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

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Hospital

BELLEVUE HOSPITAL

Bellevue, OH · CCN 360107 · Rates published

5,129 distinct procedures filed
16 distinct payers
121,652 rate rows
2026-04-01 last MRF observed
Data quality

53,638 of 121,652 rate rows are consumer-grade (44.1%)

68,014 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 68,014
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.firelands.com/app/files/public/a08b6325-7f0a-49f2-b4e0-c4d1176e1305/2026_Price_Transparency_File_TBH_4-21-26.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint 41fea21d00abd646… · 13,911,569 bytes · first seen 2026-05-13

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 11 $296,566.86 $355,880.23 $296,566.86 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $192,690.08 $231,228.10 $192,690.08 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $146,960.42 $176,352.50 $146,960.42 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $146,101.80 $175,322.16 $146,101.80 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $95,572.62 $114,687.14 $95,572.62 nat. median
$133,161
0.7× median
7
MS_DRG 		Lung Transplant 11 $89,397.13 $107,276.56 $89,397.13 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $83,008.52 $99,610.22 $83,008.52 nat. median
$117,357
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $78,307.00 $93,968.40 $78,307.00 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $78,217.91 $93,861.49 $78,217.91 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $76,178.60 $91,414.32 $76,178.60 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $75,170.59 $90,204.71 $75,170.59 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $71,308.51 $85,570.21 $71,308.51 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 11 $68,886.14 $82,663.37 $68,886.14 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $67,692.43 $81,230.92 $67,692.43 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $62,394.06 $74,872.87 $62,394.06 nat. median
$82,711
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $59,994.99 $71,993.99 $59,994.99 nat. median
$83,470
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $58,421.64 $70,105.97 $58,421.64 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $58,240.05 $69,888.06 $58,240.05 nat. median
$81,118
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $54,576.69 $65,492.03 $54,576.69 nat. median
$77,570
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $53,271.28 $63,925.54 $53,271.28 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $53,044.47 $63,653.36 $53,044.47 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $52,871.10 $63,445.32 $52,871.10 nat. median
$72,135
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $50,121.18 $60,145.42 $50,121.18 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 11 $49,827.20 $59,792.64 $49,827.20 nat. median
$68,884
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $49,806.65 $59,767.98 $49,806.65 nat. median
$64,023
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $49,545.57 $59,454.68 $49,545.57 nat. median
$71,271
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $49,516.78 $59,420.14 $49,516.78 nat. median
$68,886
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $48,018.82 $57,622.58 $48,018.82 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $47,786.52 $57,343.82 $47,786.52 nat. median
$65,950
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $46,780.57 $56,136.68 $46,780.57 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $46,474.95 $55,769.94 $46,474.95 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $46,441.37 $55,729.64 $46,441.37 nat. median
$63,724
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $45,712.95 $54,855.54 $45,712.95 nat. median
$61,920
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $45,712.95 $54,855.54 $45,712.95 nat. median
$64,508
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $45,549.17 $54,659.00 $45,549.17 nat. median
$59,793
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 12 $7,718.20 $53,699.38 $44,749.48 nat. median
$62,134
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $42,650.55 $51,180.66 $42,650.55 nat. median
$60,726
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $42,601.90 $51,122.28 $42,601.90 nat. median
$60,185
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $42,199.66 $50,639.59 $42,199.66 nat. median
$59,898
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 11 $41,827.56 $50,193.07 $41,827.56 nat. median
$57,822
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $41,815.91 $50,179.09 $41,815.91 nat. median
$59,099
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $41,517.83 $49,821.40 $41,517.83 nat. median
$58,020
0.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $41,383.52 $49,660.22 $41,383.52 nat. median
$52,303
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 11 $41,288.95 $49,546.74 $41,288.95 nat. median
$56,918
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 11 $40,870.27 $49,044.32 $40,870.27 nat. median
$57,424
