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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

ALLIANCE COMMUNITY HOSPITAL

Alliance, OH · CCN 360131 · Rates published

8,394 distinct procedures filed
27 distinct payers
100,706 rate rows
2026-04-01 last MRF observed
Data quality

59,851 of 100,706 rate rows are consumer-grade (59.4%)

40,855 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 40,790
placeholder amount (≤ $0.02) — excluded from medians 65
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://aultman.org/pricing-transparency/2026/1942385794_alliance-community-hospital_standardcharges.json
Found on page https://aultman.org/home/patients-and-visitors/insurance-and-billing/pricing#/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 34cf665447f63053… · 27,499,432 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
9236
OTHER 		Eculizumab Injection 1 $707,908.94 $707,908.94 $707,908.94 nat. median
$231
outlier · 3066.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $283,581.45 $725,600.59 $323,561.49 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $184,032.95 $470,885.59 $210,528.88 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $140,208.73 $358,752.45 $160,768.56 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $139,385.89 $356,647.04 $159,834.25 nat. median
$202,986
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $90,962.14 $232,745.07 $104,851.38 nat. median
$133,176
0.8× median
7
MS_DRG 		Lung Transplant 10 $85,043.96 $217,602.21 $98,131.57 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $78,921.55 $201,936.77 $91,179.86 nat. median
$117,303
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $74,415.93 $190,408.24 $86,063.94 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $74,330.56 $190,189.80 $85,967.01 nat. median
$98,017
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $72,376.22 $185,189.22 $83,747.95 nat. median
$98,905
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $71,410.21 $182,717.50 $82,651.09 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $67,709.05 $173,247.33 $78,448.60 nat. median
$100,136
0.8× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 1 $78,418.22 $78,418.22 $78,418.22 nat. median
$229
outlier · 342.0×
215
MS_DRG 		Other Heart Assist System Implant 10 $65,387.62 $167,307.47 $75,812.72 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $64,243.65 $164,380.39 $74,513.79 nat. median
$93,672
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $59,166.04 $151,388.31 $68,748.41 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $56,866.94 $145,505.58 $66,137.89 nat. median
$83,442
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $55,359.15 $141,647.61 $64,425.87 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $55,185.13 $141,202.33 $64,228.27 nat. median
$81,118
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $51,674.41 $132,219.45 $60,242.02 nat. median
$77,576
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $50,423.40 $129,018.47 $58,821.55 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $50,206.03 $128,462.30 $58,574.74 nat. median
$73,807
0.8× median
64656
HCPCS 		Revj/rplcmt Bat Mod Sys Pg 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$32,994
1.8× median
0908T
HCPCS 		Opn Imp Int Nstm Sys Vgs Nrv 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$20,314
outlier · 2.9×
64582
HCPCS 		Opn Mpltj Hpglsl Nstm Ary Pg 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$28,316
outlier · 2.1×
61886
HCPCS 		Implant Neurostim Arrays 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$27,077
outlier · 2.2×
61885
HCPCS 		Insrt/redo Neurostim 1 Array 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$20,011
outlier · 2.9×
61891
HCPCS 		Rev/rplcmt Sk-mnt Crnl Nstm 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$20,874
outlier · 2.8×
0909T
HCPCS 		Rplcmt Int Nstim Sys Vgs Nrv 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$17,508
outlier · 3.3×
33287
HCPCS 		Rmv&rplcmt Phrnc Nrv Stim Pg 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$29,718
2.0× median
0674T
HCPCS 		Laps Insj Nw/rpcmt Prm Isdss 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$25,200
outlier · 2.3×
63685
HCPCS 		Insrt/redo Spine N Generator 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$21,347
outlier · 2.7×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $50,039.88 $128,037.18 $58,386.09 nat. median
$72,138
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $47,404.55 $121,294.14 $55,393.79 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 10 $47,122.82 $120,573.29 $55,073.91 nat. median
$68,882
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $47,103.12 $120,522.88 $55,051.54 nat. median
$64,027
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $46,852.92 $119,882.68 $54,767.44 nat. median
$71,240
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $46,825.34 $119,812.11 $54,736.13 nat. median
$68,887
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $40,250.87 $116,138.98 $53,106.13 nat. median
$66,526
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $45,167.17 $115,569.35 $52,853.35 nat. median
$65,950
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $44,203.13 $113,102.67 $51,758.74 nat. median
$64,732
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $43,910.25 $112,353.26 $51,426.18 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $43,878.07 $112,270.92 $51,389.64 nat. median
$63,738
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $43,180.00 $110,484.77 $50,597.01 nat. median
$64,510
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $43,180.00 $110,484.77 $50,597.01 nat. median
$61,920
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $43,023.04 $110,083.17 $50,418.80 nat. median
$59,793
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $42,256.67 $108,122.26 $49,548.63 nat. median
$62,134
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $40,245.20 $102,975.51 $47,264.69 nat. median
$60,726
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $40,198.58 $102,856.20 $47,211.75 nat. median
$60,185
0.8× median

