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 MARION MEDICAL CENTER

Mullins, SC · CCN 420055 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $18,499 across 4 payers · range $11,941-$34,976

Source: https://d3crna64wemw02.cloudfront.net/asset/339713052848/document_e9ctaisg4d385fuissfen5p835/571098556_MUSC-Health-Marion-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.

10,997 distinct procedures filed
20 distinct payers
165,607 rate rows
2026-04-01 last MRF observed
Data quality

107,704 of 165,607 rate rows are consumer-grade (65.0%)

57,903 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 57,861
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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://muschealth.org/-/sm/health/patients-visitors/billing/f/571098556_musc-health-marion-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 6ede314db4d97ef3… · 10,491,999 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 9 $297,599.51 $327,359.46 $303,551.50 nat. median
$370,165
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $111,000.00 $213,311.59 $197,798.02 nat. median
$261,939
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $7,619.87 $162,161.63 $150,368.05 nat. median
$199,832
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $90,753.65 $163,104.32 $149,759.41 nat. median
$205,166
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $6,035.59 $106,684.90 $96,986.27 nat. median
$132,706
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $92,817.45 $92,817.45 $92,817.45 nat. median
$75,807
1.2× median
7
MS_DRG 		Lung Transplant 9 $90,822.48 $155,000.00 $92,638.93 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $84,445.98 $147,000.00 $86,134.90 nat. median
$114,305
0.8× median
33249
HCPCS 		Insj/rplcmt Defib W/lead(s) 4 $29,194.09 $138,537.15 $83,817.48 nat. median
$31,420
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $79,753.37 $148,000.00 $81,348.44 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $79,664.46 $87,630.91 $81,257.75 nat. median
$96,134
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $43,418.99 $173,874.80 $78,155.37 nat. median
$100,978
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $128,497.63 $77,743.38 nat. median
$63,643
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $40,704.64 $93,960.38 $77,629.01 nat. median
$96,835
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $72,768.15 $170,000.00 $74,223.51 nat. median
$99,646
0.7× median
90288
HCPCS 		Botulism Ig IV 1 $73,057.50 $73,057.50 $73,057.50 nat. median
$52,716
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 9 $46,181.37 $129,392.38 $71,757.38 nat. median
$98,002
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $53,205.88 $120,072.13 $70,542.11 nat. median
$92,900
0.8× 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
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $40,704.64 $93,960.38 $65,148.01 nat. median
$81,124
0.8× median
33264
HCPCS 		Rmvl & Rplcmt Dfb Gen Mlt Ld 4 $29,194.09 $103,667.02 $62,720.82 nat. median
$31,464
2.0× median
33231
HCPCS 		Insrt Pulse Gen W/mult Leads 4 $29,194.09 $103,667.02 $62,720.82 nat. median
$29,955
outlier · 2.1×
33240
HCPCS 		Insrt Pulse Gen W/singl Lead 4 $20,688.26 $103,667.02 $62,720.82 nat. median
$21,987
outlier · 2.9×
33230
HCPCS 		Insrt Pulse Gen W/dual Leads 4 $20,688.26 $103,667.02 $62,720.82 nat. median
$22,374
outlier · 2.8×
33263
HCPCS 		Rmvl & Rplcmt Dfb Gen 2 Lead 4 $20,688.26 $103,667.02 $62,720.82 nat. median
$23,228
outlier · 2.7×
33262
HCPCS 		Rmvl& Replc Pulse Gen 1 Lead 4 $20,688.26 $103,667.02 $62,720.82 nat. median
$23,104
outlier · 2.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $20,863.83 $67,623.68 $61,476.07 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $33,896.53 $127,446.63 $61,103.82 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $46,402.33 $107,113.00 $60,918.96 nat. median
$80,459
0.8× median
33270
HCPCS 		Ins/rep Subq Defibrillator 4 $29,194.09 $100,161.36 $60,599.22 nat. median
$31,963
1.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 5 $40,056.93 $88,276.35 $60,108.65 nat. median
$65,655
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $44,533.01 $103,989.05 $57,189.41 nat. median
$77,385
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $38,297.99 $96,247.98 $55,860.42 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $35,874.35 $91,904.98 $55,629.50 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $39,842.54 $96,980.05 $55,453.00 nat. median
$71,485
0.8× median
69930
HCPCS 		Implant Cochlear Device 4 $30,666.64 $129,942.36 $54,366.52 nat. median
$29,361
1.9× median
61886
HCPCS 		Implant Neurostim Arrays 4 $28,700.06 $89,806.63 $54,334.38 nat. median
$27,176
2.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $30,935.19 $71,409.03 $52,653.40 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $51,327.57 $89,000.00 $52,354.12 nat. median
