Price Transparencybeta Hospital negotiated rates

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

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Hospital

ATRIUM MEDICAL CENTER

Franklin, OH · CCN 360076 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $16,745 across 4 payers · range $12,729-$38,844

Source: https://www.premierhealth.com/docs/default-source/default-document-library/31-1079309_atrium-medical-center_standardcharges.json · 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.

12,698 distinct procedures filed
8 distinct payers
246,989 rate rows
2026-04-01 last MRF observed
Data quality

199,838 of 246,989 rate rows are consumer-grade (80.9%)

47,151 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 39,733
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,112
placeholder amount (≤ $0.02) — excluded from medians 226
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 48
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.premierhealth.com/docs/default-source/default-document-library/31-1079309_atrium-medical-center_standardcharges.json
Found on page https://www.premierhealth.com/patient-and-visitor-guide/patient-guide/costs-and-insurance/pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-17
Content fingerprint 5944823ab40e897a… · 53,649,015 bytes · first seen 2026-05-04

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
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,945,740.00 $4,868,633.01 $4,868,633.01 nat. median
$2,997,086
1.6× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,455,110.60 $4,045,990.74 $4,045,990.74 nat. median
$2,460,273
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $3,847,800.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,906,382.67 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $4,974,693.88 $3,482,285.72 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $4,872,668.57 $3,410,868.00 nat. median
$3,286,000
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $591,726.20 $1,805,770.85 $954,235.56 nat. median
$691,418
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $565,868.94 $1,726,862.26 $913,075.07 nat. median
$631,793
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,538.19 $1,716,697.78 $893,698.84 nat. median
$624,417
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $557,317.93 $1,700,767.14 $893,079.74 nat. median
$610,161
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $533,230.17 $1,627,258.51 $879,576.19 nat. median
$588,565
1.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 3 $770,620.00 $2,351,701.05 $816,857.20 nat. median
$809,151
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,304.61 $1,493,210.87 $808,038.00 nat. median
$577,541
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $7,042.49 $1,184,288.83 $332,081.32 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $23,674.24 $884,565.79 $214,729.05 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $155,219.60 $745,014.53 $198,681.09 nat. median
$205,166
1.0× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 2 $9,552.34 $169,334.00 $169,334.00 nat. median
$27,929
outlier · 6.1×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $7,642.44 $165,365.00 $165,365.00 nat. median
$40,712
outlier · 4.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $14,034.57 $673,015.43 $160,484.93 nat. median
$199,832
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $157,945.00 $157,945.00 $157,945.00 nat. median
$58,534
outlier · 2.7×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $8,505.09 $148,170.00 $148,170.00 nat. median
$45,104
outlier · 3.3×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 $5,920.69 $146,575.00 $146,575.00 nat. median
$38,383
outlier · 3.8×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $10,867.26 $146,575.00 $146,575.00 nat. median
$46,826
outlier · 3.1×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $5,660.12 $141,521.00 $141,521.00 nat. median
$51,048
outlier · 2.8×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $78,986.40 $130,327.56 $130,327.56 nat. median
$75,807
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $30,369.92 $443,724.39 $105,972.86 nat. median
$132,706
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $80,436.04 $329,174.65 $102,958.13 nat. median
$96,835
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 $3,410.84 $189,652.21 $96,887.35 nat. median
$46,399
outlier · 2.1×
7
MS_DRG 		Lung Transplant 4 $18,864.70 $410,397.40 $96,289.94 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $9,030.49 $411,433.76 $89,405.13 nat. median
$114,305
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,342.28 $193,301.64 $88,045.77 nat. median
$69,291
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $13,821.57 $502,714.00 $87,645.86 nat. median
$108,240
0.8× median
5200
OTHER 		Implantation Wireless Pa Pressure Monitor 1 $86,315.70 $86,315.70 $86,315.70 nat. median
