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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

MEMORIAL HERMANN NORTHEAST HOSPITAL

Humble, TX · CCN 450684 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $9,800 across 17 payers · range $1,321-$18,013

Source: https://memorialhermann.org/-/media/memorial-hermann/org/files/patients-and-visitors/cms-standard-hospital-charges/741152597_memorial-hermann-northeast-hospital_standardcharges.ashx · 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.

7,475 distinct procedures filed
18 distinct payers
90,517 rate rows
2026-04-01 last MRF observed
Data quality

57,787 of 90,517 rate rows are consumer-grade (63.8%)

32,730 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 31,841
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
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-northeast-hospital_standardcharges.ashx
Found on page https://memorialhermann.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-18
Content fingerprint 32a2b5c731a06ccb… · 25,842,922 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 17 $311,552.40 $619,892.92 $353,306.84 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $203,678.86 $405,257.95 $230,976.03 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $156,189.72 $310,769.24 $177,122.36 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $155,298.06 $308,995.10 $176,111.20 nat. median
$199,832
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $102,824.73 $204,589.42 $116,605.37 nat. median
$132,706
0.9× median
7
MS_DRG 		Lung Transplant 17 $96,411.63 $191,829.32 $109,332.77 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $89,777.21 $178,628.87 $101,809.20 nat. median
$114,305
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 $84,894.80 $168,914.39 $96,272.45 nat. median
$108,240
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 17 $84,802.29 $168,730.33 $96,167.54 nat. median
$96,134
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $82,684.51 $164,516.60 $93,765.94 nat. median
$96,835
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $81,637.72 $162,433.82 $92,578.86 nat. median
$100,978
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 17 $77,627.03 $154,453.79 $88,030.66 nat. median
$99,646
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $73,871.82 $146,982.08 $83,772.17 nat. median
$92,900
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 17 $46,107.05 $149,448.58 $81,306.23 nat. median
$98,002
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $68,369.59 $136,034.33 $77,532.52 nat. median
$81,124
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 17 $65,878.22 $131,077.28 $74,707.26 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 17 $64,244.34 $127,826.37 $72,854.41 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $64,055.76 $127,451.16 $72,640.56 nat. median
$80,459
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $60,251.44 $119,881.74 $68,326.38 nat. median
$77,385
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 $58,895.81 $117,184.45 $66,789.06 nat. median
$74,472
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 $58,480.23 $116,357.58 $66,317.79 nat. median
$71,485
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 $58,660.26 $116,715.78 $63,498.22 nat. median
$73,475
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $55,624.50 $110,675.56 $63,079.34 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 17 $55,319.22 $110,068.13 $62,733.13 nat. median
$67,750
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 17 $55,297.87 $110,025.65 $62,708.92 nat. median
$62,911
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 $55,026.74 $109,486.20 $62,401.46 nat. median
$69,153
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 $54,996.86 $109,426.73 $62,367.57 nat. median
$68,581
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 $53,200.02 $105,851.58 $60,329.92 nat. median
$65,792
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 17 $52,155.37 $103,773.05 $59,145.26 nat. median
$64,357
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 $51,837.98 $103,141.55 $58,785.34 nat. median
$59,832
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 $51,803.11 $103,072.17 $58,745.80 nat. median
$62,262
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $51,046.67 $101,567.08 $57,887.97 nat. median
$63,840
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $51,046.67 $101,567.08 $57,887.97 nat. median
$60,895
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 $50,876.59 $101,228.67 $57,695.10 nat. median
$59,159
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 17 $42,270.01 $106,331.57 $55,094.08 nat. median
$65,958
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 $47,866.44 $95,239.42 $54,281.54 nat. median
$60,162
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 17 $47,815.92 $95,138.89 $54,224.24 nat. median
$60,294
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $48,480.45 $99,576.32 $54,173.64 nat. median
$62,218
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 17 $47,398.20 $94,307.75 $53,750.53 nat. median
$59,257
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 17 $47,011.79 $93,538.92 $53,312.34 nat. median
$56,970
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 $46,999.69 $93,514.85 $53,298.62 nat. median
$58,419
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $46,690.14 $92,898.93 $52,947.58 nat. median
$57,394
0.9× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 17 $46,452.46 $92,426.02 $52,678.04 nat. median
$55,867
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 17 $46,017.65 $91,560.90 $52,184.97 nat. median
$57,082
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 $45,990.61 $91,507.09 $52,154.30 nat. median
$56,397
0.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 $45,295.36 $90,123.76 $51,365.88 nat. median
$53,268
1.0× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 $45,033.48 $89,602.70 $51,068.90 nat. median
$55,685
0.9× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 17 $44,866.97 $89,271.40 $50,880.07 nat. median
$50,294
1.0× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 17 $44,814.31 $89,166.62 $50,820.35 nat. median
$51,984
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 $27,112.02 $92,621.41 $50,389.89 nat. median
$51,433
1.0× median

