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

ALLIANCE COMMUNITY HOSPITAL

Alliance, OH · CCN 360131 · Rates published

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This hospital’s price: $1,034 across 4 payers · range $517-$1,866

Source: https://aultman.org/pricing-transparency/2026/1942385794_alliance-community-hospital_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,318 distinct procedures filed
24 distinct payers
96,985 rate rows
2026-04-01 last MRF observed
Data quality

58,011 of 96,985 rate rows are consumer-grade (59.8%)

38,974 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 31,687
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,220
placeholder amount (≤ $0.02) — excluded from medians 65
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
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 success · 2026-10-15
Content fingerprint 8f7ca13a385a97ad… · 28,083,615 bytes · first seen 2026-10-15

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 · 3059.6×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $283,581.45 $725,600.59 $310,680.07 nat. median
$359,454
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $184,032.95 $470,885.59 $193,337.19 nat. median
$249,036
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $140,208.73 $383,243.14 $191,621.57 nat. median
$198,418
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $139,385.89 $356,647.04 $146,461.04 nat. median
$190,559
0.8× median
7
MS_DRG 		Lung Transplant 11 $85,043.96 $217,602.21 $102,375.88 nat. median
$117,974
0.9× median
523
MS_DRG 		Extensive Or Complex Spinal Fusion Procedures Except Cervical With Mcc 10 $94,581.89 $189,163.78 $94,581.89 nat. median
$11,103
outlier · 8.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $90,962.14 $232,745.07 $93,543.70 nat. median
$126,695
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $78,921.55 $201,936.77 $81,162.55 nat. median
$110,307
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $74,330.56 $190,189.80 $79,283.75 nat. median
$92,678
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $71,410.21 $182,717.50 $78,770.17 nat. median
$97,323
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×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $74,415.93 $190,408.24 $75,756.80 nat. median
$104,013
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $67,709.05 $173,247.33 $72,109.37 nat. median
$95,038
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 11 $65,387.62 $167,307.47 $69,820.26 nat. median
$93,901
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $68,288.45 $185,189.22 $68,288.45 nat. median
$93,276
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $64,243.65 $164,380.39 $68,035.10 nat. median
$90,551
0.8× median
524
MS_DRG 		Extensive Or Complex Spinal Fusion Procedures Except Cervical With Cc 10 $67,690.19 $135,380.38 $67,690.19 nat. median
$15,945
outlier · 4.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $59,166.04 $151,388.31 $60,868.29 nat. median
$78,049
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $55,359.15 $141,647.61 $60,411.16 nat. median
$77,028
0.8× median
64656
HCPCS 		Revj/rplcmt Bat Mod Sys Pg 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$32,197
1.8× median
0674T
OTHER 		Laps Insj Nw/rpcmt Prm Isdss 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$31,526
1.9× median
33287
HCPCS 		Rmv&rplcmt Phrnc Nrv Stim Pg 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$28,983
outlier · 2.0×
64582
HCPCS 		Opn Mpltj Hpglsl Nstm Ary Pg 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$28,157
outlier · 2.1×
0909T
OTHER 		Rplcmt Int Nstim Sys Vgs Nrv 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$31,969
1.8× median
C8007
HCPCS 		Opn Mplnt Hpgls Ns Ary Ps Gn 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$36,225
1.6× median
0908T
OTHER 		Opn Imp Int Nstm Sys Vgs Nrv 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$32,064
1.8× median
63685
HCPCS 		Insrt/redo Spine N Generator 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$20,965
outlier · 2.8×
C8011
HCPCS 		Opn Mplnt Hpgls Ns Ary Rec 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$36,225
1.6× median
61885
HCPCS 		Insrt/redo Neurostim 1 Array 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$19,863
outlier · 2.9×
61886
HCPCS 		Implant Neurostim Arrays 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$27,176
outlier · 2.1×
61891
HCPCS 		Rev/rplcmt Sk-mnt Crnl Nstm 4 $29,193.76 $105,393.29 $58,387.26 nat. median
$20,618
outlier · 2.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $56,866.94 $145,505.58 $57,882.47 nat. median
$78,268
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $50,206.03 $128,462.30 $55,183.73 nat. median
$71,748
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $51,674.41 $132,219.45 $54,796.82 nat. median
$74,370
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $47,103.12 $120,522.88 $52,628.19 nat. median
$61,308
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $50,423.40 $129,018.47 $52,600.65 nat. median
$72,398
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 11 $52,467.78 $141,202.33 $52,467.78 nat. median
$77,632
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $50,039.88 $128,037.18 $51,979.66 nat. median
$67,976
0.8× median
19
MS_DRG 		Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 11 $46,852.92 $119,882.68 $51,951.44 nat. median
$66,715
0.8× median
10
MS_DRG 		Pancreas Or Islet Cell Transplant 11 $47,122.82 $120,573.29 $51,790.34 nat. median
$64,933
0.8× median
525
MS_DRG 		Extensive Or Complex Spinal Fusion Procedures Except Cervical Without Cc/Mcc 10 $50,222.73 $100,445.46 $50,222.73 nat. median
$50,223
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 11 $40,198.58 $102,856.20 $49,392.45 nat. median
$58,251
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $45,167.17 $115,569.35 $49,332.56 nat. median
$63,873
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $46,825.34 $119,812.11 $49,273.35 nat. median
$66,649
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 $43,910.25 $112,353.26 $48,804.51 nat. median
$57,556
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc 11 $43,878.07 $112,270.92 $47,954.96 nat. median
$60,596
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $40,250.87 $116,138.98 $47,800.75 nat. median
$62,655
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $43,180.00 $110,484.77 $46,850.68 nat. median
$59,546
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $43,180.00 $110,484.77 $46,850.68 nat. median
$62,031
0.8× median

