier · 2.7×
471
MS_DRG 		Cervical Spinal Fusion With Mcc 31 $44,995.79 $170,139.24 $136,246.60 nat. median
$44,823
outlier · 3.0×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $4,735.00 $165,315.57 $132,383.83 nat. median
$43,696
outlier · 3.0×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 29 $48,506.04 $183,412.27 $130,667.00 nat. median
$46,376
outlier · 2.8×
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 31 $49,663.38 $625,578.00 $130,416.00 nat. median
$48,253
outlier · 2.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $78,306.31 $296,093.80 $130,270.00 nat. median
$77,632
1.7× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 31 $17,158.87 $139,027.00 $128,588.68 nat. median
$29,471
outlier · 4.4×
474
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 11 $40,003.00 $151,260.33 $121,128.47 nat. median
$39,984
outlier · 3.0×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 12 $4,735.00 $147,867.20 $118,411.27 nat. median
$39,652
outlier · 3.0×
480
MS_DRG 		Hip And Femur Procedures Except Major Joint With Mcc 31 $27,138.01 $137,421.00 $117,193.00 nat. median
$27,823
outlier · 4.2×
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 31 $24,786.96 $128,132.00 $114,819.29 nat. median
$26,460
outlier · 4.3×
40
MS_DRG 		Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 $4,735.00 $136,049.38 $108,947.62 nat. median
$35,867
outlier · 3.0×
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 12 $4,735.00 $135,277.74 $108,329.69 nat. median
$35,993
outlier · 3.0×
904
MS_DRG 		Skin Grafts For Injuries With Cc/mcc 12 $4,735.00 $129,421.68 $103,640.19 nat. median
$34,806
outlier · 3.0×
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 31 $39,517.51 $149,424.59 $103,407.00 nat. median
$39,085
outlier · 2.6×
495
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 $33,785.76 $127,751.54 $102,302.75 nat. median
$33,747
outlier · 3.0×
521
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 $26,745.69 $138,777.00 $101,131.50 nat. median
$27,627
outlier · 3.7×
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 31 $37,464.66 $141,662.32 $99,507.00 nat. median
$36,900
outlier · 2.7×
616
MS_DRG 		Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 $4,735.00 $122,878.54 $98,400.48 nat. median
$33,735
outlier · 2.9×
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 $32,347.92 $122,314.78 $97,949.02 nat. median
$32,344
outlier · 3.0×
477
MS_DRG 		Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 $4,735.00 $121,722.83 $97,474.99 nat. median
$31,924
outlier · 3.1×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $4,735.00 $120,799.67 $96,735.73 nat. median
$31,879
outlier · 3.0×
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 12 $4,735.00 $120,207.73 $96,261.71 nat. median
$31,897
outlier · 3.0×
304
APR_DRG 		Dorsal & Lumbar Fusion Proc Except For Curvature Of Back,minor 7 $3,595.00 $167,265.41 $95,291.33 nat. median
$37,314
outlier · 2.6×
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $38,881.99 $151,139.00 $92,654.00 nat. median
$40,320
outlier · 2.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 $55,566.61 $210,109.83 $92,654.00 nat. median
$55,167
1.7× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 $29,696.84 $158,151.00 $89,921.57 nat. median
$30,175
outlier · 3.0×
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 $26,777.57 $160,273.44 $86,800.82 nat. median
$41,685
outlier · 2.1×
22630
CPT 		Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 19 $20.14 $130,853.00 $83,795.00 nat. median
$16,946
outlier · 4.9×
959
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 12 $4,735.00 $103,735.36 $83,070.73 nat. median
$26,407
outlier · 3.1×
303
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back,minor 8 $3,595.00 $208,702.96 $83,018.39 nat. median
$27,749
outlier · 3.0×
570
MS_DRG 		Skin Debridement With Mcc 12 $4,735.00 $103,629.66 $82,986.08 nat. median
$28,022
outlier · 3.0×
472
MS_DRG 		Cervical Spinal Fusion With Cc 31 $27,452.95 $103,805.83 $82,305.00 nat. median
$28,251
outlier · 2.9×
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 $4,735.00 $100,437.37 $80,429.71 nat. median
$26,749
outlier · 3.0×
467
MS_DRG 		Revision Of Hip Or Knee Replacement With Cc 31 $32,862.29 $520,060.00 $79,236.84 nat. median
$32,637
outlier · 2.4×
503
MS_DRG 		Foot Procedures With Mcc 12 $5,188.00 $98,344.41 $78,753.68 nat. median
$25,909
outlier · 3.0×
22216
CPT 		Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt Sgm 28 $54.04 $130,853.00 $78,678.00 nat. median
$1,899
outlier · 41.4×
22214
CPT 		Osteotomy Spine Pst/Pstlat Appr 1 Vrt Sgm Lmbr 28 $54.04 $130,853.00 $78,678.00 nat. median
$5,765
outlier · 13.6×
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 31 $30,102.18 $113,823.14 $78,148.00 nat. median
$30,039
outlier · 2.6×
208
