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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CAROLINA PINES REGIONAL MEDICAL CENTER

Hartsville, SC · CCN 420010 · Rates published

13,100 distinct procedures filed
10 distinct payers
101,890 rate rows
2025-01-01 last MRF observed · ⚠ 18 mo old
Data quality

82,329 of 101,890 rate rows are consumer-grade (80.8%)

19,561 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 19,201
template filing: same amount across many unrelated codes — excluded 357
placeholder amount (≤ $0.02) — excluded from medians 3

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=iQ*__*xBZskGDGvutD7kLWDDg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=iQ*__*xBZskGDGvutD7kLWDDg*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-14
Content fingerprint 4654c742c7841606… · 20,847,713 bytes · first seen 2026-05-13

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 7 $309,694.44 $1,125,905.14 $318,985.27 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $201,471.95 $730,667.14 $207,516.11 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $153,829.19 $556,671.59 $161,520.65 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 $152,934.65 $553,404.64 $157,522.69 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 $100,291.58 $361,147.55 $104,303.24 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 7 $93,857.73 $337,650.56 $96,673.46 nat. median
$122,708
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $82,210.83 $295,115.07 $94,953.51 nat. median
$98,047
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $80,086.21 $287,355.75 $92,499.57 nat. median
$98,894
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 7 $79,036.03 $283,520.41 $91,286.61 nat. median
$102,358
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $87,201.85 $313,342.71 $89,817.91 nat. median
$117,357
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $82,303.64 $295,454.02 $84,772.75 nat. median
$108,660
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 7 $72,488.67 $259,608.86 $83,724.41 nat. median
$99,019
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $75,012.37 $268,825.67 $77,262.74 nat. median
$100,136
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $110,807.87 $76,219.01 nat. median
$62,507
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $65,724.98 $234,907.30 $75,912.35 nat. median
$82,711
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $71,245.02 $255,066.94 $74,094.82 nat. median
$93,672
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $61,586.39 $219,792.78 $71,132.28 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $61,397.20 $219,101.85 $70,913.76 nat. median
$81,118
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $64,282.30 $125,350.48 $67,496.41 nat. median
$69,774
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $57,580.58 $205,163.22 $66,505.57 nat. median
$77,570
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $61,529.46 $225,779.14 $65,122.32 nat. median
$83,470
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $56,220.56 $200,196.32 $64,934.75 nat. median
$74,915
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 $55,984.25 $199,333.30 $64,661.81 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $55,803.63 $198,673.65 $64,453.19 nat. median
$72,135
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $50,748.36 $180,211.36 $63,942.93 nat. median
$66,526
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $52,938.67 $188,210.56 $61,144.16 nat. median
$68,090
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $52,308.99 $185,910.92 $60,416.89 nat. median
$68,886
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $50,506.34 $179,327.49 $58,334.82 nat. median
$65,950
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $52,361.56 $109,724.92 $58,002.43 nat. median
$66,682
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $49,458.31 $175,499.97 $57,124.35 nat. median
$64,732
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 $49,139.90 $174,337.11 $56,756.58 nat. median
$60,691
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 $49,104.92 $174,209.36 $56,716.18 nat. median
$63,724
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $48,346.02 $171,437.80 $55,839.65 nat. median
