Price Transparency 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

PROVIDENCE MEDFORD MEDICAL CENTER

Medford, OR · CCN 380075 · Rates published

9,878 distinct procedures filed
16 distinct payers
145,918 rate rows
2026-04-01 last MRF observed
Data quality

89,249 of 145,918 rate rows are consumer-grade (61.2%)

56,669 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 55,919
template filing: same amount across many unrelated codes — excluded 734
placeholder amount (≤ $0.02) — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/oregon/live/930386912_providence-medford-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint ce4c4b7d4af8eddf… · 188,744,806 bytes · first seen 2026-05-08

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 10 $330,638.32 $1,095,481.31 $440,162.27 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $214,768.83 $818,233.92 $285,911.01 nat. median
$265,286
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $226,736.93 $226,736.93 $226,736.93 nat. median
$87,411
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $163,759.62 $689,147.34 $218,005.00 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $162,801.87 $622,547.31 $216,729.99 nat. median
$202,986
1.1× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $189,631.01 $189,631.01 $189,631.01 nat. median
$63,570
outlier · 3.0×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $175,578.22 $175,578.22 $175,578.22 nat. median
$54,196
outlier · 3.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $164,279.51 $164,279.51 $164,279.51 nat. median
$65,381
outlier · 2.5×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $158,531.09 $158,531.09 $158,531.09 nat. median
$49,935
outlier · 3.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $150,853.32 $150,853.32 $150,853.32 nat. median
$62,270
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $104,529.90 $410,450.36 $141,696.98 nat. median
$133,176
1.1× median
7
MS_DRG 		Lung Transplant 10 $99,550.58 $379,622.50 $132,526.71 nat. median
$122,708
1.1× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $129,251.54 $129,251.54 $129,251.54 nat. median
$44,728
outlier · 2.9×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $125,264.06 $125,264.06 $125,264.06 nat. median
$48,649
outlier · 2.6×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 $124,347.68 $124,347.68 $124,347.68 nat. median
$39,020
outlier · 3.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $92,424.39 $380,581.15 $123,039.97 nat. median
$117,303
1.0× median
0266T
HCPCS 		Implt/rpl Crtd Sns Dev Total 1 $120,452.34 $120,452.34 $120,452.34 nat. median
$42,941
outlier · 2.8×
0431T
HCPCS 		Rmvl/rplc Nstim Apnea Pls Gn 1 $120,452.34 $120,452.34 $120,452.34 nat. median
$18,872
outlier · 6.4×
0268T
HCPCS 		Implt/rpl Crtd Sns Dev Gen 1 $120,452.34 $120,452.34 $120,452.34 nat. median
$30,333
outlier · 4.0×
0424T
HCPCS 		Insj/rplc Nstim Apnea Compl 1 $120,452.34 $120,452.34 $120,452.34 nat. median
$24,752
outlier · 4.9×
0312T
HCPCS 		Laps Impltj Nstim Vagus 1 $120,452.34 $120,452.34 $120,452.34 nat. median
$8,204
outlier · 14.7×
0316T
HCPCS 		Replc Vagus Nerve Pls Gen 1 $120,452.34 $120,452.34 $120,452.34 nat. median
$9,564
outlier · 12.6×
0427T
HCPCS 		Insj/rplc Nstim Apnea Pls Gn 1 $120,452.34 $120,452.34 $120,452.34 nat. median
$15,886
outlier · 7.6×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $118,584.40 $118,584.40 $118,584.40 nat. median
$48,483
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $87,180.08 $333,688.27 $116,058.49 nat. median
$108,660
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $87,080.71 $217,701.78 $114,293.43 nat. median
$98,017
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $84,805.96 $304,490.48 $111,307.82 nat. median
$98,905
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $83,681.58 $316,444.56 $109,832.07 nat. median
$102,358
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $79,373.61 $309,341.83 $105,666.11 nat. median
$100,136
1.1× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 1 $102,477.11 $102,477.11 $102,477.11 nat. median
$31,444
outlier · 3.3×
215
MS_DRG 		Other Heart Assist System Implant 10 $76,671.58 $307,761.51 $102,069.04 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $75,340.05 $280,344.12 $100,296.43 nat. median
$93,672
1.1× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $93,272.52 $93,272.52 $93,272.52 nat. median
$39,075
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $69,429.97 $242,277.00 $91,126.83 nat. median
$82,712
1.1× median
2043
OTHER 		Orth/matrx/bn Fill Drug-elut 1 $88,121.72 $88,121.72 $88,121.72 nat. median
$7,628
outlier · 11.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $66,753.92 $267,588.27 $87,614.52 nat. median
$83,442
1.1× median
38240
HCPCS 		Transplt Allo Hct/donor 6 $63,746.33 $542,640.61 $86,854.37 nat. median
$15,912
outlier · 5.5×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $64,998.94 $246,152.27 $86,529.83 nat. median