MS_DRG 		Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 $4,735.00 $96,850.44 $77,557.32 nat. median
$25,388
outlier · 3.1×
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 $30,071.43 $113,706.87 $77,463.00 nat. median
$30,595
outlier · 2.5×
475
MS_DRG 		Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 31 $21,205.90 $137,421.00 $75,566.14 nat. median
$21,230
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 16,605 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
             
SUP-TR12926 CDM Axialif 1lvl System Kit 68 30 $56,359.09 $56,359.09 $19,252.27 $56,359.09 $33,178.36 2026-04-01
SUP-T8.5-80E345 CDM Femur Strt Retro 8.5mm 345 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-80C345 CDM Tibia Ante (10 Bend) 8.5mm 345 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-80C315 CDM Tibia Ante (10 Bend) 8.5mm 315 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-80C285 CDM Tibia Ante (10 Bend) 8.5mm 285 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-80C255 CDM Tibia Ante (10 Bend) 8.5mm 255 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-80A345 CDM Femur Retro (10 Bend) 8.5mm345mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-80A315 CDM Femur Retro (10 Bend) 8.5mm315mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-80A255 CDM Femur Retro (10 Bend) 8.5mm255mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-50E240 CDM Femur Strt Retro 8.5mm 240 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-50C240 CDM Tibia Ante (10 Bend) 8.5mm 240 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-50C225 CDM Tibia Ante (10 Bend) 8.5mm 22 5 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-50A240 CDM Femur Retro (10 Bend) 8.5mm240mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T8.5-50A225 CDM Femur Retro (10 Bend) 8.5mm225mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T12.5-80E375 CDM Femur Strt Retro 12.5mm 375 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T12.5-80E345 CDM Femur Strt Retro 12.5mm 345 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T12.5-80E285 CDM Femur Strt Retro 12.5mm 285 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T12.5-80A375 CDM Femur Retro (10 Bend) 12.5mm375mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T12.5-80A315 CDM Femur Retro (10 Bend) 12.5mm315mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T12.5-50E240 CDM Femur Strt Retro 12.5mm 240 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T12.5-50A240 CDM Femur Retro (10 Bend) 12.5mm240mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T12.5-50A225 CDM Femur Retro (10 Bend) 12.5mm225mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80E375 CDM Femur Strt Retro 10.7mm 375 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80E345 CDM Femur Strt Retro 10.7mm 345 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80C375 CDM Tibia Ante (10 Bend) 10.7mm 375 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80C345 CDM Tibia Ante (10 Bend) 10.7mm 345 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80C315 CDM Tibia Ante (10 Bend) 10.7mm 315 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80C285 CDM Tibia Ante (10 Bend) 10.7mm 285 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80C255 CDM Tibia Ante (10 Bend) 10.7mm 255 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80A315 CDM Femur Retro (10 Bend) 10.7mm315mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80A285 CDM Femur Retro (10 Bend) 10.7mm285mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-80A255 CDM Femur Retro (10 Bend) 10.7mm255mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-50E240 CDM Femur Strt Retro 10.7mm 240 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-50C240 CDM Tibia Ante (10 Bend) 10.7mm 240 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-50C225 CDM Tibia Ante (10 Bend) 10.7mm 2 25 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-T10.7-50A240 CDM Femur Retro (10 Bend) 10.7mm240mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-SPO-2628-2017 CDM Cage Spira O 26mm X 28mm 20deglordotic 17mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPO-2628-2015 CDM Cage Spira O 26mm X 28mm 20deglordotic 15mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-2013 CDM Cage Spira O 26mm X 28mm 20deglordotic 13mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-2011 CDM Cage Spira O 26mm X 28mm 20deglordotic 11mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-1517 CDM Cage Spira O 26mm X 28mm 15deglordotic 17mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-1515 CDM Cage Spira O 26mm X 28mm 15deglordotic 15mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-1513 CDM Cage Spira O 26mm X 28mm 15deglordotic 13mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-1511 CDM Cage Spira O 26mm X 28mm 15deglordotic 11mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-0817 CDM Cage Spira O 26mm X 28mm 8deglordotic 17mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-0815 CDM Cage Spira O 26mm X 28mm 8deglordotic 15mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-0813 CDM Cage Spira O 26mm X 28mm 8deglordotic 13mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-0811 CDM Cage Spira O 26mm X 28mm 8deglordotic 11mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SPC-2628-0809 CDM Cage Spira O 26mm X 28mm 8deglordotic 9mm 68 30 $50,436.61 $50,436.61 $17,229.15 $50,436.61 $30,217.12 2026-04-01
