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 →

Export CSV
Hospital

MEMORIAL HERMANN MEMORIAL CITY HOSPITAL

Houston, TX · CCN 450610 · Rates published

8,875 distinct procedures filed
25 distinct payers
114,326 rate rows
2026-04-01 last MRF observed
Data quality

78,244 of 114,326 rate rows are consumer-grade (68.4%)

36,082 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 36,082
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://memorialhermann.org/-/media/memorial-hermann/org/files/patients-and-visitors/cms-standard-hospital-charges/741152597_memorial-hermann-memorial-city-medical-center_standardcharges.ashx
Found on page https://memorialhermann.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint dad95c2203954d57… · 30,701,945 bytes · first seen 2026-05-08

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 22 $313,624.53 $624,015.82 $323,324.26 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $204,705.36 $407,300.35 $211,036.45 nat. median
$261,939
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,492.17 $211,835.12 $167,238.26 nat. median
$111,503
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $156,755.89 $311,895.74 $161,604.01 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $155,855.59 $310,104.43 $160,675.87 nat. median
$199,832
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $102,873.64 $204,686.73 $106,055.30 nat. median
$132,706
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $130,723.25 $103,202.56 nat. median
$70,178
1.5× median
7
MS_DRG 		Lung Transplant 22 $96,398.37 $191,802.94 $99,379.76 nat. median
$122,690
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $55,555.43 $130,365.70 $92,960.57 nat. median
$57,648
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $89,699.64 $178,474.55 $92,473.86 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $84,769.90 $168,665.88 $87,391.65 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 22 $84,676.49 $168,480.03 $87,295.35 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $82,538.19 $164,225.48 $85,090.92 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $81,481.25 $162,122.49 $84,001.29 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $77,431.70 $154,065.13 $79,826.49 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 22 $42,209.75 $149,011.40 $77,207.98 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $73,640.08 $146,520.99 $75,917.61 nat. median
$92,900
0.8× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $50,007.15 $95,013.58 $75,010.73 nat. median
$46,980
1.6× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,600.83 $94,241.58 $74,401.24 nat. median
$50,449
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $68,084.51 $135,467.12 $70,190.22 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $65,568.99 $130,462.02 $67,596.90 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $63,919.28 $127,179.59 $65,896.16 nat. median
$79,040
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $63,728.87 $126,800.75 $65,699.87 nat. median
$80,459
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $59,887.68 $119,157.97 $61,739.88 nat. median
$77,385
0.8× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $38,502.36 $84,719.04 $61,610.70 nat. median
$37,051
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $500.00 $116,434.53 $60,328.77 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $58,281.08 $115,961.33 $60,083.59 nat. median
$73,475
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $58,099.29 $115,599.63 $59,896.18 nat. median
$71,485
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $23,050.14 $146,215.79 $57,383.56 nat. median
$65,958
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $55,215.89 $109,862.55 $56,923.60 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 22 $54,907.65 $109,249.23 $56,605.82 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 22 $54,886.09 $109,206.35 $56,583.60 nat. median
$62,911
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $54,612.34 $108,661.66 $56,301.38 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $54,582.15 $108,601.60 $56,270.26 nat. median
$68,581
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 $52,767.90 $104,991.81 $54,399.90 nat. median
$65,792
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 22 $51,713.12 $102,893.12 $53,312.50 nat. median
$64,357
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 $51,392.67 $102,255.51 $52,982.13 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 $51,357.46 $102,185.45 $52,945.83 nat. median
$62,262
0.9× median
L8701
HCPCS 		Pow Ue Rom Dev Ewh Uprt Cust 4 $34,970.13 $66,443.25 $52,455.19 nat. median
$35,670
1.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 $17,811.10 $1,112,152.87 $52,226.28 nat. median
$51,433
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $50,593.68 $100,665.77 $52,158.43 nat. median
$60,895
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $50,593.68 $100,665.77 $52,158.43 nat. median
$63,840
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 $50,421.95 $100,324.08 $51,981.39 nat. median
$59,159
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 22 $49,583.44 $98,655.71 $51,116.95 nat. median
$62,218
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 $35,182.76 $132,608.33 $48,848.07 nat. median
$60,162
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 22 $47,331.61 $94,175.26 $48,795.47 nat. median
$60,294
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 22 $46,909.84 $93,336.07 $48,360.66 nat. median
$59,257
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 22 $46,519.69 $92,559.79 $47,958.44 nat. median
$56,970
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 $46,507.47 $92,535.49 $47,945.85 nat. median
$58,419
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $46,194.91 $91,913.59 $47,623.62 nat. median
$57,394
0.8× median