Other procedures at this hospital

Browse this hospital's 8,318 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
             
9236 OTHER Eculizumab Injection 1 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 11 — — $283,581.45 $725,600.59 $310,680.07 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 11 — — $184,032.95 $470,885.59 $193,337.19 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 11 — — $140,208.73 $383,243.14 $191,621.57 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 11 — — $139,385.89 $356,647.04 $146,461.04 2026-04-01
7 MS_DRG Lung Transplant 20 11 — — $85,043.96 $217,602.21 $102,375.88 2026-04-01
523 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical With Mcc 14 10 — — $94,581.89 $189,163.78 $94,581.89 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 11 — — $90,962.14 $232,745.07 $93,543.70 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 11 — — $78,921.55 $201,936.77 $81,162.55 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 11 — — $74,330.56 $190,189.80 $79,283.75 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 11 — — $71,410.21 $182,717.50 $78,770.17 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 1 1 — — $78,418.22 $78,418.22 $78,418.22 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 11 — — $74,415.93 $190,408.24 $75,756.80 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 11 — — $67,709.05 $173,247.33 $72,109.37 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 11 — — $65,387.62 $167,307.47 $69,820.26 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 11 — — $68,288.45 $185,189.22 $68,288.45 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $64,243.65 $164,380.39 $68,035.10 2026-04-01
524 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical With Cc 14 10 — — $67,690.19 $135,380.38 $67,690.19 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 11 — — $59,166.04 $151,388.31 $60,868.29 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 11 — — $55,359.15 $141,647.61 $60,411.16 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $29,193.76 $105,393.29 $58,387.26 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
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $29,193.76 $105,393.29 $58,387.26 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 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
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 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
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 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
850 MS_DRG Acute Leukemia With Other Procedures 20 11 — — $56,866.94 $145,505.58 $57,882.47 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 11 — — $50,206.03 $128,462.30 $55,183.73 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 11 — — $51,674.41 $132,219.45 $54,796.82 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 11 — — $47,103.12 $120,522.88 $52,628.19 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $50,423.40 $129,018.47 $52,600.65 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 20 11 — — $52,467.78 $141,202.33 $52,467.78 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 11 — — $50,039.88 $128,037.18 $51,979.66 2026-04-01
19 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 20 11 — — $46,852.92 $119,882.68 $51,951.44 2026-04-01
10 MS_DRG Pancreas Or Islet Cell Transplant 20 11 — — $47,122.82 $120,573.29 $51,790.34 2026-04-01
525 MS_DRG Extensive Or Complex Spinal Fusion Procedures Except Cervical Without Cc/Mcc 14 10 — — $50,222.73 $100,445.46 $50,222.73 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 11 — — $40,198.58 $102,856.20 $49,392.45 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 11 — — $45,167.17 $115,569.35 $49,332.56 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 11 — — $46,825.34 $119,812.11 $49,273.35 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 11 — — $43,910.25 $112,353.26 $48,804.51 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 20 11 — — $43,878.07 $112,270.92 $47,954.96 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 21 11 — — $40,250.87 $116,138.98 $47,800.75 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $43,180.00 $110,484.77 $46,850.68 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $43,180.00 $110,484.77 $46,850.68 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 11 — — $46,142.26 $121,294.14 $46,142.26 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 11 — — $44,203.13 $113,102.67 $44,926.45 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 12 — — $42,256.67 $108,122.26 $44,043.16 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $43,023.04 $110,083.17 $43,749.19 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $36,553.24 $93,528.86 $43,703.76 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 11 — — $38,514.14 $98,546.23 $42,996.71 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 11 — — $39,813.09 $101,869.87 $42,872.79 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 11 — — $39,445.34 $100,928.90 $42,699.30 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 11 — — $39,456.51 $100,957.46 $42,339.24 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 9 7 — — $17,433.12 $87,466.34 $41,643.20 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 20 11 — — $39,030.96 $99,868.63 $41,405.01 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 11 — — $38,940.34 $99,636.75 $41,400.88 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 11 — — $40,245.20 $102,975.51 $40,876.28 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 11 — — $36,919.67 $94,466.47 $40,756.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 11 — — $37,872.55 $96,904.58 $40,578.17 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 11 — — $38,539.10 $98,610.09 $40,291.78 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 11 — — $37,477.21 $95,893.04 $40,257.35 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 11 — — $37,630.88 $96,286.23 $39,532.41 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 11 — — $35,817.07 $91,645.24 $38,642.24 2026-04-01