$64,508
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $48,346.02 $171,437.80 $55,839.65 nat. median
$61,920
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 $48,175.39 $170,814.65 $55,642.57 nat. median
$59,793
0.9× median
10
MS_DRG 		Pancreas Transplant 7 $52,632.40 $187,092.03 $54,211.37 nat. median
$68,884
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $52,610.98 $187,013.81 $54,189.31 nat. median
$64,023
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $52,338.98 $186,020.43 $53,909.15 nat. median
$71,271
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $45,155.51 $159,785.77 $52,154.62 nat. median
$60,726
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 7 $45,104.82 $159,600.65 $52,096.07 nat. median
$60,185
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 7 $44,685.75 $158,070.17 $51,612.04 nat. median
$59,898
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 7 $44,298.09 $156,654.41 $51,164.29 nat. median
$57,822
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 $44,285.95 $156,610.08 $51,150.28 nat. median
$59,099
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $43,975.40 $155,475.91 $50,791.58 nat. median
$58,020
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 7 $43,300.74 $153,012.01 $50,012.35 nat. median
$57,424
0.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 $42,576.11 $150,365.60 $49,175.41 nat. median
$54,592
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $42,313.39 $149,406.11 $48,871.96 nat. median
$55,916
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $1,520.45 $167,771.93 $48,762.52 nat. median
$62,134
0.8× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 7 $42,146.33 $148,796.00 $48,679.01 nat. median
$51,061
1.0× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 6 $14,554.00 $99,716.51 $48,266.00 nat. median
$31,833
1.5× median

Other procedures at this hospital

Browse this hospital's 13,100 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 9 7 — — $309,694.44 $1,125,905.14 $318,985.27 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 7 — — $201,471.95 $730,667.14 $207,516.11 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 7 — — $153,829.19 $556,671.59 $161,520.65 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 7 — — $152,934.65 $553,404.64 $157,522.69 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 7 — — $100,291.58 $361,147.55 $104,303.24 2025-01-01
7 MS_DRG Lung Transplant 9 7 — — $93,857.73 $337,650.56 $96,673.46 2025-01-01
209 MS_DRG Complex Aortic Arch Procedures 12 7 — — $82,210.83 $295,115.07 $94,953.51 2025-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 7 — — $80,086.21 $287,355.75 $92,499.57 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 7 — — $79,036.03 $283,520.41 $91,286.61 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 9 7 — — $87,201.85 $313,342.71 $89,817.91 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 7 — — $82,303.64 $295,454.02 $84,772.75 2025-01-01
215 MS_DRG Other Heart Assist System Implant 12 7 — — $72,488.67 $259,608.86 $83,724.41 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 9 7 — — $75,012.37 $268,825.67 $77,262.74 2025-01-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 4 — — $56,824.55 $110,807.87 $76,219.01 2025-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 7 — — $65,724.98 $234,907.30 $75,912.35 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $71,245.02 $255,066.94 $74,094.82 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 7 — — $61,586.39 $219,792.78 $71,132.28 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 7 — — $61,397.20 $219,101.85 $70,913.76 2025-01-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 4 — — $64,282.30 $125,350.48 $67,496.41 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 7 — — $57,580.58 $205,163.22 $66,505.57 2025-01-01