SUP-SC-8452-70 CDM Lead Surgical Paddle Coveredge X 32 MRI 70 Cm 68 30 $33,395.18 $33,395.18 $11,407.79 $33,395.18 $21,696.41 2026-04-01
SUP-SC-8452-50 CDM Lead Surgical Paddle Coveredge X 32 MRI 50 Cm 68 30 $33,395.18 $33,395.18 $11,407.79 $33,395.18 $21,696.41 2026-04-01
SUP-SC-8436-70 CDM Lead Surgical Paddle Coveredge 32 MRI 70 Cm 68 30 $33,395.18 $33,395.18 $11,407.79 $33,395.18 $21,696.41 2026-04-01
SUP-SC-8436-50 CDM Lead Surgical Paddle Coveredge 32 MRI 50 Cm 68 30 $33,395.18 $33,395.18 $11,407.79 $33,395.18 $21,696.41 2026-04-01
SUP-PSTS-SM1209-26-SP CDM Cage Strt Post Spine Truss Sys26 X 9mm 12d 9mm 68 30 $46,539.84 $46,539.84 $15,898.01 $46,539.84 $28,268.74 2026-04-01
SUP-PSTS-SM1209-22-SP CDM Cage Strt Post Spine Truss Sys22 X 9mm 12d 9mm 68 30 $46,539.84 $46,539.84 $15,898.01 $46,539.84 $28,268.74 2026-04-01
SUP-PSTS-SM1208-26-SP CDM Cage Strt Post Spine Truss Sys26 X 9mm 12d 8mm 68 30 $46,539.84 $46,539.84 $15,898.01 $46,539.84 $28,268.74 2026-04-01
SUP-PSTS-SM1208-22-SP CDM Cage Strt Post Spine Truss Sys22 X 9mm 12d 8mm 68 30 $46,539.84 $46,539.84 $15,898.01 $46,539.84 $28,268.74 2026-04-01
SUP-PSTS-SM0607-26-SP CDM Cage Strt Post Spine Truss Sys26 X 9mm 6d 7mm 68 30 $46,539.84 $46,539.84 $15,898.01 $46,539.84 $28,268.74 2026-04-01
SUP-PSTS-SM0607-22-SP CDM Cage Strt Post Spine Truss Sys22 X 9mm 6d 7mm 68 30 $46,539.84 $46,539.84 $15,898.01 $46,539.84 $28,268.74 2026-04-01
SUP-P8.5-50P165 CDM Nail Rtrgd Femur 10 8.5mm 50mm165 Mm 68 30 $46,977.33 $46,977.33 $16,047.46 $46,977.33 $28,487.49 2026-04-01
SUP-MN10200 CDM Neurostimulator Axium 68 30 $100,978.44 $100,978.44 $34,494.24 $100,978.44 $55,488.04 2026-04-01
SUP-LAA1065 CDM Limb Actuator 64:1/10.7m/65m 68 30 $42,142.75 $42,142.75 $14,395.96 $42,142.75 $26,070.19 2026-04-01
SUP-HFX-IQ CDM Hfx Iq Bundle 68 30 $91,406.07 $91,406.07 $31,224.31 $91,406.07 $50,701.86 2026-04-01
SUP-HFX-D CDM Charger Remote Ipg Scs Hfx-iq 84 32 $105,019.74 $105,019.74 $35,874.74 $105,019.74 $70,573.27 2026-04-01
SUP-BA-OI-0000 CDM Patient Matched Osseointegration Implant System, 2 Each 68 30 $42,000.00 $42,000.00 $14,347.20 $42,000.00 $25,998.82 2026-04-01
SUP-AR-7000S CDM Glenoid Bone Loss Set 84 32 $31,790.51 $31,790.51 $10,859.64 $31,790.51 $21,363.22 2026-04-01
SUP-9617.25.31P CDM Humeral Implant Custom Made 68 30 $48,990.69 $48,990.69 $16,735.22 $48,990.69 $29,494.17 2026-04-01
SUP-71420956 CDM Fem Revision Gii Size 7 Rt 68 30 $37,258.04 $37,258.04 $12,727.35 $37,258.04 $23,627.84 2026-04-01
SUP-71420954 CDM Fem Revision Gii Size 6 Rt 68 30 $37,258.04 $37,258.04 $12,727.35 $37,258.04 $23,627.84 2026-04-01
SUP-71420952 CDM Fem Revision Gii Size 5 Rt 68 30 $37,258.04 $37,258.04 $12,727.35 $37,258.04 $23,627.84 2026-04-01
SUP-71420950 CDM Fem Revision Gii Size 4 Rt 68 30 $37,258.04 $37,258.04 $12,727.35 $37,258.04 $23,627.84 2026-04-01
SUP-71420948 CDM Femur, Revision Gen Ii Sz 3 Rt 68 30 $37,258.04 $37,258.04 $12,727.35 $37,258.04 $23,627.84 2026-04-01
SUP-71420932 CDM Fem Revision Gii Size 3 Lt 68 30 $37,258.04 $37,258.04 $12,727.35 $37,258.04 $23,627.84 2026-04-01
SUP-71060001 CDM Hinge Exfix Cmps Unv Kit 84 32 $40,723.65 $40,723.65 $13,911.20 $40,723.65 $27,366.29 2026-04-01
SUP-71051701 CDM Ank Sp Kit Std Cnt Bdy Tin Hp 84 32 $40,546.16 $40,546.16 $13,850.57 $40,546.16 $27,247.02 2026-04-01
SUP-463523 CDM Femoral Hemi-condyle Oc Lat Rt 68 30 $32,729.06 $32,729.06 $11,180.25 $32,729.06 $21,363.35 2026-04-01
SUP-422522 CDM Femoral Hemi-condyle Oc Med Rt 68 30 $32,729.06 $32,729.06 $11,180.25 $32,729.06 $21,363.35 2026-04-01
SUP-3772 CDM Prodigy MRI Ipg 68 30 $68,452.09 $68,452.09 $23,383.23 $68,452.09 $39,224.86 2026-04-01
SUP-32447002 CDM Plateau Tib Fsh W/Meniscus Lt 68 30 $34,015.23 $34,015.23 $11,619.60 $34,015.23 $22,006.44 2026-04-01
SUP-188902385 CDM X-mesh Alt Lg 12deg 85-110mm 68 30 $39,091.51 $39,091.51 $13,353.66 $39,091.51 $24,544.58 2026-04-01
SUP-188902365 CDM X-mesh Alt Lg 12deg 65-90mm 68 30 $33,084.81 $33,084.81 $11,301.77 $33,084.81 $21,541.22 2026-04-01
SUP-188902265 CDM X-mesh Alt Lg 6deg 65-90mm 68 30 $33,084.81 $33,084.81 $11,301.77 $33,084.81 $21,541.22 2026-04-01
SUP-188902240 CDM X-mesh Alt Lg 6deg 40-56mm 68 30 $33,084.81 $33,084.81 $11,301.77 $33,084.81 $21,541.22 2026-04-01
