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 →

Export CSV
Hospital

RIDDLE MEMORIAL HOSPITAL

Media, PA · CCN 390222 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $13,652 across 9 payers · range $5,150-$16,487

Source: https://www.mainlinehealth.org/-/media/files/pdf/basic-content/patient-services/patient-billing/price-transparency/2026/23-1529076_riddle-memorial-hospital_standardcharges.csv · 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.

13,607 distinct procedures filed
23 distinct payers
486,007 rate rows
2026-04-01 last MRF observed
Data quality

370,377 of 486,007 rate rows are consumer-grade (76.2%)

115,630 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 104,331
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,700
placeholder amount (≤ $0.02) — excluded from medians 510
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 88
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mainlinehealth.org/-/media/files/pdf/basic-content/patient-services/patient-billing/price-transparency/2025/23-1529076_riddle-memorial-hospital_standardcharges.csv
Found on page https://www.mainlinehealth.org/patient-services/patient-billing/price-transparency#Price%20transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint e5e1285fa5da73ed… · 5,848,613 bytes · first seen 2026-05-18

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $269,934.17 $739,657.75 $621,312.51 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $341,000.00 $707,336.18 $594,162.39 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $361,064.00 $703,172.73 $590,665.09 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $369,160.00 $696,647.42 $585,183.83 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $269,934.17 $666,537.71 $559,891.68 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $489,304.61 $611,630.76 $538,235.07 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $316,170.91 $803,074.11 $346,207.15 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $205,252.51 $542,153.00 $225,777.76 nat. median
$261,939
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $100,542.00 $230,300.00 $193,381.70 nat. median
$83,623
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $156,422.92 $397,314.22 $172,065.21 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $13,517.04 $394,985.47 $171,056.70 nat. median
$199,832
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $94,555.17 $390,211.27 $111,706.80 nat. median
$132,706
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $106,780.03 $106,780.03 $106,780.03 nat. median
$62,767
1.7× median
7
MS_DRG 		Lung Transplant 14 $94,957.52 $241,192.10 $104,453.27 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $88,135.83 $234,616.00 $96,949.41 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $83,115.61 $334,832.00 $91,427.17 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $83,020.49 $210,872.04 $90,492.33 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $12,464.47 $238,361.00 $88,927.22 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $79,766.59 $202,607.14 $87,743.25 nat. median
$100,978
0.9× median
230
MS_DRG 		Other Cardiothoracic Procedures Without Cc/mcc 1 $65,263.00 $87,018.00 $87,018.00 nat. median
$27,929
outlier · 3.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $75,642.71 $224,131.00 $83,206.98 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 15 $9,300.00 $329,554.00 $80,361.74 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $71,781.50 $203,344.00 $78,959.65 nat. median
$92,900
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $42,180.88 $128,939.00 $77,734.99 nat. median
$46,399
1.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $66,123.96 $238,361.00 $72,736.36 nat. median
$81,124
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 10 $63,235.61 $125,536.04 $70,499.96 nat. median
$69,291
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $63,562.26 $161,448.14 $69,918.49 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $61,882.26 $164,932.00 $68,070.49 nat. median
$79,040
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $68,066.13 $68,066.13 $68,066.13 nat. median
$75,807
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $46,906.66 $200,786.00 $67,857.20 nat. median
$80,459
0.8× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $1,471.38 $80,777.64 $66,883.89 nat. median
$13,835
outlier · 4.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $57,776.67 $201,607.00 $63,554.34 nat. median
$77,385
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 9 $56,824.55 $74,954.81 $63,075.25 nat. median
$63,643
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $56,382.77 $164,549.00 $62,021.05 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $56,140.58 $156,917.00 $61,754.64 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $55,955.46 $146,156.00 $61,551.01 nat. median
$71,485
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 10 $55,272.32 $69,090.40 $60,799.56 nat. median
$65,655