850 MS_DRG Acute Leukemia With Other Procedures 12 7 — — $61,529.46 $225,779.14 $65,122.32 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 7 — — $56,220.56 $200,196.32 $64,934.75 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 7 — — $55,984.25 $199,333.30 $64,661.81 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 7 — — $55,803.63 $198,673.65 $64,453.19 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 8 — — $50,748.36 $180,211.36 $63,942.93 2025-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 7 — — $52,938.67 $188,210.56 $61,144.16 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 7 — — $52,308.99 $185,910.92 $60,416.89 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 7 — — $50,506.34 $179,327.49 $58,334.82 2025-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $52,361.56 $109,724.92 $58,002.43 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 7 — — $49,458.31 $175,499.97 $57,124.35 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 7 — — $49,139.90 $174,337.11 $56,756.58 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 7 — — $49,104.92 $174,209.36 $56,716.18 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 7 — — $48,346.02 $171,437.80 $55,839.65 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 7 — — $48,346.02 $171,437.80 $55,839.65 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 7 — — $48,175.39 $170,814.65 $55,642.57 2025-01-01
10 MS_DRG Pancreas Transplant 9 7 — — $52,632.40 $187,092.03 $54,211.37 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 7 — — $52,610.98 $187,013.81 $54,189.31 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 7 — — $52,338.98 $186,020.43 $53,909.15 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 7 — — $45,155.51 $159,785.77 $52,154.62 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 7 — — $45,104.82 $159,600.65 $52,096.07 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 7 — — $44,685.75 $158,070.17 $51,612.04 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 12 7 — — $44,298.09 $156,654.41 $51,164.29 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 7 — — $44,285.95 $156,610.08 $51,150.28 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 7 — — $43,975.40 $155,475.91 $50,791.58 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 7 — — $43,300.74 $153,012.01 $50,012.35 2025-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 7 — — $42,576.11 $150,365.60 $49,175.41 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 7 — — $42,313.39 $149,406.11 $48,871.96 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 8 — — $1,520.45 $167,771.93 $48,762.52 2025-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 7 — — $42,146.33 $148,796.00 $48,679.01 2025-01-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 9 6 — — $14,554.00 $99,716.51 $48,266.00 2025-01-01
33270 HCPCS Ins/rep Subq Defibrillator 9 6 — — $14,554.00 $72,094.32 $48,266.00 2025-01-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 9 6 — — $14,554.00 $74,617.63 $48,266.00 2025-01-01
69930 HCPCS Implant Cochlear Device 9 6 — — $31,788.39 $93,530.14 $48,266.00 2025-01-01
61886 HCPCS Implant Neurostim Arrays 9 6 — — $14,554.00 $64,641.17 $48,266.00 2025-01-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 9 6 — — $14,554.00 $74,617.63 $48,266.00 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 7 — — $41,540.22 $146,582.41 $47,978.96 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 7 — — $41,141.85 $145,127.53 $47,518.84 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 7 — — $40,833.43 $144,001.18 $47,162.61 2025-01-01
834 MS_DRG Acute Leukemia With Mcc 12 7 — — $40,597.13 $190,787.36 $46,889.68 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 7 — — $40,458.63 $142,632.35 $46,729.71 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 7 — — $40,402.94 $142,428.98 $46,665.39 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 7 — — $40,341.54 $142,204.75 $46,594.48 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 7 — — $43,273.61 $152,912.93 $46,335.15 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 7 — — $39,475.56 $139,042.09 $45,594.27 2025-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 7 — — $39,452.71 $138,958.66 $45,567.88 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 7 — — $39,197.13 $138,025.25 $45,272.68 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 7 — — $43,835.47 $154,964.88 $45,150.53 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 7 — — $39,072.19 $137,568.97 $45,128.38 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 9 7 — — $43,736.95 $154,605.07 $45,049.06 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 7 — — $38,566.02 $135,720.39 $44,543.76 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 12 7 — — $38,501.77 $135,485.74 $44,469.54 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 8 — — $2,571.54 $148,603.06 $44,198.18 2025-01-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 8 5 — — $14,554.00 $82,807.09 $44,163.78 2025-01-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 6 — — $14,554.00 $82,807.09 $44,163.78 2025-01-01
