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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

FIRSTHEALTH MOORE REGIONAL HOSPITAL

Pinehurst, NC · CCN 340115 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $548 across 3 payers · range $537-$1,021

Source: https://www.firsthealth.org/app/files/public/c8161d8d-00da-4f34-ba95-fcc9c470cf2e/561936354_1740208081_firsthealth-of-the-carolinas-inc._standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,775 distinct procedures filed
21 distinct payers
67,213 rate rows
2026-04-01 last MRF observed
Data quality

41,610 of 67,213 rate rows are consumer-grade (61.9%)

25,603 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 22,936
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,667
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.firsthealth.org/app/files/public/c8161d8d-00da-4f34-ba95-fcc9c470cf2e/561936354_1740208081_firsthealth-of-the-carolinas-inc._standardcharges.csv
Found on page https://firsthealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-10-10
Content fingerprint cff524c57b51421b… · 17,840,524 bytes · first seen 2026-10-10

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $313,766.97 $830,621.16 $313,766.97 nat. median
$359,358
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $204,098.20 $539,039.72 $204,098.20 nat. median
$249,124
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $155,818.73 $410,676.87 $155,818.73 nat. median
$198,433
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $127,648.20 $408,266.72 $154,912.23 nat. median
$190,557
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $111,502.61 $211,854.96 $113,732.66 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $96,592.53 $266,431.68 $101,565.65 nat. median
$126,722
0.8× median
7
MS_DRG 		Lung Transplant 12 $95,045.81 $249,097.10 $95,045.81 nat. median
$117,894
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $88,300.98 $231,164.31 $88,300.98 nat. median
$110,192
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $83,337.32 $217,967.17 $83,337.32 nat. median
$103,967
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $83,243.27 $217,717.12 $83,243.27 nat. median
$92,655
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $81,090.24 $211,992.78 $81,090.24 nat. median
$93,270
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $77,217.14 $209,163.31 $80,026.03 nat. median
$97,414
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $75,948.61 $198,322.47 $75,948.61 nat. median
$94,964
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 13 $72,321.33 $191,522.90 $73,391.17 nat. median
$93,917
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $65,955.68 $188,172.16 $72,130.90 nat. median
$90,581
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 3 $68,801.71 $130,723.25 $70,177.74 nat. median
$70,178
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $66,537.10 $173,299.66 $66,537.10 nat. median
$78,037
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $64,004.26 $166,565.48 $64,004.26 nat. median
$78,262
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $62,343.19 $162,149.13 $62,343.19 nat. median
$77,043
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $58,302.46 $161,639.40 $62,151.48 nat. median
$77,696
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $55,918.46 $71,569.04 $58,293.25 nat. median
$71,201
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $56,393.50 $151,356.37 $58,283.85 nat. median
$74,460
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $36,657.46 $147,692.10 $56,905.66 nat. median
$72,473
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $33,716.72 $202,558.90 $56,666.19 nat. median
$71,758
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 $56,483.16 $146,568.78 $56,483.16 nat. median
$68,004
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $53,579.91 $138,849.77 $53,579.91 nat. median
$63,648
0.8× median
10
MS_DRG 		Pancreas Transplant 12 $53,269.54 $138,024.59 $53,269.54 nat. median
$64,903
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $53,247.84 $137,966.88 $53,247.84 nat. median
$61,329
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $52,972.20 $137,234.03 $52,972.20 nat. median
$66,660
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $46,990.45 $137,153.24 $52,941.81 nat. median
$66,649
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $46,923.23 $132,948.47 $51,360.33 nat. median
$62,721
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 $44,106.39 $132,296.41 $51,115.07 nat. median
$63,896
0.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 3 $49,605.45 $94,250.36 $50,597.56 nat. median
$50,453
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 12 $50,053.03 $129,472.71 $50,053.03 nat. median
$61,711
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 $49,730.37 $128,614.83 $49,730.37 nat. median
$57,560
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $49,694.92 $128,520.58 $49,694.92 nat. median
$60,543
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $32,579.81 $109,292.31 $49,661.22 nat. median
$49,639
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $48,925.88 $126,475.90 $48,925.88 nat. median
$59,558