$29,513
outlier · 2.9×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $173,411.48 $85,236.82 nat. median
$63,643
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $65,872.17 $261,917.70 $84,316.38 nat. median
$81,124
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $10,055.02 $342,097.81 $84,133.31 nat. median
$100,978
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $168,674.55 $82,908.49 nat. median
$65,655
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 2 $14,435.72 $123,885.98 $82,590.65 nat. median
$96,134
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $63,337.46 $289,280.88 $81,071.95 nat. median
$81,364
1.0× median
525
MS_DRG 		Other Heart Assist System Implant 1 $80,761.79 $80,761.79 $80,761.79 nat. median
$53
outlier · 1532.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $75,290.61 $334,419.28 $77,172.88 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 6 $66,883.49 $332,710.85 $77,095.17 nat. median
$98,002
0.8× median
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 2 $4,243.67 $75,814.00 $75,814.00 nat. median
$25,356
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $13,465.86 $391,627.17 $75,758.30 nat. median
$92,900
0.8× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $74,614.73 $74,614.73 $74,614.73 nat. median
$4,125
outlier · 18.1×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $20,830.69 $202,794.65 $72,371.96 nat. median
$63,840
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $55,810.82 $234,397.50 $71,437.85 nat. median
$71,485
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $52,905.43 $222,934.67 $67,718.95 nat. median
$66,640
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $52,573.11 $209,738.29 $67,293.58 nat. median
$62,911
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $3,710.46 $67,845.30 $67,150.19 nat. median
$83,623
0.8× median

Other procedures at this hospital

Browse this hospital's 12,698 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Inj, Betibeglogene Autotemce 15 4 — — $2,945,740.00 $4,868,633.01 $4,868,633.01 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 15 4 — — $2,455,110.60 $4,045,990.74 $4,045,990.74 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 15 4 — — $2,332,000.00 $3,847,800.00 $3,847,800.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 5 1 — — $3,685,266.67 $3,906,382.67 $3,795,824.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 3 — — $3,316,462.59 $4,974,693.88 $3,482,285.72 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 3 — — $3,248,445.72 $4,872,668.57 $3,410,868.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 17 4 — — $591,726.20 $1,805,770.85 $954,235.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 17 4 — — $565,868.94 $1,726,862.26 $913,075.07 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 17 4 — — $562,538.19 $1,716,697.78 $893,698.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 17 4 — — $557,317.93 $1,700,767.14 $893,079.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 17 4 — — $533,230.17 $1,627,258.51 $879,576.19 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 9 3 — — $770,620.00 $2,351,701.05 $816,857.20 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 17 4 — — $489,304.61 $1,493,210.87 $808,038.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 33 5 — — $7,042.49 $1,184,288.83 $332,081.32 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 5 — — $23,674.24 $884,565.79 $214,729.05 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 5 — — $155,219.60 $745,014.53 $198,681.09 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 9 2 — — $9,552.34 $169,334.00 $169,334.00 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 2 — — $7,642.44 $165,365.00 $165,365.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 6 — — $14,034.57 $673,015.43 $160,484.93 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 1 — — $157,945.00 $157,945.00 $157,945.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 2 — — $8,505.09 $148,170.00 $148,170.00 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 9 2 — — $5,920.69 $146,575.00 $146,575.00 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 9 2 — — $10,867.26 $146,575.00 $146,575.00 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 2 — — $5,660.12 $141,521.00 $141,521.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 10 2 — — $78,986.40 $130,327.56 $130,327.56 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 5 — — $30,369.92 $443,724.39 $105,972.86 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 5 — — $80,436.04 $329,174.65 $102,958.13 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 9 6 — — $3,410.84 $189,652.21 $96,887.35 2026-04-01
7 MS_DRG Lung Transplant 25 4 — — $18,864.70 $410,397.40 $96,289.94 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 4 — — $9,030.49 $411,433.76 $89,405.13 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 25 5 — — $63,342.28 $193,301.64 $88,045.77 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 5 — — $13,821.57 $502,714.00 $87,645.86 2026-04-01