64568 HCPCS Inc For Vagus N Elect Impl 9 6 — — $14,554.00 $82,807.09 $43,739.13 2025-01-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $27,932.00 $82,807.09 $43,739.13 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 7 — — $37,386.63 $131,413.13 $43,181.56 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 7 — — $37,009.68 $130,036.48 $42,746.18 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 9 7 — — $41,415.99 $146,128.74 $42,658.47 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 7 — — $36,724.11 $128,993.56 $42,416.35 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 7 — — $36,394.28 $127,788.99 $42,035.39 2025-01-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 9 6 — — $14,554.00 $74,617.63 $41,817.78 2025-01-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 9 6 — — $14,554.00 $74,617.63 $41,817.78 2025-01-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 9 6 — — $14,554.00 $74,617.63 $41,817.78 2025-01-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 9 6 — — $14,554.00 $74,617.63 $41,817.78 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 7 — — $35,876.69 $125,898.70 $41,437.57 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 9 7 — — $40,185.91 $141,636.36 $41,391.49 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 7 — — $35,702.49 $125,262.51 $41,236.38 2025-01-01
J9226 HCPCS Supprelin La Implant 7 4 — — $29,206.15 $80,288.18 $41,173.43 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 7 — — $36,540.63 $128,323.48 $41,086.33 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 7 — — $35,391.93 $124,128.34 $40,877.68 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 7 — — $34,899.33 $122,329.30 $40,308.73 2025-01-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 1 1 — — $40,223.00 $40,223.00 $40,223.00 2025-01-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 1 1 — — $40,223.00 $40,223.00 $40,223.00 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 7 — — $34,799.38 $121,964.28 $40,193.29 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 7 — — $34,376.02 $120,418.15 $39,704.31 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 7 — — $34,218.96 $119,844.54 $39,522.90 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 7 — — $34,135.43 $119,539.49 $39,426.42 2025-01-01
0617T HCPCS Insj Iris Prosth W/rmvl&insj 1 1 — — $39,258.00 $39,258.00 $39,258.00 2025-01-01
0618T HCPCS Insj Iris Prosth Sec Io Lens 1 1 — — $39,258.00 $39,258.00 $39,258.00 2025-01-01
0616T HCPCS Insertion Of Iris Prosthesis 1 1 — — $39,258.00 $39,258.00 $39,258.00 2025-01-01
245 MS_DRG Aicd Generator Procedures 12 7 — — $33,975.52 $118,955.46 $39,241.73 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 7 — — $33,863.43 $118,546.11 $39,112.26 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 12 7 — — $33,736.35 $118,082.01 $38,965.49 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 12 7 — — $33,400.10 $116,853.97 $38,577.12 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 7 — — $33,390.81 $116,820.08 $38,566.38 2025-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 8 — — $36,661.28 $169,252.22 $38,494.34 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 7 — — $33,877.71 $118,598.26 $38,450.80 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 7 — — $32,764.71 $114,533.47 $37,843.24 2025-01-01
63685 HCPCS Insrt/redo Spine N Generator 9 6 — — $10,395.00 $58,012.27 $37,500.39 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 7 — — $32,297.80 $112,828.30 $37,303.96 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 7 — — $31,854.46 $111,209.17 $36,791.90 2025-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 7 — — $31,679.55 $110,570.38 $36,589.88 2025-01-01