SUP-188901265 CDM X-mesh Alt Med 6deg 65-90mm 68 30 $33,084.81 $33,084.81 $11,301.77 $33,084.81 $21,541.22 2026-04-01
SUP-188901085 CDM X-mesh Alt Med 0deg 85-110mm 68 30 $39,091.51 $39,091.51 $13,353.66 $39,091.51 $24,544.58 2026-04-01
SUP-188901065 CDM X-mesh Alt Med 0deg 65-90mm 68 30 $33,084.81 $33,084.81 $11,301.77 $33,084.81 $21,541.22 2026-04-01
SUP-188900151 CDM X-mesh Alt Sm -6deg 51-71mm 68 30 $33,084.81 $33,084.81 $11,301.77 $33,084.81 $21,541.22 2026-04-01
SUP-188900051 CDM X-mesh Alt Sm 0deg 51-71mm 68 30 $33,084.81 $33,084.81 $11,301.77 $33,084.81 $21,541.22 2026-04-01
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 113 37 $59,915.00 $49,618.05 $20,466.96 $48,032.96 $35,949.00 2026-04-01
C1820 HCPCS Chrgr Neurostim Prdg 25.5- Ma2-1200hz 486 31 $66,713.17 $66,713.17 $3,355.94 $96,928.35 $36,494.33 2026-04-01
C1767 HCPCS Proclaim Drg/Ipg Dorsal Root Gang Implt Pulse Generator 218 30 $84,924.06 $84,924.06 $17,214.40 $106,985.15 $43,292.38 2026-04-01
999 MS_DRG Ungroupable 90 31 — $79,243.50 $17,974.27 $76,712.00 $68,940.00 2026-04-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 51 13 — $59,823.35 $4,735.00 $57,912.25 $46,375.82 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 49 12 — $124,786.06 $4,735.00 $120,799.67 $96,735.73 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 51 13 — $62,385.75 $4,735.00 $60,392.79 $48,362.22 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 51 13 — $89,483.88 $4,735.00 $86,625.25 $69,369.04 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 49 12 — $170,770.98 $4,735.00 $165,315.57 $132,383.83 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 49 12 — $107,158.63 $4,735.00 $103,735.36 $83,070.73 2026-04-01
951 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis,minor 33 12 — $44,929.65 $3,595.00 $43,494.34 $23,544.67 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 51 13 — $93,877.09 $4,735.00 $90,878.11 $72,774.71 2026-04-01
949 MS_DRG Aftercare With Cc/mcc 51 13 — $43,302.41 $4,735.00 $41,919.08 $33,568.58 2026-04-01
948 MS_DRG Signs And Symptoms Without Mcc 51 13 — $29,136.41 $4,735.00 $28,205.62 $22,586.91 2026-04-01
947 MS_DRG Signs And Symptoms With Mcc 51 13 — $46,203.31 $4,735.00 $44,727.31 $35,817.39 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 51 13 — $73,803.73 $4,735.00 $71,446.01 $57,213.58 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 51 13 — $85,057.91 $4,735.00 $82,340.67 $65,937.97 2026-04-01
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 51 13 — $28,983.53 $4,735.00 $28,057.63 $22,468.40 2026-04-01
920 MS_DRG Complications Of Treatment With Cc 51 13 — $36,481.47 $4,735.00 $35,316.04 $28,280.90 2026-04-01
92 MS_DRG Other Disorders Of Nervous System With Cc 51 13 — $37,234.91 $4,735.00 $36,045.41 $28,864.97 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 51 13 — $66,637.01 $4,735.00 $64,508.24 $51,657.85 2026-04-01
914 MS_DRG Traumatic Injury Without Mcc 51 13 — $32,230.21 $4,735.00 $31,200.59 $24,985.27 2026-04-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 53 14 — $47,779.33 $4,735.00 $46,252.98 $37,039.14 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 51 13 — $72,620.80 $4,735.00 $70,300.87 $56,296.56 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 49 12 — $139,741.91 $4,735.00 $135,277.74 $108,329.69 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 49 12 — $133,692.60 $4,735.00 $129,421.68 $103,640.19 2026-04-01
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 53 14 — $42,570.82 $4,735.00 $41,210.86 $33,001.43 2026-04-01
902 MS_DRG Wound Debridements For Injuries With Cc 51 13 — $69,683.50 $4,735.00 $67,457.41 $54,019.53 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 49 12 — $152,746.82 $4,735.00 $147,867.20 $118,411.27 2026-04-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 51 13 — $37,245.83 $4,735.00 $36,055.98 $28,873.43 2026-04-01
864 MS_DRG Fever And Inflammatory Conditions 53 14 — $32,310.29 $4,735.00 $31,278.11 $25,047.34 2026-04-01
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 51 13 — $36,321.32 $4,735.00 $35,161.01 $28,156.75 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 51 13 — $66,378.59 $4,735.00 $64,258.07 $51,457.52 2026-04-01
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 53 14 — $50,698.43 $4,735.00 $49,078.83 $39,302.07 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 90 31 — $77,945.79 $19,955.38 $75,455.75 $63,804.33 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 90 31 — $165,562.46 $26,777.57 $160,273.44 $86,800.82 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 51 13 — $72,726.35 $4,735.00 $70,403.05 $56,378.39 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 49 12 — $179,753.95 $4,735.00 $174,011.57 $139,347.54 2026-04-01
