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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MERCY HOSPITAL OF BUFFALO

Buffalo, NY · CCN 330279 · Rates published

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You selected G0121 (HCPCS)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

3,880 distinct procedures filed
96 distinct payers
4,989,244 rate rows
2026-04-01 last MRF observed
Data quality

707,157 of 4,989,244 rate rows are consumer-grade (14.2%)

4,282,087 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 4,273,361
percent-of-charges filed in the dollar field — excluded from medians 2,915
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,820
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,417
placeholder amount (≤ $0.02) — excluded from medians 751
per-diem day rate — not a per-procedure price 732
exceeds 10× this hospital's gross charge — excluded from medians 604
exceeds 3× this hospital's gross charge for a DRG stay — excluded 260
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 153
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 74
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chsbuffalo.org/wp-content/uploads/2026/06/16-0756336_Mercy-Hospital-of-Buffalo_StandardCharges.csv
Found on page https://www.chsbuffalo.org/billing-insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch success · 2026-10-22

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 33 $240,234.36 $580,739.28 $263,512.44 nat. median
$249,036
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 $125,809.29 $287,042.56 $144,475.34 nat. median
$126,695
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 29 $17,956.18 $234,559.49 $117,448.78 nat. median
$92,678
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $18,566.20 $228,392.33 $102,800.61 nat. median
$93,276
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 32 $93,434.37 $225,343.97 $102,526.35 nat. median
$97,323
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 33 $85,584.13 $206,338.91 $93,917.48 nat. median
$93,901
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 $84,093.02 $202,728.96 $92,282.26 nat. median
$90,551
1.0× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $39,893.52 $104,448.06 $86,943.45 nat. median
$46,508
1.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 33 $77,474.52 $186,705.94 $85,024.19 nat. median
$78,049
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 29 $79,175.22 $179,450.82 $80,418.27 nat. median
$78,268
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 32 $54,164.45 $174,692.82 $79,582.53 nat. median
$77,028
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 $67,709.43 $163,065.14 $79,273.54 nat. median
$74,370
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 $64,849.60 $174,143.66 $78,491.70 nat. median
$77,632
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 $66,078.76 $159,117.41 $72,527.20 nat. median
$72,398
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 $65,795.43 $158,431.48 $72,216.49 nat. median
$71,748
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 $60,977.64 $157,907.19 $71,979.00 nat. median
$67,976
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 $13,795.51 $142,530.72 $70,540.05 nat. median
$63,873
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 $13,918.02 $149,591.05 $67,489.62 nat. median
$63,648
1.1× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 $59,537.65 $147,763.28 $67,027.32 nat. median
$66,649
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 33 $59,326.43 $143,233.23 $64,618.40 nat. median
$62,655
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 32 $57,970.87 $139,488.59 $63,635.80 nat. median
$61,728
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 33 $55,433.73 $133,346.29 $63,429.21 nat. median
$59,371
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 $57,589.11 $138,564.34 $63,217.12 nat. median
$57,556
1.1× median
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
$60,596
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 $48,018.69 $136,259.94 $62,173.30 nat. median
$62,031
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 $60,376.04 $136,259.94 $62,173.30 nat. median
$59,546
1.0× 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
$58,135
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 $6,715.36 $123,167.15 $57,528.29 nat. median
$50,870
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 $38,404.16 $126,998.83 $57,366.01 nat. median
$58,280
1.0× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 30 $50,134.67 $113,025.31 $57,270.72 nat. median
$50,018
1.1× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 $34,445.35 $124,474.77 $56,834.86 nat. median
$56,687
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
$48,253
