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 LANCASTER MEDICAL CENTER

Lancaster, SC · CCN 420036 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $21,142 across 5 payers · range $12,476-$62,532

Source: https://d3crna64wemw02.cloudfront.net/asset/339713052848/document_ej79pildt52ol8kh9agq2i0b3p/571098556_MUSC-Health-Lancaster-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.

14,054 distinct procedures filed
21 distinct payers
188,415 rate rows
2026-04-01 last MRF observed
Data quality

123,546 of 188,415 rate rows are consumer-grade (65.6%)

64,869 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 64,785
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 51
placeholder amount (≤ $0.02) — excluded from medians 24
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://muschealth.org/-/sm/health/patients-visitors/billing/f/571098556_musc-health-lancaster-medical-center_standardcharges.xlsx
Found on page https://muschealth.org/patients-visitors/billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint b0e0b7ced7f0a4e0… · 12,136,371 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $305,575.82 $1,059,204.10 $311,687.34 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $111,000.00 $791,137.84 $202,970.96 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $152,069.38 $666,326.01 $155,110.77 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $7,548.99 $601,931.46 $152,700.26 nat. median
$199,832
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,502.61 $122,652.87 $116,798.99 nat. median
$111,503
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $5,979.44 $396,858.16 $99,341.99 nat. median
$132,706
0.7× median
7
MS_DRG 		Lung Transplant 10 $93,005.51 $367,051.18 $94,865.62 nat. median
$122,690
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $92,817.45 $92,817.45 $92,817.45 nat. median
$75,807
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $91,681.88 $91,681.88 $91,681.88 nat. median
$57,648
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $86,450.35 $367,978.08 $88,179.36 nat. median
$114,305
0.8× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $87,945.84 $87,945.84 $87,945.84 nat. median
$46,399
1.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $69,814.74 $294,407.18 $85,400.57 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $78,408.11 $305,965.39 $85,268.82 nat. median
$100,978
0.8× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 2 $25,323.00 $121,361.50 $84,135.93 nat. median
$39,896
outlier · 2.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $81,626.27 $309,521.33 $83,258.80 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $81,534.87 $89,688.36 $83,165.57 nat. median
$96,134
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 10 $71,959.83 $297,569.89 $78,256.32 nat. median
$98,002
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $229,734.00 $77,743.38 nat. median
$63,643
1.2× median
0268T
OTHER 		Implt/rpl Crtd Sns Dev Gen 2 $25,323.00 $109,987.92 $76,251.00 nat. median
$28,090
outlier · 2.7×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $74,445.35 $299,097.88 $75,934.26 nat. median
$99,646
0.8× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 5 $29,743.00 $247,683.12 $73,340.29 nat. median
$31,420
outlier · 2.3×
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$52,716
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $70,735.00 $271,060.44 $72,149.70 nat. median
$92,900
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $75,681.88 $72,069.79 nat. median
$70,178
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $40,056.93 $157,824.55 $71,661.21 nat. median
$65,655
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $65,298.51 $234,253.92 $70,005.32 nat. median
$81,124
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $60,834.38 $90,000.00 $68,092.95 nat. median
$69,291
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $61,036.22 $237,866.04 $67,139.84 nat. median
$80,459
0.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $66,802.46 $66,802.46 $66,802.46 nat. median
$83,623
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $61,222.54 $238,000.86 $66,579.51 nat. median
$79,040
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $35,784.00 $258,726.99 $64,093.64 nat. median
$81,364
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $46,742.14 $244,575.78 $63,519.80 nat. median
$65,958
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $57,277.36 $226,403.32 $62,289.13 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $55,937.92 $217,316.86 $60,832.49 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $55,705.19 $219,530.19 $60,579.40 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $55,527.30 $209,640.41 $60,385.94 nat. median
$71,485
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $52,705.70 $199,388.29 $56,658.63 nat. median
$66,640
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $52,085.55 $198,483.85 $56,643.04 nat. median
$68,581
0.8× median
33225
HCPCS 		L Ventric Pacing Lead Add-on 2 $20,347.47 $80,170.13 $55,579.29 nat. median
$8,059
outlier · 6.9×
33230
HCPCS 		Insrt Pulse Gen W/dual Leads 5 $21,615.45 $185,340.69 $54,880.72 nat. median
$22,374
outlier · 2.5×
33264
HCPCS 		Rmvl & Rplcmt Dfb Gen Mlt Ld 5 $29,743.00 $185,340.69 $54,880.72 nat. median
$31,464
1.7× median
33231
HCPCS 		Insrt Pulse Gen W/mult Leads 5 $29,743.00 $185,340.69 $54,880.72 nat. median
$29,955
1.8× median
33262
HCPCS 		Rmvl& Replc Pulse Gen 1 Lead 5 $21,615.45 $185,340.69 $54,880.72 nat. median
