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

MIDLAND MEMORIAL HOSPITAL

Midland, TX · CCN 450133 · Rates published

15,857 distinct procedures filed
26 distinct payers
359,370 rate rows
2026-04-01 last MRF observed
Data quality

295,118 of 359,370 rate rows are consumer-grade (82.1%)

64,252 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 63,588
template filing: same amount across many unrelated codes — excluded 664
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.midlandhealth.org/Uploads/Public/Documents/Price%20Transparency/751584559_midland-health_standardcharges%20(9).csv
Found on page https://www.midlandhealth.org/main/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 4650a9406289eb46… · 33,223,746 bytes · first seen 2026-05-14

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 14 $329,542.01 $576,698.52 $395,843.21 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $215,086.69 $376,401.71 $281,219.84 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $164,700.04 $288,225.07 $209,612.57 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $24,794.85 $316,414.20 $184,402.49 nat. median
$202,976
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $111,492.17 $306,603.47 $172,812.86 nat. median
$111,989
1.5× median
7
MS_DRG 		Lung Transplant 14 $101,274.66 $177,230.66 $120,759.76 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $94,235.45 $164,912.04 $120,599.62 nat. median
$117,357
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $89,055.14 $172,007.01 $113,714.61 nat. median
$108,660
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 18 $77,400.74 $137,681.06 $113,126.21 nat. median
$99,019
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $95,467.23 $189,138.36 $112,309.63 nat. median
$133,161
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $189,204.70 $106,642.65 nat. median
$70,825
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $88,956.99 $155,674.73 $101,869.20 nat. median
$98,047
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $81,343.95 $142,351.91 $101,587.74 nat. median
$100,136
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $85,599.34 $149,798.84 $97,866.90 nat. median
$102,358
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $77,359.62 $135,379.34 $97,702.51 nat. median
$93,672
1.0× median
J9600
HCPCS 		Porfimer Sodium Injection 2 $90,471.18 $99,097.51 $94,784.35 nat. median
$31,627
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $78,611.41 $151,742.50 $93,383.95 nat. median
$98,894
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $77,795.89 $99,263.30 $91,520.70 nat. median
$87,428
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $62,908.21 $111,426.12 $90,353.29 nat. median
$77,570
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $66,944.64 $117,153.12 $85,272.46 nat. median
$81,118
1.1× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $69,009.84 $90,922.62 $81,184.61 nat. median
$63,570
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $71,521.67 $125,162.92 $81,086.40 nat. median
$82,711
1.0× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 1 $78,246.79 $78,246.79 $78,246.79 nat. median
$31,444
outlier · 2.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $68,878.29 $120,537.01 $77,935.50 nat. median
$83,470
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $30,072.80 $117,503.26 $77,879.39 nat. median
$79,312
1.0× median
L7180
HCPCS 		Electronic Elbow Sequential 6 $50,007.15 $137,519.66 $77,511.08 nat. median
$49,027
1.6× median
L7181
HCPCS 		Electronic Elbo Simultaneous 6 $49,600.83 $136,402.28 $76,881.29 nat. median
$50,598
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 $61,469.86 $107,572.26 $76,276.33 nat. median
$74,915
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $57,998.96 $101,498.18 $72,438.65 nat. median
$68,090
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $61,166.57 $79,489.67 $71,957.63 nat. median
$54,196
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $57,333.01 $105,370.05 $71,553.57 nat. median
$68,886
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 $61,028.92 $106,800.61 $70,937.24 nat. median
$72,135
1.0× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 10 $44,247.19 $121,679.78 $70,929.32 nat. median
$43,787
1.6× median
64654
HCPCS 		1st Opn Implt Bat Modulj Sys 10 $44,247.19 $121,679.78 $70,929.32 nat. median
$43,888
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $33,324.71 $107,134.91 $69,561.55 nat. median
$73,807
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $57,364.73 $100,388.28 $68,069.96 nat. median
$71,271
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 $57,652.40 $100,891.70 $67,470.51 nat. median
$64,023
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $56,666.04 $72,683.24 $66,663.11 nat. median
$65,393
