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

COMMUNITY HOSPITALS AND WELLNESS CENTERS

Bryan, OH · CCN 360121 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $14,369 across 4 payers · range $12,773-$38,319

Source: https://parkview.com/-/media/parkview-media/file/price-transparency/341048666_parkview-bryan-hospital_standardcharges.ashx · 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.

8,334 distinct procedures filed
18 distinct payers
74,563 rate rows
2026-04-01 last MRF observed
Data quality

40,784 of 74,563 rate rows are consumer-grade (54.7%)

33,779 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 33,779
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://parkview.com/-/media/parkview-media/file/price-transparency/341048666_parkview-bryan-hospital_standardcharges.ashx
Found on page https://www.parkview.com/patients-and-visitors/billing-and-insurance/request-an-estimate
Discovered viaCMS hospital list
Last fetch success · 2026-08-11
Content fingerprint 2177569480dd2457… · 17,382,211 bytes · first seen 2026-05-09

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 $314,538.62 $518,988.72 $314,538.62 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $204,484.05 $337,398.68 $204,484.05 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $156,034.75 $257,457.34 $156,034.75 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $155,125.06 $255,956.35 $155,125.06 nat. median
$199,832
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $101,590.81 $167,624.84 $101,590.81 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 11 $95,048.04 $156,829.27 $95,048.04 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $88,279.49 $145,661.16 $88,279.49 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $83,298.36 $137,442.29 $83,298.36 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $83,203.98 $137,286.57 $83,203.98 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $81,043.38 $133,721.58 $81,043.38 nat. median
$96,835
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $79,975.43 $131,959.46 $79,975.43 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $75,883.66 $125,208.04 $75,883.66 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $73,317.22 $120,973.41 $73,317.22 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $72,052.52 $118,886.66 $72,052.52 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $66,439.04 $109,624.42 $66,439.04 nat. median
$81,124
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $63,897.29 $105,430.53 $63,897.29 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $62,230.38 $102,680.13 $62,230.38 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $62,037.99 $102,362.68 $62,037.99 nat. median
$80,459
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $58,156.76 $95,958.65 $58,156.76 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $56,773.72 $93,676.64 $56,773.72 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $56,533.41 $93,280.13 $56,533.41 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $56,349.73 $92,977.05 $56,349.73 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $53,436.27 $88,169.85 $53,436.27 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 11 $53,124.81 $87,655.94 $53,124.81 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $53,103.03 $87,620.00 $53,103.03 nat. median
$62,911
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $52,826.42 $87,163.59 $52,826.42 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $52,795.93 $87,113.28 $52,795.93 nat. median
$68,581
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $51,208.88 $84,494.65 $51,208.88 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $50,962.77 $84,088.57 $50,962.77 nat. median
$65,792
0.8× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 5 $13,690.59 $144,065.82 $50,348.39 nat. median
$31,928
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $49,896.99 $82,330.03 $49,896.99 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $49,573.19 $81,795.76 $49,573.19 nat. median
$59,832
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 $49,537.62 $81,737.07 $49,537.62 nat. median
$62,262
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $48,765.87 $80,463.69 $48,765.87 nat. median
$63,840
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $48,765.87 $80,463.69 $48,765.87 nat. median
$60,895
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $48,592.36 $80,177.39 $48,592.36 nat. median
$59,159
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $47,745.11 $78,779.43 $47,745.11 nat. median
$62,218
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 11 $45,521.35 $75,110.23 $45,521.35 nat. median
$60,162
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $45,469.80 $75,025.17 $45,469.80 nat. median
$60,294
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 11 $45,043.64 $74,322.01 $45,043.64 nat. median
$59,257
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 11 $44,649.42 $73,671.54 $44,649.42 nat. median
$56,970
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $44,637.07 $73,651.17 $44,637.07 nat. median
$58,419
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $44,321.26 $73,130.08 $44,321.26 nat. median
$57,394
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $3,147.43 $72,895.28 $44,178.96 nat. median
$51,433
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 11 $44,078.77 $72,729.97 $44,078.77 nat. median
$55,867
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 11 $43,635.18 $71,998.05 $43,635.18 nat. median
$57,082
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 11 $43,607.60 $71,952.54 $43,607.60 nat. median
$56,397
0.8× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 $42,898.29 $70,782.18 $42,898.29 nat. median
$53,268
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 $42,631.12 $70,341.35 $42,631.12 nat. median
$55,685
0.8× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 11 $42,461.23 $70,061.03 $42,461.23 nat. median
$50,294
0.8× median