5200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $86,315.70 $86,315.70 $86,315.70 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 23 4 — — $56,824.55 $173,411.48 $85,236.82 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 5 — — $65,872.17 $261,917.70 $84,316.38 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 5 — — $10,055.02 $342,097.81 $84,133.31 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 23 4 — — $55,272.32 $168,674.55 $82,908.49 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 2 — — $14,435.72 $123,885.98 $82,590.65 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 5 — — $63,337.46 $289,280.88 $81,071.95 2026-04-01
525 MS_DRG Other Heart Assist System Implant 1 1 — — $80,761.79 $80,761.79 $80,761.79 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 4 — — $75,290.61 $334,419.28 $77,172.88 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 6 — — $66,883.49 $332,710.85 $77,095.17 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 9 2 — — $4,243.67 $75,814.00 $75,814.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 5 — — $13,465.86 $391,627.17 $75,758.30 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 8 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 5 — — $20,830.69 $202,794.65 $72,371.96 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 5 — — $55,810.82 $234,397.50 $71,437.85 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 5 — — $52,905.43 $222,934.67 $67,718.95 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 32 5 — — $52,573.11 $209,738.29 $67,293.58 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 2 — — $3,710.46 $67,845.30 $67,150.19 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 9 2 — — $5,976.07 $65,707.00 $65,707.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 4 — — $55,167.88 $189,273.21 $64,864.90 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 5 — — $50,438.78 $209,383.42 $64,561.64 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 4 — — $53,555.74 $157,429.00 $63,525.43 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 5 — — $49,375.95 $214,430.20 $63,201.21 2026-04-01
J9226 HCPCS Supprelin La Implant 25 5 — — $45,020.65 $137,389.52 $62,578.70 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 17 4 — — $10,075.00 $190,311.96 $62,362.61 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 5 — — $48,074.94 $193,385.71 $61,535.93 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 5 — — $20,105.78 $253,140.00 $61,069.61 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 9 2 — — $4,135.75 $60,652.00 $60,652.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 6 — — $7,235.61 $242,980.48 $59,559.09 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 43 6 — — $13,874.82 $245,455.20 $58,793.69 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 5 — — $44,961.04 $198,602.08 $57,550.13 2026-04-01
104 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc W Cardiac Cath 1 1 — — $56,217.80 $56,217.80 $56,217.80 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 5 — — $5,004.08 $248,938.01 $55,435.11 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 5 — — $43,103.99 $182,836.77 $55,173.11 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 5 — — $4,071.85 $221,923.43 $55,141.54 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 5 — — $42,396.65 $171,788.49 $54,267.71 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 5 — — $41,346.13 $172,890.81 $52,923.04 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 40 6 — — $15,639.74 $218,468.88 $52,711.58 2026-04-01
10 MS_DRG Pancreas Transplant 19 3 — — $8,691.11 $106,782.39 $52,594.83 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 33 5 — — $5,746.03 $194,271.33 $51,996.23 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 33 5 — — $3,856.01 $210,545.40 $51,958.63 2026-04-01
106 MS_DRG Coronary Bypass W Ptca 1 1 — — $51,874.02 $51,874.02 $51,874.02 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 5 — — $6,227.41 $169,448.82 $51,367.09 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 5 — — $11,191.02 $186,831.49 $51,142.85 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 9 2 — — $4,974.26 $49,280.00 $49,280.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 34 5 — — $34,995.85 $175,057.75 $48,978.96 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 39 6 — — $8,427.70 $203,118.12 $48,646.93 2026-04-01