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 31 $50,587.98 $121,615.00 $55,539.45 nat. median
$55,477
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 $51,233.03 $123,573.32 $55,518.66 nat. median
$55,167
1.0× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 $45,114.95 $121,536.25 $55,211.01 nat. median
$53,856
1.0× median
28
MS_DRG 		Spinal Procedures With Mcc 32 $40,643.23 $124,510.00 $55,071.43 nat. median
$54,460
1.0× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 33 $49,719.16 $119,511.61 $54,586.68 nat. median
$51,241
1.1× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 $49,404.14 $118,749.01 $54,241.22 nat. median
$53,523
1.0× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 30 $17,956.18 $118,264.09 $54,021.56 nat. median
$48,463
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 31 $49,140.51 $118,110.74 $53,952.11 nat. median
$49,929
1.1× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 33 $29,835.57 $115,348.36 $52,700.81 nat. median
$48,018
1.1× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 $10,575.43 $116,504.71 $52,663.60 nat. median
$50,573
1.0× median
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 33 $43,890.73 $113,365.17 $51,802.47 nat. median
$50,787
1.0× median
234
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 $47,113.52 $113,203.53 $51,729.26 nat. median
$51,598
1.0× median
834
MS_DRG 		Acute Leukemia With Mcc 33 $47,196.15 $113,767.20 $51,148.94 nat. median
$50,371
1.0× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 $46,001.62 $110,511.61 $50,509.87 nat. median
$50,627
1.0× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 $45,667.77 $109,703.42 $50,143.77 nat. median
$51,514
1.0× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 30 $45,517.99 $109,340.76 $49,979.51 nat. median
$49,364
1.0× median
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 $36,181.56 $101,992.39 $48,628.38 nat. median
$45,237
1.1× median
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 32 $43,114.51 $107,871.50 $47,771.75 nat. median
$46,376
1.0× median

Other procedures at this hospital

Browse this hospital's 3,880 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 70 33 $562,527.53 — $240,234.36 $580,739.28 $263,512.44 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 70 31 $282,124.26 — $125,809.29 $287,042.56 $144,475.34 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 32 $234,452.51 — $18,566.20 $228,392.33 $102,800.61 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 67 32 $411,256.35 — $93,434.37 $225,343.97 $102,526.35 2026-04-01
215 MS_DRG Other Heart Assist System Implant 78 33 $184,598.15 — $85,584.13 $206,338.91 $93,917.48 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 31 $287,930.38 — $84,093.02 $202,728.96 $92,282.26 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 $352,578.05 — $39,893.52 $104,448.06 $86,943.45 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 72 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 68 32 $156,608.35 — $54,164.45 $174,692.82 $79,582.53 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 118 33 $112,517.69 — $67,709.43 $163,065.14 $79,273.54 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 32 $144,076.56 — $64,849.60 $174,143.66 $78,491.70 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 77 32 $319,111.42 — $66,078.76 $159,117.41 $72,527.20 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 81 33 $173,104.48 — $65,795.43 $158,431.48 $72,216.49 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 69 33 $202,071.99 — $60,977.64 $157,907.19 $71,979.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 69 31 $177,287.74 — $13,795.51 $142,530.72 $70,540.05 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 80 33 $149,122.35 — $13,918.02 $149,591.05 $67,489.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 76 32 $227,976.55 — $59,537.65 $147,763.28 $67,027.32 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 120 33 $190,430.80 — $59,326.43 $143,233.23 $64,618.40 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 68 32 $66,533.05 — $57,970.87 $139,488.59 $63,635.80 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 118 33 $216,294.68 — $55,433.73 $133,346.29 $63,429.21 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 71 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… 69 32 $99,571.38 — $57,547.14 $138,462.80 $63,171.14 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 30 $157,333.87 — $60,376.04 $136,259.94 $62,173.30 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 68 32 $207,031.99 — $48,018.69 $136,259.94 $62,173.30 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 109 26 $50,881.69 — $6,715.36 $123,167.15 $57,528.29 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 79 32 $165,478.18 — $38,404.16 $126,998.83 $57,366.01 