$23,104
outlier · 2.4×
33263
HCPCS 		Rmvl & Rplcmt Dfb Gen 2 Lead 5 $21,615.45 $185,340.69 $54,880.72 nat. median
$23,228
outlier · 2.4×
33240
HCPCS 		Insrt Pulse Gen W/singl Lead 5 $21,615.45 $185,340.69 $54,880.72 nat. median
$21,987
outlier · 2.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $50,310.18 $198,663.06 $54,712.32 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $49,278.01 $191,782.06 $53,589.83 nat. median
$64,357
0.8× median
10
MS_DRG 		Pancreas Transplant 10 $52,404.06 $223,934.39 $53,452.14 nat. median
$67,750
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $48,929.96 $188,307.57 $53,211.33 nat. median
$62,262
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $52,115.08 $222,645.15 $53,157.38 nat. median
$69,153
0.8× median

Other procedures at this hospital

Browse this hospital's 14,054 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 13 10 — — $305,575.82 $1,059,204.10 $311,687.34 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $111,000.00 $791,137.84 $202,970.96 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 10 — — $152,069.38 $666,326.01 $155,110.77 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 10 — — $7,548.99 $601,931.46 $152,700.26 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $111,502.61 $122,652.87 $116,798.99 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 11 — — $5,979.44 $396,858.16 $99,341.99 2026-04-01
7 MS_DRG Lung Transplant 15 10 — — $93,005.51 $367,051.18 $94,865.62 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $92,817.45 $92,817.45 $92,817.45 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $91,681.88 $91,681.88 $91,681.88 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $86,450.35 $367,978.08 $88,179.36 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 5 — — $87,945.84 $87,945.84 $87,945.84 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 — — $69,814.74 $294,407.18 $85,400.57 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $78,408.11 $305,965.39 $85,268.82 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 8 2 — — $25,323.00 $121,361.50 $84,135.93 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $81,626.27 $309,521.33 $83,258.80 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $81,534.87 $89,688.36 $83,165.57 2026-04-01
215 MS_DRG Other Heart Assist System Implant 20 10 — — $71,959.83 $297,569.89 $78,256.32 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 5 — — $56,824.55 $229,734.00 $77,743.38 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 8 2 — — $25,323.00 $109,987.92 $76,251.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $74,445.35 $299,097.88 $75,934.26 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 5 — — $29,743.00 $247,683.12 $73,340.29 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 10 — — $70,735.00 $271,060.44 $72,149.70 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $68,801.71 $75,681.88 $72,069.79 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 5 — — $40,056.93 $157,824.55 $71,661.21 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $65,298.51 $234,253.92 $70,005.32 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 5 — — $60,834.38 $90,000.00 $68,092.95 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 11 — — $61,036.22 $237,866.04 $67,139.84 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $66,802.46 $66,802.46 $66,802.46 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $61,222.54 $238,000.86 $66,579.51 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $35,784.00 $258,726.99 $64,093.64 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 11 — — $46,742.14 $244,575.78 $63,519.80 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $57,277.36 $226,403.32 $62,289.13 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $55,937.92 $217,316.86 $60,832.49 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $55,705.19 $219,530.19 $60,579.40 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $55,527.30 $209,640.41 $60,385.94 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 10 — — $52,705.70 $199,388.29 $56,658.63 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 10 — — $52,085.55 $198,483.85 $56,643.04 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 8 2 — — $20,347.47 $80,170.13 $55,579.29 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 5 — — $29,743.00 $185,340.69 $54,880.72 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 5 — — $21,615.45 $185,340.69 $54,880.72 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 5 — — $21,615.45 $185,340.69 $54,880.72 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 5 — — $21,615.45 $185,340.69 $54,880.72 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 5 — — $29,743.00 $185,340.69 $54,880.72 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 5 — — $21,615.45 $185,340.69 $54,880.72 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $50,310.18 $198,663.06 $54,712.32 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $49,278.01 $191,782.06 $53,589.83 2026-04-01