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $45,572.91 $243,268.23 $48,925.88 nat. median
$62,038
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 $888.73 $126,016.18 $48,752.97 nat. median
$58,118
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $44,537.81 $123,771.45 $47,908.69 nat. median
$59,384
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 $33,441.18 $117,879.77 $45,692.73 nat. median
$58,331
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 12 $45,641.37 $117,743.21 $45,641.37 nat. median
$58,216
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 12 $41,835.95 $116,614.11 $45,216.69 nat. median
$57,804
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 12 $44,031.08 $115,569.65 $44,823.85 nat. median
$54,505
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 $33,544.31 $115,536.95 $44,811.56 nat. median
$56,686
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $42,239.20 $114,700.23 $44,496.85 nat. median
$55,188
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 $44,355.05 $114,323.22 $44,355.05 nat. median
$50,905
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 12 $44,255.21 $114,057.78 $44,255.21 nat. median
$53,907
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 14 $30,472.09 $112,882.52 $43,813.18 nat. median
$55,491
0.8× median

Other procedures at this hospital

Browse this hospital's 9,775 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 12 — — $313,766.97 $830,621.16 $313,766.97 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 12 — — $204,098.20 $539,039.72 $204,098.20 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 12 — — $155,818.73 $410,676.87 $155,818.73 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 14 — — $127,648.20 $408,266.72 $154,912.23 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 3 3 — — $111,502.61 $211,854.96 $113,732.66 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 13 — — $96,592.53 $266,431.68 $101,565.65 2026-04-01
7 MS_DRG Lung Transplant 14 12 — — $95,045.81 $249,097.10 $95,045.81 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 12 — — $88,300.98 $231,164.31 $88,300.98 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 12 — — $83,337.32 $217,967.17 $83,337.32 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 12 — — $83,243.27 $217,717.12 $83,243.27 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 12 — — $81,090.24 $211,992.78 $81,090.24 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 12 — — $77,217.14 $209,163.31 $80,026.03 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 12 — — $75,948.61 $198,322.47 $75,948.61 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 13 — — $72,321.33 $191,522.90 $73,391.17 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $65,955.68 $188,172.16 $72,130.90 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 3 3 — — $68,801.71 $130,723.25 $70,177.74 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 12 — — $66,537.10 $173,299.66 $66,537.10 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 12 — — $64,004.26 $166,565.48 $64,004.26 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 13 — — $62,343.19 $162,149.13 $62,343.19 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 13 — — $58,302.46 $161,639.40 $62,151.48 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $55,918.46 $71,569.04 $58,293.25 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 12 — — $56,393.50 $151,356.37 $58,283.85 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 13 — — $36,657.46 $147,692.10 $56,905.66 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 15 — — $33,716.72 $202,558.90 $56,666.19 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 13 — — $56,483.16 $146,568.78 $56,483.16 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 12 — — $53,579.91 $138,849.77 $53,579.91 2026-04-01
10 MS_DRG Pancreas Transplant 14 12 — — $53,269.54 $138,024.59 $53,269.54 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 12 — — $53,247.84 $137,966.88 $53,247.84 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 12 — — $52,972.20 $137,234.03 $52,972.20 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 13 — — $46,990.45 $137,153.24 $52,941.81 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 15 — — $46,923.23 $132,948.47 $51,360.33 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 13 — — $44,106.39 $132,296.41 $51,115.07 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 3 3 — — $49,605.45 $94,250.36 $50,597.56 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 12 — — $50,053.03 $129,472.71 $50,053.03 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 12 — — $49,730.37 $128,614.83 $49,730.37 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 12 — — $49,694.92 $128,520.58 $49,694.92 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 14 10 — — $32,579.81 $109,292.31 $49,661.22 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 12 — — $48,925.88 $126,475.90 $48,925.88 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 12 — — $45,572.91 $243,268.23 $48,925.88 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 12 — — $888.73 $126,016.18 $48,752.97 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 14 — — $44,537.81 $123,771.45 $47,908.69 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 13 — — $33,441.18 $117,879.77 $45,692.73 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 12 — — $45,641.37 $117,743.21 $45,641.37 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 12 — — $41,835.95 $116,614.11 $45,216.69 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 15 12 — — $44,031.08 $115,569.65 $44,823.85 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 14 — — $33,544.31 $115,536.95 $44,811.56 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 13 — — $42,239.20 $114,700.23 $44,496.85 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 15 — — $44,355.05 $114,323.22 $44,355.05 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 12 — — $44,255.21 $114,057.78 $44,255.21 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 14 — — $30,472.09 $112,882.52 $43,813.18 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 12 — — $43,785.69 $112,809.43 $43,785.69 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $29,581.02 $47,299.37 $43,282.54 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 12 — — $43,078.87 $110,930.17 $43,078.87 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 12 — — $37,597.94 $110,222.32 $42,812.63 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 12 — — $42,643.34 $109,772.22 $42,643.34 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 13 — — $37,503.76 $109,629.88 $42,589.81 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 12 — — $42,029.12 $108,139.17 $42,029.12 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 12 — — $41,903.24 $107,804.48 $41,903.24 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 13 — — $34,814.96 $107,065.86 $41,625.43 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 12 — — $41,312.90 $106,234.91 $41,312.90 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 14 12 — — $41,073.43 $105,598.23 $41,073.43 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 12 — — $40,933.08 $105,225.07 $40,933.08 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 14 — — $27,917.32 $105,075.03 $40,876.65 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 12 — — $40,814.43 $104,909.61 $40,814.43 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 3 3 — — $39,992.59 $75,985.92 $40,792.44 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 12 — — $40,656.72 $104,490.29 $40,656.72 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 13 — — $34,731.38 $109,415.30 $39,936.87 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 12 — — $39,913.72 $102,514.86 $39,913.72 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 14 10 — — $31,940.99 $88,622.54 $39,669.96 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 12 — — $39,654.72 $101,826.24 $39,654.72 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 13 — — $35,614.90 $101,489.63 $39,528.12 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 13 — — $18,455.20 $100,125.87 $39,015.18 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 14 12 — — $38,950.07 $99,952.75 $38,950.07 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 12 — — $37,820.03 $96,948.25 $37,820.03 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 15 — — $27,301.94 $95,932.64 $37,438.04 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 13 — — $34,508.50 $95,163.24 $37,148.65 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 15 — — $21,790.34 $94,993.97 $37,084.99 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 14 — — $27,623.30 $94,668.90 $36,962.72 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 12 — — $36,814.41 $94,274.58 $36,814.41 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 13 — — $33,034.54 $92,880.04 $36,289.90 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 12 — — $36,113.38 $92,410.71 $36,113.38 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 13 — — $30,967.57 $91,573.99 $35,798.67 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 3 3 — — $34,970.13 $66,443.25 $35,669.53 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 12 — — $35,368.94 $90,431.43 $35,368.94 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 14 — — $8,110.39 $155,459.14 $35,299.49 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 12 — — $33,973.75 $89,977.48 $35,198.20 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 14 12 — — $34,903.03 $89,192.70 $34,903.03 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 14 — — $30,962.65 $88,836.85 $34,769.19 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 13 — — $19,070.49 $88,413.68 $34,610.03 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 13 — — $31,301.67 $88,188.63 $34,525.38 2026-04-01