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 65 30 $63,114.91 — $50,134.67 $113,025.31 $57,270.72 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 72 32 $224,569.72 — $34,445.35 $124,474.77 $56,834.86 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 66 30 $86,525.67 — $49,012.71 $110,445.30 $55,730.61 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 72 31 $136,574.15 — $50,587.98 $121,615.00 $55,539.45 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 32 $118,873.73 — $51,233.03 $123,573.32 $55,518.66 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 70 32 $135,726.55 — $45,114.95 $121,536.25 $55,211.01 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 67 32 $85,368.13 — $40,643.23 $124,510.00 $55,071.43 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 86 33 $110,787.04 — $49,719.16 $119,511.61 $54,586.68 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 80 32 $155,112.84 — $49,404.14 $118,749.01 $54,241.22 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 63 30 $283,007.14 — $17,956.18 $118,264.09 $54,021.56 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 67 31 $69,621.53 — $49,140.51 $118,110.74 $53,952.11 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 74 33 $101,137.80 — $29,835.57 $115,348.36 $52,700.81 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 76 32 $169,226.41 — $10,575.43 $116,504.71 $52,663.60 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 72 33 $116,773.27 — $43,890.73 $113,365.17 $51,802.47 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 81 33 $159,834.67 — $47,113.52 $113,203.53 $51,729.26 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 68 33 $57,776.15 — $47,196.15 $113,767.20 $51,148.94 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 84 33 $157,865.37 — $46,001.62 $110,511.61 $50,509.87 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 69 32 $132,161.50 — $45,667.77 $109,703.42 $50,143.77 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 75 30 $120,220.44 — $45,517.99 $109,340.76 $49,979.51 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 118 33 $171,650.29 — $36,181.56 $101,992.39 $48,628.38 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 67 32 $125,650.86 — $43,114.51 $107,871.50 $47,771.75 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 73 33 $80,700.55 — $43,045.03 $103,353.89 $47,267.58 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 70 32 $153,952.47 — $42,702.64 $102,524.97 $46,892.11 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 87 33 $98,544.39 — $42,627.31 $102,342.61 $46,809.50 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 114 32 $63,579.62 — $33,667.30 $94,262.71 $45,878.88 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 65 30 $94,227.18 — $39,670.21 $88,961.77 $45,355.56 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 74 31 $166,832.46 — $41,105.37 $98,658.06 $45,140.47 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 70 32 $80,568.54 — $40,275.69 $100,065.15 $44,679.53 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 76 33 $139,306.66 — $40,514.73 $97,228.17 $44,492.78 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 70 33 $82,673.59 — $40,394.89 $96,938.05 $44,361.35 2026-04-01
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 73 32 $196,746.28 — $39,887.29 $95,709.18 $43,804.71 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 79 32 $76,946.30 — $35,686.02 $95,253.27 $43,598.19 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 70 32 $89,295.17 — $39,598.82 $95,010.81 $43,488.35 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 113 31 $133,112.74 — $36,503.57 $87,517.37 $43,130.82 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 69 33 $61,507.70 — $39,120.32 $93,852.39 $42,963.62 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 83 32 $110,074.74 — $39,061.53 $94,221.26 $42,678.34 2026-04-01
245 MS_DRG Aicd Generator Procedures 69 32 $120,474.47 — $39,283.62 $94,546.62 $42,584.05 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 77 33 $118,743.65 — $36,493.33 $92,876.34 $42,521.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 69 32 $84,039.52 — $38,555.39 $92,484.68 $42,344.09 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 70 32 $115,232.64 — $22,611.87 $92,849.40 $42,286.46 2026-04-01
791 MS_DRG Prematurity With Major Problems 56 23 $65,865.43 — $2,651.40 $84,114.66 $42,154.52 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 75 33 $89,159.27 — $29,744.14 $91,031.99 $41,686.05 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 73 32 $120,279.91 — $37,395.51 $89,676.71 $41,072.13 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 76 33 $104,254.51 — $36,654.22 $87,882.10 $40,048.47 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 78 31 $104,981.13 — $36,209.12 $86,804.50 $39,771.10 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 68 32 $53,770.48 — $36,275.89 $86,966.14 $39,635.81 2026-04-01
