Price Transparency Hospital negotiated rates

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

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Hospital

METROHEALTH SYSTEM

Cleveland, OH · CCN 360059 · Rates published

15,017 distinct procedures filed
26 distinct payers
293,644 rate rows
2026-04-01 last MRF observed
Data quality

240,018 of 293,644 rate rows are consumer-grade (81.7%)

53,626 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 53,333
placeholder amount (≤ $0.02) — excluded from medians 293
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.metrohealth.org/globalassets/metrohealth-documents/patients-and-visitors/pricing-transparency-2026/346004382_metrohealth-system_standardcharges.csv
Found on page https://www.metrohealth.org/en/patients-visitors/billing-finance/price-transparency/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 667d1e2b2af0647c… · 70,714,517 bytes · first seen 2026-05-18

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $0.47 $4,798,885.00 $3,709,907.25 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $0.47 $4,649,926.93 $3,354,590.14 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $1,766,712.51 $4,543,533.94 $3,294,062.11 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $1,599,555.21 $4,701,312.00 $2,997,086.40 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $0.47 $4,139,339.61 $2,625,893.56 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $1,269,488.26 $4,897,200.00 $2,471,920.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $419,508.17 $2,003,612.00 $1,021,071.50 nat. median
$824,563
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $0.47 $1,596,870.10 $780,738.18 nat. median
$754,974
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $0.47 $1,530,086.50 $747,061.42 nat. median
$675,122
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $0.47 $1,461,878.17 $730,939.09 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $0.47 $1,455,430.81 $727,715.41 nat. median
$625,184
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $0.47 $1,382,807.71 $691,403.85 nat. median
$634,511
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $0.47 $1,272,155.56 $636,077.78 nat. median
$620,080
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 $259,096.80 $652,492.11 $422,128.93 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $168,143.40 $423,441.13 $275,821.86 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $2,185.00 $322,606.06 $210,361.31 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $5,000.00 $423,554.34 $209,157.98 nat. median
$202,986
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $1,676.00 $209,294.65 $138,343.36 nat. median
$133,176
1.0× median
7
MS_DRG 		Lung Transplant 22 $77,701.20 $195,677.52 $130,337.08 nat. median
$122,708
1.1× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 10 $60,372.42 $288,344.58 $121,991.94 nat. median
$111,989
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $72,107.40 $181,590.47 $121,338.93 nat. median
$117,303
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $67,990.80 $171,223.50 $114,717.00 nat. median
$108,660
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 22 $67,912.80 $171,032.13 $114,591.52 nat. median
$98,017
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $66,127.20 $166,745.10 $111,719.21 nat. median
$98,905
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $65,244.60 $164,626.08 $110,299.48 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $61,863.00 $156,507.24 $104,859.85 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 22 $59,742.00 $151,414.96 $101,448.02 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $58,696.80 $148,905.56 $99,766.72 nat. median
$93,672
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $54,057.60 $137,767.36 $92,304.14 nat. median
$82,712
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $51,957.00 $132,724.06 $88,925.12 nat. median
$83,442
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $50,579.40 $129,416.61 $86,709.13 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $50,420.40 $129,034.86 $86,023.24 nat. median
$81,118
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $85,941.63 $85,941.63 $85,941.63 nat. median
$76,377
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $40,295.89 $121,333.78 $80,889.19 nat. median
$77,576
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $46,069.80 $118,589.56 $80,245.60 nat. median
$74,915
1.1× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $79,560.00 $79,560.00 $79,560.00 nat. median
$775
outlier · 102.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $45,871.20 $118,112.76 $78,741.84 nat. median
$73,807
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 $1,676.00 $204,714.96 $78,498.87 nat. median
$72,138
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $65,209.50 $232,501.95 $77,204.99 nat. median
$87,411
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 10 $37,454.10 $178,884.45 $75,681.88 nat. median