528 MS_DRG Intracranial Vascular Proc W Pdx Hemorrhage 1 1 — — $48,621.51 $48,621.51 $48,621.51 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 5 — — $6,117.36 $210,612.00 $47,713.19 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 5 — — $37,133.93 $165,365.00 $47,531.43 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 38 6 — — $3,105.54 $159,496.57 $47,502.15 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 5 — — $7,074.44 $191,831.16 $46,985.53 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 33 5 — — $9,410.34 $190,914.14 $46,791.50 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 36 6 — — $5,135.43 $194,522.57 $46,557.79 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 5 — — $42,633.88 $265,956.38 $46,444.62 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 6 — — $11,551.80 $164,296.02 $46,294.20 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 5 — — $36,127.58 $169,426.83 $46,243.30 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 5 — — $6,030.74 $146,947.56 $45,986.68 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $45,518.56 $45,518.56 $45,518.56 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 6 — — $5,333.52 $184,780.74 $45,503.74 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 5 — — $35,426.03 $157,238.55 $45,345.32 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 5 — — $5,939.15 $179,156.10 $44,658.03 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 25 4 — — $8,842.34 $189,544.88 $44,445.34 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 5 — — $34,681.04 $144,682.84 $44,391.73 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 5 — — $34,510.17 $149,965.16 $44,173.02 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 5 — — $5,021.83 $169,608.98 $44,002.59 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 17 4 — — $37,596.00 $133,265.86 $43,669.39 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 17 4 — — $16,745.00 $133,265.86 $43,669.39 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 17 4 — — $37,596.00 $133,265.86 $43,669.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 34 5 — — $3,927.01 $157,116.07 $43,193.96 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 5 — — $8,600.94 $192,723.06 $43,067.14 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 32 5 — — $33,432.15 $149,315.07 $42,793.15 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 5 — — $13,671.05 $170,478.90 $42,664.24 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 6 — — $8,266.53 $167,071.46 $42,202.45 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 25 4 — — $11,067.48 $170,868.32 $42,044.56 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 2 — — $13,455.92 $62,941.20 $41,960.80 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 5 — — $27,887.07 $120,036.19 $41,830.60 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 33 5 — — $3,062.94 $161,726.33 $41,582.92 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 5 — — $10,818.98 $173,584.86 $41,308.18 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 6 — — $4,178.35 $166,330.30 $41,214.96 2026-04-01
105 MS_DRG Cardiac Valve & Oth Major Cardiothoracic Proc Without Cardiac Cath 1 1 — — $41,135.27 $41,135.27 $41,135.27 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 3 — — $18,860.52 $74,027.13 $40,389.73 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 5 — — $4,555.36 $159,986.49 $40,246.47 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 19 3 — — $4,967.16 $80,838.81 $39,972.71 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 32 5 — — $31,026.31 $139,130.43 $39,713.68 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 5 — — $2,170.00 $127,161.00 $39,620.15 2026-04-01
J9266 HCPCS Pegaspargase Injection 25 5 — — $28,424.06 $86,741.70 $39,509.44 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 5 — — $30,852.55 $135,597.37 $39,491.26 2026-04-01
509 MS_DRG Arthroscopy 16 4 — — $4,869.89 $55,162.88 $39,257.78 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 36 6 — — $7,675.81 $207,668.11 $38,271.18 2026-04-01
107 MS_DRG No Longer Valid 1 1 — — $38,167.47 $38,167.47 $38,167.47 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 17 4 — — $31,120.14 $94,969.32 $37,596.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 17 4 — — $26,687.04 $81,440.83 $37,596.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 17 4 — — $28,437.79 $86,783.60 $37,596.00 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 17 4 — — $31,120.14 $94,969.32 $37,596.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 17 4 — — $31,120.14 $94,969.32 $37,596.00 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 17 4 — — $31,120.14 $94,969.32 $37,596.00 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 17 4 — — $31,120.14 $94,969.32 $37,596.00 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 17 4 — — $30,593.52 $93,362.24 $37,596.00 2026-04-01
69930 HCPCS Implant Cochlear Device 17 4 — — $32,689.84 $99,759.58 $37,596.00 2026-04-01