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 $49,767.54 $87,093.20 $66,148.59 nat. median
$60,726
1.1× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 $55,307.28 $71,387.60 $65,064.63 nat. median
$49,935
1.3× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 $43,466.00 $81,318.69 $64,069.72 nat. median
$54,045
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $55,426.55 $96,996.46 $63,944.51 nat. median
$65,950
1.0× median
10
MS_DRG 		Pancreas Transplant 14 $39,060.31 $100,931.34 $61,416.55 nat. median
$68,884
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $48,519.47 $84,909.07 $61,159.89 nat. median
$58,020
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $48,150.81 $92,998.15 $60,203.63 nat. median
$64,508
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 $53,981.40 $94,467.45 $60,178.50 nat. median
$60,691
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $50,653.75 $65,841.19 $59,590.13 nat. median
$62,372
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 14 $48,267.28 $84,467.74 $59,504.54 nat. median
$56,918
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $50,285.74 $95,056.76 $59,157.18 nat. median
$64,732
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $49,643.98 $67,072.04 $58,402.21 nat. median
$44,728
1.3× median

Other procedures at this hospital

Browse this hospital's 15,857 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 28 14 — — $329,542.01 $576,698.52 $395,843.21 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 14 — — $215,086.69 $376,401.71 $281,219.84 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 14 — — $164,700.04 $288,225.07 $209,612.57 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 18 — — $24,794.85 $316,414.20 $184,402.49 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 6 — — $111,492.17 $306,603.47 $172,812.86 2026-04-01
7 MS_DRG Lung Transplant 28 14 — — $101,274.66 $177,230.66 $120,759.76 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 14 — — $94,235.45 $164,912.04 $120,599.62 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 14 — — $89,055.14 $172,007.01 $113,714.61 2026-04-01
215 MS_DRG Other Heart Assist System Implant 44 18 — — $77,400.74 $137,681.06 $113,126.21 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 18 — — $95,467.23 $189,138.36 $112,309.63 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 12 6 — — $68,801.71 $189,204.70 $106,642.65 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 26 13 — — $88,956.99 $155,674.73 $101,869.20 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 14 — — $81,343.95 $142,351.91 $101,587.74 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 13 — — $85,599.34 $149,798.84 $97,866.90 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 18 — — $77,359.62 $135,379.34 $97,702.51 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 4 2 — — $90,471.18 $99,097.51 $94,784.35 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 13 — — $78,611.41 $151,742.50 $93,383.95 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 5 — — $77,795.89 $99,263.30 $91,520.70 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 18 — — $62,908.21 $111,426.12 $90,353.29 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 18 — — $66,944.64 $117,153.12 $85,272.46 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 5 — — $69,009.84 $90,922.62 $81,184.61 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 13 — — $71,521.67 $125,162.92 $81,086.40 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 1 — — $78,246.79 $78,246.79 $78,246.79 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 26 13 — — $68,878.29 $120,537.01 $77,935.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 40 18 — — $30,072.80 $117,503.26 $77,879.39 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 12 6 — — $50,007.15 $137,519.66 $77,511.08 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 12 6 — — $49,600.83 $136,402.28 $76,881.29 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 18 — — $61,469.86 $107,572.26 $76,276.33 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 14 — — $57,998.96 $101,498.18 $72,438.65 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 5 — — $61,166.57 $79,489.67 $71,957.63 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 14 — — $57,333.01 $105,370.05 $71,553.57 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 19 — — $61,028.92 $106,800.61 $70,937.24 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 20 10 — — $44,247.19 $121,679.78 $70,929.32 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 20 10 — — $44,247.19 $121,679.78 $70,929.32 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 18 — — $33,324.71 $107,134.91 $69,561.55 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 14 — — $57,364.73 $100,388.28 $68,069.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 28 14 — — $57,652.40 $100,891.70 $67,470.51 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 5 — — $56,666.04 $72,683.24 $66,663.11 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 18 — — $49,767.54 $87,093.20 $66,148.59 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 5 — — $55,307.28 $71,387.60 $65,064.63 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 18 — — $43,466.00 $81,318.69 $64,069.72 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 18 — — $55,426.55 $96,996.46 $63,944.51 2026-04-01