245 MS_DRG Aicd Generator Procedures 14 12 — — $34,363.33 $87,757.76 $34,363.33 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 13 — — $29,693.41 $87,494.24 $34,264.21 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 15 — — $30,883.89 $87,455.77 $34,249.74 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 15 13 — — $33,007.58 $87,113.39 $34,120.97 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 21 13 — — $18,721.54 $86,207.42 $33,780.22 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 13 — — $29,199.34 $86,182.42 $33,770.81 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 12 — — $33,643.48 $85,843.88 $33,643.48 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 13 — — $27,093.89 $84,495.51 $33,136.34 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 13 — — $28,507.05 $83,237.54 $32,663.19 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 14 — — $21,082.00 $82,573.93 $32,413.60 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 14 12 — — $32,213.92 $82,043.05 $32,213.92 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 12 — — $32,036.68 $81,571.79 $32,036.68 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 14 — — $28,574.59 $97,069.75 $31,909.35 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 12 — — $31,857.26 $81,094.76 $31,857.26 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 12 — — $31,842.07 $81,054.37 $31,842.07 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 13 — — $29,192.59 $80,817.78 $31,753.08 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 14 12 — — $31,716.91 $80,721.60 $31,716.91 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 15 — — $21,065.40 $80,571.57 $31,660.48 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 13 — — $30,055.83 $80,259.96 $31,543.28 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 15 — — $9,187.50 $80,202.26 $31,521.57 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 3 3 — — $30,868.08 $58,649.35 $31,485.44 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 3 3 — — $30,868.08 $58,649.35 $31,485.44 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 3 3 — — $30,868.08 $58,649.35 $31,485.44 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 3 3 — — $30,868.08 $58,649.35 $31,485.44 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 3 3 — — $30,868.08 $58,649.35 $31,485.44 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 3 3 — — $30,868.08 $58,649.35 $31,485.44 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 3 3 — — $30,868.08 $58,649.35 $31,485.44 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 12 — — $28,994.87 $79,882.96 $31,401.48 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 15 — — $27,338.73 $79,353.99 $31,202.53 2026-04-01
61886 HCPCS Implant Neurostim Arrays 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 3 3 — — $30,345.72 $57,656.88 $30,952.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 15 — — $22,911.51 $78,074.87 $30,721.42 2026-04-01
999 MS_DRG Ungroupable 6 5 — — $10,932.78 $38,047.94 $30,718.22 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 12 — — $30,442.89 $77,334.32 $30,442.89 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 3 — — $29,719.96 $56,467.92 $30,314.36 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 13 — — $30,179.55 $76,634.16 $30,179.55 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 7 — — $20,462.63 $45,027.83 $30,171.86 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 3 3 — — $29,579.67 $56,201.37 $30,171.26 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 3 3 — — $29,510.19 $56,069.36 $30,100.39 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 12 — — $27,103.96 $75,245.40 $29,657.21 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 15 10 — — $2,148.91 $128,683.77 $29,529.96 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 12 — — $29,529.16 $74,904.94 $29,529.16 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 11 6 — — $27,479.31 $54,785.46 $29,456.64 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 12 — — $27,814.56 $74,452.91 $29,359.15 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 13 — — $19,241.06 $74,341.35 $29,317.19 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 13 — — $24,530.67 $74,270.18 $29,290.42 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 14 — — $24,306.62 $73,848.94 $29,131.98 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 3 3 — — $28,207.46 $53,594.16 $28,771.60 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 13 — — $26,757.38 $72,381.31 $28,579.98 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 12 — — $28,461.33 $72,065.85 $28,461.33 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 12 — — $590.00 $71,894.66 $28,396.94 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 13 — — $28,394.05 $71,886.97 $28,394.05 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 13 — — $1,320.00 $71,685.00 $28,318.09 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 12 — — $28,166.16 $71,281.06 $28,166.16 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 14 12 — — $27,929.59 $70,652.08 $27,929.59 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 13 — — $24,584.54 $70,623.23 $27,918.73 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 12 — — $27,606.92 $69,794.20 $27,606.92 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 12 — — $24,776.81 $69,740.34 $27,586.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 15 13 — — $26,157.93 $69,644.16 $27,550.49 2026-04-01