0100T CPT Prosth Retina Receive&Gen 8 1 — — $37,596.00 $37,596.00 $37,596.00 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 17 4 — — $31,120.14 $94,969.32 $37,596.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 17 4 — — $31,120.14 $94,969.32 $37,596.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 17 4 — — $22,053.14 $67,299.58 $37,596.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 36 6 — — $21,671.33 $152,534.08 $37,382.81 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 4 — — $8,270.79 $132,294.00 $37,373.61 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 5 — — $6,415.56 $158,143.00 $37,217.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 50 8 — — $9,050.90 $111,886.64 $37,126.32 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $20,175.92 $53,667.98 $36,921.95 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 32 5 — — $28,836.95 $135,880.01 $36,911.29 2026-04-01
108 MS_DRG Other Cardiothoracic Procedures 1 1 — — $36,708.42 $36,708.42 $36,708.42 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 7 — — $5,558.03 $149,308.79 $36,342.11 2026-04-01
484 MS_DRG Major Joint & Limb Reattachment Proc Of Upper Extremity Without Cc/mcc 1 1 — — $36,116.99 $36,116.99 $36,116.99 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 7 — — $3,231.21 $144,202.34 $35,787.26 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 36 6 — — $6,302.67 $153,460.00 $35,784.89 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 6 — — $17,664.90 $141,677.38 $35,590.03 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 5 — — $4,361.53 $140,443.16 $35,574.68 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 5 — — $27,472.95 $109,044.44 $35,165.38 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 5 — — $6,663.35 $131,596.37 $35,066.63 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 5 — — $4,374.31 $137,946.46 $34,931.57 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 25 4 — — $5,573.50 $152,279.70 $34,899.08 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 32 5 — — $27,236.20 $121,251.56 $34,862.33 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 6 — — $3,637.33 $92,600.78 $34,790.13 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 39 7 — — $7,121.30 $144,742.50 $34,745.71 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 6 — — $5,261.81 $133,954.89 $34,393.60 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 5 — — $26,582.43 $125,013.88 $34,025.51 2026-04-01
0686T CPT Histotripsy Mal Hepatcel Tis 17 4 — — $14,500.58 $103,651.56 $33,965.19 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 5 — — $26,522.34 $123,650.91 $33,948.60 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 3 — — $20,741.30 $62,672.54 $33,836.86 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 25 5 — — $24,228.42 $73,937.87 $33,677.50 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 4 — — $3,366.11 $65,448.91 $33,674.68 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 5 — — $5,915.01 $133,760.18 $33,571.97 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 32 5 — — $26,913.30 $99,673.19 $33,529.01 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 6 — — $10,339.97 $140,832.58 $33,468.32 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 34 5 — — $8,147.96 $114,578.00 $33,437.98 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 33 5 — — $697.22 $128,232.90 $33,227.10 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 36 6 — — $16,508.38 $121,377.18 $33,141.43 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 5 — — $6,486.56 $128,867.28 $33,036.78 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 32 5 — — $25,775.90 $108,808.90 $32,993.15 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 6 — — $12,926.02 $129,058.85 $32,864.90 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 38 5 — — $5,356.24 $129,131.08 $32,673.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 39 6 — — $7,882.77 $131,586.95 $32,615.64 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 3 — — $30,593.52 $93,362.24 $32,429.13 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 33 5 — — $21,537.64 $93,775.33 $32,306.46 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 5 — — $12,662.14 $127,727.28 $32,246.18 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 36 6 — — $128.23 $122,793.55 $32,189.69 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 4 — — $26,683.94 $104,849.00 $31,999.38 2026-04-01
0520T CPT Rmvl&rplcmt Pg Wcs New Eltrd 17 4 — — $10,362.51 $37,596.00 $31,623.28 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 3 — — $3,745.25 $56,641.68 $31,523.70 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 5 — — $28,693.97 $112,574.36 $31,257.09 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 18 5 — — $8,684.01 $48,558.41 $31,084.81 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 38 6 — — $2,570.17 $115,258.70 $30,830.83 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 5 — — $7,192.30 $119,382.97 $30,703.01 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 32 5 — — $23,961.57 $99,874.18 $30,670.81 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 17 4 — — $3,595.00 $93,362.24 $30,593.52 