$79,312
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $64,796.38 $246,012.83 $86,260.18 nat. median
$81,118
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $60,710.08 $234,157.53 $80,820.29 nat. median
$77,576
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $59,253.96 $224,759.85 $78,881.84 nat. median
$74,915
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $59,000.96 $227,048.99 $78,545.03 nat. median
$73,807
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $58,807.58 $216,820.49 $78,287.58 nat. median
$72,138
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $52,457.94 $206,217.24 $75,945.98 nat. median
$68,090
1.1× median
248
MS_DRG 		Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 $74,543.72 $74,543.72 $74,543.72 nat. median
$22,459
outlier · 3.3×
246
MS_DRG 		Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 $74,187.07 $74,187.07 $74,187.07 nat. median
$26,892
outlier · 2.8×
10
MS_DRG 		Pancreas Transplant 10 $55,412.26 $231,604.03 $73,767.57 nat. median
$68,882
1.1× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $55,389.33 $194,010.43 $73,737.04 nat. median
$64,027
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $55,098.10 $230,270.64 $73,349.35 nat. median
$71,240
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $55,066.00 $205,281.83 $72,274.12 nat. median
$68,887
1.0× median

Other procedures at this hospital

Browse this hospital's 9,878 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 16 10 — — $330,638.32 $1,095,481.31 $440,162.27 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 10 — — $214,768.83 $818,233.92 $285,911.01 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $226,736.93 $226,736.93 $226,736.93 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 10 — — $163,759.62 $689,147.34 $218,005.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 10 — — $162,801.87 $622,547.31 $216,729.99 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $189,631.01 $189,631.01 $189,631.01 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $175,578.22 $175,578.22 $175,578.22 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $164,279.51 $164,279.51 $164,279.51 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $158,531.09 $158,531.09 $158,531.09 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $150,853.32 $150,853.32 $150,853.32 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 10 — — $104,529.90 $410,450.36 $141,696.98 2026-04-01
7 MS_DRG Lung Transplant 16 10 — — $99,550.58 $379,622.50 $132,526.71 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $129,251.54 $129,251.54 $129,251.54 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $125,264.06 $125,264.06 $125,264.06 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $124,347.68 $124,347.68 $124,347.68 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 10 — — $92,424.39 $380,581.15 $123,039.97 2026-04-01
0312T HCPCS Laps Impltj Nstim Vagus 1 1 — — $120,452.34 $120,452.34 $120,452.34 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 1 1 — — $120,452.34 $120,452.34 $120,452.34 2026-04-01
0316T HCPCS Replc Vagus Nerve Pls Gen 1 1 — — $120,452.34 $120,452.34 $120,452.34 2026-04-01
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 1 1 — — $120,452.34 $120,452.34 $120,452.34 2026-04-01
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $120,452.34 $120,452.34 $120,452.34 2026-04-01
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $120,452.34 $120,452.34 $120,452.34 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $120,452.34 $120,452.34 $120,452.34 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $118,584.40 $118,584.40 $118,584.40 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 10 — — $87,180.08 $333,688.27 $116,058.49 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 10 — — $87,080.71 $217,701.78 $114,293.43 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 10 — — $84,805.96 $304,490.48 $111,307.82 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 10 — — $83,681.58 $316,444.56 $109,832.07 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 10 — — $79,373.61 $309,341.83 $105,666.11 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $102,477.11 $102,477.11 $102,477.11 2026-04-01
215 MS_DRG Other Heart Assist System Implant 16 10 — — $76,671.58 $307,761.51 $102,069.04 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $75,340.05 $280,344.12 $100,296.43 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $93,272.52 $93,272.52 $93,272.52 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 10 — — $69,429.97 $242,277.00 $91,126.83 2026-04-01