Other procedures at this hospital

Browse this hospital's 8,875 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 22 — — $313,624.53 $624,015.82 $323,324.26 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 22 — — $204,705.36 $407,300.35 $211,036.45 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 4 — — $111,492.17 $211,835.12 $167,238.26 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 22 — — $156,755.89 $311,895.74 $161,604.01 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 22 — — $155,855.59 $310,104.43 $160,675.87 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 22 — — $102,873.64 $204,686.73 $106,055.30 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 7 4 — — $68,801.71 $130,723.25 $103,202.56 2026-04-01
7 MS_DRG Lung Transplant 28 22 — — $96,398.37 $191,802.94 $99,379.76 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $55,555.43 $130,365.70 $92,960.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 22 — — $89,699.64 $178,474.55 $92,473.86 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 22 — — $84,769.90 $168,665.88 $87,391.65 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 28 22 — — $84,676.49 $168,480.03 $87,295.35 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 22 — — $82,538.19 $164,225.48 $85,090.92 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 22 — — $81,481.25 $162,122.49 $84,001.29 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 22 — — $77,431.70 $154,065.13 $79,826.49 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 22 — — $42,209.75 $149,011.40 $77,207.98 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 22 — — $73,640.08 $146,520.99 $75,917.61 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 7 4 — — $50,007.15 $95,013.58 $75,010.73 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 7 4 — — $49,600.83 $94,241.58 $74,401.24 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 22 — — $68,084.51 $135,467.12 $70,190.22 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 28 22 — — $65,568.99 $130,462.02 $67,596.90 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 22 — — $63,919.28 $127,179.59 $65,896.16 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 22 — — $63,728.87 $126,800.75 $65,699.87 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 22 — — $59,887.68 $119,157.97 $61,739.88 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $38,502.36 $84,719.04 $61,610.70 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 22 — — $500.00 $116,434.53 $60,328.77 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 22 — — $58,281.08 $115,961.33 $60,083.59 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 22 — — $58,099.29 $115,599.63 $59,896.18 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 22 — — $23,050.14 $146,215.79 $57,383.56 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 22 — — $55,215.89 $109,862.55 $56,923.60 2026-04-01
10 MS_DRG Pancreas Transplant 28 22 — — $54,907.65 $109,249.23 $56,605.82 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 28 22 — — $54,886.09 $109,206.35 $56,583.60 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 22 — — $54,612.34 $108,661.66 $56,301.38 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 22 — — $54,582.15 $108,601.60 $56,270.26 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 22 — — $52,767.90 $104,991.81 $54,399.90 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 22 — — $51,713.12 $102,893.12 $53,312.50 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 22 — — $51,392.67 $102,255.51 $52,982.13 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 22 — — $51,357.46 $102,185.45 $52,945.83 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 7 4 — — $34,970.13 $66,443.25 $52,455.19 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 22 — — $17,811.10 $1,112,152.87 $52,226.28 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 22 — — $50,593.68 $100,665.77 $52,158.43 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 22 — — $50,593.68 $100,665.77 $52,158.43 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 22 — — $50,421.95 $100,324.08 $51,981.39 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 29 22 — — $49,583.44 $98,655.71 $51,116.95 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 22 — — $35,182.76 $132,608.33 $48,848.07 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 22 — — $47,331.61 $94,175.26 $48,795.47 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 22 — — $46,909.84 $93,336.07 $48,360.66 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 22 — — $46,519.69 $92,559.79 $47,958.44 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 22 — — $46,507.47 $92,535.49 $47,945.85 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 22 — — $46,194.91 $91,913.59 $47,623.62 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 22 — — $45,954.93 $91,436.10 $47,376.22 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