850 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service,minor 33 12 — $56,636.44 $3,595.00 $57,429.99 $29,211.07 2026-04-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 51 13 — $33,420.42 $4,735.00 $32,352.78 $25,907.93 2026-04-01
791 APR_DRG O.r. Procedure For Other Complications Of Treatment,minor 33 12 — $41,363.96 $3,595.00 $40,042.56 $21,818.78 2026-04-01
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 51 13 — $37,518.81 $4,735.00 $36,320.24 $29,085.05 2026-04-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 51 13 — $58,392.92 $4,735.00 $56,527.51 $45,266.93 2026-04-01
711 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure,minor 33 12 — $56,499.86 $3,595.00 $54,694.93 $29,144.97 2026-04-01
63056 CPT Transpedicular Dcmprn Spinal Cord 1 Seg Lumbar 116 37 — $52,283.23 $14,490.00 $50,613.00 $22,812.00 2026-04-01
63053 CPT Lam Facetec/Foramot DRG Arthrd Lmbr Ea Addl Sgm 94 28 — $135,171.15 $78.13 $130,853.00 $70,789.00 2026-04-01
63052 CPT Lam Facetec/Foramot DRG Arthrd Lumbar 1 Vrt Sgm 93 28 — $135,171.15 $2,974.00 $130,853.00 $70,789.00 2026-04-01
63030 CPT Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar 121 29 — $52,283.23 $14,490.00 $50,613.00 $21,217.29 2026-04-01
63020 CPT Laminotomy Dcmprn Nrv Root 1 Ntrspc Cervical 116 37 — $52,283.23 $14,490.00 $50,613.00 $22,812.00 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 51 13 — $79,303.43 $4,735.00 $76,770.02 $61,477.02 2026-04-01
61783 CPT Stereotactic Computer Assisted Px Spinal 79 20 — $123,483.79 $44.44 $119,539.00 $70,789.00 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 51 13 — $68,074.72 $4,735.00 $65,900.02 $52,772.38 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 49 12 — $126,933.53 $4,735.00 $122,878.54 $98,400.48 2026-04-01
607 MS_DRG Minor Skin Disorders Without Mcc 51 13 — $32,990.92 $4,735.00 $31,937.00 $25,574.98 2026-04-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 51 13 — $53,581.13 $4,735.00 $51,869.44 $41,536.77 2026-04-01
603 MS_DRG Cellulitis Without Mcc 51 13 — $31,698.80 $4,735.00 $30,686.16 $24,573.31 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 51 13 — $77,916.67 $4,735.00 $75,427.56 $60,401.99 2026-04-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 51 13 — $62,895.32 $4,735.00 $60,886.08 $48,757.25 2026-04-01
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 51 13 — $58,469.35 $4,735.00 $56,601.50 $45,326.18 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 51 13 — $96,479.52 $4,735.00 $93,397.41 $74,792.15 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 10 — $126,351.17 $32,347.92 $122,314.78 $97,949.02 2026-04-01
572 MS_DRG Skin Debridement Without Cc/mcc 51 13 — $41,722.75 $4,735.00 $40,389.88 $32,344.00 2026-04-01
571 MS_DRG Skin Debridement With Cc 51 13 — $61,494.00 $4,735.00 $59,529.53 $47,670.93 2026-04-01
570 MS_DRG Skin Debridement With Mcc 49 12 — $107,049.44 $4,735.00 $103,629.66 $82,986.08 2026-04-01
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 51 13 — $27,272.84 $4,735.00 $26,401.59 $21,142.25 2026-04-01
565 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Cc 51 13 — $35,465.97 $4,735.00 $34,332.98 $27,493.67 2026-04-01
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 51 13 — $32,594.19 $4,735.00 $31,552.94 $25,267.43 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 51 13 — $29,260.16 $4,735.00 $28,325.42 $22,682.84 2026-04-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 51 13 — $40,987.51 $4,735.00 $39,678.13 $31,774.04 2026-04-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 51 13 — $67,878.17 $4,735.00 $65,709.75 $52,620.02 2026-04-01
556 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc 51 13 — $30,231.97 $4,735.00 $29,266.19 $23,436.21 2026-04-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 51 13 — $48,110.55 $4,735.00 $46,573.62 $37,295.91 2026-04-01
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 51 13 — $30,213.77 $4,735.00 $29,248.57 $23,422.10 2026-04-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 51 13 — $47,182.41 $4,735.00 $45,675.13 $36,576.40 2026-04-01
552 MS_DRG Medical Back Problems Without Mcc 51 13 — $34,989.17 $4,735.00 $33,871.41 $27,124.04 2026-04-01
551 MS_DRG Medical Back Problems With Mcc 51 13 — $61,006.27 $4,735.00 $59,057.38 $47,292.84 2026-04-01
549 MS_DRG Septic Arthritis With Cc 51 13 — $43,939.37 $4,735.00 $42,535.69 $34,062.36 2026-04-01
544 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 51 13 — $27,465.74 $4,735.00 $26,588.33 $21,291.79 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 51 13 — $37,416.89 $4,735.00 $36,221.58 $29,006.05 2026-04-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 51 13 — $64,296.64 $4,735.00 $62,242.63 $49,843.56 2026-04-01
541 MS_DRG Osteomyelitis Without Cc/mcc 51 13 — $28,659.59 $4,735.00 $27,744.04 $22,217.28 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 51 13 — $71,692.66 $4,735.00 $69,402.38 $55,577.06 2026-04-01