0.7× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $40,844.23 $49,013.08 $40,844.23 nat. median
$56,696
0.7× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 $40,174.73 $48,209.68 $40,174.73 nat. median
$54,592
0.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 $39,922.56 $47,907.07 $39,922.56 nat. median
$55,916
0.7× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 11 $39,762.21 $47,714.65 $39,762.21 nat. median
$51,061
0.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 11 $39,711.50 $47,653.80 $39,711.50 nat. median
$52,746
0.8× median

Other procedures at this hospital

Browse this hospital's 5,129 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
             
0656T HCPCS Vrt Bdy Tethering Ant 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 11 — — $192,690.08 $231,228.10 $192,690.08 2026-04-01
10 MS_DRG Pancreas Transplant 24 11 — — $49,827.20 $59,792.64 $49,827.20 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 11 — — $38,029.89 $45,635.87 $38,029.89 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 24 11 — — $16,766.50 $20,119.80 $16,766.50 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 11 — — $29,545.78 $35,454.94 $29,545.78 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 24 11 — — $20,403.13 $24,483.76 $20,403.13 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 11 — — $83,008.52 $99,610.22 $83,008.52 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 11 — — $4,706.31 $35,860.33 $29,883.61 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 11 — — $4,421.35 $31,595.04 $26,329.20 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 11 — — $41,288.95 $49,546.74 $41,288.95 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 24 11 — — $31,367.18 $37,640.62 $31,367.18 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 24 11 — — $17,951.30 $21,541.56 $17,951.30 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 11 — — $26,268.21 $31,521.85 $26,268.21 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 11 — — $37,880.51 $45,456.61 $37,880.51 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 11 — — $21,051.38 $25,261.66 $21,051.38 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 11 — — $296,566.86 $355,880.23 $296,566.86 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 11 — — $49,545.57 $59,454.68 $49,545.57 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 11 — — $78,307.00 $93,968.40 $78,307.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 11 — — $54,576.69 $65,492.03 $54,576.69 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 12 — — $7,718.20 $53,699.38 $44,749.48 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 26 11 — — $10,986.25 $23,389.27 $19,491.06 2026-04-01
20802 HCPCS Replantation Arm Complete 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
20805 HCPCS Replant Forearm Complete 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
20808 HCPCS Replantation Hand Complete 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
20838 HCPCS Replantation Foot Complete 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 24 11 — — $78,217.91 $93,861.49 $78,217.91 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 11 — — $36,931.43 $44,317.72 $36,931.43 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 11 — — $75,170.59 $90,204.71 $75,170.59 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 11 — — $39,762.21 $47,714.65 $39,762.21 2026-04-01
215 MS_DRG Other Heart Assist System Implant 24 11 — — $68,886.14 $82,663.37 $68,886.14 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 11 — — $67,692.43 $81,230.92 $67,692.43 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 11 — — $45,712.95 $54,855.54 $45,712.95 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 11 — — $45,712.95 $54,855.54 $45,712.95 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 11 — — $53,271.28 $63,925.54 $53,271.28 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 11 — — $22,428.74 $26,914.49 $22,428.74 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 11 — — $37,198.68 $44,638.42 $37,198.68 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 11 — — $35,193.63 $42,232.36 $35,193.63 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22556 HCPCS Thorax Spine Fusion 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22600 HCPCS Neck Spine Fusion 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22610 HCPCS Thorax Spine Fusion 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22612 HCPCS Lumbar Spine Fusion 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 11 — — $34,557.72 $41,469.26 $34,557.72 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 11 — — $22,237.56 $26,685.07 $22,237.56 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 11 — — $39,922.56 $47,907.07 $39,922.56 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 11 — — $58,421.64 $70,105.97 $58,421.64 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 11 — — $42,199.66 $50,639.59 $42,199.66 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 11 — — $53,044.47 $63,653.36 $53,044.47 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 11 — — $38,088.82 $45,706.58 $38,088.82 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 11 — — $40,870.27 $49,044.32 $40,870.27 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 11 — — $29,359.39 $35,231.27 $29,359.39 2026-04-01