33264 CPT Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld 211 61 $69,360.00 $69,360.00 $337.58 $69,360.00 $39,535.20 2026-04-01
33249 CPT Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 221 61 $69,360.00 $69,360.00 $757.81 $69,360.00 $39,535.20 2026-04-01
33270 CPT Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd 204 58 $69,360.00 $69,360.00 $468.33 $69,360.00 $39,535.20 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 70 33 $218,806.90 — $35,902.68 $86,062.62 $39,435.03 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 120 33 $97,915.75 — $27,153.08 $87,069.76 $39,252.30 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 75 33 $139,993.25 — $35,667.28 $85,492.74 $39,176.88 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 33 $136,528.86 — $35,958.22 $86,468.79 $38,984.49 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 67 30 $52,331.63 — $30,128.14 $77,448.07 $38,915.07 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 27 $400,102.16 — $33,270.95 $74,246.36 $38,069.20 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 67 32 $59,425.42 — $34,456.91 $82,562.50 $37,849.56 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 65 30 $79,279.55 — $33,058.26 $73,757.30 $37,827.04 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 65 29 $32,827.60 — $28,561.07 $75,193.41 $37,819.49 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 79 32 $97,570.86 — $11,277.59 $83,316.82 $37,792.06 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 65 30 $66,030.07 — $33,054.73 $74,074.36 $37,275.72 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 69 30 $87,051.66 — $28,674.44 $73,999.76 $37,239.48 2026-04-01
0408T CPT Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 36 18 $65,121.00 $65,121.00 $3,847.53 $65,121.00 $37,118.97 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 73 33 $99,510.60 — $33,486.23 $80,212.52 $36,785.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 74 31 $117,926.60 — $33,838.90 $81,066.30 $36,783.60 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 77 32 $84,120.91 — $33,404.91 $80,015.65 $36,695.89 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 112 30 $68,488.66 — $30,794.99 $73,697.20 $36,519.11 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 67 30 $43,007.11 — $22,448.22 $72,269.39 $36,398.66 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 72 33 $36,029.58 — $28,168.84 $79,561.81 $36,299.88 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 69 33 $88,300.99 — $23,123.87 $77,640.79 $35,620.12 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
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 119 32 $48,910.81 — $32,463.91 $77,980.65 $35,376.53 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 71 32 $122,610.38 — $31,739.09 $76,086.57 $34,916.10 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 68 32 $36,817.87 — $32,155.09 $77,230.48 $34,867.80 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 73 32 $101,339.01 — $31,758.29 $77,456.36 $34,427.94 2026-04-01
265 MS_DRG Aicd Lead Procedures 69 32 $163,339.82 — $31,324.86 $74,979.96 $34,414.84 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 68 31 $35,420.40 — $20,450.53 $75,135.38 $34,305.60 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 117 32 $75,832.41 — $29,233.98 $72,288.04 $34,282.81 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 76 32 $65,587.65 — $28,211.81 $74,735.43 $33,946.74 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 69 33 $46,081.46 — $30,874.62 $73,889.93 $33,921.08 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 66 31 $58,463.76 — $30,848.94 $73,827.76 $33,892.90 2026-04-01
665 MS_DRG Prostatectomy With Mcc 65 30 $58,973.94 — $29,111.11 $64,680.63 $33,332.69 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 40 17 $45,248.01 — $24,088.43 $35,280.29 $33,283.29 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 55 22 $15,602.88 — $27,078.11 $35,197.37 $33,101.83 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 38 17 $44,200.44 — $7,754.85 $34,935.79 $32,958.29 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 66 31 $58,598.53 — $17,956.18 $71,258.11 $32,728.92 2026-04-01
93653 CPT Compre Ep Eval Abltj 3d Mapg Tx Svt 223 61 $53,072.00 $53,072.00 $675.19 $53,072.00 $32,627.47 2026-04-01
93656 CPT Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 238 61 $53,072.00 $53,072.00 $765.53 $53,072.00 $32,627.47 2026-04-01
93654 CPT Compre Ep Eval Abltj 3d Mapg Tx Vt 212 61 $53,072.00 $53,072.00 $813.81 $53,072.00 $32,627.47 2026-04-01