Other procedures at this hospital

Browse this hospital's 8,394 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
             
9236 OTHER Eculizumab Injection 2 1 — — $707,908.94 $707,908.94 $707,908.94 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 10 — — $283,581.45 $725,600.59 $323,561.49 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 10 — — $184,032.95 $470,885.59 $210,528.88 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $140,208.73 $358,752.45 $160,768.56 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 10 — — $139,385.89 $356,647.04 $159,834.25 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 10 — — $90,962.14 $232,745.07 $104,851.38 2026-04-01
7 MS_DRG Lung Transplant 20 10 — — $85,043.96 $217,602.21 $98,131.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $78,921.55 $201,936.77 $91,179.86 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 10 — — $74,415.93 $190,408.24 $86,063.94 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 10 — — $74,330.56 $190,189.80 $85,967.01 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $72,376.22 $185,189.22 $83,747.95 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $71,410.21 $182,717.50 $82,651.09 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 10 — — $67,709.05 $173,247.33 $78,448.60 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 2 1 — — $78,418.22 $78,418.22 $78,418.22 2025-01-01
215 MS_DRG Other Heart Assist System Implant 20 10 — — $65,387.62 $167,307.47 $75,812.72 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $64,243.65 $164,380.39 $74,513.79 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $59,166.04 $151,388.31 $68,748.41 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $56,866.94 $145,505.58 $66,137.89 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $55,359.15 $141,647.61 $64,425.87 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $55,185.13 $141,202.33 $64,228.27 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $51,674.41 $132,219.45 $60,242.02 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $50,423.40 $129,018.47 $58,821.55 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $50,206.03 $128,462.30 $58,574.74 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $50,039.88 $128,037.18 $58,386.09 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $47,404.55 $121,294.14 $55,393.79 2026-04-01
10 MS_DRG Pancreas Transplant 20 10 — — $47,122.82 $120,573.29 $55,073.91 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 10 — — $47,103.12 $120,522.88 $55,051.54 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $46,852.92 $119,882.68 $54,767.44 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 — — $46,825.34 $119,812.11 $54,736.13 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 10 — — $40,250.87 $116,138.98 $53,106.13 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $45,167.17 $115,569.35 $52,853.35 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $44,203.13 $113,102.67 $51,758.74 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $43,910.25 $112,353.26 $51,426.18 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 — — $43,878.07 $112,270.92 $51,389.64 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $43,180.00 $110,484.77 $50,597.01 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $43,180.00 $110,484.77 $50,597.01 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $43,023.04 $110,083.17 $50,418.80 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 11 — — $42,256.67 $108,122.26 $49,548.63 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $40,245.20 $102,975.51 $47,264.69 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $40,198.58 $102,856.20 $47,211.75 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $39,813.09 $101,869.87 $46,774.06 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $39,456.51 $100,957.46 $46,369.17 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $39,445.34 $100,928.90 $46,356.49 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $39,159.68 $100,197.97 $46,032.13 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 10 — — $39,030.96 $99,868.63 $45,885.98 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 10 — — $38,940.34 $99,636.75 $45,783.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $38,539.10 $98,610.09 $45,327.49 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $38,514.14 $98,546.23 $45,299.16 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $37,872.55 $96,904.58 $44,570.65 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $37,630.88 $96,286.23 $44,296.25 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 10 — — $37,477.21 $95,893.04 $44,121.77 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 12 — — $23,859.95 $95,768.70 $44,066.59 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $36,919.67 $94,466.47 $43,488.71 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 10 — — $36,805.41 $94,174.09 $43,358.97 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $36,553.24 $93,528.86 $43,072.64 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $36,269.54 $92,802.97 $42,750.52 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $36,052.17 $92,246.79 $42,503.71 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 — — $35,924.77 $91,920.81 $42,359.05 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $35,873.55 $91,789.75 $42,300.89 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $35,817.07 $91,645.24 $42,236.76 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 10 — — $35,673.91 $91,278.94 $42,074.21 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $35,020.50 $89,607.04 $41,332.29 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 — — $34,999.48 $89,553.27 $41,308.43 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $34,764.38 $88,951.72 $41,041.48 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 11 — — $34,649.46 $88,657.67 $40,911.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 10 — — $17,433.12 $87,466.34 $40,382.33 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 10 — — $34,124.76 $87,315.11 $40,315.22 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $33,098.99 $84,690.48 $39,150.51 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 10 — — $32,752.26 $83,803.28 $38,756.81 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $32,489.58 $83,131.16 $38,458.55 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 13 — — $23,626.25 $82,983.30 $38,392.93 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 10 — — $32,320.80 $82,699.33 $38,266.91 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $32,186.18 $82,354.86 $38,114.06 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 10 — — $31,710.07 $81,136.65 $37,573.46 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $31,549.84 $80,726.65 $37,391.52 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $31,264.17 $79,995.72 $37,067.16 2026-04-01