10 MS_DRG Pancreas Transplant 28 14 — — $39,060.31 $100,931.34 $61,416.55 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 18 — — $48,519.47 $84,909.07 $61,159.89 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 38 18 — — $48,150.81 $92,998.15 $60,203.63 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 13 — — $53,981.40 $94,467.45 $60,178.50 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 5 — — $50,653.75 $65,841.19 $59,590.13 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 14 — — $48,267.28 $84,467.74 $59,504.54 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 38 18 — — $50,285.74 $95,056.76 $59,157.18 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 5 — — $49,643.98 $67,072.04 $58,402.21 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 16 — — $15,734.01 $84,650.09 $57,339.59 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 14 — — $46,668.64 $94,402.72 $57,309.12 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 19 — — $44,857.98 $151,100.17 $57,241.24 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 24 12 — — $7,852.50 $173,766.31 $56,709.69 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 36 18 — — $49,270.73 $86,223.78 $56,403.03 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 36 18 — — $40,850.55 $71,488.46 $55,832.51 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 18 — — $47,988.33 $86,999.40 $55,773.08 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 5 — — $46,715.58 $60,752.56 $54,957.18 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 36 18 — — $44,946.63 $78,656.60 $54,861.07 2026-04-01
J9266 HCPCS Pegaspargase Injection 20 10 — — $28,424.06 $78,166.16 $54,694.11 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 14 — — $45,812.66 $80,172.16 $54,517.28 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 36 18 — — $46,232.61 $85,506.30 $54,231.85 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 12 6 — — $34,970.13 $96,167.86 $54,203.70 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 40 18 — — $10,869.13 $91,140.38 $54,201.33 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 18 — — $47,277.11 $83,610.22 $54,200.49 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 18 — — $39,770.10 $69,597.68 $53,703.17 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 36 18 — — $44,669.58 $92,998.15 $53,407.51 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 18 — — $43,957.53 $92,682.36 $53,226.15 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 18 — — $46,453.42 $81,833.04 $53,110.74 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 18 — — $44,800.15 $78,400.26 $52,801.23 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 36 18 — — $39,441.66 $69,022.90 $52,035.96 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 36 18 — — $42,730.60 $74,778.55 $51,987.74 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 13 — — $47,039.59 $82,319.28 $51,903.90 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 19 — — $43,760.47 $85,547.34 $51,621.10 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 26 13 — — $46,585.06 $81,523.86 $51,362.10 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 18 — — $44,482.68 $79,093.96 $51,018.68 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 5 — — $43,245.48 $56,704.76 $50,874.89 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 18 — — $43,233.91 $81,426.08 $50,861.27 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 20 10 — — $31,531.90 $86,712.72 $50,540.93 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 14 — — $44,511.73 $77,895.53 $50,521.18 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 13 — — $45,522.72 $79,664.76 $50,095.80 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 19 — — $37,282.03 $120,812.24 $49,717.14 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 20 10 — — $30,998.31 $85,245.36 $49,691.04 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 13 — — $44,696.46 $85,483.84 $49,336.39 2026-04-01
245 MS_DRG Aicd Generator Procedures 36 18 — — $37,943.66 $66,401.40 $48,820.79 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 50 18 — — $22,009.79 $83,660.43 $48,665.64 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 13 — — $41,362.44 $80,402.07 $48,500.74 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 18 — — $42,169.56 $74,897.46 $48,228.87 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 38 18 — — $37,690.72 $72,287.52 $48,103.09 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 18 — — $40,885.23 $78,183.58 $48,098.23 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 12 6 — — $30,998.31 $85,245.36 $48,047.39 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 12 6 — — $30,998.31 $85,245.36 $48,047.39 2026-04-01
