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Hospital

MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL

Coldwater, OH · CCN 360058 · Rates published

9,306 distinct procedures filed
16 distinct payers
105,850 rate rows
2026-04-01 last MRF observed
Data quality

78,359 of 105,850 rate rows are consumer-grade (74.0%)

27,491 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 27,491
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=UQsnF1xuEdRnE*__*SX6YfSwA*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=UQsnF1xuEdRnE*__*SX6YfSwA*-*
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-12
Content fingerprint 6f50ca7c5c598dbe… · 27,845,600 bytes · first seen 2026-05-08

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 9 $291,527.13 $481,019.76 $300,272.94 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $189,189.38 $312,162.48 $194,865.06 nat. median
$261,939
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $144,137.25 $237,826.46 $148,461.37 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $143,291.35 $236,430.73 $147,590.09 nat. median
$199,832
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $110,901.76 $182,987.90 $134,745.64 nat. median
$111,503
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $93,510.82 $154,292.85 $96,316.14 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 9 $87,426.81 $144,254.24 $90,049.61 nat. median
$122,690
0.7× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $113,522.82 $83,594.07 nat. median
$70,178
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $81,132.86 $133,869.22 $83,566.85 nat. median
$114,305
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $76,500.99 $126,226.63 $78,796.02 nat. median
$108,240
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $76,413.23 $126,081.83 $78,705.63 nat. median
$96,134
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $74,404.13 $122,766.81 $76,636.25 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $73,411.06 $121,128.25 $75,613.39 nat. median
$100,978
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $69,606.20 $114,850.23 $71,694.39 nat. median
$99,646
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 9 $67,219.72 $110,912.54 $69,236.31 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $66,043.69 $108,972.09 $68,025.00 nat. median
$92,900
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $60,823.82 $100,359.30 $62,648.53 nat. median
$81,124
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $58,460.29 $96,459.48 $60,214.10 nat. median
$81,364
0.7× median
L7181
HCPCS 		Electronic Elbo Simultaneous 7 $49,338.18 $81,408.00 $59,945.89 nat. median
$50,449
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $56,910.26 $93,901.93 $58,617.57 nat. median
$79,040
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $56,731.36 $93,606.74 $58,433.30 nat. median
$80,459
0.7× median
L7180
HCPCS 		Electronic Elbow Sequential 7 $47,919.99 $79,067.98 $58,222.79 nat. median
$46,980
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $53,122.28 $87,651.76 $54,715.95 nat. median
$77,385
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $51,836.21 $85,529.75 $53,391.30 nat. median
$74,472
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $51,612.75 $85,161.04 $53,161.13 nat. median
$73,475
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $51,441.95 $84,879.22 $52,985.21 nat. median
$71,485
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $48,732.78 $80,409.09 $50,194.76 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $48,443.16 $79,931.21 $49,896.45 nat. median
$67,750
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $48,422.91 $79,897.80 $49,875.60 nat. median
$62,911
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $48,165.69 $79,473.39 $49,610.66 nat. median
$69,153
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $48,137.34 $79,426.61 $49,581.46 nat. median
$68,581
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $46,661.57 $76,991.59 $48,061.42 nat. median
$65,958
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $46,432.71 $76,613.97 $47,825.69 nat. median
$65,792
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $45,441.66 $74,978.74 $46,804.91 nat. median
$64,357
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $45,140.57 $74,481.94 $46,494.79 nat. median
$59,832
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $45,107.49 $74,427.36 $46,460.71 nat. median
$62,262
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $44,389.86 $73,243.27 $45,721.56 nat. median
$63,840
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $44,389.86 $73,243.27 $45,721.56 nat. median
$60,895
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $44,228.51 $72,977.04 $45,555.37 nat. median
$59,159
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $43,440.67 $71,677.11 $44,743.89 nat. median
$62,218
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $41,372.84 $68,265.19 $42,614.03 nat. median
$60,162
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $41,324.90 $68,186.08 $42,564.65 nat. median