Other procedures at this hospital

Browse this hospital's 8,334 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 11 — — $314,538.62 $518,988.72 $314,538.62 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 11 — — $204,484.05 $337,398.68 $204,484.05 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 11 — — $156,034.75 $257,457.34 $156,034.75 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 11 — — $155,125.06 $255,956.35 $155,125.06 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 11 — — $101,590.81 $167,624.84 $101,590.81 2026-04-01
7 MS_DRG Lung Transplant 12 11 — — $95,048.04 $156,829.27 $95,048.04 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 11 — — $88,279.49 $145,661.16 $88,279.49 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 11 — — $83,298.36 $137,442.29 $83,298.36 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 11 — — $83,203.98 $137,286.57 $83,203.98 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 11 — — $81,043.38 $133,721.58 $81,043.38 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 11 — — $79,975.43 $131,959.46 $79,975.43 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 11 — — $75,883.66 $125,208.04 $75,883.66 2026-04-01
215 MS_DRG Other Heart Assist System Implant 12 11 — — $73,317.22 $120,973.41 $73,317.22 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $72,052.52 $118,886.66 $72,052.52 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 11 — — $66,439.04 $109,624.42 $66,439.04 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 12 11 — — $63,897.29 $105,430.53 $63,897.29 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 11 — — $62,230.38 $102,680.13 $62,230.38 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $62,037.99 $102,362.68 $62,037.99 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 11 — — $58,156.76 $95,958.65 $58,156.76 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $56,773.72 $93,676.64 $56,773.72 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 11 — — $56,533.41 $93,280.13 $56,533.41 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 11 — — $56,349.73 $92,977.05 $56,349.73 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 11 — — $53,436.27 $88,169.85 $53,436.27 2026-04-01
10 MS_DRG Pancreas Transplant 12 11 — — $53,124.81 $87,655.94 $53,124.81 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 11 — — $53,103.03 $87,620.00 $53,103.03 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 11 — — $52,826.42 $87,163.59 $52,826.42 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 11 — — $52,795.93 $87,113.28 $52,795.93 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 11 — — $51,208.88 $84,494.65 $51,208.88 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 11 — — $50,962.77 $84,088.57 $50,962.77 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 5 — — $13,690.59 $144,065.82 $50,348.39 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 11 — — $49,896.99 $82,330.03 $49,896.99 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 11 — — $49,573.19 $81,795.76 $49,573.19 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 11 — — $49,537.62 $81,737.07 $49,537.62 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $48,765.87 $80,463.69 $48,765.87 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 11 — — $48,765.87 $80,463.69 $48,765.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 11 — — $48,592.36 $80,177.39 $48,592.36 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 11 — — $47,745.11 $78,779.43 $47,745.11 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 11 — — $45,521.35 $75,110.23 $45,521.35 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 11 — — $45,469.80 $75,025.17 $45,469.80 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 11 — — $45,043.64 $74,322.01 $45,043.64 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 11 — — $44,649.42 $73,671.54 $44,649.42 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 11 — — $44,637.07 $73,651.17 $44,637.07 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $44,321.26 $73,130.08 $44,321.26 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 11 — — $3,147.43 $72,895.28 $44,178.96 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 11 — — $44,078.77 $72,729.97 $44,078.77 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 11 — — $43,635.18 $71,998.05 $43,635.18 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 11 — — $43,607.60 $71,952.54 $43,607.60 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 11 — — $42,898.29 $70,782.18 $42,898.29 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 11 — — $42,631.12 $70,341.35 $42,631.12 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 11 — — $42,461.23 $70,061.03 $42,461.23 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 11 — — $42,407.51 $69,972.39 $42,407.51 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 11 — — $41,844.85 $69,044.00 $41,844.85 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 11 — — $41,718.53 $68,835.57 $41,718.53 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 11 — — $41,439.74 $68,375.57 $41,439.74 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 11 — — $41,126.11 $67,858.08 $41,126.11 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 11 — — $40,885.80 $67,461.57 $40,885.80 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 11 — — $40,744.95 $67,229.17 $40,744.95 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 11 — — $40,688.32 $67,135.73 $40,688.32 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 11 — — $16,273.58 $67,032.72 $40,625.89 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 11 — — $40,467.62 $66,771.57 $40,467.62 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $39,745.24 $65,579.65 $39,745.24 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 11 — — $39,722.01 $65,541.32 $39,722.01 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 11 — — $39,462.10 $65,112.46 $39,462.10 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 11 — — $39,335.05 $64,902.83 $39,335.05 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 11 — — $38,820.31 $64,053.51 $38,820.31 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 11 — — $38,754.97 $63,945.70 $38,754.97 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 11 — — $37,620.95 $62,074.57 $37,620.95 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 11 — — $37,237.62 $61,442.07 $37,237.62 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 11 — — $36,947.21 $60,962.90 $36,947.21 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 11 — — $19,213.72 $60,857.49 $36,883.33 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 11 — — $36,760.63 $60,655.04 $36,760.63 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 11 — — $36,611.80 $60,409.47 $36,611.80 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 11 — — $36,085.45 $59,540.99 $36,085.45 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 11 — — $35,908.30 $59,248.70 $35,908.30 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 11 — — $35,592.49 $58,727.61 $35,592.49 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 11 — — $35,161.24 $58,016.05 $35,161.24 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 11 — — $35,091.54 $87,396.84 $35,091.54 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 11 — — $34,989.90 $57,733.34 $34,989.90 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 11 — — $34,693.69 $57,244.59 $34,693.69 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 11 — — $34,559.38 $57,022.98 $34,559.38 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 4 — — $30,699.45 $92,098.34 $34,536.88 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 11 — — $31,561.90 $75,179.92 $34,399.66 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 11 — — $34,314.72 $56,619.29 $34,314.72 2026-04-01
245 MS_DRG Aicd Generator Procedures 12 11 — — $34,152.09 $56,350.95 $34,152.09 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 11 — — $34,052.63 $56,186.84 $34,052.63 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 11 — — $34,038.11 $56,162.88 $34,038.11 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 12 11 — — $33,908.88 $55,949.65 $33,908.88 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 12 11 — — $33,566.93 $55,385.43 $33,566.93 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 11 — — $33,557.49 $55,369.86 $33,557.49 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 11 — — $33,429.71 $55,159.02 $33,429.71 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 11 — — $32,920.78 $54,319.29 $32,920.78 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 11 — — $32,445.98 $53,535.87 $32,445.98 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 11 — — $32,195.50 $53,122.58 $32,195.50 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 11 — — $31,995.13 $52,791.96 $31,995.13 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 11 — — $31,817.25 $52,498.46 $31,817.25 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 11 — — $31,689.48 $52,287.64 $31,689.48 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 11 — — $31,637.20 $52,201.38 $31,637.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 11 — — $31,621.96 $52,176.23 $31,621.96 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 11 — — $31,532.66 $52,028.89 $31,532.66 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 11 — — $31,496.36 $51,968.99 $31,496.36 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 11 — — $31,439.73 $51,875.55 $31,439.73 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 11 — — $31,322.12 $51,681.50 $31,322.12 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 11 — — $1,690.84 $51,645.56 $31,300.34 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 11 — — $31,179.82 $51,446.70 $31,179.82 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 11 — — $30,980.17 $51,117.28 $30,980.17 2026-04-01
791 MS_DRG Prematurity With Major Problems 15 12 — — $3,575.77 $50,320.66 $30,497.37 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 11 — — $30,217.86 $49,859.47 $30,217.86 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 11 — — $29,953.60 $49,423.44 $29,953.60 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 11 — — $29,429.42 $48,558.54 $29,429.42 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 11 — — $29,300.92 $48,346.52 $29,300.92 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 11 — — $29,130.30 $48,065.00 $29,130.30 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 11 — — $29,088.20 $47,995.53 $29,088.20 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 11 — — $29,061.33 $47,951.19 $29,061.33 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 11 — — $23,233.17 $47,688.86 $28,902.34 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 11 — — $28,348.40 $46,774.86 $28,348.40 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 11 — — $28,229.33 $46,578.39 $28,229.33 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 11 — — $28,164.72 $46,471.79 $28,164.72 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 11 — — $28,161.81 $46,466.99 $28,161.81 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 11 — — $28,085.58 $46,341.21 $28,085.58 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 11 — — $27,933.12 $46,089.65 $27,933.12 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 11 — — $27,695.72 $45,697.94 $27,695.72 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 11 — — $27,684.83 $45,679.97 $27,684.83 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 11 — — $27,371.92 $45,163.67 $27,371.92 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 11 — — $27,351.59 $45,130.12 $27,351.59 2026-04-01