8 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant 20 11 — — $36,805.41 $94,174.09 $37,948.97 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 11 — — $36,052.17 $92,246.79 $37,917.99 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $35,020.50 $89,607.04 $37,907.66 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 11 — — $35,873.55 $91,789.75 $37,893.20 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 11 — — $34,764.38 $88,951.72 $37,660.51 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 11 — — $35,924.77 $91,920.81 $37,049.85 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 20 11 — — $36,947.96 $100,197.97 $36,947.96 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
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
63655 HCPCS Implant Neuroelectrodes 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 5 4 — — $18,354.00 $66,260.35 $36,707.84 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 11 — — $34,649.46 $88,657.67 $36,257.44 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 20 11 — — $34,999.48 $89,553.27 $36,033.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 11 — — $34,124.76 $87,315.11 $35,898.06 2026-04-01
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 23 11 — — $23,859.95 $95,768.70 $35,314.94 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 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
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
C9602 HCPCS Perc D-e Cor Stent Ather S 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
93590 HCPCS Perq Transcath Cls Mitral 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
61624 HCPCS Transcath Occlusion Cns 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
0632T OTHER Perq Tcat US Abltj Nrv P-art 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
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 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
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 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
37242 HCPCS Vasc Embolize/occlude Artery 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
37184 HCPCS Prim Art M-thrmbc 1st Vsl 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
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 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
93581 HCPCS Transcath Closure Of Vsd 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 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
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 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
0981T OTHER Tcat Impl Wrls Ivc Snr 5 4 — — $17,343.14 $62,611.00 $34,686.13 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 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
0645T OTHER Tcat Impltj C Sins Rdctj Dev 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
93591 HCPCS Perq Transcath Cls Aortic 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
C9774 HCPCS Revasc Lithotr-ather Tib/per 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
C9766 HCPCS Revasc Intra Lithotrip-ather 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
403 MS_DRG Hip Or Knee Procedures With Principal Diagnosis Of Periprosthetic Joint Infectio… 14 10 — — $34,457.13 $68,914.26 $34,457.13 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 11 — — $32,320.80 $82,699.33 $34,430.28 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 11 — — $32,186.18 $82,354.86 $34,271.25 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 11 — — $34,220.99 $92,802.97 $34,220.99 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 11 — — $32,489.58 $83,131.16 $34,188.63 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 11 — — $32,752.26 $83,803.28 $34,033.73 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 11 — — $31,710.07 $81,136.65 $33,982.78 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 11 — — $12,123.85 $82,983.30 $33,944.92 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 11 — — $33,659.21 $91,278.94 $33,659.21 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 11 — — $29,741.29 $76,099.11 $33,361.11 2026-04-01
22610 HCPCS Thorax Spine Fusion 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
C8003 HCPCS Imp Extar Knee Shck Absrb 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
22556 HCPCS Thorax Spine Fusion 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
0657T OTHER Vrt Bdy Tethering Ant 8+ 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
22586 HCPCS Prescrl Fuse With Instr L5-s1 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
27280 HCPCS Fusion Of Sacroiliac 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
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 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
22808 HCPCS Ant Fusion 2-3 Vert Seg 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
22819 HCPCS Kyphectomy 3 Or More 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
23472 HCPCS Reconstruct Shoulder Joint 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