0620T OTHER Endovascular Venous Arterialization Tibl/Prnl Vn 30 14 $57,132.00 $57,132.00 $32,565.24 $57,132.00 $32,565.24 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 67 32 $86,214.56 — $30,447.18 $73,081.73 $32,508.69 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 70 33 $60,496.53 — $25,334.59 $70,698.59 $32,475.46 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 38 17 $49,288.62 — $30,169.28 $34,389.82 $32,443.23 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 67 31 $22,901.91 — $29,517.87 $64,878.00 $32,433.23 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 68 33 $85,070.59 — $29,832.94 $71,589.68 $32,354.21 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 71 32 $72,731.35 — $29,700.20 $71,046.73 $32,293.81 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 67 31 $49,830.11 — $20,511.78 $62,517.15 $32,261.43 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 68 30 $86,503.76 — $28,318.06 $62,857.00 $32,127.35 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
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
619 MS_DRG O.r. Procedures For Obesity With Mcc 60 28 $33,696.17 — $29,887.60 $59,835.59 $31,381.98 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 69 33 $138,886.30 — $28,533.49 $68,222.19 $31,353.71 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 84 32 $96,333.24 — $28,530.08 $68,213.90 $31,349.96 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 74 32 $85,517.33 — $28,197.10 $67,407.77 $30,984.80 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 72 33 $48,554.53 — $21,011.89 $69,227.25 $30,817.64 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 71 32 $34,325.72 — $28,043.85 $67,036.83 $30,816.79 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 65 30 $72,132.41 — $27,297.93 $60,511.16 $30,685.09 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 70 33 $85,439.78 — $27,834.16 $66,529.12 $30,586.80 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 120 33 $69,669.73 — $27,920.28 $66,943.58 $30,444.68 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 80 33 $108,161.57 — $27,683.49 $66,164.39 $30,421.58 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 72 33 $33,440.56 — $27,632.99 $66,042.13 $30,366.20 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 67 32 $58,561.89 — $27,989.39 $67,111.44 $30,358.65 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 68 32 $64,465.38 — $27,606.45 $65,977.89 $30,337.11 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 65 30 $109,536.72 — $25,602.47 $59,719.54 $30,300.44 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 70 33 $47,093.15 — $27,551.67 $65,845.26 $30,277.01 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
500 MS_DRG Soft Tissue Procedures With Mcc 64 29 $61,571.16 — $27,443.82 $65,584.15 $30,158.74 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 76 33 $90,572.71 — $27,325.69 $65,298.17 $30,029.21 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 69 32 $90,323.76 — $27,312.85 $65,267.09 $30,015.15 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 69 32 $81,409.80 — $27,249.52 $65,113.74 $29,945.66 2026-04-01
503 MS_DRG Foot Procedures With Mcc 66 31 $81,018.78 — $26,136.32 $57,839.97 $29,666.30 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 74 33 $76,092.47 — $25,967.27 $64,431.95 $29,636.83 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 114 32 $54,668.97 — $25,194.29 $60,138.15 $29,586.47 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 117 32 $69,803.05 — $24,922.10 $59,479.15 $29,579.57 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 114 32 $39,488.31 — $19,053.51 $59,070.91 $29,076.93 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 60 28 $32,231.72 — $26,553.32 $55,898.22 $28,984.06 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 65 30 $91,238.04 — $25,584.19 $56,946.80 $28,953.10 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 67 32 $67,246.44 — $26,208.64 $62,593.82 $28,804.20 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 32 $60,031.62 — $25,662.81 $64,545.93 $28,763.84 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 69 33 $70,481.83 — $26,479.40 $63,443.46 $28,724.15 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 69 32 $67,084.66 — $25,831.15 $61,679.94 $28,390.21 2026-04-01
570 MS_DRG Skin Debridement With Mcc 67 31 $24,423.09 — $25,528.98 $60,948.42 $28,058.86 2026-04-01
33262 CPT Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead 203 61 $48,559.00 $48,559.00 $312.90 $48,559.00 $27,766.30 2026-04-01
33263 CPT Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld 211 61 $48,559.00 $48,559.00 $325.21 $48,559.00 $27,766.30 2026-04-01
33240 CPT Insj Implntbl Defib Pulse Gen W/1 Existing Ld 199 61 $48,559.00 $48,559.00 $304.21 $48,559.00 $27,678.63 2026-04-01
33230 CPT Insj Implntbl Defib Pulse Gen W/Exist Dual Leads 33 16 $48,559.00 $48,559.00 $316.18 $48,559.00 $27,678.63 2026-04-01
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