$70,825
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $43,311.60 $111,967.44 $75,018.18 nat. median
$68,090
1.1× median
10
MS_DRG 		Pancreas Transplant 22 $43,054.20 $111,349.46 $74,604.14 nat. median
$68,882
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $42,807.60 $110,757.40 $74,207.46 nat. median
$71,240
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 22 $34,760.60 $111,306.24 $74,204.16 nat. median
$64,027
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 12 $30,934.00 $225,983.21 $73,871.91 nat. median
$62,507
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $42,782.40 $110,696.89 $73,797.93 nat. median
$68,887
1.1× median
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$55,037
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $1,676.00 $107,547.90 $71,698.60 nat. median
$66,526
1.1× median
38240
HCPCS 		Transplt Allo Hct/donor 13 $2,579.00 $236,660.11 $71,411.17 nat. median
$15,912
outlier · 4.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 $41,267.40 $107,059.54 $71,373.03 nat. median
$65,950
1.1× median

Other procedures at this hospital

Browse this hospital's 15,017 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $0.47 $4,798,885.00 $3,709,907.25 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 8 — — $0.47 $4,649,926.93 $3,354,590.14 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 7 — — $1,766,712.51 $4,543,533.94 $3,294,062.11 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 8 — — $1,599,555.21 $4,701,312.00 $2,997,086.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 9 — — $0.47 $4,139,339.61 $2,625,893.56 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 9 — — $1,269,488.26 $4,897,200.00 $2,471,920.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 14 10 — — $419,508.17 $2,003,612.00 $1,021,071.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 11 — — $0.47 $1,596,870.10 $780,738.18 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 11 — — $0.47 $1,530,086.50 $747,061.42 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 11 — — $0.47 $1,461,878.17 $730,939.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 11 — — $0.47 $1,455,430.81 $727,715.41 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 11 — — $0.47 $1,382,807.71 $691,403.85 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 11 — — $0.47 $1,272,155.56 $636,077.78 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 42 22 — — $259,096.80 $652,492.11 $422,128.93 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 42 22 — — $168,143.40 $423,441.13 $275,821.86 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 45 22 — — $2,185.00 $322,606.06 $210,361.31 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 22 — — $5,000.00 $423,554.34 $209,157.98 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 52 22 — — $1,676.00 $209,294.65 $138,343.36 2026-04-01
7 MS_DRG Lung Transplant 42 22 — — $77,701.20 $195,677.52 $130,337.08 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 10 — — $60,372.42 $288,344.58 $121,991.94 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 42 22 — — $72,107.40 $181,590.47 $121,338.93 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 42 22 — — $67,990.80 $171,223.50 $114,717.00 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 42 22 — — $67,912.80 $171,032.13 $114,591.52 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 22 — — $66,127.20 $166,745.10 $111,719.21 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 22 — — $65,244.60 $164,626.08 $110,299.48 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 22 — — $61,863.00 $156,507.24 $104,859.85 2026-04-01
215 MS_DRG Other Heart Assist System Implant 42 22 — — $59,742.00 $151,414.96 $101,448.02 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 22 — — $58,696.80 $148,905.56 $99,766.72 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 42 22 — — $54,057.60 $137,767.36 $92,304.14 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 42 22 — — $51,957.00 $132,724.06 $88,925.12 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 22 — — $50,579.40 $129,416.61 $86,709.13 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 22 — — $50,420.40 $129,034.86 $86,023.24 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $85,941.63 $85,941.63 $85,941.63 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 47 22 — — $40,295.89 $121,333.78 $80,889.19 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 44 22 — — $46,069.80 $118,589.56 $80,245.60 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 1 1 — — $79,560.00 $79,560.00 $79,560.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 22 — — $45,871.20 $118,112.76 $78,741.84 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 23 — — $1,676.00 $204,714.96 $78,498.87 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 4 — — $65,209.50 $232,501.95 $77,204.99 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 11 10 — — $37,454.10 $178,884.45 $75,681.88 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 22 — — $43,311.60 $111,967.44 $75,018.18 2026-04-01