$60,294
0.7× median
L8701
HCPCS 		Pow Ue Rom Dev Ewh Uprt Cust 7 $34,970.13 $57,700.71 $42,488.71 nat. median
$35,670
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $40,928.62 $67,532.22 $42,156.48 nat. median
$59,257
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 9 $40,562.04 $66,927.37 $41,778.90 nat. median
$56,970
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $40,550.56 $66,908.42 $41,767.08 nat. median
$58,419
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $40,256.89 $66,423.87 $41,464.60 nat. median
$57,394
0.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 $2,411.63 $66,205.56 $41,328.32 nat. median
$51,433
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 9 $40,031.41 $66,051.83 $41,232.35 nat. median
$55,867
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $39,618.93 $65,371.23 $40,807.50 nat. median
$57,082
0.7× median

Other procedures at this hospital

Browse this hospital's 9,306 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 13 9 — — $291,527.13 $481,019.76 $300,272.94 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $189,189.38 $312,162.48 $194,865.06 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 9 — — $144,137.25 $237,826.46 $148,461.37 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 9 — — $143,291.35 $236,430.73 $147,590.09 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 7 — — $110,901.76 $182,987.90 $134,745.64 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 9 — — $93,510.82 $154,292.85 $96,316.14 2026-04-01
7 MS_DRG Lung Transplant 13 9 — — $87,426.81 $144,254.24 $90,049.61 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 7 — — $68,801.71 $113,522.82 $83,594.07 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 9 — — $81,132.86 $133,869.22 $83,566.85 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $76,500.99 $126,226.63 $78,796.02 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 9 — — $76,413.23 $126,081.83 $78,705.63 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $74,404.13 $122,766.81 $76,636.25 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 9 — — $73,411.06 $121,128.25 $75,613.39 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $69,606.20 $114,850.23 $71,694.39 2026-04-01
215 MS_DRG Other Heart Assist System Implant 13 9 — — $67,219.72 $110,912.54 $69,236.31 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $66,043.69 $108,972.09 $68,025.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 9 — — $60,823.82 $100,359.30 $62,648.53 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 13 9 — — $58,460.29 $96,459.48 $60,214.10 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 7 — — $49,338.18 $81,408.00 $59,945.89 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 9 — — $56,910.26 $93,901.93 $58,617.57 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $56,731.36 $93,606.74 $58,433.30 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 7 — — $47,919.99 $79,067.98 $58,222.79 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 9 — — $53,122.28 $87,651.76 $54,715.95 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $51,836.21 $85,529.75 $53,391.30 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 9 — — $51,612.75 $85,161.04 $53,161.13 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 9 — — $51,441.95 $84,879.22 $52,985.21 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $48,732.78 $80,409.09 $50,194.76 2026-04-01
10 MS_DRG Pancreas Transplant 13 9 — — $48,443.16 $79,931.21 $49,896.45 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 9 — — $48,422.91 $79,897.80 $49,875.60 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 9 — — $48,165.69 $79,473.39 $49,610.66 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 9 — — $48,137.34 $79,426.61 $49,581.46 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 9 — — $46,661.57 $76,991.59 $48,061.42 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 9 — — $46,432.71 $76,613.97 $47,825.69 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 9 — — $45,441.66 $74,978.74 $46,804.91 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 9 — — $45,140.57 $74,481.94 $46,494.79 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 9 — — $45,107.49 $74,427.36 $46,460.71 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $44,389.86 $73,243.27 $45,721.56 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $44,389.86 $73,243.27 $45,721.56 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $44,228.51 $72,977.04 $45,555.37 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 9 — — $43,440.67 $71,677.11 $44,743.89 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 9 — — $41,372.84 $68,265.19 $42,614.03 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 9 — — $41,324.90 $68,186.08 $42,564.65 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 7 — — $34,970.13 $57,700.71 $42,488.71 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 9 — — $40,928.62 $67,532.22 $42,156.48 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 13 9 — — $40,562.04 $66,927.37 $41,778.90 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 9 — — $40,550.56 $66,908.42 $41,767.08 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $40,256.89 $66,423.87 $41,464.60 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 10 — — $2,411.63 $66,205.56 $41,328.32 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 13 9 — — $40,031.41 $66,051.83 $41,232.35 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 9 — — $39,618.93 $65,371.23 $40,807.50 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 9 — — $39,593.27 $65,328.90 $40,781.07 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 9 — — $38,933.70 $64,240.60 $40,101.71 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 9 — — $38,685.26 $63,830.68 $39,845.82 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 9 — — $38,527.29 $63,570.03 $39,683.11 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 9 — — $19,496.89 $63,487.59 $39,631.65 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $37,954.13 $62,624.31 $39,092.75 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 9 — — $37,836.66 $62,430.49 $38,971.76 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 9 — — $37,577.42 $62,002.74 $38,704.74 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 9 — — $37,285.78 $61,521.54 $38,404.35 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 13 9 — — $37,062.32 $61,152.83 $38,174.19 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 9 — — $36,931.35 $60,936.73 $38,039.29 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 9 — — $36,878.69 $60,849.84 $37,985.05 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 9 — — $36,820.64 $60,754.06 $37,925.26 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 13 9 — — $36,673.46 $60,511.21 $37,773.66 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $36,001.74 $59,402.87 $37,081.79 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 9 — — $35,980.14 $59,367.23 $37,059.54 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 9 — — $35,738.45 $58,968.44 $36,810.60 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 9 — — $35,620.31 $58,773.51 $36,688.92 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 9 — — $35,141.66 $57,983.74 $36,195.91 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 13 9 — — $35,080.90 $57,883.48 $36,133.33 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 8 7 — — $29,559.78 $48,773.64 $35,915.13 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 8 7 — — $29,510.19 $48,691.81 $35,854.88 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 8 7 — — $29,420.21 $48,543.35 $35,745.56 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
61886 HCPCS Implant Neurostim Arrays 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 8 7 — — $29,193.76 $48,169.71 $35,470.42 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $34,026.40 $56,143.56 $35,047.19 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 9 — — $32,545.08 $55,555.40 $34,680.04 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 9 — — $33,399.90 $55,109.84 $34,401.90 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 9 — — $33,340.49 $72,555.59 $34,340.70 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 9 — — $33,226.40 $54,823.56 $34,223.19 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $33,088.01 $54,595.22 $34,080.65 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 9 — — $32,598.56 $53,787.62 $33,576.52 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 9 — — $32,433.83 $53,515.82 $33,406.84 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 9 — — $32,140.17 $53,031.28 $33,104.38 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 9 — — $31,739.16 $52,369.61 $32,691.33 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 9 — — $31,674.35 $52,262.68 $32,624.58 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 9 — — $31,579.83 $52,106.72 $32,527.22 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 13 9 — — $31,304.39 $51,652.24 $32,243.52 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 9 — — $31,179.50 $51,446.18 $32,114.88 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 9 — — $31,030.98 $51,201.12 $31,961.91 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 9 — — $30,951.99 $51,070.78 $31,880.55 2026-04-01
245 MS_DRG Aicd Generator Procedures 13 9 — — $30,800.77 $50,821.27 $31,724.