Price Transparencybeta Hospital negotiated rates

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

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Hospital

MUSC HEALTH CHESTER MEDICAL CENTER

Chester, SC · CCN 420019 · Rates published

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You selected 470 (MS_DRG)

Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc

This hospital’s price: $19,191 across 11 payers · range $25-$91,086

Source: https://muschealth.org/-/sm/health/patients-visitors/billing/f/571098556_musc-health-chester-medical-center_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.

12,872 distinct procedures filed
20 distinct payers
167,480 rate rows
2026-04-01 last MRF observed
Data quality

111,787 of 167,480 rate rows are consumer-grade (66.7%)

55,693 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 55,647
placeholder amount (≤ $0.02) — excluded from medians 26
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
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://d3crna64wemw02.cloudfront.net/asset/339713052848/document_fv9fh00c5560t34q025oqlfu3a/571098556_MUSC-Health-Chester-Medical-Center_standardcharges.csv
Found on page https://muschealth.org/patients-visitors/billing/costs-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-02
Content fingerprint 4bb10ed5724ac8c4… · 34,656,799 bytes · first seen 2026-07-16

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 9 $310,983.20 $749,905.04 $317,202.86 nat. median
$168,055
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $111,000.00 $560,117.03 $207,533.85 nat. median
$186,516
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $156,131.64 $471,751.60 $159,254.27 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $8,009.72 $426,160.96 $158,347.78 nat. median
$145,435
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $6,344.39 $280,971.28 $103,971.64 nat. median
$97,418
1.1× median
7
MS_DRG 		Lung Transplant 9 $96,550.22 $259,868.26 $98,481.22 nat. median
$70,649
1.4× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $92,817.45 $92,817.45 $92,817.45 nat. median
$92,809
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $89,937.62 $260,524.50 $91,736.37 nat. median
$72,715
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $81,824.91 $372,830.72 $87,961.78 nat. median
$74,509
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $85,071.27 $219,137.75 $86,772.70 nat. median
$65,418
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $84,979.07 $93,476.98 $86,678.65 nat. median
$2,110
outlier · 41.1×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $74,075.74 $208,437.10 $84,525.63 nat. median
$2,736
outlier · 30.9×
215
MS_DRG 		Other Heart Assist System Implant 9 $75,320.13 $277,448.61 $80,969.14 nat. median
$73,023
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $77,827.42 $211,758.06 $79,383.97 nat. median
$69,922
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $74,084.56 $191,907.85 $75,566.25 nat. median
$69,822
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $68,600.43 $201,474.40 $73,745.46 nat. median
$2,596
outlier · 28.4×
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$43,548
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $64,488.75 $273,278.45 $69,325.41 nat. median
$60,505
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $64,300.79 $229,676.03 $69,123.35 nat. median
$59,651
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $37,968.00 $183,175.91 $67,439.60 nat. median
$2,633
outlier · 25.6×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $60,834.38 $90,000.00 $66,351.04 nat. median
$66,211
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $60,509.00 $222,977.42 $65,047.18 nat. median
$56,428
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $59,157.82 $206,379.42 $63,594.66 nat. median
$55,923
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $58,923.05 $197,067.47 $63,342.28 nat. median
$55,935
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $58,743.61 $207,947.42 $63,149.38 nat. median
$52,327
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 6 $56,824.55 $176,402.04 $62,507.00 nat. median
$65,477
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 6 $40,056.93 $121,186.12 $59,417.75 nat. median
$63,499
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $55,271.69 $205,740.60 $59,417.07 nat. median
$51,518
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $53,721.21 $183,308.40 $57,750.30 nat. median
$48,611
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $53,480.77 $257,037.83 $57,491.83 nat. median
$49,569
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $55,897.28 $153,118.84 $57,015.23 nat. median
$9,905
outlier · 5.8×
10
MS_DRG 		Pancreas Transplant 9 $55,593.00 $158,543.12 $56,704.86 nat. median
$23,080
outlier · 2.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $55,301.48 $157,630.36 $56,407.51 nat. median
$45,605
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $52,439.55 $158,894.98 $56,372.52 nat. median
$47,340
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $3,835.79 $132,808.65 $56,127.44 nat. median
$37,013
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $52,088.46 $178,010.26 $55,995.09 nat. median
$2,958
outlier · 18.9×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $51,334.49 $186,397.49 $55,184.58 nat. median
$47,458
1.2× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $51,334.49 $197,994.42 $55,184.58 nat. median
$45,446
1.2× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $51,164.98 $215,164.23 $55,002.35 nat. median
$43,299
1.3× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $50,337.25 $161,863.45 $54,112.54 nat. median
$47,121
1.1× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 2 $29,829.00 $93,187.84 $53,327.21 nat. median
$44,339
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $39,996.07 $123,014.80 $53,165.67 nat. median
$2,633
outlier · 20.2×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $47,698.03 $180,375.66 $51,275.38 nat. median
$43,803
1.2× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $47,300.83 $167,644.05 $50,848.39 nat. median
$43,533
1.2× median
28
MS_DRG 		Spinal Procedures With Mcc 9 $47,312.89 $137,483.53 $50,548.29 nat. median
$41,895
1.2× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $46,992.30 $182,446.22 $50,516.72 nat. median
$42,674
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $48,164.73 $136,234.94 $50,089.79 nat. median
$44,036
1.1× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $46,322.03 $162,328.04 $49,796.18 nat. median
$43,023
1.2× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 $46,295.08 $205,235.81 $49,767.21 nat. median
$40,726
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $40,079.12 $125,757.08 $49,076.66 nat. median
$41,943
1.2× median