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 17 4 — — $21,392.00 $93,362.24 $30,593.52 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 17 4 — — $21,392.00 $93,362.24 $30,593.52 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 17 4 — — $21,392.00 $93,362.24 $30,593.52 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 17 4 — — $16,745.00 $93,362.24 $30,593.52 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 17 4 — — $3,595.00 $93,362.24 $30,593.52 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 17 4 — — $21,392.00 $93,362.24 $30,593.52 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 17 4 — — $21,392.00 $93,362.24 $30,593.52 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 5 — — $6,977.17 $122,118.34 $30,386.82 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 5 — — $24,222.15 $125,870.47 $30,342.31 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 36 6 — — $6,830.91 $118,453.38 $30,170.93 2026-04-01
791 MS_DRG Prematurity With Major Problems 34 6 — — $7,025.48 $112,204.92 $30,030.10 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 6 — — $15,808.94 $125,101.82 $30,003.65 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 3 — — $8,188.43 $52,396.09 $29,751.36 2026-04-01
665 MS_DRG Prostatectomy With Mcc 32 5 — — $23,240.48 $107,825.93 $29,747.82 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 5 — — $4,006.53 $103,689.89 $29,434.44 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 5 — — $12,431.39 $112,549.24 $29,363.07 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 37 6 — — $16,283.27 $123,933.55 $29,006.24 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 12 4 — — $25,042.68 $97,347.19 $28,860.28 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 40 6 — — $8,647.32 $120,940.66 $28,812.06 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 32 5 — — $22,508.52 $90,034.99 $28,810.90 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 37 6 — — $21,409.01 $111,519.16 $28,586.61 2026-04-01
332 MS_DRG Rectal Resection With Mcc 33 5 — — $4,282.72 $108,928.24 $28,468.24 2026-04-01
265 MS_DRG Aicd Lead Procedures 33 5 — — $11,345.80 $112,018.49 $28,449.05 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 41 7 — — $15,630.14 $79,040.10 $28,375.17 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 5 — — $5,527.35 $100,627.90 $28,358.50 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 35 5 — — $3,853.88 $112,580.64 $28,132.01 2026-04-01
110 MS_DRG Major Cardiovascular Procedures W Cc 1 1 — — $28,106.77 $28,106.77 $28,106.77 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 5 — — $15,605.80 $109,952.05 $28,045.38 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 37 5 — — $17,519.71 $82,381.60 $28,025.12 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 5 — — $4,610.74 $110,030.56 $28,022.36 2026-04-01
109 MS_DRG No Longer Valid 1 1 — — $28,009.50 $28,009.50 $28,009.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 35 6 — — $7,718.41 $113,808.58 $27,821.09 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 37 6 — — $375.73 $117,580.32 $27,732.15 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 32 5 — — $21,958.28 $83,025.40 $27,685.15 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 18 6 — — $19,992.51 $92,226.39 $27,600.21 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 32 5 — — $21,547.78 $85,622.59 $27,581.16 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 37 6 — — $3,978.84 $107,558.98 $27,484.33 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 16 4 — — $5,544.39 $38,562.20 $27,443.56 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 3 — — $26,893.03 $62,792.40 $27,430.89 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 37 6 — — $1,814.05 $107,725.43 $27,193.17 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 5 — — $14,910.67 $84,396.00 $27,182.30 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 39 6 — — $4,269.23 $75,277.78 $27,035.59 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 36 5 — — $14,328.51 $107,995.51 $26,936.98 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 17 4 — — $16,056.00 $82,095.98 $26,901.72 2026-04-01
22630 HCPCS Lumbar Spine Fusion 17 4 — — $16,745.00 $82,095.98 $26,901.72 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 17 4 — — $10,075.00 $82,095.98 $26,901.72 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 17 4 — — $7,853.00 $82,095.98 $26,901.72 2026-04-01
22558 HCPCS Lumbar Spine Fusion 17 4 — — $16,745.00 $82,095.98 $26,901.72 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 17 4 — — $13,382.00 $82,095.98 $26,901.72 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 6 — — $9,224.49 $110,011.72 $26,865.15 2026-04-01