61885 HCPCS Insrt/redo Neurostim 1 Array 9 6 — — $10,395.00 $58,012.27 $36,490.77 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 7 — — $31,553.90 $110,111.49 $36,444.76 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 7 — — $31,502.49 $109,923.77 $36,385.38 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 7 — — $31,487.50 $109,869.01 $36,368.07 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 7 — — $31,363.99 $109,417.95 $36,225.41 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 7 — — $31,308.31 $109,214.58 $36,161.10 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 7 — — $31,192.65 $108,792.20 $36,027.51 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 7 — — $34,967.86 $122,579.60 $36,016.90 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 7 — — $31,052.72 $108,281.17 $35,865.90 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 7 — — $30,856.40 $107,564.16 $35,639.14 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 9 7 — — $34,508.10 $120,900.50 $35,543.34 2025-01-01
C9760 HCPCS Non-blind Interatrial Shunt 9 6 — — $14,554.00 $50,604.69 $35,323.61 2025-01-01
J9600 HCPCS Porfimer Sodium Injection 3 1 — — $31,423.63 $38,131.95 $34,808.99 2025-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 7 — — $30,106.78 $104,826.50 $34,773.33 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 7 — — $33,265.16 $116,361.19 $34,595.76 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 7 — — $29,846.91 $103,877.44 $34,473.18 2025-01-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 5 5 — — $7,698.00 $64,405.72 $34,019.43 2025-01-01
62361 HCPCS Implant Spine Infusion Pump 9 6 — — $10,395.00 $43,353.30 $33,884.72 2025-01-01
62362 HCPCS Implant Spine Infusion Pump 9 6 — — $10,395.00 $43,353.30 $33,884.72 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 7 — — $29,331.46 $101,994.97 $33,877.83 2025-01-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 5 — — $14,554.00 $58,012.27 $33,864.07 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 5 4 — — $17,024.96 $60,983.50 $33,863.04 2025-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 7 — — $29,205.10 $101,533.48 $33,731.90 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 8 — — $13,687.37 $111,928.78 $33,654.08 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 7 — — $29,037.33 $100,920.76 $33,538.12 2025-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 7 — — $28,813.16 $100,102.07 $33,279.20 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 8 — — $14,932.88 $109,548.32 $32,655.67 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 7 — — $28,087.81 $97,453.05 $32,441.42 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 7 — — $28,084.96 $97,442.62 $32,438.13 2025-01-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 8 5 — — $29,809.76 $59,010.86 $32,398.10 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 10 7 — — $1,563.48 $108,713.98 $32,106.38 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 7 — — $27,626.62 $95,768.74 $31,908.75 2025-01-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 5 5 — — $30,261.98 $59,010.86 $31,775.08 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 12 7 — — $27,308.21 $94,605.88 $31,540.98 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 7 — — $27,288.22 $94,532.88 $31,517.90 2025-01-01
332 MS_DRG Rectal Resection With Mcc 12 7 — — $27,252.53 $94,402.51 $31,476.68 2025-01-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 6 6 — — $14,554.00 $59,010.86 $31,472.46 2025-01-01
265 MS_DRG Aicd Lead Procedures 12 7 — — $27,234.68 $94,337.33 $31,456.06 2025-01-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 8 5 — — $21,445.01 $48,266.00 $31,415.44 2025-01-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 8 5 — — $21,445.01 $48,266.00 $31,415.44 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 7 — — $27,188.99 $94,170.46 $31,403.28 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 7 — — $27,150.44 $94,029.67 $31,358.76 2025-01-01
791 MS_DRG Prematurity With Major Problems 12 8 — — $845.37 $154,279.78 $31,293.09 2025-01-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 6 — — $14,554.00 $58,012.27 $31,237.38 2025-01-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $29,749.88 $58,012.27 $31,237.38 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 7 — — $26,981.95 $93,414.34 $31,164.15 2025-01-01