69930 HCPCS Implant Cochlear Device 26 13 — — $4,150.00 $91,086.52 $48,027.44 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 13 — — $43,736.31 $76,538.54 $47,966.40 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 18 — — $38,907.89 $78,297.20 $47,909.06 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 18 9 — — $121.48 $97,100.23 $47,875.52 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 20 10 — — $30,998.31 $85,245.36 $47,800.93 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 18 — — $10,277.51 $109,275.97 $47,703.30 2026-04-01
5378 OTHER Level 8 Urology And Related Services 4 2 — — $18,900.32 $75,295.15 $47,097.74 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 18 — — $38,814.97 $67,926.20 $47,090.85 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 20 10 — — $30,998.31 $85,245.36 $47,042.20 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 5 — — $39,805.99 $51,728.43 $46,828.60 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 24 12 — — $15,754.50 $86,712.72 $46,546.65 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 24 12 — — $15,754.50 $86,712.72 $46,546.65 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 24 12 — — $15,754.50 $86,712.72 $46,546.65 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 24 12 — — $15,754.50 $86,712.72 $46,546.65 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 13 — — $500.00 $67,142.67 $46,346.65 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 28 14 — — $38,506.92 $67,387.11 $46,194.64 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 70 22 — — $21,166.52 $273,506.86 $46,147.43 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 12 6 — — $29,717.20 $81,722.30 $46,061.66 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 12 6 — — $29,576.84 $81,336.31 $45,844.10 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 12 6 — — $29,510.19 $81,153.02 $45,740.79 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 36 18 — — $40,102.88 $70,878.03 $45,644.34 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 14 — — $38,993.16 $68,238.03 $45,520.27 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 38 18 — — $38,618.42 $71,148.89 $45,431.51 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 24 12 — — $15,754.50 $121,679.78 $45,355.56 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 18 — — $38,010.57 $121,969.06 $44,716.43 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 18 — — $35,000.53 $61,250.93 $44,075.72 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 42 18 — — $2,400.00 $69,920.08 $43,458.30 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 24 12 — — $15,754.50 $79,238.67 $43,335.85 2026-04-01
C9814 HCPCS Echognc Cathr Nonopioid Dev 8 4 — — $38,095.36 $44,818.07 $43,225.85 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 30 14 — — $35,700.45 $62,475.79 $42,978.54 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 26 13 — — $1,750.00 $85,245.36 $42,674.44 2026-04-01
61886 HCPCS Implant Neurostim Arrays 26 13 — — $2,400.00 $85,245.36 $42,674.44 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 19 — — $14,600.92 $66,851.98 $42,398.54 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 40 19 — — $10,767.80 $66,220.39 $41,997.97 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 18 — — $33,093.82 $66,193.96 $41,837.19 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 36 18 — — $36,177.12 $65,319.26 $41,442.01 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 18 — — $34,983.75 $66,697.38 $41,155.62 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 36 18 — — $35,181.74 $61,568.04 $40,632.41 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 14 — — $33,852.12 $75,271.64 $40,345.72 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 46 18 — — $2,882.55 $65,336.42 $40,305.50 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 36 18 — — $33,912.79 $65,086.70 $39,895.71 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 18 — — $34,852.54 $60,991.94 $39,796.70 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 8 4 — — $9,200.00 $56,210.79 $39,736.65 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 20 10 — — $7,266.24 $108,695.46 $39,723.25 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 18 — — $17,498.01 $64,160.46 $39,535.20 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 36 18 — — $27,486.40 $52,469.10 $39,468.65 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 18 — — $32,058.12 $68,111.19 $39,352.20 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 36 18 — — $30,484.65 $53,348.14 $39,339.09 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 5 — — $32,752.51 $42,461.36 $38,530.73 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 36 18 — — $33,320.66 $61,464.97 $38,449.15 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 40 18 — — $34,279.58 $61,919.52 $38,312.