800 MS_DRG Splenic Procedures With Cc 32 5 — — $20,983.06 $91,501.61 $26,858.32 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 5 — — $4,274.91 $110,834.53 $26,829.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 5 — — $20,909.94 $88,621.77 $26,764.72 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 5 — — $5,013.31 $105,410.88 $26,736.83 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 32 5 — — $20,435.72 $85,314.82 $26,157.72 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 41 6 — — $4,968.82 $109,757.33 $26,070.37 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 33 5 — — $2,805.21 $85,936.64 $26,032.40 2026-04-01
849 MS_DRG Radiotherapy 32 5 — — $20,259.79 $83,879.61 $25,932.53 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 17 4 — — $16,056.00 $79,082.02 $25,914.09 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 17 4 — — $16,056.00 $79,082.02 $25,914.09 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 17 4 — — $16,056.00 $79,082.02 $25,914.09 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 3 — — $24,683.02 $72,382.20 $25,842.63 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 34 5 — — $8,194.82 $104,286.58 $25,824.06 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 43 5 — — $19,139.25 $133,367.00 $25,698.63 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 35 5 — — $7,780.16 $67,743.73 $25,677.86 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 2 — — $5,700.59 $38,307.65 $25,538.43 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 33 5 — — $19,720.83 $102,352.04 $25,535.10 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 32 5 — — $19,901.41 $89,931.36 $25,473.81 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 33 5 — — $1,881.50 $96,909.55 $25,472.94 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 33 5 — — $22,583.68 $101,237.16 $25,447.62 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 5 — — $19,834.08 $83,618.95 $25,387.62 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 33 5 — — $4,707.30 $89,881.11 $25,319.46 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 5 — — $10,943.15 $100,163.11 $25,266.84 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 32 5 — — $19,737.79 $83,323.75 $25,264.37 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 33 6 — — $16,826.30 $102,308.07 $25,115.32 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 33 5 — — $7,956.26 $110,872.21 $25,066.20 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 5 — — $21,468.08 $96,840.46 $24,932.67 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 4 — — $4,957.22 $45,619.24 $24,919.05 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 37 6 — — $128.23 $97,110.54 $24,901.95 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 35 5 — — $3,496.04 $100,338.98 $24,863.60 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 5 — — $5,220.63 $132,294.00 $24,852.09 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 5 — — $19,412.72 $80,195.81 $24,848.28 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 33 5 — — $16,511.67 $71,565.71 $24,767.50 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 34 5 — — $5,281.69 $75,277.78 $24,725.03 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 34 5 — — $5,080.05 $88,103.59 $24,678.34 2026-04-01
652 MS_DRG Kidney Transplant 24 4 — — $24,024.56 $96,451.04 $24,625.17 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 32 5 — — $19,232.44 $81,288.70 $24,617.53 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 33 5 — — $4,032.80 $96,049.05 $24,542.82 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 32 4 — — $8,248.78 $68,794.00 $24,234.04 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 33 6 — — $14,319.45 $97,964.76 $24,176.75 2026-04-01
263 MS_DRG Vein Ligation And Stripping 33 5 — — $14,493.23 $84,225.07 $24,145.28 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 33 5 — — $20,117.53 $102,647.24 $23,959.56 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 33 5 — — $18,834.17 $79,288.20 $23,833.71 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 34 5 — — $9,044.69 $89,755.49 $23,749.53 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 4 — — $6,699.56 $42,438.40 $23,556.14 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 33 5 — — $5,280.27 $96,363.10 $23,523.66 2026-04-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 33 5 — — $15,605.95 $62,119.09 $23,408.93 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 33 5 — — $21,210.53 $91,580.12 $23,090.83 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 39 7 — — $16,475.22 $90,980.28 $23,071.40 2026-04-01
570 MS_DRG Skin Debridement With Mcc 35 6 — — $10,711.01 $94,541.61 $23,033.39 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 34 5 — — $8,721.64 $77,809.03 $23,017.09 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 33 5 — — $13,444.56 $92,104.58 $22,952.69 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 33 5 — — $19,627.24 $88,191.52 $22,938.88 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 41 5 — — $3,066.57 $92,362.10 $22,814.45 2026-04-01
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