Other procedures at this hospital

Browse this hospital's 12,872 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 14 9 — — $310,983.20 $749,905.04 $317,202.86 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 9 — — $111,000.00 $560,117.03 $207,533.85 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 9 — — $156,131.64 $471,751.60 $159,254.27 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 9 — — $8,009.72 $426,160.96 $158,347.78 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 9 — — $6,344.39 $280,971.28 $103,971.64 2026-04-01
7 MS_DRG Lung Transplant 16 9 — — $96,550.22 $259,868.26 $98,481.22 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $92,817.45 $92,817.45 $92,817.45 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 16 9 — — $89,937.62 $260,524.50 $91,736.37 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 9 — — $81,824.91 $372,830.72 $87,961.78 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 9 — — $85,071.27 $219,137.75 $86,772.70 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 9 — — $84,979.07 $93,476.98 $86,678.65 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $74,075.74 $208,437.10 $84,525.63 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 9 — — $75,320.13 $277,448.61 $80,969.14 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 9 — — $77,827.42 $211,758.06 $79,383.97 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 9 — — $74,084.56 $191,907.85 $75,566.25 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 9 — — $68,600.43 $201,474.40 $73,745.46 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 9 — — $64,488.75 $273,278.45 $69,325.41 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $64,300.79 $229,676.03 $69,123.35 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 9 — — $37,968.00 $183,175.91 $67,439.60 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 6 — — $60,834.38 $90,000.00 $66,351.04 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 9 — — $60,509.00 $222,977.42 $65,047.18 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $59,157.82 $206,379.42 $63,594.66 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 9 — — $58,923.05 $197,067.47 $63,342.28 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 9 — — $58,743.61 $207,947.42 $63,149.38 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 6 — — $56,824.55 $176,402.04 $62,507.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 6 — — $40,056.93 $121,186.12 $59,417.75 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 9 — — $55,271.69 $205,740.60 $59,417.07 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 9 — — $53,721.21 $183,308.40 $57,750.30 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 9 — — $53,480.77 $257,037.83 $57,491.83 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $55,897.28 $153,118.84 $57,015.23 2026-04-01
10 MS_DRG Pancreas Transplant 16 9 — — $55,593.00 $158,543.12 $56,704.86 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 9 — — $55,301.48 $157,630.36 $56,407.51 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 9 — — $52,439.55 $158,894.98 $56,372.52 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 19 9 — — $3,835.79 $132,808.65 $56,127.44 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 9 — — $52,088.46 $178,010.26 $55,995.09 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $51,334.49 $186,397.49 $55,184.58 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $51,334.49 $197,994.42 $55,184.58 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $51,164.98 $215,164.23 $55,002.35 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 9 — — $50,337.25 $161,863.45 $54,112.54 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 6 2 — — $29,829.00 $93,187.84 $53,327.21 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 9 — — $39,996.07 $123,014.80 $53,165.67 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 9 — — $47,698.03 $180,375.66 $51,275.38 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 9 — — $47,300.83 $167,644.05 $50,848.39 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 19 9 — — $47,312.89 $137,483.53 $50,548.29 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $46,992.30 $182,446.22 $50,516.72 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 9 — — $48,164.73 $136,234.94 $50,089.79 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 9 — — $46,322.03 $162,328.04 $49,796.18 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 9 — — $46,295.08 $205,235.81 $49,767.21 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 9 — — $40,079.12 $125,757.08 $49,076.66 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 9 — — $45,602.11 $151,318.55 $49,022.27 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $45,341.10 $154,979.45 $48,741.68 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 9 — — $45,122.64 $145,864.06 $48,506.84 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 6 2 — — $27,915.62 $84,454.60 $48,329.77 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 9 — — $44,177.18 $153,858.17 $48,042.68 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $44,572.95 $135,120.37 $47,915.92 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 9 — — $2,428.09 $118,222.27 $47,790.35 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 16 9 — — $46,755.40 $120,021.95 $47,690.51 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 9 — — $43,870.77 $238,657.40 $47,161.08 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 9 — — $43,636.00 $320,211.19 $46,908.70 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 9 — — $43,498.40 $146,902.69 $46,760.78 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $43,443.07 $155,834.92 $46,701.30 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 9 — — $43,382.08 $170,467.34 $46,635.74 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 9 — — $42,120.98 $134,260.42 $46,212.39 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 9 — — $45,175.13 $49,692.64 $46,078.63 2026-04-01
J9226 HCPCS Supprelin La Implant 11 6 — — $20,169.99 $68,025.33 $45,921.06 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $42,521.72 $171,081.58 $45,710.85 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 9 — — $42,499.03 $165,921.93 $45,686.46 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 9 — — $42,245.10 $174,724.61 $45,413.48 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 9 — — $44,449.54 $134,000.00 $45,338.53 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 9 — — $41,554.27 $142,439.93 $44,670.84 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 16 9 — — $43,227.45 $120,021.95 $44,092.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 9 — — $37,710.08 $114,868.17 $43,698.32 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 6 — — $29,143.44 $88,169.37 $43,658.73 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $40,446.38 $136,853.65 $43,479.86 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 6 6 — — $24,406.00 $47,082.94 $43,444.71 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 6 6 — — $32,540.00 $47,082.94 $43,444.71 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 9 — — $39,788.17 $134,874.67 $42,772.28 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 9 — — $40,919.84 $111,296.62 $42,450.46 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $39,460.48 $196,077.98 $42,420.02 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 9 — — $38,946.26 $126,523.18 $41,867.23 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 9 — — $38,464.66 $130,867.56 $41,349.51 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 10 — — $4,012.12 $119,424.75 $40,873.32 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 11 — — $25,624.92 $111,136.13 $40,786.27 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 9 — — $38,773.19 $110,923.60 $40,783.40 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 9 — — $37,875.96 $151,448.10 $40,716.66 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 9 — — $36,263.68 $100,155.84 $40,398.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 9 — — $37,455.35 $128,819.34 $40,264.50 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 9 — — $37,216.33 $109,998.89 $40,007.55 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 9 — — $37,057.45 $158,108.74 $39,836.76 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 9 — — $33,663.32 $112,482.67 $39,779.07 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 9 — — $36,819.84 $168,506.22 $39,581.33 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 9 — — $38,043.35 $97,000.00 $38,804.22 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 16 9 — — $37,586.57 $170,000.00 $38,338.30 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 9 — — $36,946.09 $133,708.72 $38,284.97 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 9 — — $35,390.65 $143,574.60 $38,044.95 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 9 — — $22,114.41 $89,711.71 $37,699.49 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $34,950.19 $138,082.14 $37,571.45 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 9 — — $34,776.41 $106,907.56 $37,384.64 