$67,750
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $51,046.46 $134,000.00 $52,067.39 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $41,566.56 $95,950.20 $52,038.08 nat. median
$68,581
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 9 $3,649.09 $56,437.76 $51,307.05 nat. median
$62,911
0.8× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 1 $30,801.96 $67,881.40 $50,535.18 nat. median
$39,896
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $33,783.99 $85,488.30 $50,513.06 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $38,034.10 $119,873.25 $50,276.56 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $32,102.16 $74,102.98 $49,252.44 nat. median
$64,357
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $30,919.98 $83,017.95 $48,907.11 nat. median
$62,262
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $35,729.02 $92,337.13 $48,165.53 nat. median
$60,895
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $37,658.60 $86,928.80 $48,165.53 nat. median
$63,840
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $23,243.12 $100,344.80 $47,998.79 nat. median
$59,159
0.8× median

Other procedures at this hospital

Browse this hospital's 10,997 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 12 9 — — $297,599.51 $327,359.46 $303,551.50 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 9 — — $111,000.00 $213,311.59 $197,798.02 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 9 — — $7,619.87 $162,161.63 $150,368.05 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 9 — — $90,753.65 $163,104.32 $149,759.41 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 9 — — $6,035.59 $106,684.90 $96,986.27 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $92,817.45 $92,817.45 $92,817.45 2026-04-01
7 MS_DRG Lung Transplant 14 9 — — $90,822.48 $155,000.00 $92,638.93 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 14 9 — — $84,445.98 $147,000.00 $86,134.90 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 4 — — $29,194.09 $138,537.15 $83,817.48 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 9 — — $79,753.37 $148,000.00 $81,348.44 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 9 — — $79,664.46 $87,630.91 $81,257.75 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 9 — — $43,418.99 $173,874.80 $78,155.37 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 11 5 — — $56,824.55 $128,497.63 $77,743.38 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $40,704.64 $93,960.38 $77,629.01 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 9 — — $72,768.15 $170,000.00 $74,223.51 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $73,057.50 $73,057.50 $73,057.50 2026-04-01
215 MS_DRG Other Heart Assist System Implant 19 9 — — $46,181.37 $129,392.38 $71,757.38 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 9 — — $53,205.88 $120,072.13 $70,542.11 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 5 — — $60,834.38 $90,000.00 $68,092.95 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 9 — — $40,704.64 $93,960.38 $65,148.01 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 11 4 — — $20,688.26 $103,667.02 $62,720.82 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 4 — — $20,688.26 $103,667.02 $62,720.82 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 4 — — $20,688.26 $103,667.02 $62,720.82 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 4 — — $29,194.09 $103,667.02 $62,720.82 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 11 4 — — $20,688.26 $103,667.02 $62,720.82 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 4 — — $29,194.09 $103,667.02 $62,720.82 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 19 9 — — $20,863.83 $67,623.68 $61,476.07 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 9 — — $33,896.53 $127,446.63 $61,103.82 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $46,402.33 $107,113.00 $60,918.96 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 4 — — $29,194.09 $100,161.36 $60,599.22 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 5 — — $40,056.93 $88,276.35 $60,108.65 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 9 — — $44,533.01 $103,989.05 $57,189.41 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $38,297.99 $96,247.98 $55,860.42 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 9 — — $35,874.35 $91,904.98 $55,629.50 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 9 — — $39,842.54 $96,980.05 $55,453.00 2026-04-01
69930 HCPCS Implant Cochlear Device 11 4 — — $30,666.64 $129,942.36 $54,366.52 2026-04-01
61886 HCPCS Implant Neurostim Arrays 11 4 — — $28,700.06 $89,806.63 $54,334.38 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $30,935.19 $71,409.03 $52,653.40 2026-04-01