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 4 $26,584.94 $82,514.00 $58,892.19 nat. median
$37,051
1.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $44,259.78 $214,054.86 $58,586.12 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 14 $52,705.22 $133,871.26 $57,975.74 nat. median
$67,750
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 $52,683.27 $133,815.51 $57,951.60 nat. median
$62,911
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $50,702.85 $172,670.00 $57,611.14 nat. median
$68,581
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $52,404.49 $133,107.40 $57,382.92 nat. median
$69,153
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $25,592.63 $246,309.29 $55,851.68 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $50,526.21 $128,336.57 $55,578.83 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $49,452.06 $125,608.23 $54,397.27 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 $49,125.72 $124,779.33 $54,038.29 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 $49,089.87 $142,384.00 $53,998.86 nat. median
$62,262
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $48,312.07 $122,712.66 $53,143.28 nat. median
$60,895
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $48,312.07 $135,135.00 $53,143.28 nat. median
$63,840
0.8× median

Other procedures at this hospital

Browse this hospital's 13,607 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 10 — — $269,934.17 $739,657.75 $621,312.51 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 30 10 — — $341,000.00 $707,336.18 $594,162.39 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 10 — — $361,064.00 $703,172.73 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 30 10 — — $369,160.00 $696,647.42 $585,183.83 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 30 10 — — $269,934.17 $666,537.71 $559,891.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 30 10 — — $489,304.61 $611,630.76 $538,235.07 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 56 14 — — $316,170.91 $803,074.11 $346,207.15 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 14 — — $205,252.51 $542,153.00 $225,777.76 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 3 — — $100,542.00 $230,300.00 $193,381.70 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 62 14 — — $156,422.92 $397,314.22 $172,065.21 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 67 15 — — $13,517.04 $394,985.47 $171,056.70 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 76 15 — — $94,555.17 $390,211.27 $111,706.80 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $106,780.03 $106,780.03 $106,780.03 2026-04-01
7 MS_DRG Lung Transplant 62 14 — — $94,957.52 $241,192.10 $104,453.27 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 62 14 — — $88,135.83 $234,616.00 $96,949.41 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 14 — — $83,115.61 $334,832.00 $91,427.17 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 54 13 — — $83,020.49 $210,872.04 $90,492.33 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 66 14 — — $12,464.47 $238,361.00 $88,927.22 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 62 14 — — $79,766.59 $202,607.14 $87,743.25 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 6 1 — — $65,263.00 $87,018.00 $87,018.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 62 14 — — $75,642.71 $224,131.00 $83,206.98 2026-04-01
215 MS_DRG Other Heart Assist System Implant 65 15 — — $9,300.00 $329,554.00 $80,361.74 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 14 — — $71,781.50 $203,344.00 $78,959.65 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 12 5 — — $42,180.88 $128,939.00 $77,734.99 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 62 14 — — $66,123.96 $238,361.00 $72,736.36 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 36 10 — — $63,235.61 $125,536.04 $70,499.96 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 62 14 — — $63,562.26 $161,448.14 $69,918.49 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 62 14 — — $61,882.26 $164,932.00 $68,070.49 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $68,066.13 $68,066.13 $68,066.13 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 63 14 — — $46,906.66 $200,786.00 $67,857.20 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 32 9 — — $1,471.38 $80,777.64 $66,883.89 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 62 14 — — $57,776.67 $201,607.00 $63,554.34 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 26 9 — — $56,824.55 $74,954.81 $63,075.25 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 14 — — $56,382.77 $164,549.00 $62,021.05 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 62 14 — — $56,140.58 $156,917.00 $61,754.64 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 14 — — $55,955.46 $146,156.00 $61,551.01 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 10 — — $55,272.32 $69,090.40 $60,799.56 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 16 4 — — $26,584.94 $82,514.00 $58,892.19 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 104 15 — — $44,259.78 $214,054.86 $58,586.12 2026-04-01