93580 HCPCS Transcath Closure Of Asd 8 5 — — $17,673.52 $35,822.72 $31,110.83 2025-01-01
93581 HCPCS Transcath Closure Of Vsd 8 5 — — $17,673.52 $35,822.72 $31,110.83 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 7 — — $26,922.70 $93,197.94 $31,095.72 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 7 — — $26,896.99 $93,104.08 $31,066.03 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 7 — — $26,859.16 $92,965.89 $31,022.33 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 7 — — $26,813.47 $92,799.02 $30,969.56 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 7 — — $26,792.76 $92,723.41 $30,945.64 2025-01-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 6 — — $14,554.00 $58,012.27 $30,939.88 2025-01-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 5 5 — — $14,554.00 $58,012.27 $30,642.38 2025-01-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 5 5 — — $14,554.00 $58,012.27 $30,642.38 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 7 — — $26,529.33 $91,761.32 $30,641.38 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 7 — — $28,465.23 $100,673.07 $30,417.99 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 7 — — $28,151.35 $97,685.10 $30,277.46 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 7 — — $26,186.64 $90,509.81 $30,245.57 2025-01-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 6 6 — — $7,698.00 $58,012.27 $30,196.13 2025-01-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 6 6 — — $7,698.00 $58,012.27 $30,196.13 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 7 — — $26,300.87 $90,926.98 $30,110.46 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 12 7 — — $26,066.70 $90,071.79 $30,107.04 2025-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 7 — — $25,952.48 $89,654.62 $29,975.11 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 7 — — $28,995.92 $100,769.54 $29,865.80 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 7 — — $28,010.00 $97,168.86 $29,840.25 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 7 — — $25,759.72 $88,950.65 $29,752.48 2025-01-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 6 — — $14,554.00 $58,012.27 $29,749.88 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 7 — — $25,727.59 $88,833.32 $29,715.36 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 7 — — $28,268.44 $100,384.28 $29,681.86 2025-01-01
5362 OTHER Level 2 Laparoscopy And Related Services 5 3 — — $9,371.02 $65,001.81 $29,601.07 2025-01-01
33225 HCPCS L Ventric Pacing Lead Add-on 4 3 — — $14,554.00 $33,519.00 $29,437.18 2025-01-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $29,404.13 $29,404.13 $29,404.13 2025-01-01
54416 HCPCS Remv/repl Penis Contain Pros 9 6 — — $14,554.00 $38,964.97 $29,387.83 2025-01-01
54410 HCPCS Remove/replace Penis Prosth 9 6 — — $14,554.00 $38,964.97 $29,387.83 2025-01-01
54405 HCPCS Insert Multi-comp Penis Pros 9 6 — — $14,554.00 $38,964.97 $29,387.83 2025-01-01
54401 HCPCS Insert Self-contd Prosthesis 9 6 — — $14,554.00 $38,964.97 $29,387.83 2025-01-01
53445 HCPCS Insert Uro/ves Nck Sphincter 9 6 — — $7,278.00 $38,964.97 $29,387.83 2025-01-01
53447 HCPCS Remove/replace Ur Sphincter 9 6 — — $7,278.00 $38,964.97 $29,387.83 2025-01-01
5111 OTHER Level 1 Musculoskeletal Procedures 1 1 — — $29,161.32 $29,161.32 $29,161.32 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 7 — — $27,258.44 $95,729.63 $28,996.71 2025-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 7 — — $24,986.54 $86,126.94 $28,859.46 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 12 7 — — $24,906.58 $85,834.92 $28,767.10 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 7 — — $24,903.73 $85,824.49 $28,763.81 2025-01-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 6 — — $14,554.00 $53,924.52 $28,759.74 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 9 7 — — $27,860.07 $96,621.32 $28,695.87 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 7 — — $24,626.01 $84,810.25 $28,443.04 2025-01-01