10 MS_DRG Pancreas Transplant 42 22 — — $43,054.20 $111,349.46 $74,604.14 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 22 — — $42,807.60 $110,757.40 $74,207.46 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 51 22 — — $34,760.60 $111,306.24 $74,204.16 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 21 12 — — $30,934.00 $225,983.21 $73,871.91 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 22 — — $42,782.40 $110,696.89 $73,797.93 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 61 22 — — $1,676.00 $107,547.90 $71,698.60 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 20 13 — — $2,579.00 $236,660.11 $71,411.17 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 22 — — $41,267.40 $107,059.54 $71,373.03 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 23 — — $29,623.70 $237,535.27 $71,012.68 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 19 12 — — $34,993.84 $167,133.98 $70,710.53 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 42 22 — — $40,119.00 $104,302.38 $69,882.60 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 42 22 — — $40,089.60 $104,231.79 $69,835.30 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 22 — — $39,451.80 $102,700.50 $68,809.33 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 22 — — $39,308.40 $102,356.22 $68,578.67 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 22 — — $39,451.80 $102,700.50 $68,467.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 22 — — $38,608.20 $100,675.11 $67,116.74 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 47 22 — — $26,161.64 $96,262.77 $64,175.18 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 22 — — $36,727.80 $96,160.48 $64,106.99 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 42 22 — — $36,375.60 $95,314.89 $63,860.98 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 46 22 — — $36,049.80 $94,532.68 $63,021.79 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 47 22 — — $29,067.30 $94,508.20 $63,005.47 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 22 — — $35,749.01 $93,881.56 $62,587.71 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 23 — — $18,200.23 $100,134.22 $62,399.48 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 45 22 — — $35,578.20 $130,162.00 $62,266.95 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 19 12 — — $30,631.68 $146,299.90 $61,896.11 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 22 — — $2,080.00 $92,520.27 $61,680.18 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 22 — — $26,268.72 $92,465.52 $61,643.68 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 42 22 — — $34,602.60 $91,058.13 $61,008.94 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 42 22 — — $34,241.40 $90,190.92 $60,427.92 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 53 22 — — $34,381.80 $182,325.16 $60,352.01 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 47 22 — — $20,515.57 $147,851.99 $60,056.22 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 22 — — $33,732.00 $88,967.91 $59,601.56 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 22 — — $33,627.60 $88,717.26 $59,425.32 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 22 — — $33,397.20 $88,164.09 $58,776.06 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 22 — — $33,138.00 $87,541.78 $58,598.85 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 19 12 — — $1,371.00 $165,721.13 $58,339.91 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 45 22 — — $32,823.00 $90,456.64 $58,277.24 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 42 22 — — $32,939.40 $87,064.96 $58,263.60 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 22 — — $16,600.53 $86,673.15 $57,782.10 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 22 — — $815.55 $86,549.26 $57,699.51 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 42 22 — — $32,593.80 $86,235.22 $57,680.22 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 22 — — $31,977.60 $84,755.80 $56,640.05 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 22 — — $31,996.80 $84,801.90 $56,534.60 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 22 — — $31,762.80 $84,240.09 $56,277.46 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 20 13 — — $1,612.00 $165,721.13 $56,256.34 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 22 — — $31,657.80 $83,988.00 $55,992.