10 MS_DRG Pancreas Transplant 15 10 — — $52,404.06 $223,934.39 $53,452.14 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 10 — — $48,929.96 $188,307.57 $53,211.33 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $52,115.08 $222,645.15 $53,157.38 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 5 — — $29,743.00 $179,073.11 $53,024.32 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 10 — — $3,615.14 $187,585.71 $52,906.80 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 10 — — $48,014.51 $172,960.29 $52,815.96 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $48,182.55 $181,375.45 $52,398.52 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $48,182.55 $167,098.32 $52,398.52 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,605.45 $54,566.00 $51,961.71 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 9 7 — — $19,993.54 $102,691.83 $51,781.04 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 40 12 — — $24,205.06 $140,482.13 $51,059.82 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $37,695.41 $173,752.37 $50,102.13 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $44,577.67 $171,569.93 $48,478.22 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 4 — — $48,386.85 $48,386.85 $48,386.85 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 10 — — $43,878.07 $161,197.03 $48,265.88 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 11 — — $38,399.38 $181,664.76 $48,137.85 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $44,183.93 $173,977.07 $48,050.02 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $45,040.32 $168,258.36 $47,813.43 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $44,195.88 $170,749.76 $47,575.61 2026-04-01
69930 HCPCS Implant Cochlear Device 12 5 — — $29,743.00 $232,316.96 $47,570.71 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 5 — — $29,743.00 $160,560.44 $47,542.58 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $37,773.69 $177,625.70 $47,127.44 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $43,213.63 $165,264.17 $46,994.82 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $43,186.91 $163,525.53 $46,965.76 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 8 2 — — $1,544.00 $67,237.43 $46,613.48 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 8 2 — — $1,544.00 $67,237.43 $46,613.48 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 8 2 — — $1,544.00 $67,237.43 $46,613.48 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 8 2 — — $8,099.00 $67,237.43 $46,613.48 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 8 2 — — $1,544.00 $67,237.43 $46,613.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $42,499.97 $153,644.17 $46,218.72 2026-04-01
J9226 HCPCS Supprelin La Implant 12 5 — — $20,169.99 $68,025.33 $46,143.61 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 5 — — $29,143.44 $114,825.78 $46,012.88 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $42,241.22 $160,233.61 $45,937.32 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 10 — — $41,479.74 $154,630.06 $45,627.71 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $41,087.41 $140,521.46 $44,682.56 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 10 — — $43,643.23 $169,525.12 $44,516.09 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 10 — — $40,414.52 $152,472.90 $44,455.97 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $40,783.66 $184,456.94 $44,352.23 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 7 2 — — $15,899.76 $62,645.35 $44,206.92 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 7 2 — — $15,899.76 $62,645.35 $44,206.92 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $40,550.93 $247,489.39 $44,099.13 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $40,359.68 $149,425.35 $43,891.15 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $40,299.21 $151,551.61 $43,825.39 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 10 — — $1,083.02 $166,983.16 $43,740.26 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 5 — — $22,497.00 $47,082.94 $43,658.73 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 5 5 — — $29,743.00 $47,082.94 $43,658.73 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 10 — — $42,076.69 $46,284.36 $42,918.22 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $39,446.33 $148,762.47 $42,897.88 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 10 — — $39,423.83 $144,644.77 $42,873.42 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 10 — — $33,766.63 $151,694.86 $42,865.15 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $39,172.12 $155,250.80 $42,599.68 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 25 10 — — $19,010.75 $156,568.13 $42,336.01 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $41,357.40 $152,821.19 $42,184.55 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 10 — — $34,611.91 $144,170.09 $42,127.28 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $39,992.59 $43,991.85 $41,892.24 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 10 — — $40,145.93 $169,525.12 $40,948.85 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 11 — — $19,399.03 $142,650.53 $40,667.84 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $37,389.01 $128,988.52 $40,660.55 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 11 — — $26,975.86 $105,161.47 $40,650.64 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 10 — — $38,550.56 $143,088.70 $40,381.71 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $36,736.52 $139,959.70 $39,950.96 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $36,411.68 $151,547.55 $39,597.71 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 20 10 — — $35,901.92 $136,423.42 $39,043.33 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $35,424.51 $132,137.19 $38,524.15 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $35,730.36 $140,631.00 $38,423.79 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $34,840.92 $134,125.82 $37,889.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 12 — — $17,880.64 $128,971.67 $37,696.22 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 6 — — $27,859.00 $102,954.83 $37,667.05 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 10 — — $34,423.97 $130,670.99 $37,436.07 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 11 — — $20,674.45 $141,465.21 $37,286.94 2026-04-01