2043 OTHER Orth/matrx/bn Fill Drug-elut 1 1 — — $88,121.72 $88,121.72 $88,121.72 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 10 — — $66,753.92 $267,588.27 $87,614.52 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 9 6 — — $63,746.33 $542,640.61 $86,854.37 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 10 — — $64,998.94 $246,152.27 $86,529.83 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 10 — — $64,796.38 $246,012.83 $86,260.18 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 10 — — $60,710.08 $234,157.53 $80,820.29 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $59,253.96 $224,759.85 $78,881.84 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 10 — — $59,000.96 $227,048.99 $78,545.03 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 10 — — $58,807.58 $216,820.49 $78,287.58 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 — — $52,457.94 $206,217.24 $75,945.98 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $74,543.72 $74,543.72 $74,543.72 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $74,187.07 $74,187.07 $74,187.07 2026-04-01
10 MS_DRG Pancreas Transplant 16 10 — — $55,412.26 $231,604.03 $73,767.57 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 16 10 — — $55,389.33 $194,010.43 $73,737.04 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 10 — — $55,098.10 $230,270.64 $73,349.35 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 10 — — $55,066.00 $205,281.83 $72,274.12 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 10 — — $53,135.98 $193,682.16 $70,737.27 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 10 — — $51,403.48 $202,086.33 $70,081.06 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 10 — — $52,013.89 $198,350.50 $69,243.49 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $51,672.98 $179,703.30 $67,820.78 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 10 — — $51,635.53 $194,757.01 $67,771.63 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $50,823.00 $172,821.36 $67,658.12 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $50,823.00 $187,587.47 $67,658.12 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 10 — — $50,640.32 $178,884.09 $67,414.92 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 10 — — $49,748.30 $187,886.69 $66,227.43 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $65,793.54 $65,793.54 $65,793.54 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 1 1 — — $65,717.50 $65,717.50 $65,717.50 2026-04-01
37230 HCPCS Hc Tib/per Revasc W/stent 1 1 — — $65,717.50 $65,717.50 $65,717.50 2026-04-01
37229 HCPCS Hc Tib/per Revasc W/ather 1 1 — — $65,717.50 $65,717.50 $65,717.50 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 1 1 — — $65,717.50 $65,717.50 $65,717.50 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $65,717.50 $65,717.50 $65,717.50 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 1 1 — — $65,717.50 $65,717.50 $65,717.50 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 10 — — $47,407.05 $174,021.12 $63,110.63 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 10 — — $47,352.78 $183,709.30 $63,038.40 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 10 — — $46,904.10 $177,446.12 $62,441.08 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 9 6 — — $45,459.64 $386,975.18 $61,938.76 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 16 10 — — $46,489.05 $176,597.86 $61,888.54 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 5 — — $45,015.35 $383,193.20 $61,333.42 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 10 — — $45,993.74 $172,702.25 $61,229.16 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 10 — — $45,888.26 $175,331.28 $61,088.74 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $42,389.10 $166,717.95 $61,078.65 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 10 — — $46,476.06 $179,935.70 $60,999.82 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 9 6 — — $44,638.34 $379,983.83 $60,819.73 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 9 6 — — $44,638.34 $379,983.83 $60,819.73 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 10 — — $45,421.23 $170,924.39 $60,467.01 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 10 — — $45,392.18 $169,126.20 $60,428.35 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 10 — — $44,364.11 $165,721.54 $59,059.73 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 10 — — $40,403.11 $158,906.41 $58,597.09 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 10 — — $44,185.25 $110,463.12 $57,993.14 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 — — $22,041.05 $156,890.34 $57,918.90 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 10 — — $43,403.30 $158,055.24 $57,780.65 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 10 — — $42,378.29 $157,695.02 $57,210.69 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 10 — — $40,651.26 $159,926.06 $57,141.40 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 10 — — $42,779.58 $178,271.14 $56,950.31 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 16 10 — — $42,526.58 $160,556.45 $56,613.50 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $43,109.78 $145,334.25 $56,581.59 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 10 — — $42,318.66 $154,543.10 $56,336.72 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 10 — — $42,086.30 $175,331.28 $56,027.38 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $55,948.65 $55,948.65 $55,948.65 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 10 — — $42,252.93 $156,742.18 $55,456.97 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $41,325.75 $153,857.52 $55,014.91 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 10 — — $41,027.66 $168,148.12 $54,618.07 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 17 10 — — $40,283.16 $161,930.51 $54,382.27 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 10 — — $41,301.30 $149,598.79 $54,207.95 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 10 — — $40,351.95 $147,989.42 $53,718.54 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 10 — — $38,155.98 $149,107.84 $53,673.23 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 10 — — $39,089.22 $133,406.32 $52,037.53 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 11 — — $36,991.34 $145,293.58 $51,961.49 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $38,183.45 $146,310.33 $51,786.30 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 10 — — $38,379.89 $144,753.25 $51,093.22 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 10 — — $37,653.82 $147,536.24 $50,983.88 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 10 — — $38,026.75 $156,721.85 $50,623.12 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 16 10 — — $37,472.58 $141,095.85 $49,885.38 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 10 — — $37,286.08 $145,447.54 $49,637.10 2026-04-01
27445 HCPCS Revision Of Knee Joint 1 1 — — $49,340.32 $49,340.32 $49,340.32 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 10 — — $35,365.05 $138,112.42 $49,280.46 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 10 — — $36,953.58 $136,662.82 $49,194.46 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 10 — — $36,499.54 $133,833.35 $48,590.01 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 10 — — $36,319.16 $138,719.56 $48,349.89 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 10 — — $17,598.20 $133,388.89 $48,304.66 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 10 — — $36,007.30 $140,860.55 $47,934.71 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 10 — — $35,608.30 $135,930.76 $47,403.54 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $47,292.59 $47,292.59 $47,292.59 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 10 — — $35,437.08 $141,952.83 $47,175.61 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 10 — — $35,865.89 $135,146.41 $47,073.98 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 10 — — $35,317.07 $129,911.60 $47,015.86 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $833.80 $138,118.23 $46,834.73 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 10 — — $29,705.29 $131,053.27 $46,373.72 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 10 — — $34,395.35 $133,888.55 $46,355.46 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 10 — — $34,811.06 $121,728.22 $46,342.23 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 10 — — $34,676.54 $127,602.13 $46,163.13 2026-04-01
0398T HCPCS Mrgfus Strtctc Les Abltj 1 1 — — $46,009.31 $46,009.31 $46,009.31 2026-04-01
0425T HCPCS Insj/rplc Nstim Apnea Sen Ld 1 1 — — $46,009.31 $46,009.31 $46,009.31 2026-04-01
0426T HCPCS Insj/rplc Nstim Apnea Stm Ld 1 1 — — $46,009.31 $46,009.31 $46,009.31 2026-04-01
69930 HCPCS Implant Cochlear Device 9 6 — — $33,415.17 $284,446.66 $45,528.17 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 10 — — $34,140.71 $123,909.87 $45,449.82 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $44,994.21 $44,994.21 $44,994.21 2026-04-01
J9226 HCPCS Supprelin La Implant 9 5 — — $32,938.74 $280,391.04 $44,879.04 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 10 — — $32,844.35 $120,859.62 $44,442.07 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 10 — — $32,978.88 $121,944.51 $44,187.89 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 — — $193.20 $130,271.82 $44,185.71 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 10 — — $33,640.82 $123,729.76 $44,153.57 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 10 — — $33,166.14 $122,852.45 $44,152.43 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 10 — — $32,789.31 $119,203.77 $43,650.77 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 10 — — $32,773.26 $119,380.98 $43,629.41 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 10 — — $31,099.54 $121,719.50 $43,504.25 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 16 10 — — $32,641.02 $128,697.31 $43,453.36 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 10 — — $32,581.41 $119,447.79 $43,374.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 6 — — $31,810.64 $270,788.08 $43,342.00 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 9 6 — — $31,810.64 $270,788.08 $43,342.