10 MS_DRG Pancreas Transplant 14 9 — — $51,327.57 $89,000.00 $52,354.12 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 9 — — $51,046.46 $134,000.00 $52,067.39 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 9 — — $41,566.56 $95,950.20 $52,038.08 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 9 — — $3,649.09 $56,437.76 $51,307.05 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 7 1 — — $30,801.96 $67,881.40 $50,535.18 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 19 9 — — $33,783.99 $85,488.30 $50,513.06 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 9 — — $38,034.10 $119,873.25 $50,276.56 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 9 — — $32,102.16 $74,102.98 $49,252.44 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 9 — — $30,919.98 $83,017.95 $48,907.11 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $37,658.60 $86,928.80 $48,165.53 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 9 — — $35,729.02 $92,337.13 $48,165.53 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $23,243.12 $100,344.80 $47,998.79 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 9 — — $21,978.01 $52,779.83 $47,981.66 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 9 — — $32,701.89 $75,487.58 $47,184.66 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 7 1 — — $27,915.62 $61,519.79 $45,799.20 2026-04-01
J9226 HCPCS Supprelin La Implant 12 5 — — $20,169.99 $68,025.33 $45,702.10 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 9 — — $27,447.88 $63,535.73 $45,047.81 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 9 — — $36,441.99 $84,120.90 $44,588.77 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 9 — — $22,023.59 $50,837.83 $44,557.12 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 4 — — $29,143.44 $64,225.76 $44,551.24 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $44,419.58 $44,419.58 $44,419.58 2025-07-01
28 MS_DRG Spinal Procedures With Mcc 19 9 — — $18,545.54 $64,117.30 $44,209.95 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 9 — — $33,869.77 $78,183.68 $44,198.09 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $31,911.62 $85,086.25 $43,894.62 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 9 — — $2,309.91 $47,189.88 $43,757.89 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 14 9 — — $42,805.50 $91,900.00 $43,661.61 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 9 — — $26,497.22 $75,703.65 $43,235.36 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 9 — — $37,281.76 $95,714.78 $43,208.84 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 9 — — $30,571.47 $70,569.45 $42,527.26 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $29,491.26 $72,277.63 $42,270.53 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 9 — — $41,281.65 $45,409.82 $42,107.28 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 9 — — $22,889.08 $68,026.00 $42,055.66 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 9 — — $27,298.89 $63,015.43 $41,514.99 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 9 — — $40,581.97 $134,000.00 $41,393.61 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 19 9 — — $39,797.47 $88,389.75 $41,260.33 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 9 — — $19,804.35 $71,754.10 $41,125.72 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 9 — — $32,363.46 $111,301.20 $40,824.34 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 9 — — $20,627.71 $68,509.75 $40,458.08 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 9 — — $30,268.18 $72,676.45 $40,403.67 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 9 — — $29,091.32 $79,500.55 $40,343.67 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 14 9 — — $39,403.51 $91,900.00 $40,191.58 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $28,649.87 $79,786.50 $39,497.44 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 9 — — $29,352.48 $77,381.73 $39,475.11 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 9 — — $35,300.28 $81,485.00 $39,225.36 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 9 — — $27,125.15 $62,614.45 $39,103.28 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 9 — — $22,485.68 $51,904.23 $38,608.65 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 19 9 — — $28,777.68 $66,428.55 $38,545.87 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 9 — — $20,520.62 $63,823.83 $37,456.16 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 11 4 — — $27,915.62 $61,519.79 $37,220.82 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 9 — — $20,236.52 $55,694.68 $37,087.81 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 9 — — $27,249.25 $62,900.40 $36,808.