472 MS_DRG Cervical Spinal Fusion With Cc 122 33 $92,243.54 — $25,210.25 $61,052.03 $27,658.51 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 66 31 $125,298.55 — $15,439.38 $53,523.36 $27,548.86 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 67 30 $48,321.60 — $23,990.61 $52,905.82 $27,502.35 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 119 32 $59,656.94 — $25,206.57 $60,351.59 $27,482.36 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 110 30 $54,769.52 — $20,649.84 $56,961.31 $27,371.14 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 66 30 $38,561.23 — $16,104.97 $53,208.37 $27,136.53 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 68 32 $63,101.79 — $24,982.19 $59,806.58 $27,103.52 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 115 33 $76,621.04 — $22,571.55 $53,788.62 $26,994.65 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 69 33 $54,174.79 — $23,752.89 $58,009.89 $26,727.78 2026-04-01
0414T CPT Removal & Replace Cardiac Pulse Generator Only 31 15 $46,658.00 $46,658.00 $26,595.06 $46,658.00 $26,595.06 2026-04-01
0409T CPT Nsj/Rplc Cardiac Modulj Sys Pls Generator Only 31 15 $46,658.00 $46,658.00 $26,595.06 $46,658.00 $26,595.06 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 70 33 $85,101.81 — $23,953.96 $57,135.38 $26,331.65 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 71 33 $28,351.45 — $23,754.51 $56,652.54 $26,112.93 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 83 32 $76,733.95 — $23,643.24 $56,383.14 $25,990.89 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 68 30 $49,713.02 — $23,010.13 $50,651.16 $25,893.92 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 68 32 $38,704.01 — $23,518.26 $56,080.58 $25,853.84 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 69 32 $71,431.23 — $24,008.80 $57,442.08 $25,647.21 2026-04-01
113 MS_DRG Orbital Procedures With Cc/mcc 60 28 $58,917.37 — $14,357.79 $48,721.85 $25,430.64 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 117 32 $69,269.15 — $20,815.91 $49,538.33 $24,961.28 2026-04-01
33274 CPT Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img 146 59 $41,257.00 $41,257.00 $398.62 $41,257.00 $24,885.60 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 66 30 $35,473.22 — $22,043.15 $48,427.58 $24,813.45 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 59 27 $23,272.56 — $12,904.09 $47,281.60 $24,717.51 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 69 32 $96,954.51 — $17,807.35 $53,448.76 $24,661.68 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 66 30 $82,280.69 — $21,811.56 $47,895.00 $24,554.65 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 118 32 $66,027.37 — $21,397.97 $50,947.50 $24,532.28 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 292 58 $38,847.00 $38,847.00 $12,454.78 $58,270.50 $24,171.41 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 78 33 $96,101.89 — $21,958.67 $52,304.85 $24,143.52 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 72 32 $42,435.82 — $21,949.24 $52,282.06 $24,133.20 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 141 58 $38,847.00 $38,847.00 $12,454.78 $38,847.00 $24,011.67 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 120 33 $54,831.84 — $21,997.19 $52,555.60 $23,999.65 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 120 33 $43,428.51 — $21,839.31 $52,655.07 $23,916.74 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/Per 140 56 $38,847.00 $38,847.00 $2,161.65 $38,847.00 $23,905.04 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 136 55 $38,847.00 $38,847.00 $12,454.78 $38,847.00 $23,905.04 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 41 17 $68,070.94 — $23,287.52 $25,328.98 $23,895.26 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 70 33 $73,474.85 — $21,683.89 $51,639.64 $23,842.20 2026-04-01
33229 CPT Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead 210 61 $41,257.00 $41,257.00 $313.20 $41,257.00 $23,812.76 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 69 32 $61,944.43 — $21,596.59 $51,428.27 $23,746.46 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/Per 131 53 $38,847.00 $38,847.00 $2,161.65 $38,847.00 $23,684.00 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc 60 28 $39,826.31 — $22,484.76 $44,361.73 $23,609.00 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
33221 CPT Ins Pacemaker Pulse Gen Only W/Exist Mult Leads 199 61 $41,257.00 $41,257.00 $302.61 $41,257.00 $23,516.49 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 120 33 $31,998.54 — $16,562.11 $47,364.49 $23,276.12 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 64 30 $151,311.20 — $12,550.00 $50,877.04 $23,247.74 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 65 30 $66,871.28 — $3,638.82 $45,198.94 $23,244.58 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 71 32 $61,422.23 — $21,250.75 $50,591.06 $23,127.60 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 71 30 $65,208.61 — $17,956.18 $50,031.54 $23,113.76 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