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 9 — — $34,651.58 $139,969.55 $37,250.45 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 9 — — $36,030.62 $97,997.67 $37,215.49 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 9 — — $26,075.03 $83,328.31 $37,206.08 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 9 — — $34,600.51 $127,765.07 $37,195.55 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 9 — — $34,585.62 $123,862.94 $37,179.54 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 9 — — $36,351.72 $87,349.26 $37,078.75 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 9 — — $34,462.91 $157,729.03 $37,047.63 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 9 — — $34,407.59 $131,774.41 $36,988.16 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $34,292.69 $150,943.30 $36,864.64 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 9 — — $34,153.67 $132,502.57 $36,715.20 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 9 — — $13,384.76 $84,821.74 $36,571.61 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 9 — — $33,958.62 $122,395.46 $36,505.52 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 9 — — $28,453.12 $89,176.78 $35,848.87 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 9 — — $33,213.88 $141,430.33 $35,704.92 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 9 — — $32,955.70 $116,813.65 $35,427.38 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 6 2 — — $20,347.47 $61,558.91 $35,227.40 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 9 — — $25,940.28 $83,322.34 $35,188.35 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 9 — — $2,511.14 $82,936.55 $34,956.84 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $32,443.60 $132,431.09 $34,876.87 2026-04-01
69930 HCPCS Implant Cochlear Device 12 7 — — $24,327.00 $178,385.37 $34,844.64 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 9 — — $32,318.06 $105,656.74 $34,741.91 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 10 — — $31,928.67 $98,017.77 $34,722.43 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 9 — — $32,151.38 $104,466.22 $34,562.73 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 9 — — $32,084.00 $92,563.28 $34,033.06 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 9 — — $1,886.54 $80,739.15 $33,821.82 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 9 — — $31,387.49 $168,481.65 $33,741.55 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 6 — — $30,502.49 $190,184.33 $33,552.74 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 6 — — $30,502.49 $142,314.48 $33,552.74 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 6 — — $30,502.49 $137,501.90 $33,552.74 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 6 — — $30,502.49 $142,314.48 $33,552.74 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 9 — — $31,208.04 $92,447.13 $33,548.64 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 9 — — $31,205.20 $101,529.02 $33,545.59 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 9 — — $30,749.85 $130,849.69 $33,056.09 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 9 — — $30,739.21 $110,246.82 $33,044.65 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 10 — — $412.37 $106,239.71 $32,913.55 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 7 — — $9,204.00 $123,286.88 $32,762.48 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 9 — — $1,877.72 $78,140.05 $32,752.44 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 9 — — $30,433.51 $110,995.08 $32,716.02 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 9 — — $30,413.65 $123,945.59 $32,694.67 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 9 — — $30,378.19 $125,803.95 $32,656.55 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 9 — — $30,024.97 $102,654.76 $32,652.15 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 9 — — $30,360.45 $122,857.81 $32,637.48 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 7 — — $29,123.72 $86,791.28 $32,610.13 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 9 — — $30,315.06 $90,814.36 $32,588.69 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 9 — — $30,276.76 $147,018.84 $32,585.93 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 6 — — $22,804.65 $68,992.01 $32,540.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 6 — — $21,615.45 $142,314.48 $32,540.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 11 6 — — $21,615.45 $142,314.48 $32,540.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 11 6 — — $21,615.45 $142,314.48 $32,540.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 6 — — $21,615.45 $142,314.48 $32,540.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 9 — — $30,109.37 $125,078.03 $32,367.57 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 9 — — $30,050.50 $133,677.45 $32,304.29 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 9 — — $31,130.73 $87,785.58 $32,276.19 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 9 — — $29,987.37 $128,321.24 $32,236.42 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 9 — — $29,966.10 $100,724.91 $32,213.56 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 9 — — $29,941.98 $131,358.96 $32,187.63 2026-04-01