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 14 — — $30,124.79 $62,152.06 $38,167.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 38 18 — — $34,658.74 $61,796.63 $37,931.84 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 18 — — $33,032.15 $57,806.26 $37,714.93 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 38 18 — — $19,856.87 $62,840.47 $37,698.90 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 20 10 — — $27,257.67 $74,958.59 $37,125.82 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 20 10 — — $27,257.67 $74,958.59 $37,125.82 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 18 — — $10,525.66 $61,353.89 $36,839.79 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 36 18 — — $31,210.98 $61,824.37 $36,717.25 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 12 6 — — $23,640.73 $65,012.01 $36,643.13 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 14 — — $31,476.01 $55,083.02 $36,616.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 30 14 — — $19,129.46 $59,749.92 $36,531.00 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 12 6 — — $23,514.53 $64,664.96 $36,447.52 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 14 — — $29,968.94 $63,296.31 $36,350.17 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 38 18 — — $30,852.89 $55,504.52 $36,295.98 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 38 18 — — $28,304.13 $52,197.27 $36,211.24 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 46 18 — — $26,602.03 $64,026.62 $36,109.87 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 36 18 — — $30,684.18 $60,628.59 $36,097.51 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 18 — — $27,275.74 $47,732.55 $36,009.21 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 12 6 — — $23,210.23 $63,828.13 $35,975.85 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 12 6 — — $23,134.38 $63,619.55 $35,858.29 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 36 18 — — $31,043.10 $57,261.87 $35,678.03 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 42 18 — — $15,724.76 $62,103.39 $35,664.56 2026-04-01
L5858 HCPCS Stance Phase Only 12 6 — — $23,006.91 $63,269.00 $35,660.71 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 36 18 — — $28,436.99 $49,764.73 $35,618.24 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 20 10 — — $22,344.94 $61,448.58 $35,605.91 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 20 10 — — $22,344.94 $61,448.58 $35,605.91 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 18 — — $29,561.94 $61,634.11 $35,395.58 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 24 12 — — $9,576.90 $121,679.78 $35,376.40 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 16 — — $598.00 $61,211.29 $35,327.66 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 36 18 — — $30,547.32 $53,457.81 $35,160.85 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 24 12 — — $15,754.50 $86,712.72 $35,155.73 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 14 — — $32,677.28 $57,185.24 $34,998.18 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 36 18 — — $28,055.70 $49,097.48 $34,739.25 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 20 10 — — $5,093.47 $94,640.13 $34,586.66 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 40 18 — — $25,840.13 $48,304.67 $34,466.74 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 20 10 — — $29,179.98 $85,245.36 $34,390.69 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 36 18 — — $30,221.89 $54,061.65 $34,314.82 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 32 12 — — $11,457.90 $72,206.65 $34,312.10 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 32 12 — — $11,457.90 $72,206.65 $34,312.10 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 14 — — $24,375.31 $57,572.38 $34,137.64 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 28 10 — — $22,344.94 $61,448.58 $33,929.99 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 36 18 — — $26,070.35 $58,760.24 $33,745.17 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 36 18 — — $29,254.30 $54,650.96 $33,736.63 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 36 18 — — $29,646.30 $52,620.10 $33,661.27 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 24 12 — — $15,754.50 $61,448.58 $33,575.44 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 38 18 — — $29,060.32 $55,360.50 $33,541.20 2026-04-01