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 11 — — $23,207.26 $53,570.48 $36,747.37 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 9 — — $19,926.55 $45,998.18 $36,629.48 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 9 — — $27,230.43 $91,443.80 $36,486.46 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 11 4 — — $16,763.59 $60,231.17 $36,440.52 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 11 4 — — $16,763.59 $60,231.17 $36,440.52 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 19 9 — — $23,255.14 $59,005.68 $35,980.67 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 9 — — $20,773.59 $51,731.15 $35,810.45 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 9 — — $23,031.13 $55,537.73 $35,506.98 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 9 — — $34,404.50 $97,000.00 $35,092.59 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 9 — — $30,597.64 $70,629.65 $34,927.94 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 14 9 — — $33,964.03 $170,000.00 $34,643.31 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 9 — — $26,025.86 $60,077.45 $34,514.25 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 9 — — $19,889.55 $45,912.18 $34,360.77 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 9 — — $14,248.63 $52,457.85 $34,338.84 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 9 — — $22,223.50 $51,300.08 $34,279.15 2026-04-01
245 MS_DRG Aicd Generator Procedures 19 9 — — $28,886.44 $73,736.40 $34,122.88 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 9 — — $20,040.92 $48,562.05 $34,013.35 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 19 9 — — $32,140.54 $78,585.73 $33,889.17 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 5 — — $24,039.36 $52,977.10 $33,713.07 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 9 — — $18,559.20 $45,702.55 $33,560.58 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 9 — — $27,447.88 $70,228.68 $33,428.74 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 7 1 — — $20,347.47 $44,841.74 $33,383.01 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 9 — — $17,420.67 $40,212.53 $33,360.10 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 9 — — $11,879.99 $36,183.00 $32,893.64 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 9 — — $19,305.52 $66,957.45 $32,483.44 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 9 — — $14,942.86 $35,929.73 $32,293.81 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 19 9 — — $10,211.96 $64,396.80 $32,050.21 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 10 4 — — $25,035.36 $59,985.37 $31,915.76 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 9 — — $21,598.94 $49,857.43 $31,879.28 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 9 — — $20,721.14 $65,276.15 $31,756.51 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 10 4 — — $22,804.65 $50,256.27 $31,748.58 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 9 — — $21,458.17 $59,585.10 $31,706.27 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 9 — — $19,875.92 $57,766.20 $31,691.62 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 9 — — $12,600.09 $36,090.98 $31,610.54 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 19 9 — — $30,220.64 $73,559.03 $31,570.94 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 11 4 — — $26,144.26 $63,221.91 $31,570.07 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 9 — — $23,034.41 $61,455.60 $31,516.52 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 9 — — $30,495.65 $70,395.30 $31,403.50 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 15 9 — — $2,388.92 $33,843.95 $31,382.57 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 9 — — $15,979.30 $61,794.23 $31,266.76 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 4 — — $20,894.25 $64,225.76 $31,211.32 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $24,728.02 $57,081.43 $31,074.92 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 9 — — $12,148.79 $34,084.70 $30,986.09 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 9 — — $28,573.71 $65,958.78 $30,342.40 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 11 4 — — $17,049.85 $49,768.86 $30,111.42 2026-04-01
93580 HCPCS Transcath Closure Of Asd 11 4 — — $17,049.85 $49,768.86 $30,111.42 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 9 — — $19,938.21 $54,477.78 $30,088.46 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 9 — — $27,986.27 $78,573.90 $30,085.24 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 9 — — $1,794.71 $33,011.86 $30,010.78 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 11 4 — — $19,276.91 $49,544.94 $29,975.76 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 11 4 — — $19,276.91 $49,544.94 $29,975.76 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 11 4 — — $19,276.91 $49,544.94 $29,975.76 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 11 4 — — $19,276.91 $49,544.94 $29,975.76 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 11 4 — — $19,276.91 $49,544.94 $29,975.76 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 11 4 — — $19,276.91 $49,544.94 $29,975.76 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 9 — — $18,920.34 $61,760.90 $29,584.77 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 19 9 — — $19,700.54 $49,274.78 $29,461.29 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 9 — — $21,105.71 $48,719.00 $29,297.35 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 9 — — $18,570.13 $43,168.78 $29,231.08 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 9 — — $19,802.91 $45,711.15 $29,078.29 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 6 4 — — $20,517.33 $31,570.07 $28,987.07 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 9 — — $541.52 $31,551.54 $28,970.05 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 5 — — $3,532.01 $40,605.80 $28,394.81 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 19 9 — — $16,126.27 $43,115.03 $28,369.49 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 9 — — $11,408.48 $47,349.45 $28,366.71 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 9 — — $17,735.66 $40,940.30 $28,293.45 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 11 4 — — $9,721.17 $46,646.54 $28,222.38 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 11 4 — — $9,721.17 $46,646.54 $28,222.38 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 9 — — $27,595.05 $97,000.00 $28,146.95 2026-04-01
C9608 HCPCS Perc D-e Cor Revasc Chro Add 7 1 — — $17,064.86 $37,608.06 $27,997.81 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 7 1 — — $17,064.86 $37,608.06 $27,997.81 2026-04-01
C9603 HCPCS Perc D-e Cor Stent Ather Br 7 1 — — $17,064.86 $37,608.06 $27,997.81 2026-04-01
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 7 1 — — $17,064.86 $37,608.06 $27,997.81 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 7 1 — — $17,064.86 $37,608.06 $27,997.81 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 19 9 — — $20,565.97 $61,023.45 $27,918.83 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 9 — — $22,273.59 $51,415.10 $27,908.36 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 9 — — $10,593.32 $30,661.51 $27,874.10 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 9 — — $10,149.67 $51,764.48 $27,607.69 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 9 — — $19,422.99 $57,803.83 $27,588.14 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 11 4 — — $18,043.62 $61,519.79 $27,582.20 2026-04-01
332 MS_DRG Rectal Resection With Mcc 19 9 — — $25,416.65 $58,670.28 $27,553.27 2026-04-01
265 MS_DRG Aicd Lead Procedures 19 9 — — $20,241.98 $57,296.43 $27,535.83 2026-04-01
J7311 HCPCS Fluocinolone Acetonide Implt 12 5 — — $340.31 $51,969.18 $27,512.21 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 9 — — $11,652.16 $42,352.85 $27,491.17 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 9 — — $12,998.38 $68,564.58 $27,453.50 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 9 — — $22,058.07 $58,331.65 $27,288.87 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 9 — — $26,310.91 $62,342.48 $27,230.96 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 19 9 — — $17,675.20 $47,875.13 $27,205.85 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 9 — — $12,625.22 $59,844.18 $27,168.87 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 9 — — $15,625.81 $46,974.28 $27,147.94 2026-04-01
33224 HCPCS Insert Pacing Lead & Connect 11 4 — — $9,721.17 $44,841.74 $27,129.96 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 10 — — $4,015.15 $61,261.03 $27,124.23 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 9 — — $17,891.55 $42,734.48 $27,103.99 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 19 9 — — $17,587.19 $40,597.38 $26,896.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 9 — — $9,385.46 $35,979.18 $26,846.56 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 19 9 — — $18,723.93 $43,221.45 $26,629.60 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 10 4 — — $20,688.26 $50,256.27 $26,605.43 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 10 4 — — $20,688.26 $50,256.27 $26,605.43 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 9 — — $18,009.02 $54,702.45 $26,511.70 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 9 — — $25,767.53 $28,344.28 $26,282.88 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 9 — — $13,431.09 $40,055.58 $26,211.72 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 10 — — $2,986.99 $28,711.43 $26,101.30 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 6 1 — — $15,899.76 $35,039.56 $26,085.65 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 6 1 — — $15,899.76 $35,039.56 $26,085.65 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 9 — — $12,093.61 $51,425.85 $26,063.12 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 9 — — $14,316.87 $33,048.73 $25,876.96 2026-04-01
22630 HCPCS Lumbar Spine Fusion 10 4 — — $15,705.45 $34,612.30 $25,767.58 2026-04-01