509 MS_DRG Arthroscopy 7 3 — — $16,847.45 $45,822.63 $32,101.15 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 20 9 — — $29,439.10 $92,677.20 $32,015.02 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 9 — — $23,301.17 $65,657.61 $31,896.59 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 6 2 — — $15,899.76 $48,102.44 $31,841.62 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 6 2 — — $15,899.76 $48,102.44 $31,841.62 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 6 6 — — $30,502.49 $33,552.74 $31,826.27 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 6 6 — — $30,502.49 $33,552.74 $31,826.27 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 9 — — $30,981.78 $97,000.00 $31,601.42 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 9 — — $29,319.23 $117,293.88 $31,518.17 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 7 — — $6,492.00 $84,454.60 $31,410.67 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 9 — — $29,014.24 $85,887.00 $31,190.31 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 9 — — $24,087.45 $87,050.72 $31,122.03 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 9 — — $28,863.17 $110,271.39 $31,027.91 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 7 3 — — $19,161.98 $52,116.96 $30,747.73 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 6 — — $20,894.25 $88,169.37 $30,586.05 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 6 6 — — $7,231.00 $32,984.96 $30,436.12 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 6 — — $29,829.00 $32,984.96 $30,436.12 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 6 6 — — $7,231.00 $32,984.96 $30,436.12 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 6 6 — — $7,231.00 $32,984.96 $30,436.12 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 9 — — $28,364.98 $77,149.10 $30,252.88 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 9 — — $28,126.94 $100,700.34 $30,236.46 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 9 — — $28,047.50 $103,255.60 $30,151.06 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 9 — — $28,044.66 $112,998.63 $30,148.01 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 22 10 — — $24,397.83 $69,499.58 $30,142.70 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 8 6 — — $20,517.33 $32,984.96 $30,136.26 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 20 9 — — $21,780.75 $175,098.85 $30,021.37 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 9 — — $27,768.75 $87,385.76 $29,851.41 2026-04-01
33968 HCPCS Hb Remove Iabp Perc 1 1 — — $29,829.00 $29,829.00 $29,829.00 2026-04-01
33967 HCPCS Hb Insert Iabp Perc 1 1 — — $29,829.00 $29,829.00 $29,829.00 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 9 — — $26,054.69 $70,863.70 $29,784.08 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 9 — — $27,609.88 $106,907.56 $29,680.62 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 9 — — $29,086.59 $31,995.25 $29,668.32 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 6 2 — — $7,231.00 $51,628.49 $29,544.51 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 6 2 — — $2,261.00 $51,628.49 $29,544.51 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 6 2 — — $2,261.00 $51,628.49 $29,544.51 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 6 2 — — $2,261.00 $51,628.49 $29,544.51 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 6 2 — — $2,261.00 $51,628.49 $29,544.51 2026-04-01
C7556 HCPCS Bronch Lavage W/ebus 1 1 — — $29,543.00 $29,543.00 $29,543.00 2026-04-01