63655 HCPCS Implant Neuroelectrodes 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
64580 HCPCS Implant Neuroelectrodes 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 10 — — $30,874.09 $78,997.62 $36,624.24 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 12 — — $3,649.27 $78,836.32 $36,552.66 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $30,719.11 $78,601.07 $36,448.27 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 10 — — $30,451.18 $77,915.51 $36,144.04 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $30,329.69 $77,604.66 $36,006.10 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 12 — — $27,494.38 $77,234.99 $35,842.05 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 10 — — $30,108.38 $77,038.39 $35,754.81 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 10 — — $29,961.28 $76,662.01 $35,587.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 — — $29,871.31 $76,431.81 $35,485.63 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $29,858.18 $76,398.20 $35,470.72 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 10 — — $29,741.29 $76,099.11 $35,337.99 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 10 — — $29,431.98 $75,307.69 $34,986.79 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $29,423.44 $75,285.84 $34,977.10 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 — — $29,307.86 $74,990.11 $34,845.86 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
61624 HCPCS Transcath Occlusion Cns 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
0238T HCPCS Trluml Perip Athrc Iliac Art 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
0645T HCPCS Tcat Impltj C Sins Rdctj Dev 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
0632T HCPCS Perq Tcat US Abltj Nrv P-art 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
93580 HCPCS Transcath Closure Of Asd 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 10 — — $28,847.52 $73,812.22 $34,323.16 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 — — $28,418.04 $72,713.30 $33,835.51 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 10 — — $7,415.34 $72,133.60 $33,578.26 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $28,010.23 $71,669.84 $33,372.46 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $27,849.33 $71,258.16 $33,189.77 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22556 HCPCS Thorax Spine Fusion 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
20838 HCPCS Replantation Foot Complete 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
25446 HCPCS Wrist Replacement 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22600 HCPCS Neck Spine Fusion 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22610 HCPCS Thorax Spine Fusion 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
20802 HCPCS Replantation Arm Complete 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22612 HCPCS Lumbar Spine Fusion 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
23616 HCPCS Treat Humerus Fracture 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
24363 HCPCS Replace Elbow Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
28705 HCPCS Fusion Of Foot Bones 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
20808 HCPCS Replantation Hand Complete 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
27487 HCPCS Revise/replace Knee Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
20805 HCPCS Replant Forearm Complete 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 10 — — $27,733.75 $70,962.43 $33,058.54 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $27,686.47 $70,841.45 $33,004.85 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 10 — — $27,672.68 $70,806.16 $32,989.19 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 10 — — $11,782.88 $70,599.48 $32,897.48 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $27,559.07 $70,515.47 $32,860.19 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $27,507.85 $70,384.41 $32,802.03 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $27,401.46 $70,112.20 $32,681.24 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 20 10 — — $27,381.76 $70,061.79 $32,658.87 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $27,272.75 $69,782.86 $32,535.09 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $27,092.16 $69,320.78 $32,330.03 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 10 — — $26,655.45 $68,203.38 $31,834.18 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 10 — — $26,402.62 $67,556.46 $31,547.10 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $26,163.58 $66,944.83 $31,275.68 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $25,689.45 $65,731.66 $30,737.32 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $25,573.21 $65,434.24 $30,605.34 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $25,418.89 $65,039.37 $30,430.11 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 11 — — $5,107.50 $64,941.91 $30,386.87 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $25,356.50 $64,879.74 $30,359.28 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 10 — — $25,212.68 $64,511.76 $30,195.98 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 51 14 — — $1,642.37 $73,769.86 $30,094.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 12 — — $16,884.35 $63,229.69 $29,627.05 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $24,603.92 $62,954.12 $29,504.76 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 10 — — $24,545.48 $62,804.57 $29,438.40 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 10 — — $24,542.85 $62,797.85 $29,435.41 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 10 — — $2,905.62 $62,621.42 $29,357.12 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 10 — — $24,335.99 $62,268.56 $29,200.53 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 10 — — $24,121.25 $61,719.10 $28,956.71 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 25 11 — — $24,111.40 $61,693.89 $28,945.52 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $23,828.36 $60,969.69 $28,624.15 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 11 — — $10,641.03 $60,922.64 $28,603.27 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 10 — — $23,777.14 $60,838.62 $28,565.98 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $23,760.72 $60,796.61 $28,547.34 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 10 — — $23,718.69 $60,689.08 $28,499.62 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $23,683.23 $60,598.34 $28,459.36 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $23,528.25 $60,201.79 $28,283.38 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 10 — — $23,473.74 $60,062.32 $28,221.49 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 10 — — $23,450.10 $60,001.83 $28,194.65 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 10 — — $23,415.30 $59,912.78 $28,155.13 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $23,395.59 $59,862.37 $28,132.76 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 10 — — $8,741.29 $59,805.24 $28,107.41 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 12 — — $23,229.82 $59,756.51 $28,085.78 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 38 13 — — $2,170.71 $73,066.39 $27,864.33 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 10 — — $23,111.90 $59,136.48 $27,810.64 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 29 13 — — $22,907.67 $58,613.90 $27,578.74 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 11 — — $22,901.76 $58,598.78 $27,572.03 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 10 — — $22,796.68 $58,329.93 $27,452.73 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 11 — — $22,686.36 $58,047.64 $27,327.46 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 10 — — $22,581.29 $57,778.80 $27,208.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 11 — — $22,514.30 $57,607.41 $27,132.10 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 10 — — $22,403.98 $57,325.11 $27,006.83 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $22,374.43 $57,249.50 $26,973.27 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 10 — — $2,573.80 $56,132.10 $26,477.41 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $21,692.77 $55,505.35 $26,199.29 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 11 — — $21,619.22 $55,317.16 $26,115.77 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 10 — — $21,616.59 $55,310.44 $26,112.79 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 10 — — $21,361.14 $54,656.80 $25,822.73 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 10 — — $21,267.23 $54,416.52 $25,716.10 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 10 — — $21,243.59 $54,356.02 $25,689.26 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 20 10 — — $21,214.04 $54,280.41 $25,655.71 2026-04-01
652 MS_DRG Kidney Transplant 20 10 — — $21,208.13 $54,265.29 $25,648.99 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 10 — — $21,192.37 $54,224.96 $25,631.10 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 10 — — $21,150.99 $54,119.10 $25,584.12 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 10 — — $21,082.70 $53,944.35 $25,506.58 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 10 — — $20,967.12 $53,648.62 $25,375.34 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 10 — — $20,928.37 $53,549.48 $25,331.35 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 10 — — $20,908.01 $53,497.39 $25,308.23 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $20,865.99 $53,389.85 $25,260.51 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 40 13 — — $9,490.92 $42,644.83 $25,224.56 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 10 — — $20,783.24 $53,178.13 $25,166.56 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 20 10 — — $20,751.72 $53,097.48 $25,130.77 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $20,692.62 $52,946.25 $25,063.66 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $20,682.77 $52,921.05 $25,052.47 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 10 — — $20,634.17 $52,796.71 $24,997.30 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 11 — — $20,454.23 $52,336.30 $24,868.69 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 10 — — $20,496.92 $52,445.52 $24,841.45 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $20,418.12 $52,243.89 $24,751.98 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 10 — — $20,104.87 $51,442.38 $24,396.30 2026-04-01
263 MS_DRG Vein Ligation And Stripping 21 10 — — $2,225.82 $51,373.49 $24,365.73 2026-04-01
23470 HCPCS Reconstruct Shoulder Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
69730 HCPCS Rplc Oi Implt Sk Tc Esp>=100 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
69729 HCPCS Impl Oi Implt Sk Tc Esp>=100 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
69716 HCPCS Impltj Oi Implt Skl Tc Esp 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
69714 HCPCS Implant Temple Bone W/Stimul 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
69719 HCPCS Revj/rplcmt Oi Implt Tc Esp 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
64628 HCPCS Trml Dstrj Ios Bvn 1st 2 L/s 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
25491 HCPCS Reinforce Ulna 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
25444 HCPCS Reconstruct Wrist Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
1003T HCPCS Arthrp 1st Crp/mtcrpl Prostc 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
23615 HCPCS Treat Humerus Fracture 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22869 HCPCS Insj Stablj Dev Without Dcmprn 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
25441 HCPCS Reconstruct Wrist Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
23473 HCPCS Revis Reconst Shoulder Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
23474 HCPCS Revis Reconst Shoulder Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22849 HCPCS Reinsert Spinal Fixation 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22595 HCPCS Neck Spinal Fusion 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
25391 HCPCS Lengthen Radius Or Ulna 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
0220T HCPCS Plmt Post Facet Implt Thor 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
0219T HCPCS Plmt Post Facet Implt Cerv 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
25365 HCPCS Revise Radius & Ulna 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22590 HCPCS Spine & Skull Spinal Fusion 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
0627T HCPCS Perq Njx Algc Fluor Lmbr 1st 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
C9781 HCPCS Arthro/shoul Surg; W/spacer 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
25810 HCPCS Fusion/graft Of Wrist Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
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