536 MS_DRG Fractures Of Hip And Pelvis Without Mcc 53 14 — $29,394.83 $4,735.00 $28,455.79 $22,787.24 2026-04-01
534 MS_DRG Fractures Of Femur Without Mcc 51 13 — $29,340.23 $4,735.00 $28,402.93 $22,744.92 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 90 31 — $77,079.53 $19,733.59 $74,617.16 $65,563.74 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 71 23 — $143,356.64 $26,745.69 $138,777.00 $101,131.50 2026-04-01
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 90 31 — $54,374.61 $13,920.78 $52,637.57 $29,875.00 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 90 31 — $72,802.79 $18,638.68 $70,477.05 $50,497.75 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 90 31 — $136,029.33 $34,825.69 $131,683.77 $63,123.00 2026-04-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 72 22 — $55,932.43 $4,735.00 $54,145.62 $23,643.00 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 72 22 — $75,638.17 $4,735.00 $73,221.85 $33,940.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 56 19 — $163,369.98 $29,696.84 $158,151.00 $89,921.57 2026-04-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 51 13 — $37,209.42 $4,735.00 $36,020.74 $28,845.22 2026-04-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 51 13 — $57,300.99 $4,735.00 $55,470.46 $44,420.45 2026-04-01
506 MS_DRG Major Thumb Or Joint Procedures 51 13 — $49,107.85 $4,735.00 $47,539.06 $38,069.03 2026-04-01
505 MS_DRG Foot Procedures Without Cc/mcc 53 14 — $65,253.90 $4,735.00 $63,169.31 $50,585.64 2026-04-01
504 MS_DRG Foot Procedures With Cc 53 14 — $68,034.68 $4,735.00 $65,861.26 $52,741.35 2026-04-01
503 MS_DRG Foot Procedures With Mcc 47 12 — $101,589.78 $5,188.00 $98,344.41 $78,753.68 2026-04-01
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 53 14 — $48,987.74 $4,735.00 $47,422.79 $37,975.91 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 53 14 — $63,626.91 $4,735.00 $61,594.30 $49,324.39 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 90 31 — $115,191.62 $29,490.90 $111,511.73 $69,454.66 2026-04-01
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 39 12 — $73,334.20 $18,774.73 $70,991.48 $56,849.60 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 90 31 — $109,804.75 $28,111.77 $106,296.95 $46,338.88 2026-04-01
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 90 31 — $43,979.41 $11,259.43 $42,574.45 $31,774.69 2026-04-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 90 31 — $65,657.91 $16,809.47 $63,560.42 $40,510.90 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 53 20 — $131,967.34 $33,785.76 $127,751.54 $102,302.75 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 90 31 — $73,032.10 $18,697.39 $70,699.03 $33,130.74 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 90 31 — $92,308.34 $21,850.16 $89,359.48 $45,397.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 90 31 — $133,638.00 $34,213.46 $129,368.83 $72,673.57 2026-04-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 90 31 — $50,318.46 $10,406.80 $48,711.00 $21,153.00 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 90 31 — $64,383.99 $16,483.33 $62,327.19 $40,017.63 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 90 31 — $65,320.72 $14,594.49 $63,234.00 $30,810.65 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 90 31 — $76,111.35 $19,485.72 $73,679.91 $57,317.74 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 90 31 — $117,459.20 $30,071.43 $113,706.87 $77,463.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 90 31 — $90,118.92 $23,189.75 $87,240.00 $53,780.00 2026-04-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 90 31 — $59,364.74 $15,198.32 $57,468.29 $43,444.46 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 90 31 — $76,235.10 $19,517.40 $73,799.71 $53,950.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 90 31 — $141,955.89 $27,138.01 $137,421.00 $117,193.00 2026-04-01
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 67 22 — $67,659.79 $4,735.00 $65,498.34 $44,615.93 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 51 13 — $89,509.36 $4,735.00 $86,649.91 $69,388.79 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 49 12 — $125,739.68 $4,735.00 $121,722.83 $97,474.99 2026-04-01