397 MS_DRG Appendix Procedures With Mcc 70 32 $52,457.48 — $20,853.58 $49,629.51 $22,931.67 2026-04-01
37184 CPT Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st 480 58 $38,847.00 $38,847.00 $360.63 $58,270.50 $22,883.09 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 67 32 $38,035.59 — $18,223.35 $50,962.00 $22,804.26 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 74 32 $37,772.44 — $19,197.05 $49,453.37 $22,734.83 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 65 30 $38,322.37 — $20,094.82 $43,947.27 $22,636.37 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 65 30 $35,803.49 — $13,032.09 $43,878.88 $22,603.13 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/mcc 65 30 $58,334.27 — $20,057.87 $43,862.30 $22,595.08 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 65 30 $72,380.77 — $20,057.87 $43,862.30 $22,595.08 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 121 33 $61,734.85 — $20,812.23 $49,677.18 $22,589.74 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 68 32 $44,047.20 — $20,371.66 $48,462.81 $22,403.17 2026-04-01
835 MS_DRG Acute Leukemia With Cc 67 30 $41,721.47 — $18,450.09 $43,224.03 $22,284.92 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 79 33 $32,752.62 — $20,238.98 $48,141.60 $22,257.65 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 70 32 $64,491.18 — $17,821.98 $48,191.34 $22,166.25 2026-04-01
93580 CPT Prq Tcat Clsr Cgen Intratrl Comunicaj W/Implt 199 60 $38,847.00 $38,847.00 $801.58 $38,847.00 $22,142.79 2026-04-01
36906 CPT Perq Thrmbc/Nfs Dial Circuit Tcat Plmt IV Stent 195 58 $38,847.00 $38,847.00 $429.70 $40,045.40 $22,142.79 2026-04-01
37242 CPT Vascular Embolization Or Occlusion Arterial Rs&I 197 58 $38,847.00 $38,847.00 $398.56 $40,045.40 $22,142.79 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/Per 31 15 $38,847.00 $38,847.00 $22,142.79 $38,847.00 $22,142.79 2026-04-01
93590 CPT Cath Perq Transcath Cls Paravalvr Leak 1 Mitral Valve 38 19 $38,847.00 $38,847.00 $892.13 $38,847.00 $22,142.79 2026-04-01
92933 CPT Perq Trluml C Athrc St Angiop 1 Maj C Art&/Brnch 199 61 $38,847.00 $38,847.00 $525.30 $38,847.00 $22,142.79 2026-04-01
93591 CPT Perq Transcath Cls Paravalvr Leak 1 Aortic Valve 38 19 $38,847.00 $38,847.00 $735.95 $38,847.00 $22,142.79 2026-04-01
333 MS_DRG Rectal Resection With Cc 67 32 $31,308.27 — $20,343.02 $48,537.41 $22,081.86 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 65 30 $112,519.84 — $19,067.23 $42,701.81 $22,031.16 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
347 MS_DRG Anal And Stomal Procedures With Mcc 68 32 $69,501.47 — $20,003.59 $47,571.72 $21,999.53 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 70 32 $19,160.35 — $13,494.71 $47,557.21 $21,992.96 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 71 32 $49,085.20 — $19,116.60 $47,159.33 $21,812.72 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 72 32 $47,618.37 — $19,800.72 $47,080.58 $21,777.05 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
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
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 68 33 $136,208.93 — $19,515.67 $46,390.51 $21,464.47 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 67 32 $42,300.41 — $19,689.54 $46,950.03 $21,374.51 2026-04-01
J1640 HCPCS Hemin 350 Mg Intravenous Powder For Solution 31 15 $37,430.82 $37,430.82 $14,339.50 $37,430.82 $21,335.57 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 119 32 $45,230.98 — $17,348.39 $43,698.59 $21,307.67 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 66 31 $32,257.33 — $19,353.03 $45,996.77 $21,286.10 2026-04-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc 58 26 $12,259.92 — $20,386.95 $36,733.92 $21,253.40 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 90 33 $55,499.24 — $18,636.60 $45,855.85 $21,222.27 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 117 32 $33,455.34 — $18,660.55 $44,320.28 $21,203.81 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 72 33 $36,518.44 — $16,112.29 $45,754.31 $21,176.27 2026-04-01
548 MS_DRG Septic Arthritis With Mcc 65 29 $34,946.95 — $18,384.38 $40,014.04 $21,118.96 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 79 33 $75,722.14 — $19,174.14 $45,563.66 $21,089.92 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/mcc 70 33 $63,323.49 — $17,064.96 $45,491.13 $21,057.06 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 69 32 $116,298.55 — $19,115.08 $45,420.67 $21,025.14 2026-04-01