10 MS_DRG Pancreas Transplant 62 14 — — $52,705.22 $133,871.26 $57,975.74 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 62 14 — — $52,683.27 $133,815.51 $57,951.60 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 69 15 — — $50,702.85 $172,670.00 $57,611.14 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 14 — — $52,404.49 $133,107.40 $57,382.92 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 89 15 — — $25,592.63 $246,309.29 $55,851.68 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 62 14 — — $50,526.21 $128,336.57 $55,578.83 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 14 — — $49,452.06 $125,608.23 $54,397.27 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 62 14 — — $49,125.72 $124,779.33 $54,038.29 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 64 14 — — $49,089.87 $142,384.00 $53,998.86 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 14 — — $48,312.07 $122,712.66 $53,143.28 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 14 — — $48,312.07 $135,135.00 $53,143.28 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 65 14 — — $48,137.19 $122,268.46 $52,950.91 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 68 14 — — $46,588.68 $120,099.56 $52,011.62 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 62 14 — — $45,042.08 $191,993.00 $49,546.29 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 66 14 — — $21,616.34 $129,848.00 $49,489.14 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 62 14 — — $44,560.62 $119,517.00 $49,016.68 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 79 15 — — $5,329.00 $214,112.00 $48,757.10 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 67 15 — — $43,832.57 $147,482.00 $48,654.15 2026-04-01
J9226 HCPCS Supprelin La Implant 24 10 — — $45,020.65 $56,275.81 $48,622.31 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 62 14 — — $44,163.30 $115,231.00 $48,579.63 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 62 14 — — $44,150.86 $148,548.00 $48,565.95 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 26 9 — — $4,845.00 $56,564.50 $48,419.21 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 26 9 — — $6,180.00 $56,564.50 $48,419.21 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 23 7 — — $33,639.86 $165,416.00 $48,406.04 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 62 14 — — $43,588.18 $125,502.00 $47,947.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 62 14 — — $43,141.11 $121,892.00 $47,455.22 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 62 14 — — $43,113.30 $117,914.00 $47,424.63 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 73 14 — — $42,398.43 $163,655.00 $47,316.65 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 32 9 — — $2,697.53 $56,564.50 $46,835.40 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 14 — — $42,129.16 $113,031.00 $46,342.08 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 72 15 — — $32,138.56 $113,899.00 $46,303.70 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 71 15 — — $33,327.79 $133,452.00 $45,883.77 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 54 13 — — $41,957.94 $106,573.17 $45,734.15 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 14 — — $41,209.41 $113,806.00 $45,330.35 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 66 14 — — $40,612.34 $125,326.57 $45,079.70 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 62 14 — — $40,928.43 $103,958.21 $45,021.27 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 64 14 — — $40,370.14 $112,597.00 $44,407.15 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 62 14 — — $40,228.19 $118,259.00 $44,251.01 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 63 14 — — $37,613.90 $104,230.00 $44,188.23 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 14 — — $40,108.19 $101,874.80 $44,119.01 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 62 14 — — $39,948.68 $101,469.65 $43,943.55 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 65 14 — — $39,197.22 $142,384.00 $43,508.91 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 14 — — $39,220.63 $111,147.00 $43,142.69 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 62 14 — — $38,935.27 $152,778.00 $42,828.80 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 93 15 — — $11,143.74 $167,020.61 $42,299.87 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 64 14 — — $38,222.59 $123,749.00 $42,235.96 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 75 16 — — $20,958.77 $109,988.00 $41,734.40 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 14 — — $37,079.67 $98,958.00 $40,787.64 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 70 14 — — $15,638.61 $114,970.00 $40,362.66 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 64 14 — — $28,004.75 $156,105.00 $40,040.70 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 74 15 — — $34,783.77 $101,610.00 $39,833.86 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 14 — — $36,062.60 $91,599.00 $39,668.86 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 132 17 — — $16,681.62 $111,171.00 $39,606.51 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 65 14 — — $35,532.11 $104,061.00 $39,440.64 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 62 14 — — $35,353.57 $137,996.00 $38,888.93 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 14 — — $35,035.28 $144,159.00 $38,538.81 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 73 15 — — $13,629.59 $106,690.00 $37,983.45 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 14 — — $34,600.65 $87,885.65 $37,887.71 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 62 14 — — $34,427.97 $108,679.00 $37,870.77 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 62 14 — — $34,129.43 $101,336.00 $37,542.37 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 64 14 — — $33,982.48 $119,481.00 $37,393.48 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 28 9 — — $6,180.00 $43,994.75 $37,307.55 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 14 — — $33,747.48 $95,274.00 $37,122.23 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 110 17 — — $22,991.45 $108,414.00 $37,113.32 2026-04-01
245 MS_DRG Aicd Generator Procedures 62 14 — — $33,583.58 $99,252.00 $36,941.94 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 62 14 — — $33,468.70 $92,608.00 $36,815.57 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 79 15 — — $32,045.53 $165,534.09 $36,764.92 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 62 14 — — $33,338.46 $107,037.00 $36,672.31 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 74 15 — — $16,250.50 $107,466.00 $36,293.21 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 62 14 — — $32,984.31 $88,592.00 $36,282.74 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 56 14 — — $32,855.53 $83,453.05 $35,976.81 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 77 14 — — $11,499.63 $82,357.00 $35,253.44 2026-04-01
69930 HCPCS Implant Cochlear Device 32 9 — — $5,885.52 $42,342.81 $35,059.85 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 64 14 — — $31,611.64 $80,293.57 $34,930.86 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 70 14 — — $2,803.13 $80,934.74 $34,891.16 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 20 9 — — $31,701.98 $39,627.47 $34,713.66 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 64 14 — — $31,409.69 $79,780.61 $34,550.66 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 26 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 26 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 26 9 — — $9,355.00 $40,309.59 $34,505.01 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 64 14 — — $29,778.61 $78,998.17 $34,211.80 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 62 14 — — $31,048.96 $78,864.36 $34,153.86 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 62 14 — — $31,033.59 $82,419.00 $34,136.95 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 89 15 — — $24,160.68 $85,402.00 $34,041.16 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 76 15 — — $9,615.79 $78,596.72 $34,037.95 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 62 14 — — $30,907.00 $85,254.00 $33,997.70 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 62 14 — — $30,849.93 $81,033.00 $33,934.92 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 26 9 — — $4,845.00 $39,627.47 $33,921.11 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 26 9 — — $4,845.00 $39,627.47 $33,921.11 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 14 — — $30,731.40 $112,388.00 $33,804.54 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 62 14 — — $30,587.98 $89,591.00 $33,646.78 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 92 17 — — $1,790.84 $78,001.98 $33,473.29 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 62 14 — — $30,386.76 $77,182.37 $33,425.44 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 32 9 — — $3,923.68 $40,309.59 $33,376.35 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 32 9 — — $3,187.99 $40,309.59 $33,376.35 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 32 9 — — $3,923.68 $40,309.59 $33,376.35 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 32 9 — — $2,697.53 $40,309.59 $33,376.35 2026-04-01
791 MS_DRG Prematurity With Major Problems 97 17 — — $13,692.00 $203,668.00 $33,368.60 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 105 16 — — $21,276.00 $164,845.20 $33,054.21 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 32 9 — — $2,697.53 $39,627.47 $32,811.54 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 32 9 — — $2,697.53 $39,627.47 $32,811.54 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 32 9 — — $2,697.53 $39,627.47 $32,811.54 2026-04-01