332 MS_DRG Rectal Resection With Mcc 12 11 — — $27,315.29 $45,070.23 $27,315.29 2026-04-01
265 MS_DRG Aicd Lead Procedures 12 11 — — $27,297.14 $45,040.28 $27,297.14 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 11 — — $27,250.67 $44,963.61 $27,250.67 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 11 — — $27,211.47 $44,898.93 $27,211.47 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 11 — — $27,040.13 $44,616.21 $27,040.13 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 11 — — $26,979.87 $44,516.79 $26,979.87 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 11 — — $26,953.74 $90,624.84 $26,953.74 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 11 — — $26,915.26 $44,410.18 $26,915.26 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 11 — — $26,893.48 $44,374.24 $26,893.48 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 11 — — $9,108.76 $44,333.52 $26,868.80 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 11 — — $26,847.74 $44,298.77 $26,847.74 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 11 — — $26,632.12 $43,943.00 $26,632.12 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 11 — — $26,579.84 $43,856.74 $26,579.84 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 12 11 — — $26,354.06 $43,484.20 $26,354.06 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 11 — — $26,347.52 $43,473.41 $26,347.52 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 11 — — $26,231.36 $43,281.74 $26,231.36 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 11 — — $26,109.39 $43,080.49 $26,109.39 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 11 — — $25,993.23 $42,888.83 $25,993.23 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 11 — — $25,919.18 $42,766.65 $25,919.18 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 11 — — $25,797.21 $42,565.40 $25,797.21 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 11 — — $25,764.54 $42,511.49 $25,764.54 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 12 11 — — $25,281.75 $41,714.89 $25,281.75 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 11 — — $25,010.95 $41,268.07 $25,010.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 12 11 — — $24,929.63 $41,133.89 $24,929.63 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 11 — — $24,926.73 $41,129.10 $24,926.73 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 11 — — $24,644.31 $40,663.11 $24,644.31 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 11 — — $24,540.49 $40,491.81 $24,540.49 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 7 6 — — $12,359.16 $88,977.99 $24,534.73 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 11 — — $15,537.24 $40,448.69 $24,514.36 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 11 — — $24,481.69 $40,394.79 $24,481.69 2026-04-01
652 MS_DRG Kidney Transplant 12 11 — — $24,475.15 $40,384.00 $24,475.15 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 11 — — $24,457.73 $40,355.25 $24,457.73 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 12 11 — — $24,411.99 $40,279.78 $24,411.99 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 11 — — $24,336.49 $40,155.21 $24,336.49 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 11 — — $24,208.71 $39,944.37 $24,208.71 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 11 — — $24,165.87 $39,873.69 $24,165.87 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 11 — — $24,143.37 $39,836.56 $24,143.37 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 5 5 — — $711.76 $28,262.57 $24,137.64 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 11 — — $24,096.90 $39,759.88 $24,096.90 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 12 11 — — $24,005.43 $39,608.96 $24,005.43 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 11 — — $23,970.58 $39,551.46 $23,970.58 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 11 — — $23,905.24 $39,443.65 $23,905.24 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 11 — — $23,894.35 $39,425.68 $23,894.35 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 11 — — $23,840.62 $39,337.02 $23,840.62 2026-04-01
665 MS_DRG Prostatectomy With Mcc 12 11 — — $23,688.89 $39,086.67 $23,688.89 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 11 — — $23,641.70 $39,008.80 $23,641.70 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 11 — — $23,601.77 $38,942.92 $23,601.77 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 12 11 — — $23,255.46 $38,371.51 $23,255.46 2026-04-01
263 MS_DRG Vein Ligation And Stripping 12 11 — — $23,225.70 $38,322.40 $23,225.70 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 11 — — $23,050.00 $38,032.50 $23,050.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 11 — — $22,957.80 $37,880.37 $22,957.80 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 11 — — $22,954.90 $37,875.58 $22,954.90 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 11 — — $22,930.94 $37,836.05 $22,930.94 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 11 — — $22,637.63 $37,352.09 $22,637.63 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 12 11 — — $22,417.65 $36,989.12 $22,417.65 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 12 11 — — $22,403.13 $36,965.16 $22,403.13 2026-04-01