22867 HCPCS Insj Stablj Dev W/dcmprn 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
22856 HCPCS Cerv Artific Diskectomy 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
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
22810 HCPCS Ant Fusion 4-7 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
24361 HCPCS Reconstruct Elbow Joint 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
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 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
27487 HCPCS Revise/replace Knee 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
24371 HCPCS Revise Reconst 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
22861 HCPCS Revise Cerv Artific Disc 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 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
27703 HCPCS Reconstruction Ankle Joint 5 4 — — $16,588.34 $59,886.08 $33,176.54 2026-04-01
0656T OTHER Vrt Bdy Tethering Ant 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
27279 HCPCS Arthrodesis Sacroiliac Joint 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
27295 HCPCS Amputation Of Leg At Hip 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
5055 OTHER Level 5 Skin Procedures 2 2 — — $1,804.40 $63,839.66 $32,822.03 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 11 — — $30,719.11 $78,601.07 $32,742.88 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 11 — — $3,649.27 $78,836.32 $32,657.51 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 11 — — $31,264.17 $79,995.72 $32,502.61 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $32,449.60 $84,690.48 $32,449.60 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 11 — — $31,549.84 $80,726.65 $32,428.94 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 11 — — $30,874.09 $78,997.62 $32,302.96 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 11 — — $30,329.69 $77,604.66 $32,295.38 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 11 — — $29,961.28 $76,662.01 $31,986.96 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 11 — — $29,858.18 $76,398.20 $31,746.69 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 5 — — $23,528.25 $60,201.79 $31,734.65 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 11 — — $30,108.38 $77,038.39 $31,704.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 5 — — $23,473.74 $60,062.32 $31,661.14 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 11 — — $18,916.74 $77,234.99 $31,619.83 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 11 — — $30,451.18 $77,915.51 $31,500.22 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 20 11 — — $29,431.98 $75,307.69 $30,900.57 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 11 — — $29,871.31 $76,431.81 $30,857.89 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 11 — — $27,559.07 $70,515.47 $30,801.44 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 11 — — $28,418.04 $72,713.30 $30,535.69 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 11 — — $27,686.47 $70,841.45 $30,148.09 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 11 — — $27,849.33 $71,258.16 $29,945.69 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 11 — — $28,847.52 $73,812.22 $29,865.14 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 11 — — $27,507.85 $70,384.41 $29,863.07 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 11 — — $28,010.23 $71,669.84 $29,671.68 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 11 — — $27,092.16 $69,320.78 $29,592.51 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 11 — — $29,307.86 $74,990.11 $29,372.21 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 11 — — $29,326.08 $75,285.84 $29,326.08 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 11 — — $27,733.75 $70,962.43 $29,319.20 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 11 — — $11,782.88 $70,599.48 $29,275.13 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 20 11 — — $27,381.76 $70,061.79 $29,047.26 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O… 21 11 — — $7,415.34 $72,133.60 $29,007.33 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 5 — — $21,361.14 $54,656.80 $28,811.67 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 11 — — $27,272.75 $69,782.86 $28,684.44 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 11 — — $23,683.23 $60,598.34 $28,442.11 2026-04-01
791 MS_DRG Prematurity With Major Problems 20 11 — — $26,655.45 $68,203.38 $28,276.88 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 11 — — $26,402.62 $67,556.46 $28,192.88 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 6 — — $2,170.71 $59,257.46 $28,129.64 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 11 — — $27,672.68 $70,806.16 $28,054.51 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 5 — — $20,634.17 $52,796.71 $27,831.15 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 20 11 — — $27,401.46 $70,112.20 $27,793.58 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 11 — — $25,689.45 $65,731.66 $27,324.74 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 11 — — $25,212.68 $64,511.76 $26,823.55 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 11 — — $25,418.89 $65,039.37 $26,791.88 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 9 6 — — $2,573.80 $56,132.10 $26,724.80 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 5 — — $21,192.37 $54,224.96 $26,671.98 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 11 — — $24,545.48 $62,804.57 $26,666.58 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 11 — — $24,603.92 $62,954.12 $26,505.48 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 24 12 — — $2,001.93 $63,229.69 $26,373.99 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 11 — — $23,718.69 $60,689.08 $26,304.46 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 11 — — $23,777.14 $60,838.62 $26,071.76 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 11 — — $8,741.29 $59,805.24 $26,068.32 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 11 — — $24,335.99 $62,268.56 $25,940.26 2026-04-01