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 22 — — $26,475.48 $82,966.67 $55,311.11 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 44 22 — — $31,178.40 $82,837.00 $55,290.96 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 11 10 — — $26,858.59 $128,279.27 $54,272.00 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 19 12 — — $2,273.00 $165,721.13 $54,172.77 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 22 — — $30,241.20 $80,586.90 $53,724.60 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 51 22 — — $29,924.40 $92,645.51 $53,217.53 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 22 — — $10,509.26 $79,250.08 $52,833.39 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 65 23 — — $102.85 $79,123.32 $52,748.88 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 11 10 — — $26,086.56 $124,591.97 $52,711.99 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 22 — — $21,606.18 $78,879.87 $52,586.58 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 22 — — $29,407.20 $78,584.56 $52,389.71 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 22 — — $9,860.87 $77,540.17 $51,693.45 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 22 — — $28,825.80 $77,188.68 $51,459.12 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 52 22 — — $295.00 $76,562.06 $51,041.37 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 42 22 — — $28,208.40 $75,706.38 $50,470.92 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 5 — — $33,441.60 $53,517.58 $50,392.64 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 56 22 — — $18,616.51 $75,568.08 $50,378.72 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 22 — — $28,066.80 $75,366.40 $50,244.27 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 42 22 — — $27,822.00 $74,778.67 $49,852.45 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 45 22 — — $27,711.00 $82,856.00 $49,674.78 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 53 22 — — $1,676.00 $74,195.26 $49,463.51 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 44 22 — — $27,508.80 $74,026.71 $49,351.14 2026-04-01
245 MS_DRG Aicd Generator Procedures 44 22 — — $12,585.91 $73,704.04 $49,136.03 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 52 23 — — $645.83 $73,506.69 $49,004.46 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 59 23 — — $1,290.00 $76,753.69 $48,985.25 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 44 22 — — $27,173.40 $75,419.58 $48,814.31 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 55 22 — — $1,676.00 $72,542.97 $48,361.98 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 22 — — $26,883.00 $72,524.25 $48,349.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 22 — — $26,777.40 $72,270.70 $48,180.47 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 17 12 — — $16,165.99 $118,097.94 $47,514.06 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 22 — — $1,158.19 $71,260.89 $47,507.26 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 22 — — $25,964.40 $70,318.78 $46,879.19 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 45 22 — — $25,757.40 $69,821.81 $46,547.87 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 44 22 — — $25,591.80 $69,424.22 $46,282.81 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 42 22 — — $25,444.80 $69,071.30 $46,047.53 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 44 22 — — $25,339.20 $68,817.75 $45,878.50 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 22 — — $258.53 $68,714.04 $45,809.36 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 22 — — $15,885.86 $80,289.55 $45,789.19 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 49 22 — — $1,770.00 $68,506.60 $45,671.07 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 43 22 — — $25,179.60 $68,434.58 $45,623.05 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 23 — — $25,132.80 $124,363.49 $45,548.14 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 22 — — $25,035.60 $68,088.84 $45,392.56 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 53 23 — — $2,211.00 $68,045.62 $45,363.75 2026-04-01
J9226 HCPCS Supprelin La Implant 19 12 — — $22,413.89 $107,050.91 $45,290.77 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 44 22 — — $24,918.00 $67,806.50 $45,204.33 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 53 22 — — $18,289.43 $67,410.36 $44,940.24 2026-04-01
791 MS_DRG Prematurity With Major Problems 47 22 — — $15,616.16 $66,452.40 $44,301.60 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 42 22 — — $24,123.00 $65,897.79 $43,931.86 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 16 11 — — $15,892.43 $116,099.47 $43,790.64 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 16 11 — — $15,892.43 $116,099.47 $43,790.64 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 16 11 — — $15,892.43 $116,099.47 $43,790.64 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 42 22 — — $23,904.60 $65,373.45 $43,582.30 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 22 — — $23,471.40 $116,359.60 $42,888.92 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 43 22 — — $23,365.20 $64,078.41 $42,718.94 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 44 22 — — $23,224.20 $63,739.88 $42,493.25 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 50 22 — — $1,659.11 $63,656.32 $42,437.55 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 47 22 — — $23,167.20 $63,603.03 $42,402.02 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 22 — — $2,250.00 $209,892.48 $42,191.70 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 19 12 — — $1,612.00 $128,894.62 $42,134.51 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 8 — — $21,023.73 $83,302.36 $41,968.52 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 13 9 — — $145.48 $114,011.59 $41,855.73 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 55 22 — — $21,321.70 $148,288.83 $41,458.95 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 42 22 — — $22,479.60 $61,952.18 $41,301.45 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 46 22 — — $22,426.20 $61,823.97 $41,215.98 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 22 — — $22,423.80 $61,818.21 $41,212.14 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 45 22 — — $16,145.82 $61,666.95 $41,111.30 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 42 22 — — $22,234.80 $61,364.44 $40,909.63 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 17 12 — — $3,293.00 $116,099.47 $40,871.27 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 17 12 — — $3,293.00 $116,099.47 $40,871.27 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 43 22 — — $22,038.60 $60,893.38 $40,595.59 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 49 23 — — $10,419.10 $172,390.03 $40,581.19 2026-04-01
69930 HCPCS Implant Cochlear Device 21 14 — — $3,595.00 $124,054.81 $40,552.42 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 22 — — $21,771.00 $60,250.90 $40,167.27 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 42 22 — — $21,754.20 $60,210.57 $40,140.38 2026-04-01
332 MS_DRG Rectal Resection With Mcc 42 22 — — $21,724.20 $60,138.56 $40,092.37 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 20 13 — — $1,371.00 $118,097.94 $40,089.99 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 20 13 — — $1,371.00 $118,097.94 $40,089.99 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 20 13 — — $3,595.00 $118,097.94 $40,089.99 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 20 13 — — $1,371.00 $118,097.94 $40,089.99 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 20 13 — — $3,595.00 $118,097.94 $40,089.99 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 20 13 — — $3,595.00 $118,097.94 $40,089.99 2026-04-01
265 MS_DRG Aicd Lead Procedures 42 22 — — $21,709.20 $60,102.54 $40,068.36 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 22 — — $21,670.80 $60,010.35 $40,006.90 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 22 — — $21,638.40 $59,932.56 $39,955.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 45 22 — — $1,676.00 $59,592.58 $39,728.39 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 42 22 — — $21,447.00 $59,473.02 $39,648.68 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 51 22 — — $6,028.78 $73,408.11 $39,614.11 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 45 22 — — $15,511.24 $59,344.82 $39,563.21 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 22 — — $21,375.60 $59,301.60 $39,534.40 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 22 — — $21,355.20 $59,252.62 $39,501.75 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 53 22 — — $1,050.00 $78,579.24 $39,473.90 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 22 — — $21,159.60 $58,783.00 $39,188.67 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 22 — — $9,180.00 $61,998.10 $39,119.53 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 51 22 — — $20,929.80 $62,279.80 $38,820.86 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 22 — — $152.60 $58,218.32 $38,812.21 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 22 — — $19,921.11 $57,987.84 $38,658.56 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 47 22 — — $20,727.60 $57,745.83 $38,497.22 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 11 10 — — $19,036.95 $90,922.34 $38,467.14 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 42 22 — — $20,631.60 $57,515.34 $38,343.56 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 22 — — $19,422.20 $57,368.42 $38,245.61 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 47 22 — — $20,469.60 $57,577.02 $38,084.27 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 43 22 — — $20,442.60 $57,061.58 $38,041.05 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 19 12 — — $1,371.00 $116,099.47 $37,951.89 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 19 12 — — $1,371.00 $116,099.47 $37,951.89 2026-04-01
61886 HCPCS Implant Neurostim Arrays 21 14 — — $1,371.00 $116,099.47 $37,951.89 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 19 12 — — $1,371.00 $116,099.47 $37,951.89 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 19 12 — — $1,612.00 $116,099.47 $37,951.89 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 48 22 — — $9,782.23 $56,103.62 $37,402.41 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 43 22 — — $13,372.05 $55,566.30 $37,044.20 2026-04-01