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 53 14 — $86,507.55 $4,735.00 $83,744.00 $33,300.52 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 90 31 — $141,955.89 $21,205.90 $137,421.00 $75,566.14 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 37 11 — $156,251.92 $40,003.00 $151,260.33 $121,128.47 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 90 31 — $88,857.84 $22,749.02 $86,019.21 $62,317.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 90 31 — $107,231.42 $27,452.95 $103,805.83 $82,305.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 90 31 — $175,753.83 $44,995.79 $170,139.24 $136,246.60 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 90 31 — $79,243.50 $17,158.87 $76,712.00 $68,940.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 90 31 — $143,614.89 $17,158.87 $139,027.00 $128,588.68 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 90 31 — $100,021.03 $25,606.99 $239,735.00 $75,022.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 90 31 — $128,360.32 $32,862.29 $520,060.00 $79,236.84 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 74 29 — $189,464.87 $48,506.04 $183,412.27 $130,667.00 2026-04-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 90 31 — $66,378.59 $16,993.98 $64,258.07 $41,914.51 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 90 31 — $113,368.08 $29,024.05 $1,422,956.00 $63,484.62 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 53 20 — $207,449.00 $53,110.27 $200,821.88 $160,817.09 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 90 31 — $132,360.36 $24,786.96 $128,132.00 $114,819.29 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 90 31 — $201,024.81 $51,465.56 $194,602.91 $139,027.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 31 — $156,126.59 $38,881.99 $151,139.00 $92,654.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 31 — $217,043.45 $55,566.61 $210,109.83 $92,654.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 31 — $305,864.90 $78,306.31 $296,093.80 $130,270.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 90 31 — $117,579.30 $30,102.18 $113,823.14 $78,148.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 90 31 — $193,985.48 $49,663.38 $625,578.00 $130,416.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 90 31 — $154,355.60 $39,517.51 $149,424.59 $103,407.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 90 31 — $243,195.24 $62,261.87 $235,426.18 $169,784.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 90 31 — $209,909.49 $53,740.19 $203,203.77 $138,531.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 31 — $204,628.18 $52,388.09 $198,091.17 $139,419.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 31 — $262,740.83 $67,265.86 $254,347.37 $179,775.00 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 31 — $401,146.94 $102,700.03 $388,331.98 $265,447.00 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 51 13 — $62,884.40 $4,735.00 $60,875.51 $48,748.78 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 51 13 — $80,027.74 $4,735.00 $77,471.19 $62,038.52 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 90 31 — $146,337.18 $37,464.66 $141,662.32 $99,507.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 49 12 — $140,539.01 $4,735.00 $136,049.38 $108,947.62 2026-04-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 53 14 — $28,375.69 $4,735.00 $27,469.21 $21,997.19 2026-04-01
389 MS_DRG Gastrointestinal Obstruction With Cc 51 13 — $28,746.94 $4,735.00 $27,828.60 $22,285.00 2026-04-01
37799 CPT Unlisted Procedure Vascular Surgery 94 28 — $90,392.67 $41.66 $87,505.00 $46,567.00 2026-04-01
322 APR_DRG Shoulder & Elbow Joint Replacement,minor 19 4 — $77,084.29 $3,595.00 $74,621.77 $50,441.60 2026-04-01
321 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp,minor 25 10 — $79,591.48 $3,595.00 $213,192.47 $36,533.84 2026-04-01
320 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures,minor 33 12 — $50,017.23 $3,595.00 $48,419.39 $26,007.19 2026-04-01
317 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures,minor 33 12 — $43,890.68 $3,595.00 $42,488.56 $23,041.78 2026-04-01
315 MS_DRG Other Circulatory System Diagnoses With Cc 51 13 — $35,061.96 $4,735.00 $33,941.88 $27,180.47 2026-04-01
314 APR_DRG Foot & Toe Procedures,minor 33 12 — $51,626.91 $0.08 $49,977.65 $26,786.33 2026-04-01
313 APR_DRG Knee & Lower Leg Procedures Except Foot,minor 33 12 — $58,353.44 $3,595.00 $56,489.29 $30,042.15 2026-04-01
312 MS_DRG Syncope And Collapse 51 13 — $31,724.29 $4,735.00 $30,710.83 $24,593.07 2026-04-01
310 APR_DRG Intervertebral Disc Excision & Decompression,minor 33 12 — $42,041.98 $3,595.00 $40,698.92 $22,146.96 2026-04-01
309 APR_DRG Other Significant Hip & Femur Surgery,minor 33 12 — $60,748.45 $3,595.00 $324,695.77 $31,201.40 2026-04-01
308 APR_DRG Hip & Femur Fracture Repair,minor 33 12 — $65,148.24 $3,595.00 $63,067.03 $33,331.01 2026-04-01
305 APR_DRG Amputation Of Lower Limb Except Toes,minor 33 12 — $66,396.96 $3,595.00 $64,275.86 $33,935.43 2026-04-01
304 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back,minor 22 7 — $149,559.02 $3,595.00 $167,265.41 $95,291.33 2026-04-01
303 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back,minor 24 8 — $215,590.16 $3,595.00 $208,702.96 $83,018.39 2026-04-01
302 APR_DRG Knee Joint Replacement,minor 22 7 — $86,488.73 $3,595.00 $83,725.78 $46,918.54 2026-04-01