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 9 — — $30,708.28 $50,668.66 $31,629.53 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 9 — — $30,694.78 $50,646.39 $31,615.62 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 13 9 — — $30,574.61 $50,448.11 $31,491.85 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 13 9 — — $30,256.64 $49,923.46 $31,164.34 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 9 — — $30,247.86 $49,908.97 $31,155.30 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 9 — — $30,129.04 $49,712.92 $31,032.91 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 9 — — $29,655.80 $48,932.07 $30,545.47 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 9 — — $29,214.28 $48,203.56 $30,090.71 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 9 — — $28,981.37 $47,819.26 $29,850.81 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 13 9 — — $28,795.05 $47,511.83 $29,658.90 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 9 — — $28,629.65 $47,238.92 $29,488.54 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 9 — — $28,510.83 $47,042.87 $29,366.15 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 9 — — $28,462.22 $46,962.66 $29,316.09 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 9 — — $28,448.04 $46,939.27 $29,301.48 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 9 — — $28,365.01 $46,802.27 $29,215.96 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 13 9 — — $28,331.25 $46,746.56 $29,181.19 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 9 — — $28,278.59 $46,659.67 $29,126.95 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $28,169.23 $46,479.23 $29,014.31 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 9 — — $28,036.91 $46,260.90 $28,878.02 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 17 11 — — $1,150.83 $46,445.80 $28,711.95 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 9 — — $27,851.26 $45,954.58 $28,686.80 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 6 6 — — $17,077.92 $40,110.60 $28,667.10 2026-04-01
791 MS_DRG Prematurity With Major Problems 14 9 — — $814.14 $45,213.81 $28,224.38 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 3 — — $23,724.59 $45,721.49 $28,184.93 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 8 7 — — $23,087.32 $38,094.08 $28,051.10 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 9 — — $27,142.40 $44,784.96 $27,956.67 2026-04-01
L5858 HCPCS Stance Phase Only 8 7 — — $22,885.05 $37,760.33 $27,805.33 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 9 — — $26,896.66 $44,379.49 $27,703.56 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 9 — — $26,409.24 $43,575.25 $27,201.52 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 9 — — $26,289.75 $43,378.09 $27,078.44 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 9 — — $26,131.10 $43,116.31 $26,915.03 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 9 — — $26,091.94 $43,051.70 $26,874.70 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 9 — — $26,066.97 $43,010.50 $26,848.98 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 9 — — $25,919.12 $42,766.55 $26,696.69 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 8 7 — — $21,834.21 $36,026.45 $26,528.57 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 8 7 — — $21,739.52 $35,870.21 $26,413.52 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 9 — — $25,404.02 $41,916.63 $26,166.14 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 9 — — $25,293.30 $41,733.94 $26,052.10 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 9 — — $25,233.22 $41,634.81 $25,990.22 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 9 — — $25,230.52 $41,630.36 $25,987.44 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 9 — — $25,159.63 $41,513.39 $25,914.42 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 9 — — $25,017.86 $41,279.47 $25,768.40 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 13 9 — — $24,797.10 $40,915.21 $25,541.01 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 9 — — $24,786.98 $40,898.52 $25,530.59 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 9 — — $24,496.01 $40,418.42 $25,230.89 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 9 — — $24,477.10 $40,387.21 $25,211.41 2026-04-01
332 MS_DRG Rectal Resection With Mcc 13 9 — — $24,443.35 $40,331.53 $25,176.65 2026-04-01
265 MS_DRG Aicd Lead Procedures 13 9 — — $24,426.47 $40,303.68 $25,159.26 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 9 — — $24,383.27 $40,232.40 $25,114.77 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 9 — — $24,346.81 $40,172.24 $25,077.21 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 9 — — $24,187.49 $39,909.36 $24,913.11 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 9 — — $24,131.45 $39,816.89 $24,855.39 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 9 — — $24,107.15 $39,776.80 $24,830.36 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 9 — — $24,071.37 $39,717.76 $24,793.51 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 9 — — $24,051.12 $39,684.35 $24,772.65 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 9 — — $24,028.16 $39,646.46 $24,749.