C9769 HCPCS Cysto W/temp Pros Implant 1 1 — — $29,543.00 $29,543.00 $29,543.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 9 — — $27,468.02 $92,583.38 $29,528.12 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 9 — — $25,858.07 $70,329.87 $29,472.99 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 9 — — $27,343.19 $101,397.23 $29,393.93 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 9 — — $27,301.34 $107,716.13 $29,348.94 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 9 — — $27,233.96 $120,150.67 $29,276.51 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 6 6 — — $27,873.38 $32,540.00 $29,197.37 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 19 9 — — $27,144.59 $109,507.49 $29,180.43 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 9 — — $27,046.71 $121,260.78 $29,075.21 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 9 — — $27,036.07 $97,915.02 $29,063.78 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 9 — — $26,983.58 $93,914.62 $29,007.35 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 9 — — $26,835.34 $106,648.46 $28,847.99 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 6 — — $26,157.38 $82,348.14 $28,773.11 2026-04-01
J9266 HCPCS Pegaspargase Injection 11 6 — — $3,532.01 $40,605.80 $28,708.30 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 9 — — $26,411.91 $102,755.27 $28,392.80 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 9 — — $26,382.83 $98,180.82 $28,361.54 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 20 9 — — $23,429.42 $64,810.46 $28,220.68 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 19 9 — — $24,659.71 $67,071.02 $28,194.63 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 9 — — $26,211.18 $89,418.35 $28,177.02 2026-04-01
652 MS_DRG Kidney Transplant 16 9 — — $27,603.49 $97,000.00 $28,155.56 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 9 — — $25,608.06 $69,648.61 $28,138.20 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 9 — — $26,121.10 $102,118.69 $28,080.18 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 9 — — $26,118.27 $100,950.51 $28,077.14 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 9 — — $26,094.86 $90,964.01 $28,051.97 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 9 — — $26,821.68 $72,952.13 $27,824.94 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 19 9 — — $2,536.57 $63,241.46 $27,817.21 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 9 — — $22,106.19 $61,320.47 $27,652.75 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 9 — — $25,593.40 $79,773.60 $27,512.90 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 9 — — $25,579.21 $81,859.79 $27,497.65 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 9 — — $16,089.46 $84,182.75 $27,325.02 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 9 — — $25,408.28 $96,941.17 $27,313.90 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 9 — — $26,406.41 $71,821.92 $27,285.23 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 9 — — $25,353.66 $92,643.69 $27,255.18 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 9 — — $25,055.06 $97,124.32 $27,247.38 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $5,851.65 $48,569.86 $27,210.75 2025-07-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 9 — — $25,280.61 $77,037.42 $27,176.66 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 9 — — $25,267.84 $83,624.35 $27,162.93 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 11 6 — — $14,720.13 $44,534.76 $27,115.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 11 6 — — $14,720.13 $44,534.76 $27,115.00 2026-04-01
33824 HCPCS Revise Major Vessel 1 1 — — $27,115.00 $27,115.00 $27,115.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 11 6 — — $14,720.13 $44,534.76 $27,115.00 2026-04-01
33820 HCPCS Revise Major Vessel 1 1 — — $27,115.00 $27,115.00 $27,115.00 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 19 9 — — $25,167.12 $78,344.08 $27,054.65 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 9 — — $25,137.33 $92,134.43 $27,022.63 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 6 — — $15,705.45 $47,515.90 $26,895.16 2026-04-01
22558 HCPCS Lumbar Spine Fusion 11 6 — — $15,705.45 $47,515.90 $26,895.16 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 6 — — $12,188.75 $36,875.61 $26,895.16 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 9 — — $24,552.18 $131,323.66 $26,700.50 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 11 6 — — $24,039.36 $72,727.16 $26,651.26 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 6 2 — — $13,560.39 $41,024.98 $26,639.58 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 6 2 — — $13,560.39 $41,024.98 $26,639.58 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 6 2 — — $13,560.39 $41,024.98 $26,639.58 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 6 2 — — $13,560.39 $41,024.98 $26,639.58 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 6 2 — — $13,560.39 $41,024.98 $26,639.58 