37239 HCPCS Open/perq Place Stent Ea Add 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37237 HCPCS Open/perq Place Stent Ea Add 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
36908 HCPCS Stent Plmt Ctr Dialysis Seg 8 2 — — $1,544.00 $53,428.14 $37,039.95 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 8 2 — — $13,560.39 $53,428.14 $37,039.95 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 10 — — $34,187.02 $131,429.37 $37,026.06 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 10 — — $34,029.52 $137,252.01 $37,007.10 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 11 — — $32,345.10 $129,401.42 $36,669.68 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $34,970.13 $38,467.14 $36,631.21 2026-04-01
5432 OTHER Level 2 Nerve Procedures 1 1 — — $36,534.20 $36,534.20 $36,534.20 2025-07-01
799 MS_DRG Splenic Procedures With Mcc 21 10 — — $24,905.24 $133,544.40 $36,328.53 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $33,919.14 $125,609.54 $36,272.90 2026-04-01
0235T OTHER Trluml Perip Athrc Visceral 8 2 — — $8,099.00 $52,273.03 $36,239.15 2026-04-01
36909 HCPCS Dialysis Circuit Embolj 8 2 — — $1,544.00 $52,273.03 $36,239.15 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 8 2 — — $13,267.40 $52,273.03 $36,239.15 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 5 — — $25,323.00 $113,031.05 $35,908.29 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 11 — — $30,125.71 $133,538.78 $35,638.15 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $34,554.05 $170,000.00 $35,245.13 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 10 — — $32,377.20 $119,632.41 $35,210.21 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 5 — — $25,323.00 $109,987.92 $35,102.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 11 — — $31,644.55 $116,857.32 $34,809.01 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 12 — — $23,083.94 $126,713.39 $34,611.86 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 10 — — $28,955.38 $114,688.92 $34,548.02 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 10 — — $26,816.43 $125,957.83 $34,544.73 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $31,593.93 $115,256.30 $34,358.40 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $31,579.16 $115,427.64 $34,342.34 2026-04-01
92944 HCPCS Prq Card Revasc Chronic Addl 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
92941 HCPCS Prq Card Revasc Mi 1 Vsl 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
92938 HCPCS Prq Revasc Byp Graft Addl 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
92929 HCPCS Prq Card Stent W/angio Addl 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
92934 HCPCS Prq Card Stent/ath/angio 8 2 — — $12,546.00 $49,431.64 $34,269.33 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $31,457.53 $124,435.46 $34,210.06 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $31,402.68 $115,492.24 $34,150.41 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 21 10 — — $8,733.35 $129,454.78 $34,132.07 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $24,575.14 $117,697.15 $34,122.74 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $31,288.78 $121,275.56 $34,026.55 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 10 — — $33,329.92 $123,376.54 $33,996.52 2026-04-01
27445 HCPCS Revision Of Knee Joint 7 2 — — $12,188.75 $48,024.28 $33,889.28 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $31,150.97 $114,236.70 $33,876.68 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $24,039.36 $94,714.91 $33,868.33 2026-04-01
22870 HCPCS Insj Stablj Dev Without Dcmprn 8 2 — — $1,544.00 $48,692.31 $33,756.76 2026-04-01
22868 HCPCS Insj Stablj Dev W/dcmprn 8 2 — — $1,544.00 $48,692.31 $33,756.76 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $30,957.61 $109,824.08 $33,666.40 2026-04-01
22515 HCPCS Perq Vertebral Augmentation 8 2 — — $1,544.00 $48,456.99 $33,593.65 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 11 — — $26,696.62 $119,806.56 $33,493.78 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $30,486.87 $118,784.15 $33,457.75 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 10 — — $30,219.34 $117,680.53 $32,863.53 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 5 — — $22,804.65 $89,850.49 $32,790.18 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 10 — — $418.40 $117,688.72 $32,597.52 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $29,963.40 $100,684.24 $32,585.20 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 5 — — $20,894.25 $114,825.78 $32,235.30 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $29,455.75 $106,773.72 $32,033.13 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $29,331.30 $121,528.35 $31,897.79 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 12 5 — — $17,514.89 $107,684.07 $31,885.45 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 12 5 — — $17,514.89 $107,684.07 $31,885.45 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 10 — — $11,074.50 $111,888.55 $31,839.82 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $29,166.07 $109,220.19 $31,718.10 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 10 — — $29,099.27 $105,942.32 $31,645.46 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $29,986.33 $32,984.96 $31,410.67 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,719.96 $32,691.96 $31,131.66 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 5 — — $29,743.00 $33,552.74 $31,112.54 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 5 — — $29,743.00 $33,552.74 $31,112.54 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,579.67 $32,537.64 $30,984.71 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $29,510.19 $32,461.21 $30,911.92 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 5 — — $8,099.00 $32,984.96 $30,586.05 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 5 — — $8,099.00 $32,984.96 $30,586.05 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 5 — — $25,323.00 $32,984.96 $30,586.05 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 5 — — $8,099.00 $32,984.96 $30,586.05 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 21 11 — — $27,776.71 $108,444.96 $30,554.38 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 11 — — $957.90 $114,040.09 $30,490.04 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 10 — — $24,513.48 $110,843.67 $30,419.60 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 10 — — $27,766.17 $99,740.49 $30,195.71 2026-04-01
332 MS_DRG Rectal Resection With Mcc 21 11 — — $27,408.28 $100,475.51 $30,149.11 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 5 — — $20,517.33 $32,984.96 $29,986.33 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $27,463.12 $89,145.69 $29,866.14 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 10 — — $27,443.43 $98,878.19 $29,844.73 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 11 — — $27,083.44 $110,590.88 $29,791.78 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $27,390.70 $100,187.09 $29,787.39 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 24 11 — — $23,568.64 $101,788.10 $29,763.94 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 9 3 — — $10,076.23 $43,429.67 $29,759.56 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 10 — — $24,837.27 $130,218.51 $29,758.23 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 11 5 — — $21,615.45 $89,850.49 $29,743.00 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 11 5 — — $21,615.45 $89,850.49 $29,743.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 5 5 — — $27,873.38 $30,660.72 $29,743.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 5 — — $26,157.38 $107,244.61 $29,743.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 10 — — $27,345.70 $100,689.86 $29,738.45 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 10 — — $1,530.51 $110,368.99 $29,707.80 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $27,307.73 $113,630.02 $29,697.15 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 10 — — $27,141.80 $111,809.90 $29,516.71 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $26,999.77 $98,409.12 $29,362.25 2026-04-01
509 MS_DRG Arthroscopy 8 2 — — $15,878.35 $49,336.57 $29,095.02 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $21,960.83 $92,738.15 $29,070.24 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 10 — — $24,370.42 $99,178.75 $29,047.42 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 12 — — $24,830.99 $108,166.89 $28,795.54 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 10 — — $19,419.72 $96,347.46 $28,794.12 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 10 — — $12,584.32 $100,661.77 $28,792.67 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 10 — — $110.00 $96,198.59 $28,752.65 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 10 — — $26,696.02 $102,476.26 $28,698.22 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 20 10 — — $26,358.53 $97,316.49 $28,664.90 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 10 — — $28,006.63 $97,527.15 $28,566.76 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 5 — — $3,532.01 $40,605.80 $28,394.83 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 5 — — $15,705.45 $61,881.48 $28,345.39 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 5 — — $12,188.75 $48,024.28 $28,345.39 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 5 — — $12,188.75 $48,024.28 $28,345.39 2026-04-01
22558 HCPCS Lumbar Spine Fusion 11 5 — — $15,705.45 $61,881.48 $28,345.39 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 24 10 — — $23,969.45 $96,746.31 $28,235.86 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $25,906.42 $99,128.17 $28,173.23 2026-04-01
44206 HCPCS Lap Part Colectomy W/stoma 8 2 — — $8,099.00 $40,496.95 $28,075.20 2026-04-01
44208 HCPCS L Colectomy/coloproctostomy 8 2 — — $8,099.00 $40,496.95 $28,075.20 2026-04-01
44207 HCPCS L Colectomy/coloproctostomy 8 2 — — $8,099.00 $40,496.95 $28,075.20 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 29 12 — — $15,446.71 $81,370.94 $27,643.14 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 5 — — $14,720.13 $57,999.03 $27,622.25 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 5 — — $14,720.13 $57,999.03 $27,622.25 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 5 — — $14,720.13 $57,999.03 $27,622.25 2026-04-01