J9266 HCPCS Pegaspargase Injection 7 4 — — $5,114.34 $55,426.92 $28,424.06 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 7 — — $24,523.92 $84,437.41 $28,325.13 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 7 — — $24,498.22 $84,343.55 $28,295.44 2025-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 7 — — $24,466.10 $84,226.22 $28,258.35 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 7 — — $24,442.54 $84,140.18 $28,231.13 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 8 — — $26,017.20 $92,887.67 $28,179.63 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 7 — — $24,323.31 $83,704.76 $28,093.42 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 7 — — $24,197.66 $83,245.87 $27,948.29 2025-01-01
92925 HCPCS Prq Card Angio/athrect Addl 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63200 HCPCS Release Spinal Cord Lumbar 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63191 HCPCS Incise Spine Accessory Nerve 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
63185 HCPCS Incise Spine Nrv Half Segmnt 1 1 — — $27,932.00 $27,932.00 $27,932.00 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 7 — — $26,580.73 $91,949.04 $27,909.77 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 7 — — $24,155.54 $83,092.04 $27,899.65 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 7 — — $24,133.41 $83,011.22 $27,874.09 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 7 — — $24,087.72 $82,844.35 $27,821.32 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 13 7 — — $22,007.35 $75,246.68 $27,729.26 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 12 7 — — $23,997.76 $82,515.83 $27,717.42 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 13 8 — — $25,625.78 $90,950.45 $27,622.66 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 7 — — $23,899.24 $82,156.02 $27,603.62 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 7 — — $23,888.53 $82,116.91 $27,591.25 2025-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 7 — — $23,835.70 $81,923.97 $27,530.23 2025-01-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 7 6 — — $14,554.00 $51,011.78 $27,467.88 2025-01-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 7 6 — — $14,554.00 $51,011.78 $27,467.88 2025-01-01
37231 HCPCS Tib/per Revasc Stent & Ather 2 2 — — $14,554.00 $40,223.00 $27,388.50 2025-01-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 2 — — $14,554.00 $40,223.00 $27,388.50 2025-01-01
33967 HCPCS Insert I-aort Percut Device 2 2 — — $14,554.00 $40,223.00 $27,388.50 2025-01-01
33968 HCPCS Remove Aortic Assist Device 2 2 — — $14,554.00 $40,223.00 $27,388.50 2025-01-01
665 MS_DRG Prostatectomy With Mcc 12 7 — — $23,686.49 $81,379.05 $27,357.90 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 7 — — $23,600.82 $81,066.17 $27,258.94 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 — — $10,024.00 $89,388.67 $27,173.64 2025-01-01
63655 HCPCS Implant Neuroelectrodes 8 5 — — $18,703.63 $40,208.23 $27,007.47 2025-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 12 7 — — $23,260.28 $79,822.49 $26,865.62 2025-01-01
263 MS_DRG Vein Ligation And Stripping 12 7 — — $23,231.01 $79,715.59 $26,831.82 2025-01-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 5 5 — — $7,698.00 $50,604.69 $26,729.66 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 7 — — $23,058.24 $79,084.62 $26,632.26 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 7 — — $22,967.58 $78,753.50 $26,527.56 2025-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 7 — — $22,964.72 $78,743.07 $26,524.25 2025-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 7 — — $22,941.16 $78,657.03 $26,497.04 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 12 7 — — $25,030.00 $87,099.46 $26,262.96 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 7 — — $22,652.74 $77,603.68 $26,163.92 2025-01-01
22558 HCPCS Lumbar Spine Fusion 9 6 — — $14,554.00 $51,011.78 $26,159.89 2025-01-01
22630 HCPCS Lumbar Spine Fusion 9 6 — — $14,554.00 $51,011.78 $26,159.89 2025-01-01
22633 HCPCS Lumbar Spine Fusion Combined 9 6 — — $14,554.00 $51,011.78 $26,159.89 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 7 — — $23,963.50 $82,390.68 $26,049.34 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 14 8 — — $18,440.61 $62,220.61 $26,020.08 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 12 7 — — $22,436.42 $76,813.67 $25,914.07 2025-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 12 7 — — $22,422.14 $76,761.52 $25,897.58 2025-01-01