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 9 — — $24,008.59 $39,614.17 $24,728.85 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 9 — — $23,808.08 $39,283.33 $24,522.32 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 9 — — $23,759.47 $39,203.13 $24,472.25 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 8 7 — — $20,015.46 $33,025.51 $24,318.78 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 13 9 — — $23,549.52 $38,856.71 $24,256.01 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 9 — — $23,543.44 $38,846.68 $24,249.74 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 9 — — $23,435.43 $38,668.46 $24,138.49 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 8 7 — — $19,809.02 $32,684.88 $24,067.96 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 9 — — $23,322.01 $38,481.32 $24,021.67 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 9 — — $23,213.99 $38,303.08 $23,910.41 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 9 — — $23,145.13 $38,189.46 $23,839.48 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 9 — — $23,031.72 $38,002.34 $23,722.67 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 9 — — $23,001.34 $37,952.21 $23,691.38 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 14 10 — — $22,552.39 $37,211.44 $23,228.96 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 9 — — $22,300.58 $36,795.96 $22,969.60 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 13 9 — — $22,224.97 $36,671.20 $22,891.72 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 9 — — $22,222.27 $36,666.75 $22,888.94 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 9 — — $21,959.66 $36,233.44 $22,618.45 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 9 — — $21,863.12 $36,074.15 $22,519.01 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 9 — — $21,838.81 $36,034.04 $22,493.97 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 8 7 — — $18,506.37 $30,535.51 $22,485.24 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 9 — — $21,808.43 $35,983.91 $22,462.68 2026-04-01
652 MS_DRG Kidney Transplant 13 9 — — $21,802.36 $35,973.89 $22,456.43 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 9 — — $21,786.16 $35,947.16 $22,439.74 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 13 9 — — $21,743.62 $35,876.97 $22,395.93 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 9 — — $21,673.41 $35,761.13 $22,323.61 2026-04-01
9400 OTHER Inj, Labetalol Hcl, 5mg 1 1 — — $22,306.66 $22,306.66 $22,306.66 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 9 — — $21,554.60 $35,565.09 $22,201.24 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 9 — — $21,514.77 $35,499.37 $22,160.21 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 9 — — $21,493.84 $35,464.84 $22,138.66 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 9 — — $21,450.63 $35,393.54 $22,094.15 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 13 9 — — $21,365.57 $35,253.19 $22,006.54 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 9 — — $21,333.16 $35,199.71 $21,973.15 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 9 — — $21,272.40 $35,099.46 $21,910.57 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 9 — — $21,262.28 $35,082.76 $21,900.15 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 9 — — $21,212.32 $35,000.33 $21,848.69 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 8 7 — — $17,892.75 $29,523.04 $21,739.69 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 8 7 — — $17,866.14 $29,479.13 $21,707.36 2026-04-01
665 MS_DRG Prostatectomy With Mcc 13 9 — — $21,071.22 $34,767.51 $21,703.36 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 9 — — $21,027.34 $34,695.11 $21,658.16 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 9 — — $20,990.21 $34,633.85 $21,619.92 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 13 9 — — $20,668.19 $34,102.51 $21,288.24 2026-04-01
263 MS_DRG Vein Ligation And Stripping 13 9 — — $20,640.51 $34,056.84 $21,259.73 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 9 — — $20,477.14 $33,787.28 $21,091.45 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 9 — — $20,391.40 $33,645.81 $21,003.14 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 9 — — $20,388.70 $33,641.35 $21,000.36 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 9 — — $20,366.42 $33,604.59 $20,977.41 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 9 — — $20,093.68 $33,154.57 $20,696.49 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 9 — — $19,889.12 $32,817.05 $20,485.79 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 13 9 — — $19,875.62 $32,794.77 $20,471.89 2026-04-01
570 MS_DRG Skin Debridement With Mcc 13 9 — — $19,855.37 $32,761.36 $20,451.03 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 13 9 — — $19,712.92 $32,526.32 $20,304.31 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 9 — — $19,660.94 $32,440.55 $20,250.77 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 9 — — $19,591.41 $32,325.83 $20,179.15 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 9 — — $19,579.25 $32,305.76 $20,166.63 2026-04-01
0656T CPT Vrt Bdy Tethering Ant 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
0657T CPT Vrt Bdy Tethering Ant 8+ Seg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
20802 HCPCS Replantation Arm Complete 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
0790T CPT Revj Rplcmt/rmvl Vrt Tethrg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22600 HCPCS Neck Spine Fusion 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22610 HCPCS Thorax Spine Fusion 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