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 6 — — $31,810.64 $270,788.08 $43,342.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 6 — — $31,810.64 $270,788.08 $43,342.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 9 6 — — $31,810.64 $270,788.08 $43,342.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 9 6 — — $31,810.64 $270,788.08 $43,342.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 10 — — $32,457.58 $125,429.19 $43,209.15 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 8 6 — — $31,810.64 $270,788.08 $43,143.18 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 10 — — $32,307.77 $118,149.26 $43,009.72 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 10 — — $32,097.56 $113,585.50 $42,729.88 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 9 6 — — $31,272.34 $266,205.78 $42,608.56 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 9 6 — — $31,272.34 $266,205.78 $42,608.56 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 6 — — $31,272.34 $266,205.78 $42,608.56 2026-04-01
61886 HCPCS Implant Neurostim Arrays 9 6 — — $31,272.34 $266,205.78 $42,608.56 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 10 — — $30,801.78 $121,155.93 $42,570.48 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 8 6 — — $31,272.34 $266,205.78 $42,413.11 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 8 6 — — $31,272.34 $266,205.78 $42,413.11 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 6 — — $31,272.34 $266,205.78 $42,413.11 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 8 6 — — $31,272.34 $266,205.78 $42,413.11 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 6 — — $31,272.34 $266,205.78 $42,413.11 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 8 6 — — $31,272.34 $266,205.78 $42,413.11 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 8 6 — — $31,272.34 $266,205.78 $42,413.11 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 8 6 — — $31,272.34 $266,205.78 $42,413.11 2026-04-01
791 MS_DRG Prematurity With Major Problems 16 10 — — $31,589.26 $117,945.91 $42,053.20 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 10 — — $28,894.07 $114,143.26 $41,661.44 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 10 — — $31,016.75 $104,132.63 $41,291.06 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 1 1 — — $41,101.67 $41,101.67 $41,101.67 2026-04-01
37221 HCPCS Hc Iliac Revasc W/stent 1 1 — — $41,101.67 $41,101.67 $41,101.67 2026-04-01
37228 HCPCS Hc Tib/per Revasc W/tla 1 1 — — $41,101.67 $41,101.67 $41,101.67 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 1 1 — — $41,101.67 $41,101.67 $41,101.67 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 10 — — $30,464.88 $110,430.67 $40,556.38 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 10 — — $30,329.58 $125,690.64 $40,376.26 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 1 1 — — $40,330.58 $40,330.58 $40,330.58 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 10 — — $30,149.96 $112,960.93 $40,137.13 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 10 — — $30,105.62 $114,149.07 $40,078.11 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 10 — — $30,077.34 $109,570.79 $40,040.46 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 10 — — $28,003.33 $115,720.68 $39,817.61 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 9 6 — — $29,068.78 $247,447.96 $39,606.21 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 10 — — $29,326.74 $111,034.91 $39,041.21 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 16 10 — — $29,201.38 $95,914.39 $38,874.35 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 10 — — $29,133.35 $111,871.55 $38,783.77 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $18,272.16 $104,140.87 $38,779.71 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 3 3 — — $30,614.76 $44,917.11 $38,740.54 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 10 — — $28,889.52 $100,867.41 $38,459.18 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 2 2 — — $35,410.87 $41,381.49 $38,396.18 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $15,199.80 $61,334.13 $38,266.96 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 10 — — $29,050.03 $114,640.02 $38,128.17 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 16 10 — — $28,639.57 $112,159.15 $38,126.43 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 16 10 — — $28,298.66 $92,198.89 $37,672.60 2026-04-01
509 MS_DRG Arthroscopy 3 3 — — $34,778.70 $51,026.33 $37,593.83 2026-04-01
332 MS_DRG Rectal Resection With Mcc 16 10 — — $28,239.04 $100,759.93 $37,593.22 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 10 — — $25,479.70 $103,156.55 $37,574.39 2026-04-01