61886 HCPCS Implant Neurostim Arrays 32 9 — — $2,697.53 $39,627.47 $32,811.54 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 32 9 — — $2,697.53 $39,627.47 $32,811.54 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 32 9 — — $2,697.53 $39,627.47 $32,811.54 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 32 9 — — $4,845.00 $39,627.47 $32,811.54 2026-04-01
5166 OTHER Cochlear Implant Procedure 1 1 — — $32,429.98 $32,429.98 $32,429.98 2025-07-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 62 14 — — $29,352.13 $74,554.41 $32,287.34 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 62 14 — — $28,823.84 $79,984.00 $31,706.22 2026-04-01
J9266 HCPCS Pegaspargase Injection 36 10 — — $27,070.53 $53,599.65 $31,635.98 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 77 14 — — $26,915.66 $80,864.00 $31,574.56 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 62 14 — — $28,694.33 $72,883.60 $31,563.76 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 26 9 — — $9,355.00 $36,835.17 $31,530.91 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 62 14 — — $28,522.38 $79,016.00 $31,374.62 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 62 14 — — $28,479.94 $72,339.05 $31,327.93 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 64 14 — — $28,452.87 $81,051.00 $31,298.16 2026-04-01
509 MS_DRG Arthroscopy 8 2 — — $24,811.00 $33,081.00 $30,680.33 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 70 14 — — $27,400.17 $78,342.00 $30,507.76 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 22 6 — — $26,247.53 $35,203.23 $30,456.76 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 62 14 — — $27,614.33 $70,140.40 $30,375.76 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 64 14 — — $27,549.21 $78,168.00 $30,304.13 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 64 14 — — $25,702.62 $69,967.55 $30,300.91 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 67 14 — — $25,333.82 $70,319.00 $30,216.41 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 56 14 — — $27,315.80 $69,382.13 $29,910.80 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 63 14 — — $23,760.96 $71,819.00 $29,784.18 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 63 14 — — $18,101.86 $68,746.50 $29,772.11 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 26 9 — — $6,012.00 $34,567.44 $29,589.73 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 62 14 — — $26,750.19 $67,945.48 $29,425.21 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 62 14 — — $26,729.70 $67,893.44 $29,402.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 66 14 — — $26,443.85 $100,454.00 $29,362.43 2026-04-01
265 MS_DRG Aicd Lead Procedures 62 14 — — $26,674.82 $67,754.04 $29,342.30 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 66 14 — — $8,677.02 $67,635.09 $29,290.79 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 64 14 — — $23,160.71 $67,534.74 $29,247.33 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 62 14 — — $26,415.80 $70,744.00 $29,057.38 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 64 14 — — $26,243.12 $81,236.00 $28,998.65 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 62 14 — — $26,355.07 $94,672.00 $28,990.58 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 71 14 — — $21,420.48 $91,555.00 $28,961.60 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 62 14 — — $26,289.95 $83,200.00 $28,918.95 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 63 14 — — $26,268.00 $75,892.00 $28,894.80 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 109 16 — — $19,758.66 $73,087.00 $28,865.08 2026-04-01
22558 HCPCS Lumbar Spine Fusion 32 9 — — $4,659.37 $34,845.52 $28,852.10 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 32 9 — — $4,659.37 $34,845.52 $28,852.10 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 32 9 — — $4,659.37 $34,845.52 $28,852.10 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 32 9 — — $2,697.53 $34,845.52 $28,852.10 2026-04-01
22630 HCPCS Lumbar Spine Fusion 32 9 — — $4,659.37 $34,845.52 $28,852.10 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 32 9 — — $4,659.37 $34,845.52 $28,852.10 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 76 14 — — $22,629.16 $88,846.00 $28,701.01 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 82 16 — — $3,930.93 $73,110.00 $28,581.87 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 64 14 — — $21,078.83 $71,222.00 $28,547.09 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 74 15 — — $21,472.22 $67,075.49 $28,160.75 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 76 14 — — $25,048.61 $69,704.00 $28,039.53 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 70 14 — — $16,465.72 $67,551.00 $28,025.52 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 72 15 — — $24,434.99 $70,476.00 $27,941.09 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 32 9 — — $8,150.60 $33,566.25 $27,792.86 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 32 9 — — $8,150.60 $33,566.25 $27,792.86 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 32 9 — — $8,150.60 $33,566.25 $27,792.86 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 56 14 — — $25,360.68 $64,416.13 $27,769.94 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 63 15 — — $25,163.12 $67,413.00 $27,679.43 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 62 14 — — $25,130.20 $73,921.00 $27,643.22 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 84 16 — — $7,974.74 $136,774.13 $27,107.97 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 62 14 — — $24,370.69 $77,421.00 $26,807.76 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 62 14 — — $24,288.73 $67,168.00 $26,717.60 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 63 14 — — $24,285.81 $61,685.96 $26,714.39 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 32 9 — — $24,228.42 $47,103.13 $26,530.12 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 66 14 — — $18,600.60 $79,975.00 $26,401.29 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 68 14 — — $23,896.54 $60,697.21 $26,286.19 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 68 15 — — $23,870.20 $66,312.00 $26,257.22 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 84 15 — — $22,533.82 $85,402.00 $26,221.00 2026-04-01
652 MS_DRG Kidney Transplant 62 14 — — $23,830.69 $67,263.00 $26,213.76 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 68 14 — — $23,091.70 $66,080.00 $26,194.44 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 62 14 — — $23,767.03 $60,368.26 $26,143.73 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 62 14 — — $23,690.93 $60,174.96 $26,060.02 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 10 3 — — $11,886.74 $34,686.00 $26,015.00 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 79 15 — — $18,539.75 $79,516.00 $25,918.37 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 63 14 — — $22,877.78 $68,825.00 $25,870.88 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 63 15 — — $23,496.30 $73,698.00 $25,845.93 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 62 14 — — $23,449.47 $95,939.00 $25,794.42 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 66 15 — — $21,035.81 $69,222.00 $25,693.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 62 14 — — $23,322.15 $73,087.00 $25,654.37 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 67 16 — — $17,082.76 $59,071.00 $25,581.93 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 62 14 — — $23,245.32 $95,240.00 $25,569.85 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 62 14 — — $23,191.18 $58,959.00 $25,510.30 2026-04-01
665 MS_DRG Prostatectomy With Mcc 62 14 — — $23,038.25 $67,439.00 $25,342.08 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 87 15 — — $8,282.95 $64,235.00 $25,289.76 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 62 14 — — $22,950.45 $64,077.00 $25,245.50 2026-04-01
263 MS_DRG Vein Ligation And Stripping 65 15 — — $22,571.42 $57,331.41 $25,054.28 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 67 14 — — $22,601.42 $64,144.00 $24,861.56 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 73 14 — — $22,394.35 $72,682.00 $24,633.78 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 63 14 — — $11,228.98 $56,645.61 $24,531.56 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 62 14 — — $22,298.50 $56,638.19 $24,528.35 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 62 14 — — $22,274.35 $56,576.85 $24,501.78 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 26 9 — — $8,017.00 $28,565.21 $24,451.82 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 26 9 — — $4,845.00 $28,565.21 $24,451.82 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 26 9 — — $9,355.00 $28,565.21 $24,451.82 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 26 9 — — $6,180.00 $28,565.21 $24,451.82 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 26 9 — — $9,355.00 $28,565.21 $24,451.82 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 26 9 — — $4,845.00 $28,565.21 $24,451.82 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 67 14 — — $21,978.74 $66,420.00 $24,396.40 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 2 2 — — $17,532.95 $30,842.55 $24,187.75 2025-07-01
472 MS_DRG Cervical Spinal Fusion With Cc 96 16 — — $17,145.82 $62,272.00 $23,932.74 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 62 14 — — $21,742.40 $55,225.70 $23,916.64 2026-04-01
570 MS_DRG Skin Debridement With Mcc 66 14 — — $11,236.18 $55,169.94 $23,892.50 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 64 14 — — $21,329.07 $54,777.79 $23,722.67 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 32 9 — — $3,187.99 $28,565.21 $23,651.99 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 32 9 — — $3,187.99 $28,565.21 $23,651.99 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 32 9 — — $2,697.53 $28,565.21 $23,651.99 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 32 9 — — $2,697.53 $28,565.21 $23,651.99 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 64 14 — — $21,161.30 $62,082.00 $23,577.78 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 62 14 — — $21,421.18 $59,928.00 $23,563.30 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 62 14 — — $21,327.53 $70,224.00 $23,460.28 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 78 15 — — $12,640.41 $57,326.00 $23,449.01 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 89 15 — — $15,594.77 $64,165.00 $23,445.59 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 62 14 — — $21,286.55 $54,067.84 $23,415.20 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 71 14 — — $20,143.92 $72,682.00 $23,321.84 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 73 14 — — $16,136.17 $58,916.00 $23,163.28 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 72 14 — — $20,682.89 $66,130.00 $23,020.06 2026-04-01