361 MS_DRG Other Circulatory System O.r. Procedures With Mcc 14 10 — — $25,872.79 $51,745.58 $25,872.79 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 11 — — $24,542.85 $62,797.85 $25,684.85 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 11 — — $25,356.50 $64,879.74 $25,588.46 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 11 — — $24,121.25 $61,719.10 $25,538.21 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc Or Insertion… 22 11 — — $2,905.62 $62,621.42 $25,488.64 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 11 — — $25,474.18 $66,944.83 $25,474.18 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 23 11 — — $22,419.40 $61,693.89 $25,414.97 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 11 — — $5,107.50 $64,941.91 $25,337.18 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 11 — — $23,395.59 $59,862.37 $25,077.63 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 11 — — $23,229.82 $59,756.51 $24,766.45 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 7 — — $12,709.69 $96,319.36 $24,694.10 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 11 — — $22,796.68 $58,329.93 $24,549.59 2026-04-01
731 MS_DRG Uterine And Adnexa Procedures For Malignancy With Mcc 14 10 — — $24,413.96 $48,827.92 $24,413.96 2026-04-01
20692 HCPCS Apply Bone Fixation Device 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
C9734 HCPCS U/s Trtmt, Not Leiomyomata 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
C9757 HCPCS Spine/lumbar Disk Surgery 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
22595 HCPCS Neck Spinal Fusion 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22551 HCPCS Neck Spine Fuse&remov Bel C2 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22554 HCPCS Neck Spine Fusion 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
69730 HCPCS Rplc Oi Implt Sk Tc Esp>=100 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
23491 HCPCS Reinforce Shoulder Bones 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
64628 HCPCS Trml Dstrj Ios Bvn 1st 2 L/s 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
23470 HCPCS Reconstruct Shoulder Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22532 HCPCS Lat Thorax Spine Fusion 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
23485 HCPCS Revision Of Collar Bone 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
23920 HCPCS Amputation At Shoulder Joint 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
22327 HCPCS Treat Thorax Spine Fracture 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
22548 HCPCS Neck Spine Fusion 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
22869 HCPCS Insj Stablj Dev Without Dcmprn 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22318 HCPCS Treat Odontoid Fx Without Graft 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
22319 HCPCS Treat Odontoid Fx W/graft 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
23680 HCPCS Treat Dislocation/fracture 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
25444 HCPCS Reconstruct Wrist Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
24430 HCPCS Repair Of Humerus 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
23802 HCPCS Fusion Of Shoulder Joint 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
22325 HCPCS Treat Spine Fracture 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
25391 HCPCS Lengthen Radius Or Ulna 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
29867 HCPCS Allgrft Implnt Knee W/scope 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
29889 HCPCS Knee Arthroscopy/surgery 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
28737 HCPCS Revision Of Foot Bones 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
29856 HCPCS Tibial Arthroscopy/surgery 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
29907 HCPCS Subtalar Arthro W/fusion 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
28715 HCPCS Fusion Of Foot Bones 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
24370 HCPCS Revise Reconst Elbow Joint 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
28725 HCPCS Fusion Of Foot Bones 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
24365 HCPCS Reconstruct Head Of Radius 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
28320 HCPCS Repair Of Foot Bones 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
24366 HCPCS Reconstruct Head Of Radius 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
28297 HCPCS Correction Hallux Valgus 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
28420 HCPCS Treat/graft Heel Fracture 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
28730 HCPCS Fusion Of Foot Bones 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
27827 HCPCS Treat Lower Leg Fracture 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
27759 HCPCS Treatment Of Tibia Fracture 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
27828 HCPCS Treat Lower Leg Fracture 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
27715 HCPCS Revision Of Lower Leg 5 4 — — $12,146.38 $43,850.02 $24,292.65 2026-04-01
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