265 MS_DRG Aicd Lead Procedures 14 12 — — $27,532.41 $69,596.08 $27,532.41 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 12 — — $27,486.10 $69,472.97 $27,486.10 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 13 — — $23,783.31 $69,369.10 $27,447.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 13 — — $27,220.71 $68,915.16 $27,276.30 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 13 — — $27,216.25 $68,755.51 $27,216.25 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 13 — — $25,376.78 $68,686.26 $27,190.21 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 12 — — $27,151.87 $68,584.32 $27,151.87 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 12 — — $25,469.43 $68,526.61 $27,130.16 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 14 — — $20,593.81 $68,461.21 $27,105.56 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 14 — — $24,160.53 $68,405.43 $27,084.58 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 13 — — $18,627.05 $71,213.06 $26,869.72 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 14 — — $26,817.63 $67,695.66 $26,817.63 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 21 14 — — $23,654.53 $67,097.45 $26,592.63 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 15 — — $19,198.84 $73,245.62 $26,586.12 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 12 — — $26,470.36 $66,772.38 $26,470.36 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 2 — — $26,156.06 $26,669.59 $26,412.83 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 13 — — $17,134.88 $66,449.23 $26,348.82 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 12 — — $26,233.07 $66,141.47 $26,233.07 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 3 3 — — $25,704.19 $48,837.97 $26,218.28 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 3 3 — — $25,704.19 $48,837.97 $26,218.28 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 3 3 — — $25,704.19 $48,837.97 $26,218.28 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 13 — — $678.50 $65,945.27 $26,159.28 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 14 — — $1,800.00 $65,622.13 $26,037.74 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 12 — — $26,005.18 $65,535.57 $26,005.18 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 14 — — $11,185.66 $64,256.44 $25,524.08 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 12 — — $25,254.23 $63,538.98 $25,254.23 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 13 — — $21,348.83 $63,323.54 $25,173.20 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 15 — — $21,633.79 $66,205.38 $25,170.31 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 14 — — $23,932.59 $62,567.61 $24,888.88 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 13 — — $11,455.23 $62,292.55 $24,785.42 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 14 — — $10,744.35 $62,223.30 $24,759.38 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 12 — — $24,726.82 $62,136.74 $24,726.82 2026-04-01
652 MS_DRG Kidney Transplant 14 12 — — $24,720.31 $62,119.43 $24,720.31 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 12 — — $23,778.63 $62,073.27 $24,702.95 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 14 12 — — $24,657.37 $61,952.09 $24,657.37 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 12 — — $20,628.62 $61,752.04 $24,582.13 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 14 — — $18,130.20 $61,413.51 $24,454.80 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 13 — — $10,999.64 $61,300.02 $24,412.12 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 13 — — $22,885.07 $147,507.42 $24,389.69 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 12 — — $24,343.39 $61,117.29 $24,343.39 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 14 — — $19,622.30 $60,874.93 $24,252.23 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 14 12 — — $24,217.51 $60,782.60 $24,217.51 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 13 — — $22,467.30 $60,609.49 $24,152.40 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 13 — — $21,874.76 $60,580.63 $24,141.54 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 14 12 — — $24,088.01 $60,438.29 $24,088.01 2026-04-01
665 MS_DRG Prostatectomy With Mcc 15 12 — — $23,936.80 $60,036.28 $23,936.80 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 14 — — $20,800.62 $59,911.25 $23,889.78 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 13 — — $17,567.45 $59,805.46 $23,849.99 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 3 3 — — $23,212.40 $44,103.56 $23,676.65 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 12 — — $22,541.82 $58,887.95 $23,504.90 2026-04-01
263 MS_DRG Vein Ligation And Stripping 14 12 — — $23,475.24 $58,809.09 $23,475.24 2026-04-01
L5858 HCPCS Stance Phase Only 3 3 — — $23,009.05 $43,717.20 $23,469.23 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 13 — — $22,979.77 $58,343.60 $23,300.16 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 15 10 — — $15,032.40 $63,909.60 $23,231.62 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 13 — — $11,820.18 $58,099.32 $23,208.28 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 13 — — $18,283.88 $58,091.62 $23,205.38 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 13 — — $16,210.84 $58,028.15 $23,181.51 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 1 1 — — $23,001.80 $23,001.80 $23,001.80 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 12 — — $22,889.23 $57,251.05 $22,889.23 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 23 14 — — $2,167.32 $56,668.23 $22,670.02 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 14 12 — — $22,655.55 $56,629.76 $22,655.55 2026-04-01