23616 HCPCS Treat Humerus Fracture 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 11 — — $34,381.61 $41,257.93 $34,381.61 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 11 — — $27,461.92 $32,954.30 $27,461.92 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 11 — — $20,188.65 $24,226.38 $20,188.65 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 11 — — $22,534.27 $27,041.12 $22,534.27 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
24363 HCPCS Replace Elbow Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
245 MS_DRG Aicd Generator Procedures 26 11 — — $6,171.82 $38,303.39 $31,919.49 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 11 — — $31,811.91 $38,174.29 $31,811.91 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 26 11 — — $15,872.21 $29,471.03 $24,559.19 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 24 11 — — $18,441.94 $22,130.33 $18,441.94 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
25446 HCPCS Wrist Replacement 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 11 — — $19,139.53 $22,967.44 $19,139.53 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 11 — — $22,186.85 $26,624.22 $22,186.85 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 11 — — $21,961.40 $26,353.68 $21,961.40 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 11 — — $22,945.42 $27,534.50 $22,945.42 2026-04-01
263 MS_DRG Vein Ligation And Stripping 24 11 — — $21,606.44 $25,927.73 $21,606.44 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 24 11 — — $23,547.07 $28,256.48 $23,547.07 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 11 — — $25,449.34 $30,539.21 $25,449.34 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 11 — — $42,650.55 $51,180.66 $42,650.55 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 11 — — $33,279.03 $39,934.84 $33,279.03 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 11 — — $47,786.52 $57,343.82 $47,786.52 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 11 — — $29,595.12 $35,514.14 $29,595.12 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 24 11 — — $17,943.76 $21,532.51 $17,943.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 24 11 — — $36,811.51 $44,173.81 $36,811.51 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 11 — — $25,025.16 $30,030.19 $25,025.16 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 24 11 — — $18,150.02 $21,780.02 $18,150.02 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 11 — — $28,925.62 $34,710.74 $28,925.62 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 11 — — $23,211.99 $27,854.39 $23,211.99 2026-04-01
27487 HCPCS Revise/replace Knee Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 11 — — $49,516.78 $59,420.14 $49,516.78 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 11 — — $41,815.91 $50,179.09 $41,815.91 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 11 — — $32,303.92 $38,764.70 $32,303.92 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 11 — — $38,798.06 $46,557.67 $38,798.06 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 11 — — $25,368.48 $30,442.18 $25,368.48 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 11 — — $41,827.56 $50,193.07 $41,827.56 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 24 11 — — $15,818.79 $18,982.55 $15,818.79 2026-04-01
28705 HCPCS Fusion Of Foot Bones 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 24 11 — — $19,199.83 $23,039.80 $19,199.83 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 11 — — $24,033.60 $28,840.32 $24,033.60 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 11 — — $146,101.80 $175,322.16 $146,101.80 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 24 11 — — $15,698.19 $18,837.83 $15,698.19 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 11 — — $31,358.27 $37,629.92 $31,358.27 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 11 — — $46,474.95 $55,769.94 $46,474.95 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 24 11 — — $17,253.71 $20,704.45 $17,253.71 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 11 — — $31,237.67 $37,485.20 $31,237.67 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 24 11 — — $17,137.91 $20,565.49 $17,137.91 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 11 — — $19,299.88 $23,159.86 $19,299.88 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 11 — — $30,309.15 $36,370.98 $30,309.15 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 11 — — $22,247.84 $26,697.41 $22,247.84 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 11 — — $22,654.88 $27,185.86 $22,654.88 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 11 — — $34,831.82 $41,798.18 $34,831.82 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 24 11 — — $17,404.47 $20,885.36 $17,404.47 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 11 — — $32,153.16 $38,583.79 $32,153.16 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 24 11 — — $17,082.40 $20,498.88 $17,082.40 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 11 — — $25,466.47 $30,559.76 $25,466.47 2026-04-01