570 MS_DRG Skin Debridement With Mcc 12 11 — — $22,381.35 $36,929.23 $22,381.35 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 12 11 — — $22,228.16 $36,676.46 $22,228.16 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 14 11 — — $18,348.00 $36,584.23 $22,172.26 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 11 — — $22,097.48 $36,460.84 $22,097.48 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 11 — — $22,084.41 $36,439.28 $22,084.41 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 11 — — $21,991.49 $36,285.96 $21,991.49 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 12 11 — — $21,981.32 $36,269.18 $21,981.32 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 12 11 — — $21,950.83 $36,218.87 $21,950.83 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 11 — — $5,858.60 $36,079.91 $21,866.61 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 11 — — $5,629.86 $35,843.92 $21,723.59 2026-04-01
64580 HCPCS Implant Neuroelectrodes 4 4 — — $19,300.62 $57,901.86 $21,713.20 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 4 4 — — $19,300.62 $57,901.86 $21,713.20 2026-04-01
63655 HCPCS Implant Neuroelectrodes 4 4 — — $19,300.62 $57,901.86 $21,713.20 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 4 4 — — $19,300.62 $57,901.86 $21,713.20 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 4 4 — — $19,300.62 $57,901.86 $21,713.20 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 4 4 — — $19,300.62 $57,901.86 $21,713.20 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 4 4 — — $19,300.62 $57,901.86 $21,713.20 2026-04-01
800 MS_DRG Splenic Procedures With Cc 12 11 — — $21,425.20 $35,351.58 $21,425.20 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 12 11 — — $21,351.87 $35,230.59 $21,351.87 2026-04-01
503 MS_DRG Foot Procedures With Mcc 12 11 — — $21,292.34 $35,132.36 $21,292.34 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 11 — — $21,152.95 $34,902.37 $21,152.95 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $21,105.22 $21,105.22 $21,105.22 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 11 — — $21,045.50 $34,725.07 $21,045.50 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 11 — — $20,984.51 $34,624.44 $20,984.51 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 12 11 — — $20,979.43 $34,616.06 $20,979.43 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 11 — — $20,876.34 $34,445.96 $20,876.34 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 11 — — $9,874.99 $84,733.11 $20,781.96 2026-04-01
849 MS_DRG Radiotherapy 12 11 — — $20,699.92 $34,154.87 $20,699.92 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 11 — — $20,675.96 $34,115.33 $20,675.96 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 11 — — $20,612.07 $34,009.92 $20,612.07 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93580 HCPCS Transcath Closure Of Asd 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
61624 HCPCS Transcath Occlusion Cns 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 4 4 — — $18,237.62 $54,712.87 $20,517.33 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 11 — — $20,340.55 $33,561.91 $20,340.55 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 11 — — $20,273.03 $33,450.50 $20,273.03 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 11 — — $20,176.47 $33,291.18 $20,176.47 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 12 11 — — $19,873.00 $32,790.45 $19,873.00 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 12 11 — — $19,850.49 $32,753.31 $19,850.49 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 11 — — $19,780.07 $32,637.12 $19,780.07 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 12 11 — — $19,753.93 $32,593.98 $19,753.93 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 11 — — $16,952.25 $32,593.98 $19,753.93 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 12 11 — — $19,669.72 $32,455.04 $19,669.72 2026-04-01
20802 HCPCS Replantation Arm Complete 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
20805 HCPCS Replant Forearm Complete 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
20808 HCPCS Replantation Hand Complete 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
23616 HCPCS Treat Humerus Fracture 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22612 HCPCS Lumbar Spine Fusion 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22600 HCPCS Neck Spine Fusion 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22556 HCPCS Thorax Spine Fusion 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22610 HCPCS Thorax Spine Fusion 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
24363 HCPCS Replace Elbow Joint 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
20838 HCPCS Replantation Foot Complete 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
25446 HCPCS Wrist Replacement 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
0656T OTHER Vrt Bdy Tethering Ant 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
28705 HCPCS Fusion Of Foot Bones 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
27487 HCPCS Revise/replace Knee Joint 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 4 4 — — $17,443.90 $52,331.69 $19,624.38 2026-04-01
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