570 MS_DRG Skin Debridement With Mcc 18 13 — — $21,247.82 $56,572.06 $22,633.85 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 14 12 — — $22,481.20 $56,166.20 $22,481.20 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 15 — — $5,401.43 $56,018.09 $22,425.49 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 16 13 — — $20,791.49 $55,819.97 $22,350.98 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 13 — — $1,580.00 $55,785.35 $22,337.95 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 3 3 — — $21,874.52 $41,561.59 $22,312.01 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 14 12 — — $22,245.35 $55,539.14 $22,245.35 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 15 — — $21,053.93 $55,512.21 $22,235.22 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 14 12 — — $22,204.84 $55,431.42 $22,204.84 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 18 13 — — $20,604.75 $55,208.30 $22,120.92 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 14 — — $1,076.46 $54,829.37 $21,978.39 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 3 — — $21,299.94 $40,469.89 $21,725.94 2026-04-01
800 MS_DRG Splenic Procedures With Cc 14 12 — — $21,681.05 $54,038.81 $21,681.05 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 14 12 — — $21,607.98 $53,844.54 $21,607.98 2026-04-01
503 MS_DRG Foot Procedures With Mcc 17 13 — — $12,823.34 $53,686.81 $21,548.66 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 22 14 — — $17,955.08 $53,317.50 $21,409.75 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 14 — — $19,180.89 $53,032.82 $21,302.68 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 15 — — $18,776.15 $62,330.08 $21,241.91 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 14 — — $18,217.05 $53,959.81 $21,236.85 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 14 12 — — $21,134.11 $52,584.64 $21,134.11 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 16 — — $18,938.79 $57,894.44 $21,040.06 2026-04-01
849 MS_DRG Radiotherapy 14 12 — — $20,958.31 $52,117.23 $20,958.31 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 16 13 — — $1,469.81 $52,053.76 $20,934.44 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 16 13 — — $17,395.50 $51,884.49 $20,870.77 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
53444 HCPCS Insert Tandem Cuff 3 3 — — $20,382.25 $38,726.27 $20,789.89 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 17 14 — — $20,600.20 $51,165.10 $20,600.20 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 3 3 — — $20,131.45 $38,249.75 $20,534.08 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 12 — — $20,532.92 $50,986.21 $20,532.92 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 3 3 — — $20,123.89 $38,235.39 $20,526.37 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 4 4 — — $377.00 $124,681.50 $20,496.10 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 14 12 — — $20,436.70 $50,730.39 $20,436.70 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 26 14 — — $12,786.28 $104,154.82 $20,134.29 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 14 12 — — $20,111.86 $49,866.74 $20,111.86 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 12 — — $19,176.89 $49,680.16 $20,041.69 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 15 13 — — $17,124.32 $49,610.91 $20,015.64 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 16 14 — — $20,015.64 $49,610.91 $20,015.64 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 17 13 — — $18,725.76 $49,387.79 $19,931.72 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 20 14 — — $17,890.47 $49,106.96 $19,826.10 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 14 — — $14,196.10 $48,874.21 $19,738.56 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 10 7 — — $5,263.61 $37,149.28 $19,722.48 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 23 14 — — $17,219.48 $48,781.88 $19,703.83 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 25 14 — — $13,554.61 $48,549.14 $19,616.29 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 12 — — $17,920.65 $48,527.98 $19,608.33 2026-04-01
63655 HCPCS Implant Neuroelectrodes 3 3 — — $19,078.24 $36,248.65 $19,459.80 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 3 3 — — $19,078.24 $36,248.65 $19,459.80 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 3 3 — — $19,078.24 $36,248.65 $19,459.80 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 3 3 — — $19,078.24 $36,248.65 $19,459.80 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 3 3 — — $19,078.24 $36,248.65 $19,459.80 2026-04-01
64580 HCPCS Implant Neuroelectrodes 3 3 — — $19,078.24 $36,248.65 $19,459.80 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 14 12 — — $19,384.06 $47,931.70 $19,384.06 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 3 3 — — $18,942.11 $35,990.01 $19,320.95 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 18 13 — — $30.39 $47,735.50 $19,310.27 2026-04-01
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