5061 OTHER Hyperbaric Oxygen 1 1 — — $47,051.08 $47,051.08 $47,051.08 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 22 — — $40,495.56 $96,200.67 $46,923.63 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 22 — — $45,488.62 $90,508.28 $46,895.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 22 — — $44,786.63 $89,111.54 $46,171.78 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 22 — — $44,517.84 $307,466.44 $45,899.19 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 28 22 — — $44,354.07 $88,250.89 $45,725.85 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 22 — — $41,260.14 $87,453.12 $45,699.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 22 — — $44,300.91 $88,145.11 $45,671.04 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 22 — — $43,744.06 $87,037.15 $45,096.97 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 22 — — $43,619.04 $86,788.39 $44,968.08 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 22 — — $43,343.12 $86,239.41 $44,683.63 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 7 4 — — $29,717.20 $56,462.68 $44,575.80 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 7 4 — — $29,576.84 $56,196.00 $44,365.26 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 22 — — $43,032.72 $85,621.81 $44,363.63 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 4 — — $29,510.19 $56,069.36 $44,265.28 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 28 22 — — $42,794.90 $85,148.61 $44,118.45 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 22 — — $42,655.51 $84,871.27 $43,974.75 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 22 — — $42,599.46 $84,759.75 $43,916.97 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 22 — — $42,537.67 $84,636.81 $43,853.27 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 22 — — $42,381.04 $84,325.15 $43,691.79 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 22 — — $41,666.11 $82,902.67 $42,954.75 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 22 — — $41,643.12 $82,856.93 $42,931.05 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 22 — — $54.28 $82,345.11 $42,665.86 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 22 — — $40,750.72 $81,081.33 $42,011.05 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 29 22 — — $200.00 $80,952.65 $41,944.38 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 22 — — $36,375.67 $83,655.51 $41,250.76 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 22 — — $39,563.73 $78,719.59 $40,787.35 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 22 — — $918.69 $77,964.74 $40,396.24 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 22 — — $38,896.94 $77,392.88 $40,099.94 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 39 22 — — $57.77 $125,799.41 $40,034.76 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 22 — — $38,712.28 $77,025.47 $39,909.57 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 22 — — $38,564.99 $76,732.40 $39,757.72 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 4 — — $26,256.97 $49,888.23 $39,385.45 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 4 — — $26,256.97 $49,888.23 $39,385.45 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 4 — — $26,256.97 $49,888.23 $39,385.45 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 22 — — $38,044.07 $75,695.93 $39,220.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 22 — — $37,868.75 $75,347.10 $39,039.95 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 34 22 — — $31,571.59 $122,711.20 $38,717.73 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 22 — — $37,129.40 $73,876.02 $38,277.73 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 22 — — $37,060.42 $73,738.78 $38,206.62 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 22 — — $36,959.82 $73,538.62 $38,102.91 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $34,235.50 $41,513.56 $37,874.53 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 28 22 — — $36,666.67 $72,955.33 $37,800.69 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 22 — — $32,703.25 $72,690.86 $37,663.66 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 22 — — $36,291.61 $72,209.08 $37,414.03 2026-04-01
245 MS_DRG Aicd Generator Procedures 28 22 — — $36,130.66 $71,888.83 $37,248.10 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 22 — — $36,032.22 $71,692.98 $37,146.62 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 22 — — $35,116.94 $71,664.39 $37,131.81 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 28 22 — — $35,889.95 $71,409.90 $36,999.95 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 29 22 — — $35,551.54 $85,230.81 $36,651.07 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 29 22 — — $35,542.20 $75,057.55 $36,641.44 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 22 — — $35,415.74 $70,466.37 $36,511.07 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 22 — — $34,912.06 $69,822.52 $35,991.81 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 22 — — $34,442.15 $68,529.22 $35,507.37 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 4 — — $23,640.73 $44,917.39 $35,461.10 