E0783 HCPCS Programmable Infusion Pump 8 4 — — $29,558.44 $34,774.64 $33,539.22 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 36 18 — — $29,470.97 $53,230.54 $33,462.20 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 46 20 — — $18,978.30 $78,545.42 $33,452.98 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 18 — — $25,875.65 $53,107.65 $33,426.82 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 44 19 — — $1,531.34 $54,631.13 $33,281.86 2026-04-01
332 MS_DRG Rectal Resection With Mcc 36 18 — — $28,878.01 $53,958.59 $33,279.50 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 32 12 — — $15,754.50 $74,360.39 $33,259.38 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 36 18 — — $28,189.12 $55,499.24 $33,162.27 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 24 12 — — $15,754.50 $61,448.58 $33,114.63 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 24 12 — — $15,754.50 $61,448.58 $33,114.63 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 24 12 — — $15,754.50 $61,448.58 $33,114.63 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 24 12 — — $15,754.50 $61,448.58 $33,114.63 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 24 12 — — $15,754.50 $61,448.58 $33,114.63 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 24 12 — — $15,754.50 $61,448.58 $33,114.63 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 40 18 — — $19,828.49 $53,145.98 $33,102.43 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 24 12 — — $15,754.50 $61,448.58 $33,027.37 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 18 — — $22,895.16 $54,024.65 $33,013.53 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 12 6 — — $21,297.95 $58,569.36 $33,011.82 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 14 — — $31,784.07 $55,622.12 $32,910.65 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 36 18 — — $28,253.63 $53,190.90 $32,650.78 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 13 — — $30,725.51 $53,769.64 $32,457.60 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 40 18 — — $27,145.70 $53,840.99 $32,435.83 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 38 18 — — $27,569.70 $51,417.70 $32,433.57 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $10,971.30 $48,801.50 $32,417.06 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 36 18 — — $28,405.80 $51,136.26 $32,252.77 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 8 4 — — $28,309.05 $33,312.51 $32,160.40 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 20 10 — — $19,488.52 $53,593.42 $32,022.80 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 20 10 — — $19,488.52 $53,593.42 $32,022.80 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 46 18 — — $25,558.87 $52,715.23 $31,788.02 2026-04-01
E0786 HCPCS Implantable Pump Replacement 8 4 — — $27,983.43 $32,921.68 $31,752.10 2026-04-01
652 MS_DRG Kidney Transplant 28 14 — — $27,879.77 $48,789.60 $31,710.24 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 8 4 — — $27,748.43 $32,703.51 $31,514.29 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 28 10 — — $19,349.47 $53,211.03 $31,279.72 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 12 6 — — $20,122.03 $55,335.58 $31,189.14 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 20 10 — — $1,513.46 $85,245.36 $31,153.31 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 20 10 — — $5,093.47 $85,245.36 $31,153.31 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 20 10 — — $5,093.47 $85,245.36 $31,153.31 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 38 18 — — $26,009.85 $51,763.88 $31,091.40 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 38 18 — — $26,424.30 $48,860.94 $31,086.10 2026-04-01
265 MS_DRG Aicd Lead Procedures 36 18 — — $25,813.15 $53,925.55 $30,968.67 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 36 18 — — $26,521.89 $51,195.72 $30,952.65 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 26 13 — — $29,458.56 $51,552.48 $30,947.40 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 28 10 — — $18,415.17 $50,641.72 $30,902.34 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 10 5 — — $26,239.06 $33,748.18 $30,868.17 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 18 — — $26,778.26 $50,257.58 $30,783.95 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 40 18 — — $25,804.12 $52,209.17 $30,763.43 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 28 14 — — $27,814.08 $48,674.64 $30,737.15 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 36 18 — — $26,965.16 $48,185.76 $30,617.03 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 19 — — $25,817.29 $51,985.87 $30,364.17 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 26 13 — — $1,750.00 $85,245.36 $30,308.67 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 36 18 — — $26,131.55 $49,611.47 $30,183.49 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 10 5 — — $25,608.06 $34,268.60 $30,125.85 