J7311 HCPCS Fluocinolone Acetonide Implt 12 5 — — $340.31 $92,912.91 $27,512.21 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 20 10 — — $24,555.97 $96,589.01 $27,486.82 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $25,176.59 $77,830.72 $27,379.54 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 10 — — $20,527.88 $108,557.31 $27,364.17 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 20 10 — — $25,097.84 $93,271.82 $27,293.90 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 10 — — $25,095.03 $87,657.03 $27,290.85 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 20 10 — — $24,370.66 $94,277.37 $27,170.11 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 10 — — $24,664.02 $86,673.95 $27,130.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 20 10 — — $24,821.51 $95,690.20 $26,993.39 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 12 5 — — $17,813.98 $88,979.08 $26,962.21 2026-04-01
93580 HCPCS Transcath Closure Of Asd 12 5 — — $17,813.98 $88,979.08 $26,962.21 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 12 5 — — $20,140.85 $88,578.74 $26,894.38 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 20 10 — — $24,523.39 $80,387.86 $26,669.18 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 10 — — $26,127.90 $28,740.69 $26,650.46 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 10 — — $7,402.76 $98,392.26 $26,577.31 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 10 — — $23,241.23 $89,583.87 $26,547.83 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 20 10 — — $24,399.64 $95,274.50 $26,534.60 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 5 — — $18,852.29 $109,987.92 $26,452.60 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $24,291.36 $99,161.88 $26,416.85 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 11 — — $21,674.11 $88,996.83 $26,320.51 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 38 12 — — $15,450.87 $66,391.61 $26,295.08 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 10 — — $24,105.74 $93,721.76 $26,214.99 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $24,095.20 $87,244.14 $26,203.53 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 20 10 — — $24,043.16 $78,798.08 $26,146.94 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 29 11 — — $10,058.63 $98,164.75 $26,024.35 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 12 5 — — $10,156.85 $83,396.85 $26,017.69 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 12 5 — — $10,156.85 $83,396.85 $26,017.69 2026-04-01
652 MS_DRG Kidney Transplant 26 11 — — $11,640.38 $97,000.00 $25,828.93 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 10 — — $24,135.03 $90,544.48 $25,811.25 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 28 12 — — $20,856.48 $83,870.77 $25,807.32 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 10 — — $21,801.93 $91,502.28 $25,720.22 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 11 — — $16,812.25 $82,820.28 $25,639.30 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 10 — — $23,447.63 $75,883.40 $25,499.29 2026-04-01
33224 HCPCS Insert Pacing Lead & Connect 12 5 — — $10,156.85 $80,170.13 $25,471.48 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $25,440.00 $25,440.00 $25,440.00 2026-04-01
33967 HCPCS Hb Insert Iabp Perc 1 1 — — $25,323.00 $25,323.00 $25,323.00 2026-04-01
33968 HCPCS Hb Remove Iabp Perc 1 1 — — $25,323.00 $25,323.00 $25,323.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 12 — — $15,045.57 $75,391.00 $25,256.67 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $23,811.84 $85,904.34 $25,242.59 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 20 10 — — $23,188.18 $80,275.50 $25,217.15 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 22 11 — — $8,965.25 $91,541.60 $25,215.39 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 20 10 — — $23,162.16 $70,913.77 $25,188.85 2026-04-01
665 MS_DRG Prostatectomy With Mcc 22 10 — — $22,199.82 $96,437.34 $25,031.28 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 10 — — $22,131.33 $91,805.63 $25,023.28 2026-04-01
63655 HCPCS Implant Neuroelectrodes 12 5 — — $18,852.29 $78,617.40 $24,926.72 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 10 — — $20,193.31 $80,525.49 $24,924.26 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 10 — — $19,744.44 $86,853.71 $24,845.32 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 10 — — $2,390.66 $89,325.46 $24,842.49 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 10 — — $22,878.10 $86,185.22 $24,768.67 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 10 — — $22,481.54 $81,907.42 $24,729.69 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 11 — — $21,386.62 $82,606.81 $24,670.14 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 10 — — $20,834.60 $86,612.16 $24,652.40 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 10 — — $22,650.99 $74,256.25 $24,632.95 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 10 — — $12,405.38 $87,617.71 $24,591.58 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 12 — — $22,354.98 $82,376.49 $24,590.48 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 11 — — $19,014.37 $81,865.28 $24,344.53 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 4 — — $23,212.40 $25,533.64 $24,314.99 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 10 — — $22,342.33 $78,876.72 $24,297.28 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 10 — — $22,212.95 $74,427.58 $24,156.58 2026-04-01
19297 HCPCS Place Breast Cath For Rad 8 2 — — $8,836.52 $34,817.24 $24,137.65 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 11 5 — — $3,159.80 $71,262.71 $24,115.86 2026-04-01
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