333 MS_DRG Rectal Resection With Cc 24 11 — — $16,705.51 $20,046.61 $16,705.51 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 11 — — $25,125.21 $30,150.25 $25,125.21 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 11 — — $27,179.60 $32,615.52 $27,179.60 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 24 11 — — $18,354.23 $22,025.08 $18,354.23 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 24 11 — — $16,386.18 $19,663.42 $16,386.18 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 24 11 — — $17,036.49 $20,443.79 $17,036.49 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 24 11 — — $17,731.33 $21,277.60 $17,731.33 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 11 — — $20,541.56 $24,649.87 $20,541.56 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 11 — — $30,757.30 $36,908.76 $30,757.30 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 24 11 — — $16,591.07 $19,909.28 $16,591.07 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 24 11 — — $24,218.62 $29,062.34 $24,218.62 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 24 11 — — $17,199.58 $20,639.50 $17,199.58 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 24 11 — — $23,214.73 $27,857.68 $23,214.73 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 24 11 — — $17,066.64 $20,479.97 $17,066.64 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 11 — — $95,572.62 $114,687.14 $95,572.62 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 11 — — $27,114.50 $32,537.40 $27,114.50 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 11 — — $28,206.11 $33,847.33 $28,206.11 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 11 — — $38,142.27 $45,770.72 $38,142.27 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 11 — — $20,529.22 $24,635.06 $20,529.22 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 24 11 — — $15,865.39 $19,038.47 $15,865.39 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 11 — — $25,088.89 $30,106.67 $25,088.89 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 24 11 — — $15,722.17 $18,866.60 $15,722.17 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 11 — — $23,291.48 $27,949.78 $23,291.48 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 11 — — $25,068.34 $30,082.01 $25,068.34 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 24 11 — — $17,008.39 $20,410.07 $17,008.39 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 11 — — $24,002.77 $28,803.32 $24,002.77 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 11 — — $29,114.07 $34,936.88 $29,114.07 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 11 — — $76,178.60 $91,414.32 $76,178.60 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 11 — — $50,121.18 $60,145.42 $50,121.18 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 11 — — $39,180.43 $47,016.52 $39,180.43 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 11 — — $62,394.06 $74,872.87 $62,394.06 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 11 — — $40,174.73 $48,209.68 $40,174.73 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 11 — — $46,441.37 $55,729.64 $46,441.37 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 11 — — $29,715.72 $35,658.86 $29,715.72 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 11 — — $37,176.75 $44,612.10 $37,176.75 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 11 — — $22,791.93 $27,350.32 $22,791.93 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — — $58,240.05 $69,888.06 $58,240.05 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — — $41,517.83 $49,821.40 $41,517.83 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 11 — — $29,248.38 $35,098.06 $29,248.38 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 11 — — $38,502.03 $46,202.44 $38,502.03 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 11 — — $18,883.24 $22,659.89 $18,883.24 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 11 — — $39,711.50 $47,653.80 $39,711.50 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 11 — — $21,999.09 $26,398.91 $21,999.09 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 11 — — $36,325.67 $43,590.80 $36,325.67 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 11 — — $24,821.64 $29,785.97 $24,821.64 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 11 — — $19,486.27 $23,383.52 $19,486.27 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 11 — — $4,781.26 $25,728.73 $21,440.61 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 11 — — $33,744.32 $40,493.18 $33,744.32 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 11 — — $20,843.75 $25,012.50 $20,843.75 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 24 11 — — $17,384.60 $20,861.52 $17,384.60 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 11 — — $30,072.74 $36,087.29 $30,072.74 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 24 11 — — $16,249.82 $19,499.78 $16,249.82 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 11 — — $24,328.26 $29,193.91 $24,328.26 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 24 11 — — $17,507.26 $21,008.71 $17,507.26 