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 36 18 — — $26,172.07 $46,569.79 $29,716.53 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 38 18 — — $19,102.59 $48,757.89 $29,678.23 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 20 10 — — $18,415.17 $50,641.72 $29,519.97 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 36 18 — — $25,966.97 $47,871.28 $29,494.04 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 36 18 — — $25,966.97 $46,195.85 $29,483.66 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 24 12 — — $11,457.90 $72,206.65 $29,440.65 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 28 10 — — $18,415.17 $50,641.72 $29,364.03 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 38 19 — — $24,935.70 $47,934.70 $29,334.88 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 38 18 — — $24,695.05 $48,908.53 $29,051.77 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 36 18 — — $25,295.45 $47,634.77 $29,018.50 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 44 19 — — $11,933.09 $49,616.75 $28,995.53 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 28 10 — — $18,415.17 $50,641.72 $28,976.04 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 36 18 — — $23,579.84 $41,264.72 $28,916.88 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 36 18 — — $25,296.79 $44,269.38 $28,907.11 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 13 — — $27,735.56 $48,537.23 $28,893.60 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 8 4 — — $25,417.26 $29,909.61 $28,875.18 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 38 18 — — $26,083.58 $48,226.73 $28,682.10 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 20 10 — — $17,613.72 $48,437.72 $28,599.71 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 20 10 — — $18,415.17 $50,641.72 $28,551.18 2026-04-01
665 MS_DRG Prostatectomy With Mcc 36 18 — — $24,549.50 $47,358.62 $28,485.67 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 44 19 — — $11,086.42 $47,272.73 $28,379.56 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 10 5 — — $24,066.53 $30,218.64 $28,312.36 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 20 10 — — $12,553.71 $57,091.02 $28,245.85 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 20 10 — — $19,349.47 $53,211.03 $28,199.88 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 20 10 — — $19,349.47 $53,211.03 $28,199.88 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 20 10 — — $17,613.72 $48,437.72 $28,114.87 2026-04-01
64580 HCPCS Implant Neuroelectrodes 26 13 — — $1,150.00 $53,593.42 $28,104.40 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 26 13 — — $1,750.00 $53,593.42 $28,104.40 2026-04-01
63655 HCPCS Implant Neuroelectrodes 26 13 — — $4,700.00 $53,593.42 $28,104.40 2026-04-01
E2510 HCPCS Sgd W Multi Methods Msg/accs 8 4 — — $24,604.88 $28,946.92 $27,918.54 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 12 6 — — $17,987.99 $49,466.97 $27,881.39 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 36 18 — — $24,536.26 $44,462.30 $27,859.19 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 36 18 — — $22,996.95 $40,244.66 $27,850.12 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 12 6 — — $17,961.29 $49,393.55 $27,840.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 36 18 — — $24,190.58 $46,022.78 $27,819.60 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 40 18 — — $23,260.82 $47,200.06 $27,775.17 2026-04-01
0888T HCPCS Histotripsy Mal Renal Tissue 20 10 — — $17,207.54 $47,320.74 $27,584.10 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 20 10 — — $18,415.17 $50,641.72 $27,522.52 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 20 10 — — $18,415.17 $50,641.72 $27,522.52 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 20 10 — — $18,415.17 $50,641.72 $27,522.52 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 24 12 — — $9,576.90 $53,211.03 $27,481.30 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 24 12 — — $9,576.90 $53,211.03 $27,481.30 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 44 15 — — $2,280.00 $47,752.37 $27,423.50 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 36 18 — — $23,409.20 $40,966.10 $27,390.63 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 42 18 — — $20,955.61 $44,598.40 $27,320.44 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 20 10 — — $5,093.47 $74,360.39 $27,175.34 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 38 18 — — $23,056.76 $46,028.06 $27,124.45 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 44 18 — — $22,197.48 $45,045.00 $27,021.76 2026-04-01
L8720 HCPCS Ext Low Ext Sens Prosthe Mec 8 4 — — $23,768.28 $27,962.68 $26,969.27 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 36 18 — — $23,160.14 $45,018.58 $26,871.48 2026-04-01
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