265 MS_DRG Aicd Lead Procedures 16 10 — — $28,219.94 $103,618.45 $37,567.79 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 10 — — $28,171.02 $104,138.44 $37,502.67 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 10 — — $27,768.96 $108,763.20 $37,488.10 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 9 6 — — $27,498.63 $234,082.05 $37,466.88 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 9 6 — — $27,498.63 $234,082.05 $37,466.88 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 9 6 — — $27,498.63 $234,082.05 $37,466.88 2026-04-01
22630 HCPCS Lumbar Spine Fusion 9 6 — — $27,498.63 $234,082.05 $37,466.88 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 9 6 — — $27,498.63 $234,082.05 $37,466.88 2026-04-01
22558 HCPCS Lumbar Spine Fusion 9 6 — — $27,498.63 $234,082.05 $37,466.88 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 17 10 — — $27,746.79 $100,059.82 $37,458.17 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 17 10 — — $28,277.26 $102,264.72 $37,338.84 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 10 — — $27,949.35 $115,639.34 $37,207.57 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 9 6 — — $27,279.18 $232,213.99 $37,167.88 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 10 — — $27,885.90 $114,378.57 $37,123.11 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 10 — — $27,858.39 $105,274.30 $37,086.49 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 10 — — $27,817.88 $101,706.96 $37,032.56 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 10 — — $27,794.94 $101,779.58 $37,002.01 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $28,129.74 $93,082.01 $36,920.28 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 10 — — $26,142.67 $105,986.02 $36,562.44 2026-04-01
49657 HCPCS Lap Inc Hern Recur Comp 1 1 — — $36,445.88 $36,445.88 $36,445.88 2026-04-01
49656 HCPCS Lap Inc Hernia Repair Recur 1 1 — — $36,445.88 $36,445.88 $36,445.88 2026-04-01
49655 HCPCS Lap Inc Hern Repair Comp 1 1 — — $36,445.88 $36,445.88 $36,445.88 2026-04-01
49654 HCPCS Lap Inc Hernia Repair 1 1 — — $36,445.88 $36,445.88 $36,445.88 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 21 10 — — $25,470.93 $99,647.31 $36,168.07 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 10 — — $25,297.27 $99,493.35 $36,119.71 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 9 6 — — $26,489.08 $225,488.26 $36,091.37 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 9 6 — — $26,489.08 $225,488.26 $36,091.37 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 9 6 — — $26,489.08 $225,488.26 $36,091.37 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 10 — — $27,097.85 $100,649.54 $36,074.01 2026-04-01
342 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Cc 1 1 — — $35,991.40 $35,991.40 $35,991.40 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 17 10 — — $26,640.75 $97,506.33 $35,756.75 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 10 — — $27,220.14 $112,275.35 $35,726.44 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $14,984.09 $101,762.15 $35,636.46 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 10 — — $26,606.36 $102,523.26 $35,419.72 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 10 — — $25,601.36 $99,897.14 $35,397.38 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 10 — — $26,847.14 $67,117.84 $35,236.87 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 16 10 — — $25,812.94 $83,667.88 $34,363.48 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 17 10 — — $26,015.70 $101,526.85 $34,253.70 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 10 — — $25,724.28 $90,659.24 $34,245.45 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 2 2 — — $1,200.00 $66,699.39 $33,949.69 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 16 10 — — $25,426.94 $98,967.54 $33,849.62 2026-04-01
0421T HCPCS Waterjet Prostate Abltj Cmpl 1 1 — — $33,770.91 $33,770.91 $33,770.91 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 17 10 — — $25,290.12 $92,652.07 $33,769.84 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 17 10 — — $20,021.35 $96,466.34 $33,767.13 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 10 — — $25,317.64 $94,676.86 $33,704.10 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 10 — — $25,255.72 $89,642.49 $33,621.68 2026-04-01
652 MS_DRG Kidney Transplant 16 10 — — $25,248.84 $89,218.36 $33,612.51 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 16 10 — — $25,230.50 $93,645.58 $33,588.10 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 16 10 — — $25,182.34 $92,384.81 $33,524.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 17 10 — — $24,648.82 $97,956.66 $33,275.90 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 10 — — $24,923.22 $89,828.41 $33,179.04 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 16 10 — — $24,899.53 $94,636.19 $33,147.50 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 10 — — $24,850.61 $107,946.97 $33,082.37 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 10 — — $25,102.85 $83,141.10 $32,947.49 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 10 — — $24,717.61 $89,578.58 $32,905.32 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 10 — — $24,637.35 $90,232.21 $32,798.47 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $32,784.53 $32,784.53 $32,784.53 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 10 — — $24,968.32 $98,537.60 $32,770.92 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 16 10 — — $24,580.78 $81,496.87 $32,723.17 2026-04-01