22558 HCPCS Lumbar Spine Fusion 10 4 — — $15,705.45 $34,612.30 $25,767.58 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 19 9 — — $14,209.01 $32,799.33 $25,582.86 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $25,440.00 $25,440.00 $25,440.00 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 19 9 — — $20,344.88 $46,963.53 $25,338.98 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 19 9 — — $12,301.77 $48,154.63 $25,260.84 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 19 9 — — $21,631.91 $52,698.65 $25,258.06 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 20 10 — — $13,406.66 $30,947.10 $25,224.71 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 9 — — $17,654.88 $40,753.25 $24,986.67 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 10 4 — — $12,188.75 $27,760.43 $24,844.84 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 10 4 — — $12,188.75 $27,760.43 $24,844.84 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 19 9 — — $21,598.94 $49,857.43 $24,830.40 2026-04-01
652 MS_DRG Kidney Transplant 14 9 — — $24,337.38 $97,000.00 $24,824.13 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 19 9 — — $14,720.50 $43,177.38 $24,690.87 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 20 9 — — $13,550.62 $31,279.28 $24,618.06 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 19 9 — — $20,485.67 $47,288.18 $24,568.10 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 9 — — $21,762.30 $50,234.75 $24,526.93 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 19 9 — — $14,738.80 $34,021.60 $24,505.31 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 9 — — $23,981.04 $56,034.38 $24,460.66 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 10 — — $9,959.00 $29,791.48 $24,398.94 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 20 9 — — $14,721.04 $51,071.10 $24,372.76 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 9 — — $14,071.38 $32,482.20 $24,361.65 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 11 4 — — $14,720.13 $32,440.73 $24,310.24 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 11 4 — — $14,720.13 $32,440.73 $24,310.24 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 11 4 — — $14,720.13 $32,440.73 $24,310.24 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 9 — — $2,413.11 $26,705.67 $24,277.88 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 9 — — $15,570.08 $56,552.53 $24,276.49 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 9 — — $19,782.15 $45,663.85 $24,266.02 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 19 9 — — $18,973.93 $43,798.73 $24,214.39 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 11 5 — — $3,159.80 $39,859.53 $24,115.86 2026-04-01
665 MS_DRG Prostatectomy With Mcc 19 9 — — $19,315.36 $49,737.03 $24,068.59 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 9 — — $14,913.91 $39,260.08 $24,023.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 9 — — $13,037.17 $33,494.85 $23,984.87 2026-04-01
55873 HCPCS Cryoablate Prostate 11 4 — — $8,804.55 $39,529.40 $23,915.94 2026-04-01
25446 HCPCS Wrist Replacement 11 4 — — $16,307.82 $39,445.58 $23,864.94 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 11 4 — — $16,307.82 $39,445.58 $23,864.94 2026-04-01
25441 HCPCS Reconstruct Wrist Joint 11 4 — — $11,940.97 $39,445.58 $23,864.94 2026-04-01
69717 HCPCS Temple Bone Implant Revision 11 4 — — $6,748.84 $39,445.58 $23,864.94 2026-04-01
69729 HCPCS Impl Oi Implt Sk Tc Esp>=100 11 4 — — $11,940.97 $39,445.58 $23,864.94 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 11 4 — — $16,307.82 $39,445.58 $23,864.94 2026-04-01
24366 HCPCS Reconstruct Head Of Radius 11 4 — — $11,940.97 $39,445.58 $23,864.94 2026-04-01
24370 HCPCS Revise Reconst Elbow Joint 11 4 — — $11,940.97 $39,445.58 $23,864.94 2026-04-01
69714 HCPCS Implant Temple Bone W/Stimul 11 4 — — $11,940.97 $39,445.58 $23,864.94 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 11 4 — — $16,307.82 $39,445.58 $23,864.94 2026-04-01
24363 HCPCS Replace Elbow Joint 11 4 — — $16,307.82 $39,445.58 $23,864.94 2026-04-01
23470 HCPCS Reconstruct Shoulder Joint 11 4 — — $11,940.97 $39,445.58 $23,864.94 2026-04-01
69728 HCPCS Rmv Ntr Oi Imp Sktc Esp>=100 11 4 — — $3,043.22 $39,445.58 $23,864.94 2026-04-01
69730 HCPCS Rplc Oi Implt Sk Tc Esp>=100 11 4 — — $11,940.97 $39,445.58 $23,864.94 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 9 — — $8,663.58 $28,040.30 $23,862.03 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 19 9 — — $18,237.94 $47,921.35 $23,652.11 2026-04-01
263 MS_DRG Vein Ligation And Stripping 19 9 — — $12,936.09 $45,787.48 $23,623.50 2026-04-01
27132 HCPCS Total Hip Arthroplasty 10 4 — — $11,940.97 $44,576.90 $23,598.60 2026-04-01
27134 HCPCS Revise Hip Joint Replacement 10 4 — — $11,940.97 $44,576.90 $23,598.60 2026-04-01