668 MS_DRG Transurethral Procedures With Mcc 12 7 — — $22,250.09 $76,133.16 $25,698.85 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 7 — — $22,195.11 $75,932.40 $25,635.35 2025-01-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 8 5 — — $19,242.38 $49,139.00 $25,577.48 2025-01-01
93654 HCPCS Ep & Ablate Ventric Tachy 8 5 — — $19,242.38 $49,139.00 $25,577.48 2025-01-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 8 5 — — $19,242.38 $49,139.00 $25,577.48 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 12 7 — — $22,121.58 $75,663.85 $25,550.42 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 7 — — $22,108.73 $75,616.91 $25,535.58 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 7 — — $22,017.35 $75,283.18 $25,430.04 2025-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 12 7 — — $21,977.37 $75,137.17 $25,383.87 2025-01-01
652 MS_DRG Kidney Transplant 9 7 — — $24,459.67 $84,202.75 $25,193.46 2025-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 9 7 — — $24,397.56 $83,975.92 $25,129.49 2025-01-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 9 6 — — $10,395.00 $44,280.82 $24,823.98 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 7 — — $23,640.09 $81,209.57 $24,822.09 2025-01-01
800 MS_DRG Splenic Procedures With Cc 12 7 — — $21,460.49 $73,249.49 $24,786.86 2025-01-01
654 MS_DRG Major Bladder Procedures With Cc 12 7 — — $21,388.38 $72,986.15 $24,703.58 2025-01-01
503 MS_DRG Foot Procedures With Mcc 12 7 — — $21,329.84 $72,772.35 $24,635.97 2025-01-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 6 5 — — $21,445.01 $41,817.78 $24,489.67 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 7 — — $20,920.77 $71,278.37 $24,163.49 2025-01-01
27134 HCPCS Revise Hip Joint Replacement 9 6 — — $12,377.76 $32,085.64 $24,136.64 2025-01-01
27132 HCPCS Total Hip Arthroplasty 9 6 — — $12,377.76 $32,085.64 $24,136.64 2025-01-01
27130 HCPCS Total Hip Arthroplasty 9 6 — — $12,377.76 $31,584.34 $24,136.64 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 7 — — $20,827.96 $70,939.42 $24,056.29 2025-01-01
33820 HCPCS Revise Major Vessel 2 2 — — $14,554.00 $33,519.00 $24,036.50 2025-01-01
33824 HCPCS Revise Major Vessel 2 2 — — $14,554.00 $33,519.00 $24,036.50 2025-01-01
849 MS_DRG Radiotherapy 12 7 — — $20,747.28 $70,644.79 $23,963.10 2025-01-01
570 MS_DRG Skin Debridement With Mcc 12 7 — — $22,400.72 $76,683.30 $23,751.13 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 7 — — $20,393.89 $69,354.18 $23,554.94 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 7 — — $20,327.50 $69,111.70 $23,478.26 2025-01-01
23470 HCPCS Reconstruct Shoulder Joint 9 6 — — $12,377.76 $28,392.20 $23,397.34 2025-01-01
69714 HCPCS Implant Temple Bone W/Stimul 9 6 — — $12,377.76 $28,392.20 $23,397.34 2025-01-01
25446 HCPCS Wrist Replacement 9 6 — — $14,554.00 $32,963.46 $23,397.34 2025-01-01
25441 HCPCS Reconstruct Wrist Joint 9 6 — — $12,377.76 $28,392.20 $23,397.34 2025-01-01
24370 HCPCS Revise Reconst Elbow Joint 9 6 — — $12,377.76 $28,392.20 $23,397.34 2025-01-01
24371 HCPCS Revise Reconst Elbow Joint 9 6 — — $14,554.00 $32,963.46 $23,397.34 2025-01-01
24363 HCPCS Replace Elbow Joint 9 6 — — $14,554.00 $32,963.46 $23,397.34 2025-01-01
24366 HCPCS Reconstruct Head Of Radius 9 6 — — $12,377.76 $28,392.20 $23,397.34 2025-01-01
25442 HCPCS Reconstruct Wrist Joint 9 6 — — $14,554.00 $32,963.46 $23,397.34 2025-01-01
24361 HCPCS Reconstruct Elbow Joint 9 6 — — $14,554.00 $32,963.46 $23,397.34 2025-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 7 — — $20,232.55 $68,764.93 $23,368.60 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 13 7 — — $18,501.29 $62,442.23 $23,311.63 2025-01-01
49596 HCPCS Rpr Aa Hrn 1st > 10 Ncr/strn 1 1 — — $23,278.00 $23,278.00 $23,278.00 2025-01-01
49616 HCPCS Rpr Aa Hrn Rcr 3-10 Ncr/strn 1 1 — — $23,278.00 $23,278.00 $23,278.00 2025-01-01
49622 HCPCS Rpr Parastomal Hrna Ncr/strn 1 1 — — $23,278.00 $23,278.00 $23,278.00 2025-01-01
49618 HCPCS Rpr Aa Hrn Rcr > 10 Ncr/strn 1 1 — — $23,278.00 $23,278.00 $23,278.00 2025-01-01
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