25446 HCPCS Wrist Replacement 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22612 HCPCS Lumbar Spine Fusion 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22556 HCPCS Thorax Spine Fusion 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
23616 HCPCS Treat Humerus Fracture 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
20805 HCPCS Replant Forearm Complete 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
28705 HCPCS Fusion Of Foot Bones 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
20838 HCPCS Replantation Foot Complete 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
24363 HCPCS Replace Elbow Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
27487 HCPCS Revise/replace Knee Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
20808 HCPCS Replantation Hand Complete 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 8 7 — — $16,588.34 $27,370.77 $20,154.83 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 9 — — $19,492.84 $32,163.19 $20,077.63 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 14 9 — — $267.61 $32,147.59 $20,067.89 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 13 9 — — $19,455.04 $32,100.82 $20,038.69 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 9 — — $19,376.72 $31,971.59 $19,958.02 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 9 — — $19,243.73 $31,752.15 $19,821.04 2026-04-01
800 MS_DRG Splenic Procedures With Cc 13 9 — — $18,966.26 $31,294.33 $19,535.25 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 13 9 — — $18,898.08 $31,181.83 $19,465.02 2026-04-01
503 MS_DRG Foot Procedures With Mcc 13 9 — — $18,842.72 $31,090.49 $19,408.00 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 14 9 — — $757.03 $30,876.61 $19,274.49 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 9 — — $18,613.19 $30,711.76 $19,171.59 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 16 9 — — $16,465.13 $39,779.72 $19,113.17 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 15 9 — — $18,551.75 $30,610.39 $19,108.30 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 9 — — $18,455.89 $30,452.22 $19,009.57 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 8 7 — — $15,621.74 $25,775.87 $18,980.42 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 9 — — $18,368.12 $30,307.40 $18,919.16 2026-04-01
849 MS_DRG Radiotherapy 13 9 — — $18,291.84 $30,181.54 $18,840.60 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 9 — — $18,269.56 $30,144.77 $18,817.65 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 9 — — $18,210.15 $30,046.75 $18,756.45 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 9 — — $17,957.66 $29,630.14 $18,496.39 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 9 — — $17,894.88 $29,526.55 $18,431.73 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 9 — — $17,805.09 $29,378.40 $18,339.24 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 13 9 — — $17,522.90 $28,912.78 $18,048.59 2026-04-01
L6955 HCPCS Above Elbow Myoelectronic CT 8 7 — — $14,850.10 $24,502.66 $18,042.87 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 13 9 — — $17,501.97 $28,878.25 $18,027.03 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 13 9 — — $17,436.49 $28,770.21 $17,959.58 2026-04-01
Q0479 HCPCS Power Module Combo Vad, Rep 8 7 — — $14,780.89 $24,388.47 $17,958.78 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 13 9 — — $17,412.18 $28,730.10 $17,934.55 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 9 — — $17,412.18 $28,730.10 $17,934.55 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 13 9 — — $17,333.87 $28,600.89 $17,853.89 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 13 9 — — $17,235.31 $28,438.26 $17,752.37 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 9 — — $17,153.62 $28,303.47 $17,668.23 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 9 — — $13,121.42 $28,250.00 $17,634.85 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 13 9 — — $17,039.53 $28,115.22 $17,550.72 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 13 9 — — $17,032.10 $28,102.96 $17,543.06 2026-04-01
L6945 HCPCS Elbow Disart Myoelectronic C 8 7 — — $14,312.50 $23,615.62 $17,389.69 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 13 9 — — $16,822.82 $27,757.65 $17,327.50 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 13 9 — — $16,753.96 $27,644.03 $17,256.58 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 13 9 — — $16,602.06 $27,393.40 $17,100.12 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 14 10 — — $8,626.85 $27,385.61 $17,095.26 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 13 9 — — $16,574.38 $27,347.73 $17,071.61 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 9 — — $16,500.80 $27,226.32 $16,995.82 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 13 9 — — $16,481.22 $27,194.01 $16,975.66 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 13 9 — — $16,352.27 $26,981.25 $16,842.84 2026-04-01
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