50542 HCPCS Laparo Ablate Renal Mass 11 4 — — $9,886.57 $38,783.79 $23,465.10 2026-04-01
47370 HCPCS Laparo Ablate Liver Tumor Rf 11 4 — — $9,886.57 $38,783.79 $23,465.10 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 9 — — $15,224.78 $41,701.40 $23,454.68 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 9 — — $15,466.27 $47,624.65 $23,366.08 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 9 — — $16,874.24 $47,079.63 $23,363.28 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 19 9 — — $14,930.30 $42,421.65 $23,340.26 2026-04-01
27130 HCPCS Total Hip Arthroplasty 10 4 — — $11,940.97 $43,880.44 $23,206.78 2026-04-01
33206 HCPCS Insert Heart Pm Atrial 11 4 — — $9,721.17 $38,142.56 $23,076.48 2026-04-01
33207 HCPCS Insert Heart Pm Ventricular 11 4 — — $9,721.17 $38,142.56 $23,076.48 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 9 — — $12,218.18 $33,570.10 $23,058.42 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 9 — — $13,917.35 $37,203.60 $22,847.03 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 19 9 — — $16,250.84 $38,176.48 $22,833.09 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 11 4 — — $17,049.85 $37,608.06 $22,753.14 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 11 4 — — $17,049.85 $37,608.06 $22,753.14 2026-04-01
C9604 HCPCS Perc D-e Cor Revasc T Cabg S 11 4 — — $10,737.00 $37,608.06 $22,753.14 2026-04-01
C9600 HCPCS Perc Drug-el Cor Stent Sing 11 4 — — $10,737.00 $37,608.06 $22,753.14 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 19 9 — — $15,465.73 $45,210.20 $22,664.95 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 10 4 — — $18,071.60 $39,825.97 $22,650.03 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 9 — — $16,990.61 $43,205.33 $22,611.24 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 19 9 — — $14,310.18 $35,926.50 $22,539.38 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 9 — — $14,763.11 $38,999.93 $22,526.82 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 21 10 — — $11,024.94 $36,537.10 $22,427.76 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 19 9 — — $8,467.99 $42,967.75 $22,398.46 2026-04-01
570 MS_DRG Skin Debridement With Mcc 19 9 — — $8,131.81 $24,601.35 $22,364.86 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 9 — — $15,224.78 $45,295.13 $22,317.53 2026-04-01
36908 HCPCS Stent Plmt Ctr Dialysis Seg 7 1 — — $13,560.39 $29,884.08 $22,247.59 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 7 1 — — $13,560.39 $29,884.08 $22,247.59 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 7 1 — — $13,560.39 $29,884.08 $22,247.59 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 7 1 — — $13,560.39 $29,884.08 $22,247.59 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 7 1 — — $13,560.39 $29,884.08 $22,247.59 2026-04-01
37237 HCPCS Open/perq Place Stent Ea Add 7 1 — — $13,560.39 $29,884.08 $22,247.59 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 7 1 — — $13,560.39 $29,884.08 $22,247.59 2026-04-01
37239 HCPCS Open/perq Place Stent Ea Add 7 1 — — $13,560.39 $29,884.08 $22,247.59 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 9 — — $12,801.06 $29,549.60 $22,162.20 2026-04-01
800 MS_DRG Splenic Procedures With Cc 19 9 — — $17,923.24 $45,499.38 $21,893.37 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 19 9 — — $13,469.34 $41,586.38 $21,822.91 2026-04-01
36909 HCPCS Dialysis Circuit Embolj 7 1 — — $13,267.40 $29,237.99 $21,766.60 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 7 1 — — $13,267.40 $29,237.99 $21,766.60 2026-04-01
0235T OTHER Trluml Perip Athrc Visceral 7 1 — — $13,267.40 $29,237.99 $21,766.60 2026-04-01
503 MS_DRG Foot Procedures With Mcc 19 9 — — $15,218.23 $43,090.30 $21,765.71 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 9 — — $9,647.62 $23,919.71 $21,745.19 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 9 — — $11,442.90 $33,137.95 $21,631.76 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 19 9 — — $14,306.94 $33,025.08 $21,528.51 2026-04-01
23473 HCPCS Revis Reconst Shoulder Joint 11 4 — — $11,940.97 $35,531.40 $21,497.52 2026-04-01
27446 HCPCS Revision Of Knee Joint 11 4 — — $11,940.97 $40,347.85 $21,497.52 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 19 9 — — $12,010.57 $33,908.73 $21,465.02 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 9 — — $17,102.61 $43,536.43 $21,365.96 2026-04-01
33228 HCPCS Remv&replc Pm Gen Dual Lead 11 4 — — $9,721.17 $35,306.15 $21,360.84 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 11 4 — — $16,020.63 $35,306.15 $21,360.84 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 11 4 — — $16,020.63 $35,306.15 $21,360.84 2026-04-01
33213 HCPCS Insert Pulse Gen Dual Leads 11 4 — — $9,721.17 $35,306.15 $21,360.84 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 9 — — $19,219.75 $46,810.88 $21,275.27 2026-04-01
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