301 APR_DRG Hip Joint Replacement,minor 22 7 — $90,015.40 $3,595.00 $87,139.79 $57,353.18 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 53 14 — $79,900.35 $4,735.00 $77,347.87 $61,939.76 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 49 12 — $124,174.59 $4,735.00 $120,207.73 $96,261.71 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 49 12 — $218,688.63 $4,735.00 $211,702.45 $169,530.19 2026-04-01
27702 CPT Arthroplasty Ankle W/Implant 94 29 — $85,163.62 $8,105.00 $82,443.00 $61,660.00 2026-04-01
27447 CPT Arthrp Kne Condyle&Platu Medial&Lat Compartments,BILATERAL Procedure 107 31 — $92,389.56 $1,465.45 $89,438.10 $60,632.00 2026-04-01
27446 CPT Arthrp Knee Condyle&Plateau Medial/Lat Cmprt,BILATERAL Procedure 97 28 — $79,504.85 $239.92 $76,965.00 $45,290.00 2026-04-01
27130 CPT Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft 105 28 — $85,336.13 $43,562.00 $93,155.00 $60,632.00 2026-04-01
26 APR_DRG Other Nervous System & Related Procedures,minor 33 12 — $59,836.29 $3,595.00 $57,924.77 $30,759.88 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 51 13 — $61,799.75 $4,735.00 $59,825.51 $47,907.95 2026-04-01
24363 CPT Arthrp Elbow W/Distal Hum&Prox Ur Prostc Rplcm 94 29 — $90,118.92 $12,028.00 $87,240.00 $47,052.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 49 12 — $103,751.80 $4,735.00 $100,437.37 $80,429.71 2026-04-01
23472 CPT Arthroplasty Glenohumeral Joint Total Shoulder 94 29 — $90,118.92 $8,237.00 $87,240.00 $48,188.80 2026-04-01
23470 CPT Arthroplasty Glenohumrl Jt Hemiarthroplasty 95 29 — $90,118.92 $119.96 $87,240.00 $47,617.00 2026-04-01
23 APR_DRG Spinal Procedures,minor 19 4 — $80,045.12 $3,595.00 $77,488.02 $52,379.08 2026-04-01
22859 CPT Insj Biomchn Dev Ntrvrt Disc Space Without Arthrd 94 28 — $135,171.15 $41.66 $130,853.00 $71,654.00 2026-04-01
22853 CPT Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd 94 28 — $90,392.67 $89.99 $87,505.00 $45,785.00 2026-04-01
22849 CPT Reinsertion Spinal Fixation Device 105 33 — $69,037.46 $130.21 $66,832.00 $24,266.00 2026-04-01
22846 CPT Anterior Instrumentation 4-7 Vertebral Segments 94 28 — $69,037.46 $89.99 $66,832.00 $22,938.00 2026-04-01
22842 CPT Posterior Segmental Instrumentation 3-6 Vrt Seg 94 28 — $135,171.15 $78.13 $130,853.00 $70,789.00 2026-04-01
22840 CPT Posterior Non-segmental Instrumentation 95 29 — $135,171.15 $45.00 $130,853.00 $70,789.00 2026-04-01
22830 CPT Exploration Spinal Fusion 94 28 — $135,171.15 $41.66 $130,853.00 $22,938.00 2026-04-01
22634 CPT Arthrodesis Cmbn Tq 1ntrspc Each Additional 94 28 — $135,171.15 $70.35 $130,853.00 $70,789.00 2026-04-01
22633 CPT Arthrodesis Combined Tq 1ntrspc Lumbar 93 28 — $135,171.15 $17,617.55 $130,853.00 $71,250.00 2026-04-01
22632 CPT Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl 94 28 — $135,171.15 $41.66 $130,853.00 $70,789.00 2026-04-01
22630 CPT Arthrodesis Posterior Interbody 1 Ntrspc Lumbar 78 19 — $135,171.15 $20.14 $130,853.00 $83,795.00 2026-04-01
22614 CPT Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc 94 28 — $135,171.15 $70.35 $130,853.00 $70,789.00 2026-04-01
22612 CPT Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar 98 30 — $135,171.15 $33,333.63 $130,853.00 $71,654.00 2026-04-01
22610 CPT Arthrodesis Posterior/Pstlat Tq 1ntrspc Thoracic 101 35 — $52,283.23 $12,441.00 $50,613.00 $21,217.29 2026-04-01
22558 CPT Arthrd Ant Interbody Min Dsc Lumbar 83 22 — $135,171.15 $1,207.24 $130,853.00 $74,972.00 2026-04-01
22551 CPT Arthrd Ant Interbody Decompress Cervical Belw C2 93 28 — $90,392.67 $39,326.00 $87,505.00 $60,592.00 2026-04-01
22216 CPT Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt Sgm 94 28 — $135,171.15 $54.04 $130,853.00 $78,678.00 2026-04-01
22214 CPT Osteotomy Spine Pst/Pstlat Appr 1 Vrt Sgm Lmbr 94 28 — $135,171.15 $54.04 $130,853.00 $78,678.00 2026-04-01
20939 CPT Bone Marrow Aspiration Bone Grfg Spi Surg Only 94 28 — $90,392.67 $43.23 $87,505.00 $46,567.00 2026-04-01
20936 CPT Autograft Spine Surgery Local From Same Incision 95 29 — $90,392.67 $89.99 $87,505.00 $46,567.00 2026-04-01
20931 CPT Allograft For Spine Surgery Only Structural 94 28 — $90,392.67 $45.00 $87,505.00 $46,567.00 2026-04-01
20930 CPT Allograft For Spine Surgery Only Morselized 96 29 — $90,392.67 $45.00 $87,505.00 $46,567.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 49 12 — $100,046.50 $4,735.00 $96,850.44 $77,557.32 2026-04-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 51 13 — $34,253.93 $4,735.00 $33,159.66 $26,554.08 2026-04-01
176 MS_DRG Pulmonary Embolism Without Mcc 51 13 — $29,300.20 $4,735.00 $28,364.18 $22,713.88 2026-04-01
12044 CPT Repair Intermediate N/H/F/Xtrnl Gent 7.6-12.5cm 95 29 — $90,118.92 $119.96 $87,240.00 $48,188.80 2026-04-01
103 MS_DRG Headaches Without Mcc 51 13 — $30,439.44 $4,735.00 $29,467.03 $23,597.04 2026-04-01
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