J9266 HCPCS Pegaspargase Injection 21 12 — — $15,430.20 $73,902.55 $36,951.28 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 44 22 — — $19,752.60 $55,404.96 $36,936.64 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 55 22 — — $19,750.20 $102,951.48 $36,932.80 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 20 13 — — $3,595.00 $107,918.68 $36,634.50 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 43 22 — — $19,516.80 $54,838.83 $36,559.22 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 22 — — $19,431.00 $81,356.70 $36,421.89 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 50 22 — — $250.00 $54,580.98 $36,387.32 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 42 22 — — $19,382.40 $54,516.15 $36,344.10 2026-04-01
652 MS_DRG Kidney Transplant 42 22 — — $19,377.00 $54,503.19 $36,335.46 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 43 22 — — $13,238.37 $54,468.62 $36,312.41 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 42 22 — — $19,324.80 $54,377.87 $36,251.91 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 43 22 — — $19,262.40 $54,228.04 $36,152.03 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 48 22 — — $19,156.80 $53,974.52 $35,983.01 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 17 12 — — $10,296.00 $102,089.45 $35,939.23 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 17 12 — — $10,296.00 $102,089.45 $35,939.23 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 47 22 — — $1,392.83 $53,889.52 $35,926.35 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 43 22 — — $19,102.80 $53,844.87 $35,896.58 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 42 22 — — $19,064.40 $53,752.68 $35,835.12 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 47 22 — — $345.20 $76,233.91 $35,714.11 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 42 22 — — $18,960.00 $53,502.02 $35,668.01 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 19 12 — — $3,595.00 $101,274.74 $35,652.42 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 42 22 — — $18,906.00 $53,372.37 $35,581.58 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 22 — — $18,897.00 $53,350.77 $35,567.18 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 42 22 — — $18,852.60 $53,244.16 $35,496.11 2026-04-01
665 MS_DRG Prostatectomy With Mcc 42 22 — — $18,727.20 $52,943.10 $35,295.40 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 49 22 — — $2,585.11 $152,549.53 $35,232.97 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 50 22 — — $975.00 $52,770.23 $35,180.15 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 43 22 — — $18,369.00 $52,083.09 $34,722.06 2026-04-01
263 MS_DRG Vein Ligation And Stripping 42 22 — — $18,344.40 $52,024.04 $34,682.69 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 46 22 — — $16,733.01 $51,675.42 $34,450.28 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 44 22 — — $1,151.60 $51,492.48 $34,328.32 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 43 22 — — $1,564.19 $51,486.72 $34,324.48 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 22 — — $18,100.80 $51,439.18 $34,292.79 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 44 22 — — $17,858.40 $50,857.20 $33,904.80 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 17 12 — — $11,455.95 $88,263.00 $33,670.62 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 17 12 — — $11,455.95 $88,263.00 $33,670.62 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 55 23 — — $37.35 $50,420.73 $33,613.82 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 42 22 — — $17,664.60 $50,391.92 $33,594.61 2026-04-01
570 MS_DRG Skin Debridement With Mcc 44 22 — — $11,901.37 $50,348.70 $33,565.80 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 43 22 — — $17,520.00 $50,044.74 $33,363.16 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 57 22 — — $11,943.80 $74,523.42 $33,289.22 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 44 22 — — $37.80 $49,785.45 $33,190.30 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 47 22 — — $1,276.20 $49,759.52 $33,173.01 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 19 12 — — $1,612.00 $101,274.74 $33,105.82 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 42 22 — — $17,324.40 $49,575.13 $33,050.09 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 51 22 — — $591.34 $49,554.96 $33,036.64 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 44 22 — — $17,290.80 $49,494.46 $32,996.31 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 52 22 — — $17,221.20 $49,327.37 $32,884.91 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 47 22 — — $17,103.00 $49,043.58 $32,695.72 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 11 10 — — $16,091.68 $76,855.43 $32,515.76 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 11 10 — — $16,064.68 $76,726.49 $32,461.21 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 11 10 — — $16,015.70 $76,492.55 $32,362.23 2026-04-01