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 11 — — $15,838.54 $24,734.57 $20,612.14 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 11 — — $19,650.04 $23,580.05 $19,650.04 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 11 — — $22,769.31 $27,323.17 $22,769.31 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 11 — — $25,815.26 $30,978.31 $25,815.26 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 24 11 — — $18,034.22 $21,641.06 $18,034.22 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 11 — — $25,500.73 $30,600.88 $25,500.73 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 11 — — $21,328.23 $25,593.88 $21,328.23 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 11 — — $71,308.51 $85,570.21 $71,308.51 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 24 11 — — $22,342.40 $26,810.88 $22,342.40 2026-04-01
503 MS_DRG Foot Procedures With Mcc 24 11 — — $19,781.61 $23,737.93 $19,781.61 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 11 — — $21,353.58 $25,624.30 $21,353.58 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 4 2 — — $14,147.10 $23,879.74 $19,013.42 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 2 1 — — $18,803.08 $18,803.08 $18,803.08 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 24 11 — — $22,493.84 $26,992.61 $22,493.84 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 11 — — $26,265.47 $31,518.56 $26,265.47 2026-04-01
5182 OTHER Level 2 Vascular Procedures 4 2 — — $1,115.23 $35,603.85 $18,359.54 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 24 11 — — $20,323.65 $24,388.38 $20,323.65 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 24 11 — — $17,661.44 $21,193.73 $17,661.44 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 24 11 — — $16,574.63 $19,889.56 $16,574.63 2026-04-01
570 MS_DRG Skin Debridement With Mcc 24 11 — — $20,809.49 $24,971.39 $20,809.49 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 11 — — $45,549.17 $54,659.00 $45,549.17 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 11 — — $24,443.39 $29,332.07 $24,443.39 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 11 — — $34,241.13 $41,089.36 $34,241.13 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 11 — — $18,819.52 $22,583.42 $18,819.52 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 11 — — $22,847.43 $27,416.92 $22,847.43 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 11 — — $32,430.69 $38,916.83 $32,430.69 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 24 11 — — $19,548.62 $23,458.34 $19,548.62 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 24 11 — — $15,674.89 $18,809.87 $15,674.89 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 11 — — $24,553.03 $29,463.64 $24,553.03 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 11 — — $20,441.51 $24,529.81 $20,441.51 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 11 — — $25,045.04 $30,054.05 $25,045.04 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 11 — — $21,350.84 $25,621.01 $21,350.84 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 11 — — $26,193.52 $31,432.22 $26,193.52 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 11 — — $32,871.99 $39,446.39 $32,871.99 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 11 — — $26,049.62 $31,259.54 $26,049.62 2026-04-01
652 MS_DRG Kidney Transplant 24 11 — — $22,785.76 $27,342.91 $22,785.76 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 11 — — $36,264.00 $43,516.80 $36,264.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 24 11 — — $19,837.80 $23,805.36 $19,837.80 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 11 — — $22,472.60 $26,967.12 $22,472.60 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 11 — — $18,067.11 $21,680.53 $18,067.11 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 11 — — $21,634.53 $25,961.44 $21,634.53 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 11 — — $22,043.63 $26,452.36 $22,043.63 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 24 11 — — $20,664.90 $24,797.88 $20,664.90 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 11 — — $29,447.10 $35,336.52 $29,447.10 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 24 11 — — $16,680.84 $20,017.01 $16,680.84 2026-04-01
7 MS_DRG Lung Transplant 24 11 — — $89,397.13 $107,276.56 $89,397.13 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 24 11 — — $16,602.04 $19,922.45 $16,602.04 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 24 11 — — $15,986.68 $19,184.02 $15,986.68 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 11 — — $25,149.88 $30,179.86 $25,149.88 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 11 — — $25,206.76 $30,248.11 $25,206.76 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 24 11 — — $18,250.07 $21,900.08 $18,250.07 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 26 11 — — $15,970.12 $20,974.99 $17,479.16 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 11 — — $41,383.52 $49,660.22 $41,383.52 2026-04-01
791 MS_DRG Prematurity With Major Problems 26 12 — — $1,054.41 $34,163.92 $28,469.93 2026-04-01