800 MS_DRG Splenic Procedures With Cc 62 14 — — $20,756.80 $56,372.00 $22,832.48 2026-04-01
503 MS_DRG Foot Procedures With Mcc 62 14 — — $20,622.89 $52,382.14 $22,685.18 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 79 14 — — $14,009.69 $59,041.00 $22,541.36 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 117 16 — — $20,108.50 $102,377.26 $22,441.09 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 64 14 — — $20,282.08 $58,869.00 $22,411.52 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 86 15 — — $17,659.71 $52,025.32 $22,325.83 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 62 14 — — $20,203.63 $57,800.00 $22,223.99 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 91 16 — — $15,372.83 $51,594.13 $22,140.79 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 32 9 — — $2,697.53 $26,616.50 $22,038.46 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 32 9 — — $2,697.53 $26,616.50 $22,038.46 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 32 9 — — $3,923.68 $26,616.50 $22,038.46 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 32 9 — — $2,697.53 $26,616.50 $22,038.46 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 32 9 — — $2,697.53 $26,616.50 $22,038.46 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 32 9 — — $4,659.37 $26,616.50 $22,038.46 2026-04-01
53444 HCPCS Insert Tandem Cuff 32 9 — — $2,697.53 $26,616.50 $22,038.46 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 32 9 — — $2,505.00 $26,616.50 $22,038.46 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 32 9 — — $2,505.00 $26,616.50 $22,038.46 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 64 14 — — $19,937.29 $55,621.00 $22,030.71 2026-04-01
849 MS_DRG Radiotherapy 62 14 — — $20,025.82 $50,865.58 $22,028.40 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 63 15 — — $20,001.68 $57,942.00 $22,001.85 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 83 15 — — $19,663.63 $74,525.00 $21,944.61 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 23 6 — — $2,697.53 $44,188.55 $21,863.84 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 20 9 — — $19,930.91 $24,913.63 $21,824.35 2026-04-01
5378 OTHER Level 8 Urology And Related Services 11 6 — — $20,062.24 $31,363.12 $21,800.74 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 62 14 — — $19,595.58 $49,772.77 $21,555.14 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 62 14 — — $19,498.26 $49,525.58 $21,448.09 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 26 9 — — $3,607.00 $24,913.63 $21,326.07 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 26 9 — — $3,607.00 $24,913.63 $21,326.07 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 26 9 — — $4,845.00 $24,913.63 $21,326.07 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 26 9 — — $8,017.00 $24,735.87 $21,173.91 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 26 9 — — $8,017.00 $24,735.87 $21,173.91 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 26 9 — — $8,017.00 $24,735.87 $21,173.91 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 26 9 — — $9,355.00 $24,735.87 $21,173.91 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 26 9 — — $7,685.00 $24,735.87 $21,173.91 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 26 9 — — $7,685.00 $24,735.87 $21,173.91 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 26 9 — — $6,180.00 $24,735.87 $21,173.91 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 26 9 — — $8,017.00 $24,735.87 $21,173.91 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 26 9 — — $6,180.00 $24,735.87 $21,173.91 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 26 9 — — $6,180.00 $24,735.87 $21,173.91 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 80 15 — — $18,460.68 $54,514.00 $21,111.65 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 64 14 — — $17,685.68 $49,673.00 $21,086.70 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 66 15 — — $18,987.53 $54,534.00 $21,076.16 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 62 14 — — $19,098.75 $70,628.00 $21,008.62 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 62 14 — — $19,072.41 $48,443.92 $20,979.65 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 62 14 — — $19,072.41 $50,910.00 $20,979.65 2026-04-01
See an error in this hospital's data? Submit a correction