Other procedures at this hospital

Browse this hospital's 7,475 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 23 17 — — $311,552.40 $619,892.92 $353,306.84 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 17 — — $203,678.86 $405,257.95 $230,976.03 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 17 — — $156,189.72 $310,769.24 $177,122.36 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 17 — — $155,298.06 $308,995.10 $176,111.20 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 17 — — $102,824.73 $204,589.42 $116,605.37 2026-04-01
7 MS_DRG Lung Transplant 23 17 — — $96,411.63 $191,829.32 $109,332.77 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 17 — — $89,777.21 $178,628.87 $101,809.20 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 17 — — $84,894.80 $168,914.39 $96,272.45 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 23 17 — — $84,802.29 $168,730.33 $96,167.54 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 17 — — $82,684.51 $164,516.60 $93,765.94 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 17 — — $81,637.72 $162,433.82 $92,578.86 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 17 — — $77,627.03 $154,453.79 $88,030.66 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 17 — — $73,871.82 $146,982.08 $83,772.17 2026-04-01
215 MS_DRG Other Heart Assist System Implant 24 17 — — $46,107.05 $149,448.58 $81,306.23 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 17 — — $68,369.59 $136,034.33 $77,532.52 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 17 — — $65,878.22 $131,077.28 $74,707.26 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 17 — — $64,244.34 $127,826.37 $72,854.41 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 17 — — $64,055.76 $127,451.16 $72,640.56 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 17 — — $60,251.44 $119,881.74 $68,326.38 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 17 — — $58,895.81 $117,184.45 $66,789.06 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 17 — — $58,480.23 $116,357.58 $66,317.79 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 17 — — $58,660.26 $116,715.78 $63,498.22 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 17 — — $55,624.50 $110,675.56 $63,079.34 2026-04-01
10 MS_DRG Pancreas Transplant 23 17 — — $55,319.22 $110,068.13 $62,733.13 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 17 — — $55,297.87 $110,025.65 $62,708.92 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 17 — — $55,026.74 $109,486.20 $62,401.46 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 17 — — $54,996.86 $109,426.73 $62,367.57 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 17 — — $53,200.02 $105,851.58 $60,329.92 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 17 — — $52,155.37 $103,773.05 $59,145.26 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 17 — — $51,837.98 $103,141.55 $58,785.34 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 17 — — $51,803.11 $103,072.17 $58,745.80 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 17 — — $51,046.67 $101,567.08 $57,887.97 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 17 — — $51,046.67 $101,567.08 $57,887.97 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 17 — — $50,876.59 $101,228.67 $57,695.10 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 17 — — $42,270.01 $106,331.57 $55,094.08 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 17 — — $47,866.44 $95,239.42 $54,281.54 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 17 — — $47,815.92 $95,138.89 $54,224.24 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 24 17 — — $48,480.45 $99,576.32 $54,173.64 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 17 — — $47,398.20 $94,307.75 $53,750.53 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 23 17 — — $47,011.79 $93,538.92 $53,312.34 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 17 — — $46,999.69 $93,514.85 $53,298.62 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 17 — — $46,690.14 $92,898.93 $52,947.58 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 17 — — $46,452.46 $92,426.02 $52,678.04 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 17 — — $46,017.65 $91,560.90 $52,184.97 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 17 — — $45,990.61 $91,507.09 $52,154.30 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 17 — — $45,295.36 $90,123.76 $51,365.88 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 17 — — $45,033.48 $89,602.70 $51,068.90 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 17 — — $44,866.97 $89,271.40 $50,880.07 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 17 — — $44,814.31 $89,166.62 $50,820.35 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 17 — — $27,112.02 $92,621.41 $50,389.89 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 17 — — $44,262.81 $88,069.30 $50,194.94 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 17 — — $44,138.99 $87,822.93 $50,054.52 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 17 — — $43,865.72 $87,279.21 $49,744.63 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 17 — — $43,558.31 $86,667.56 $49,396.02 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 17 — — $43,322.75 $86,198.88 $49,128.89 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 17 — — $43,184.70 $85,924.20 $48,972.34 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 17 — — $43,129.20 $85,813.76 $48,909.40 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 17 — — $43,068.00 $85,692.00 $48,840.