792 MS_DRG Prematurity Without Major Problems 32 12 — — $1,159.03 $20,926.48 $17,438.73 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 30 11 — — $2,184.38 $35,073.38 $29,227.82 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 24 11 — — $31,689.93 $38,027.92 $31,689.93 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 11 — — $39,061.20 $46,873.44 $39,061.20 2026-04-01
800 MS_DRG Splenic Procedures With Cc 24 11 — — $19,907.01 $23,888.41 $19,907.01 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 11 — — $27,956.68 $33,548.02 $27,956.68 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 24 11 — — $15,785.22 $18,942.26 $15,785.22 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 24 11 — — $16,290.25 $19,548.30 $16,290.25 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 24 11 — — $16,317.66 $19,581.19 $16,317.66 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 11 — — $40,844.23 $49,013.08 $40,844.23 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 24 11 — — $15,995.59 $19,194.71 $15,995.59 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 11 — — $32,072.99 $38,487.59 $32,072.99 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 24 11 — — $16,180.61 $19,416.73 $16,180.61 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 11 — — $32,710.27 $39,252.32 $32,710.27 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 11 — — $16,493.08 $19,791.70 $16,493.08 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 11 — — $22,309.51 $26,771.41 $22,309.51 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 24 11 — — $38,275.21 $45,930.25 $38,275.21 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 11 — — $33,577.12 $40,292.54 $33,577.12 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 24 11 — — $22,822.76 $27,387.31 $22,822.76 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 11 — — $18,420.70 $22,104.84 $18,420.70 2026-04-01
849 MS_DRG Radiotherapy 24 11 — — $19,222.44 $23,066.93 $19,222.44 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 24 11 — — $16,223.78 $19,468.54 $16,223.78 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 11 — — $59,994.99 $71,993.99 $59,994.99 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 11 — — $34,497.41 $41,396.89 $34,497.41 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 11 — — $31,825.61 $38,190.73 $31,825.61 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 11 — — $48,018.82 $57,622.58 $48,018.82 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 11 — — $27,139.86 $32,567.83 $27,139.86 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 11 — — $29,412.84 $35,295.41 $29,412.84 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 11 — — $25,825.54 $30,990.65 $25,825.54 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 11 — — $26,964.43 $32,357.32 $26,964.43 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 11 — — $146,960.42 $176,352.50 $146,960.42 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 11 — — $49,806.65 $59,767.98 $49,806.65 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 24 11 — — $22,726.14 $27,271.37 $22,726.14 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 11 — — $27,340.63 $32,808.76 $27,340.63 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 24 11 — — $15,803.72 $18,964.46 $15,803.72 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 11 — — $25,519.92 $30,623.90 $25,519.92 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 11 — — $24,772.31 $29,726.77 $24,772.31 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 24 11 — — $16,669.19 $20,003.03 $16,669.19 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 24 11 — — $18,329.56 $21,995.47 $18,329.56 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 11 — — $46,780.57 $56,136.68 $46,780.57 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 11 — — $26,441.58 $31,729.90 $26,441.58 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 11 — — $52,871.10 $63,445.32 $52,871.10 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 11 — — $29,531.39 $35,437.67 $29,531.39 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 24 11 — — $20,830.05 $24,996.06 $20,830.05 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 24 11 — — $18,329.56 $21,995.47 $18,329.56 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 24 11 — — $19,388.96 $23,266.75 $19,388.96 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 11 — — $42,601.90 $51,122.28 $42,601.90 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 11 — — $25,405.48 $30,486.58 $25,405.48 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 24 11 — — $18,728.38 $22,474.06 $18,728.38 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 11 — — $20,431.92 $24,518.30 $20,431.92 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 24 11 — — $16,381.39 $19,657.67 $16,381.39 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 11 — — $32,806.21 $39,367.45 $32,806.21 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 11 — — $17,502.46 $21,002.95 $17,502.46 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 11 — — $23,871.69 $28,978.48 $24,148.73 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 8 4 — — $16,588.34 $19,906.01 $17,915.41 2026-04-01
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