665 MS_DRG Prostatectomy With Mcc 16 10 — — $24,421.03 $99,740.27 $32,510.49 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 17 10 — — $24,754.30 $92,044.93 $32,490.01 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 10 — — $24,329.31 $88,846.52 $32,388.40 2026-04-01
5166 OTHER Cochlear Implant Procedure 1 1 — — $32,099.94 $32,099.94 $32,099.94 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 — — $14,515.73 $85,656.83 $31,987.40 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 16 10 — — $23,964.71 $90,618.57 $31,903.02 2026-04-01
263 MS_DRG Vein Ligation And Stripping 16 10 — — $23,933.37 $77,909.20 $31,861.30 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 16 10 — — $23,651.32 $83,024.90 $31,485.82 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 16 10 — — $23,648.26 $83,283.45 $31,481.75 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 11 — — $21,590.86 $84,157.85 $31,305.82 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 17 10 — — $23,748.39 $94,949.93 $31,169.76 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 17 10 — — $400.00 $73,342.54 $31,005.24 2026-04-01
J9266 HCPCS Pegaspargase Injection 9 5 — — $22,739.25 $193,567.84 $30,982.22 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 9 6 — — $22,542.47 $191,892.74 $30,714.11 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 9 6 — — $22,542.47 $191,892.74 $30,714.11 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 9 6 — — $22,542.47 $191,892.74 $30,714.11 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 9 6 — — $22,542.47 $191,892.74 $30,714.11 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 9 6 — — $22,542.47 $191,892.74 $30,714.11 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 9 6 — — $22,542.47 $191,892.74 $30,714.11 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 9 6 — — $22,542.47 $191,892.74 $30,714.11 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 9 6 — — $22,542.47 $191,892.74 $30,714.11 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 16 10 — — $23,067.34 $76,799.49 $30,708.40 2026-04-01
570 MS_DRG Skin Debridement With Mcc 16 10 — — $23,044.41 $87,452.12 $30,677.87 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 10 — — $23,314.23 $89,137.02 $30,599.93 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 8 6 — — $22,542.47 $191,892.74 $30,573.22 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 8 6 — — $22,542.47 $191,892.74 $30,573.22 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 8 6 — — $22,542.47 $191,892.74 $30,573.22 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 8 6 — — $22,542.47 $191,892.74 $30,573.22 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 16 10 — — $22,883.13 $84,712.71 $30,463.17 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 16 10 — — $22,731.78 $81,578.21 $30,261.69 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 16 10 — — $22,633.94 $79,201.92 $30,131.43 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 16 10 — — $22,591.14 $76,976.69 $30,074.46 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 10 — — $21,923.31 $85,436.05 $29,956.86 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 10 — — $21,668.38 $85,197.84 $29,853.53 2026-04-01
340 MS_DRG Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc 1 1 — — $29,717.92 $29,717.92 $29,717.92 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 17 10 — — $22,284.43 $86,743.30 $29,693.01 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 10 — — $22,502.47 $84,669.13 $29,534.49 2026-04-01
800 MS_DRG Splenic Procedures With Cc 16 10 — — $22,037.74 $84,640.08 $29,337.75 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 10 — — $193.20 $84,593.60 $29,336.86 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 16 10 — — $21,960.54 $81,976.20 $29,234.97 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 10 — — $21,257.37 $87,030.55 $29,103.70 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 10 — — $21,751.10 $74,022.31 $28,956.15 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 16 10 — — $21,637.98 $78,527.96 $28,805.56 2026-04-01
503 MS_DRG Foot Procedures With Mcc 17 10 — — $19,810.27 $76,880.83 $28,740.95 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 22 10 — — $19,374.74 $76,203.96 $28,712.97 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 17 10 — — $21,248.91 $79,344.27 $28,686.03 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 9 6 — — $21,004.62 $178,801.86 $28,618.80 2026-04-01
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