800 MS_DRG Splenic Procedures With Cc 43 22 — — $16,856.40 $48,451.52 $32,301.01 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 44 22 — — $16,795.80 $48,306.02 $32,204.01 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 19 12 — — $3,595.00 $98,341.47 $32,146.96 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 19 12 — — $3,595.00 $98,341.47 $32,146.96 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 19 12 — — $3,595.00 $98,341.47 $32,146.96 2026-04-01
503 MS_DRG Foot Procedures With Mcc 43 22 — — $16,746.60 $48,187.90 $32,125.27 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 21 14 — — $1,612.00 $116,099.47 $32,113.14 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 21 14 — — $1,612.00 $116,099.47 $32,113.14 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 48 22 — — $16,631.40 $47,911.32 $31,940.88 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 47 22 — — $16,542.60 $47,698.12 $31,798.75 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 57 23 — — $14,280.35 $47,577.12 $31,718.08 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 46 22 — — $16,488.00 $47,567.02 $31,711.35 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 50 22 — — $11,973.00 $47,362.47 $31,574.98 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 57 22 — — $980.00 $47,175.21 $31,450.14 2026-04-01
849 MS_DRG Radiotherapy 42 22 — — $16,257.00 $47,012.43 $31,341.62 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 43 22 — — $16,237.20 $46,964.88 $31,309.92 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 9 — — $19,205.54 $90,150.28 $31,309.33 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 44 22 — — $16,184.40 $46,838.12 $31,225.41 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 42 22 — — $15,960.00 $46,299.36 $30,866.24 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 20 13 — — $1,371.00 $102,089.45 $30,805.05 2026-04-01
22558 HCPCS Lumbar Spine Fusion 20 13 — — $3,019.00 $102,089.45 $30,805.05 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 20 13 — — $3,019.00 $102,089.45 $30,805.05 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 20 13 — — $3,019.00 $102,089.45 $30,805.05 2026-04-01
22630 HCPCS Lumbar Spine Fusion 20 13 — — $3,019.00 $102,089.45 $30,805.05 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 44 22 — — $1,780.00 $46,165.40 $30,776.93 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 42 22 — — $15,824.40 $45,973.80 $30,649.20 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 55 22 — — $3,105.34 $53,225.71 $30,247.77 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 45 22 — — $15,555.00 $45,327.00 $30,218.00 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 42 22 — — $15,496.80 $45,187.27 $30,124.85 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 46 22 — — $15,475.20 $45,135.40 $30,090.27 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 44 22 — — $1,836.00 $45,135.40 $30,090.27 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 45 22 — — $33.36 $44,968.30 $29,978.87 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 46 22 — — $15,318.00 $44,757.99 $29,838.66 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 46 23 — — $15,245.40 $44,583.69 $29,722.46 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 61 23 — — $2,185.00 $44,514.54 $29,676.36 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 54 22 — — $11,402.51 $74,725.59 $29,560.16 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 45 22 — — $15,137.40 $72,468.34 $29,549.59 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 19 12 — — $3,019.00 $88,263.00 $29,461.79 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 14 10 — — $236.25 $112,197.01 $29,424.10 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 46 22 — — $1,546.43 $43,877.82 $29,251.88 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 48 22 — — $746.81 $48,194.75 $29,153.93 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 48 22 — — $14,755.20 $43,406.77 $28,937.85 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 55 23 — — $5,434.84 $43,396.70 $28,931.13 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 44 22 — — $13,678.87 $43,347.70 $28,898.47 2026-04-01
792 MS_DRG Prematurity Without Major Problems 52 23 — — $3,108.00 $43,262.72 $28,841.81 2026-04-01
5166 OTHER Cochlear Implant Procedure 2 2 — — $28,809.50 $28,809.89 $28,809.69 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 49 22 — — $14,665.20 $43,190.70 $28,793.80 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 47 22 — — $6,800.22 $43,148.92 $28,765.95 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 42 22 — — $14,533.20 $42,873.78 $28,582.52 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 42 22 — — $14,485.80 $42,759.98 $28,506.65 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 42 22 — — $14,431.80 $42,630.33 $28,420.22 2026-04-01
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