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 7 4 — — $23,514.53 $44,677.61 $35,271.80 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 22 — — $34,194.26 $68,035.99 $35,251.81 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 28 22 — — $33,995.95 $67,641.42 $35,047.37 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 22 — — $33,819.91 $67,291.17 $34,865.89 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 4 — — $23,210.23 $44,099.44 $34,815.34 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 22 — — $33,693.45 $67,039.55 $34,735.52 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 7 4 — — $23,134.38 $43,955.32 $34,701.57 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 22 — — $33,641.71 $66,936.61 $34,682.18 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 22 — — $33,626.63 $66,906.60 $34,666.63 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 22 — — $33,538.25 $66,730.75 $34,575.52 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 22 — — $33,502.33 $66,659.27 $34,538.48 2026-04-01
L5858 HCPCS Stance Phase Only 7 4 — — $23,006.91 $43,713.13 $34,510.36 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 22 — — $1,676.00 $70,218.82 $34,480.70 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 22 — — $33,329.88 $66,316.15 $34,360.70 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 31 22 — — $2,015.21 $66,273.27 $34,338.48 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 22 — — $33,189.05 $66,035.95 $34,215.52 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 22 — — $32,991.47 $65,642.81 $34,011.82 2026-04-01
791 MS_DRG Prematurity With Major Problems 29 22 — — $32,513.64 $99,151.33 $33,519.22 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 28 22 — — $32,237.02 $64,141.70 $33,234.04 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 28 22 — — $31,975.48 $63,621.31 $32,964.41 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 22 — — $30,048.55 $62,589.13 $32,429.60 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 22 — — $31,329.54 $62,336.09 $32,298.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 22 — — $31,160.68 $62,000.11 $32,124.41 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 28 22 — — $31,119.01 $61,917.20 $32,081.45 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 22 — — $31,092.42 $61,864.30 $32,054.04 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 7 4 — — $21,297.95 $40,466.10 $31,946.93 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 29 22 — — $30,935.07 $61,551.21 $31,891.82 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $31,479.10 $31,479.10 $31,479.10 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 22 — — $30,386.84 $60,460.42 $31,326.64 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 22 — — $30,269.01 $60,225.96 $31,205.16 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 22 — — $30,053.77 $60,098.71 $31,139.23 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 29 22 — — $30,202.18 $60,093.00 $31,136.27 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 6 3 — — $1,994.27 $87,527.35 $31,083.63 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 22 — — $30,126.74 $59,942.89 $31,058.49 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 22 — — $29,975.85 $59,642.67 $30,902.94 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 22 — — $29,740.89 $59,175.17 $30,660.71 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 22 — — $29,730.11 $59,153.73 $30,649.60 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 29 22 — — $29,420.43 $58,537.56 $30,330.34 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 22 — — $29,400.31 $58,497.53 $30,309.60 2026-04-01
332 MS_DRG Rectal Resection With Mcc 28 22 — — $29,364.39 $58,426.06 $30,272.57 2026-04-01
265 MS_DRG Aicd Lead Procedures 28 22 — — $29,346.43 $58,390.32 $30,254.05 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 22 — — $29,300.44 $58,298.82 $30,206.64 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 7 4 — — $20,122.03 $38,231.86 $30,183.04 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 22 — — $14,048.42 $58,221.62 $30,166.64 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 22 — — $29,092.08 $57,884.23 $29,991.83 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 22 — — $29,032.44 $57,765.58 $29,930.35 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 22 — — $29,006.57 $57,714.10 $29,903.68 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 22 — — $28,968.49 $57,638.33 $29,864.42 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 22 — — $28,946.93 $57,595.45 $29,842.20 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 22 — — $28,922.50 $57,546.83 $29,817.01 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $29,803.78 $29,803.78 $29,803.78 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 30 22 — — $28,901.66 $57,505.37 $29,795.53 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 32 22 — — $27,190.91 $124,338.93 $29,575.53 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 22 — — $28,636.53 $56,977.85 $29,522.20 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 29 22 — — $28,413.08 $56,533.23 $29,291.83 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 22 — — $28,406.61 $56,520.36 $29,285.16 2026-04-01