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 6 — — $12,188.75 $36,875.61 $26,631.48 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 9 — — $24,623.82 $97,562.11 $26,470.61 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 9 — — $25,808.31 $71,982.74 $26,465.73 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 9 — — $24,494.02 $92,395.76 $26,331.07 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 6 2 — — $13,267.40 $40,138.03 $26,327.47 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 20 9 — — $24,188.32 $72,708.67 $26,304.79 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 9 — — $24,357.84 $71,055.79 $26,125.04 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 9 — — $14,798.20 $59,864.81 $26,069.10 2026-04-01
0618T OTHER Insj Iris Prosth Sec Io Lens 1 1 — — $26,067.00 $26,067.00 $26,067.00 2026-04-01
0616T OTHER Insertion Of Iris Prosthesis 1 1 — — $26,067.00 $26,067.00 $26,067.00 2026-04-01
0617T OTHER Insj Iris Prosth W/rmvl&insj 1 1 — — $26,067.00 $26,067.00 $26,067.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 9 — — $24,252.87 $70,814.56 $26,036.05 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 9 — — $24,087.60 $93,353.98 $25,894.17 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 9 — — $23,995.40 $100,374.24 $25,795.06 2026-04-01
849 MS_DRG Radiotherapy 19 9 — — $23,915.25 $93,032.34 $25,708.89 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 9 — — $23,296.08 $63,360.99 $25,680.59 2026-04-01
49622 HCPCS Rpr Parastomal Hrna Ncr/strn 2 2 — — $21,693.00 $29,543.00 $25,618.00 2026-04-01
49618 HCPCS Rpr Aa Hrn Rcr > 10 Ncr/strn 2 2 — — $21,693.00 $29,543.00 $25,618.00 2026-04-01
49616 HCPCS Rpr Aa Hrn Rcr 3-10 Ncr/strn 2 2 — — $21,693.00 $29,543.00 $25,618.00 2026-04-01
49596 HCPCS Rpr Aa Hrn 1st > 10 Ncr/strn 2 2 — — $21,693.00 $29,543.00 $25,618.00 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 9 — — $23,403.86 $82,751.01 $25,451.70 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $25,440.00 $25,440.00 $25,440.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 23 9 — — $17,556.81 $125,119.32 $25,413.64 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 9 — — $23,564.16 $84,602.67 $25,331.47 2026-04-01
37237 HCPCS Open/perq Place Stent Ea Add 6 2 — — $13,560.39 $41,024.98 $25,283.08 2026-04-01
37239 HCPCS Open/perq Place Stent Ea Add 6 2 — — $13,560.39 $41,024.98 $25,283.08 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 9 — — $23,498.19 $96,315.76 $25,260.55 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 20 10 — — $11,231.99 $58,672.63 $24,677.16 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 20 9 — — $22,599.54 $87,568.92 $24,577.00 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 23 9 — — $7,626.83 $121,656.13 $24,515.62 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 7 3 — — $13,766.79 $37,444.34 $24,418.02 2026-04-01
56631 HCPCS Extensive Vulva Surgery 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
33822 HCPCS Revise Major Vessel 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
32650 HCPCS Hb Thoracostomy W/Pleurodesis 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
32652 HCPCS Thoracoscopy Rem Totl Cortex 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
32655 HCPCS Thoracoscopy Resect Bullae 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
56637 HCPCS Extensive Vulva Surgery 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 1 1 — — $24,406.00 $24,406.00 $24,406.00 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 9 — — $13,303.21 $54,314.63 $24,369.68 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 9 — — $20,941.73 $56,957.21 $24,306.02 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 22 9 — — $13,414.04 $78,165.39 $24,204.98 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 6 2 — — $12,546.00 $37,956.25 $24,203.21 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 6 2 — — $12,546.00 $37,956.25 $24,203.21 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 6 2 — — $12,546.00 $37,956.25 $24,203.21 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 6 2 — — $12,546.00 $37,956.25 $24,203.21 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 6 2 — — $12,546.00 $37,956.25 $24,203.21 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 9 — — $21,325.16 $67,609.32 $24,071.77 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 19 9 — — $22,371.86 $70,917.31 $24,049.75 2026-04-01
27445 HCPCS Revision Of Knee Joint 6 2 — — $12,188.75 $36,875.61 $23,822.93 2026-04-01
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