C9764 HCPCS Revasc Intravasc Lithotripsy 290 58 $24,534.00 $24,534.00 $7,865.82 $38,463.29 $20,976.57 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 71 32 $55,306.17 — $19,035.46 $45,227.95 $20,724.38 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 70 32 $46,757.17 — $14,653.10 $45,151.27 $20,690.03 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 66 31 $79,164.32 — $18,936.25 $45,120.19 $20,559.11 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 77 32 $90,862.64 — $18,593.77 $44,158.64 $20,453.47 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 69 33 $35,742.38 — $17,610.78 $44,071.60 $20,414.05 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 80 31 $52,634.35 — $18,480.79 $43,885.10 $20,329.56 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 67 31 $42,461.99 — $16,521.88 $38,022.56 $20,132.87 2026-04-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 66 30 $55,272.35 — $17,475.10 $37,923.09 $20,013.35 2026-04-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 65 30 $156,205.78 — $16,416.74 $38,521.98 $20,000.11 2026-04-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 77 33 $49,973.69 — $18,141.81 $43,064.47 $19,957.83 2026-04-01
886 MS_DRG Behavioral And Developmental Disorders 67 32 $19,621.63 — $11,224.57 $43,006.44 $19,931.55 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 71 31 $42,315.17 — $15,924.86 $44,378.30 $19,915.84 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 69 32 $77,236.67 — $17,011.02 $43,377.38 $19,895.14 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 119 32 $53,106.03 — $18,229.88 $43,404.32 $19,893.49 2026-04-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 65 30 $101,546.23 — $17,291.25 $37,500.34 $19,874.29 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 68 33 $43,397.54 — $18,044.23 $42,828.22 $19,850.81 2026-04-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 80 33 $40,130.24 — $18,018.55 $43,211.60 $19,820.86 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 69 32 $46,014.99 — $16,527.37 $44,160.71 $19,820.38 2026-04-01
0238T OTHER Hc Trluml Peripheral Atherectomy Iliac Artery Ea 30 14 $34,710.00 $34,710.00 $19,784.70 $34,710.00 $19,784.70 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
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 68 31 $13,123.38 — $15,515.26 $37,508.63 $19,693.05 2026-04-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 59 28 $32,667.62 — $13,937.22 $42,463.50 $19,685.60 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 68 31 $41,213.75 — $18,101.05 $43,091.41 $19,655.06 2026-04-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 70 31 $65,080.09 — $17,238.08 $37,378.08 $19,629.01 2026-04-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 117 32 $53,060.45 — $13,686.71 $40,662.67 $19,493.35 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 58 28 $42,346.22 — $15,969.66 $43,333.87 $19,457.62 2026-04-01
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 69 32 $113,600.54 — $17,662.46 $41,903.98 $19,432.15 2026-04-01
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 68 32 $41,946.50 — $13,534.03 $42,020.03 $19,385.82 2026-04-01
671 MS_DRG Urethral Procedures With Cc/mcc 65 30 $135,485.70 — $17,159.70 $37,197.79 $19,356.67 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 87 33 $42,075.02 — $17,567.46 $41,673.95 $19,327.97 2026-04-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 70 33 $49,537.49 — $17,528.93 $41,580.70 $19,285.72 2026-04-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 67 32 $41,334.09 — $17,475.01 $41,450.14 $19,226.59 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 80 33 $38,022.55 — $14,180.42 $41,406.63 $19,206.87 2026-04-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 75 33 $59,242.96 — $17,432.18 $41,346.53 $19,179.66 2026-04-01
501 MS_DRG Soft Tissue Procedures With Cc 66 30 $53,334.66 — $16,092.17 $36,225.88 $19,063.81 2026-04-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 78 33 $28,485.91 — $17,308.94 $41,048.12 $19,044.48 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 66 31 $37,095.54 — $12,915.06 $35,997.92 $18,952.00 2026-04-01
254 MS_DRG Other Vascular Procedures Without Cc/mcc 117 32 $52,387.88 — $15,604.67 $36,922.17 $18,925.60 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
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 117 32 $28,547.89 — $16,316.84 $38,646.32 $18,838.66 2026-04-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 65 30 $68,690.66 — $15,156.87 $36,006.21 $18,777.65 2026-04-01
539 MS_DRG Osteomyelitis With Mcc 119 32 $25,424.24 — $17,165.20 $40,818.09 $18,735.39 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 79 33 $56,310.20 — $17,201.10 $40,787.01 $18,734.39 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 65 30 $66,978.88 — $8,887.68 $35,910.89 $18,731.32 2026-04-01
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