64580 HCPCS Implant Neuroelectrodes 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
63655 HCPCS Implant Neuroelectrodes 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 22 — — $28,291.64 $56,291.62 $29,166.64 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 22 — — $28,170.93 $56,051.45 $29,042.20 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 28 22 — — $28,055.97 $55,822.70 $28,923.68 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 22 — — $27,982.69 $55,676.89 $28,848.13 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 22 — — $27,861.97 $55,436.70 $28,723.68 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 22 — — $27,829.64 $55,372.38 $28,690.35 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 22 — — $27,351.83 $54,421.68 $28,197.76 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 22 — — $27,083.82 $53,888.42 $27,921.46 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 29 22 — — $27,003.34 $53,728.30 $27,838.50 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 22 — — $19,686.27 $82,532.76 $27,835.54 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 31 22 — — $24,517.28 $54,165.38 $27,803.11 2026-04-01
93580 HCPCS Transcath Closure Of Asd 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
61624 HCPCS Transcath Occlusion Cns 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 22 — — $26,720.97 $53,166.46 $27,547.39 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 22 — — $26,618.22 $52,962.02 $27,441.46 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 29 22 — — $4,842.54 $52,910.56 $27,414.80 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 28 22 — — $26,560.03 $52,846.24 $27,381.47 2026-04-01
652 MS_DRG Kidney Transplant 28 22 — — $26,553.56 $52,833.36 $27,374.80 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 22 — — $26,536.31 $52,799.05 $27,357.02 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 28 22 — — $26,491.04 $52,708.98 $27,310.35 2026-04-01
5054 OTHER Level 4 Skin Procedures 1 1 — — $27,239.47 $27,239.47 $27,239.47 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 29 22 — — $7,100.00 $52,560.31 $27,233.32 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 30 22 — — $25,689.18 $81,388.45 $27,169.53 2026-04-01
62360 HCPCS Insert Spine Infusion Device 7 4 — — $18,105.99 $34,401.37 $27,158.98 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 7 4 — — $18,105.99 $34,401.37 $27,158.98 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 7 4 — — $18,105.99 $34,401.37 $27,158.98 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 22 — — $26,289.86 $52,308.69 $27,102.95 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 22 — — $26,247.46 $52,224.33 $27,059.24 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 22 — — $966.95 $52,180.02 $27,036.28 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 22 — — $26,179.20 $52,088.52 $26,988.87 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 7 4 — — $17,987.99 $34,177.18 $26,981.98 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 7 4 — — $17,961.29 $34,126.45 $26,941.94 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 22 — — $26,088.67 $51,908.39 $26,895.54 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 22 — — $26,054.19 $51,839.78 $26,859.99 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 29 22 — — $25,989.52 $51,711.11 $26,793.32 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 29 22 — — $25,978.74 $51,689.67 $26,782.21 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 22 — — $25,925.57 $51,583.86 $26,727.39 2026-04-01
665 MS_DRG Prostatectomy With Mcc 28 22 — — $25,775.40 $51,285.08 $26,572.58 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 22 — — $25,728.70 $51,192.15 $26,524.43 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
24363 HCPCS Replace Elbow Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22556 HCPCS Thorax Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
25446 HCPCS Wrist Replacement 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
23616 HCPCS Treat Humerus Fracture 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
28705 HCPCS Fusion Of Foot Bones 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20838 HCPCS Replantation Foot Complete 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22600 HCPCS Neck Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20808 HCPCS Replantation Hand Complete 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20805 HCPCS Replant Forearm Complete 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20802 HCPCS Replantation Arm Complete 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27487 HCPCS Revise/replace Knee Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22610 HCPCS Thorax Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
See an error in this hospital's data? Submit a correction