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 17 — — $42,912.87 $85,383.34 $48,664.08 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 6 3 — — $31,531.90 $59,910.61 $48,086.15 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 3 — — $31,531.90 $59,910.61 $48,086.15 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 6 3 — — $31,531.90 $59,910.61 $48,086.15 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 3 — — $31,531.90 $59,910.61 $48,086.15 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 6 3 — — $31,531.90 $59,910.61 $48,086.15 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 3 — — $31,531.90 $59,910.61 $48,086.15 2026-04-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 6 3 — — $31,531.90 $59,910.61 $48,086.15 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 17 — — $42,204.81 $83,974.51 $47,861.12 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 17 — — $42,182.03 $83,929.20 $47,835.29 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 17 — — $41,927.27 $83,422.30 $47,546.39 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 17 — — $41,298.21 $83,625.81 $46,833.02 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 17 — — $41,234.16 $82,043.22 $46,760.38 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 17 — — $40,122.60 $79,831.57 $45,499.86 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 17 — — $41,802.74 $102,146.41 $45,250.39 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 17 — — $39,746.88 $79,083.99 $45,073.78 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 26 17 — — $33,613.43 $91,803.58 $45,048.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 17 — — $39,462.23 $78,517.63 $44,750.98 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 17 — — $34,724.56 $192,777.48 $44,679.96 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 17 — — $39,279.34 $78,153.73 $44,543.58 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 17 — — $39,133.46 $77,863.48 $44,378.15 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 17 — — $38,617.53 $76,836.95 $43,793.08 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 17 — — $38,443.90 $76,491.48 $43,596.18 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 17 — — $38,134.35 $75,875.56 $43,245.14 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 17 — — $37,711.64 $75,034.50 $42,765.78 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 17 — — $37,643.33 $74,898.59 $42,688.32 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 17 — — $37,543.70 $74,700.36 $42,575.34 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 23 17 — — $37,253.36 $74,122.67 $42,246.08 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 17 — — $37,121.72 $73,860.73 $42,096.79 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 25 17 — — $36,249.41 $73,549.23 $41,919.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 17 — — $36,881.89 $73,383.56 $41,824.83 2026-04-01
245 MS_DRG Aicd Generator Procedures 23 17 — — $36,722.49 $73,066.40 $41,644.06 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 23 17 — — $36,625.00 $72,872.42 $41,533.50 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 17 — — $36,610.77 $72,844.11 $41,517.37 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 17 — — $36,484.11 $72,592.09 $41,373.73 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 17 — — $36,139.68 $71,906.78 $40,983.14 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 17 — — $36,014.43 $71,657.58 $40,841.11 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 17 — — $35,515.59 $70,665.04 $40,275.41 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 6 3 — — $26,256.97 $49,888.23 $40,041.88 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 6 3 — — $26,256.97 $49,888.23 $40,041.88 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 6 3 — — $26,256.97 $49,888.23 $40,041.88 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 17 — — $34,804.69 $69,250.56 $39,469.23 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 17 — — $34,608.27 $68,859.76 $39,246.49 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 28 17 — — $19,584.66 $88,047.59 $39,130.29 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 17 — — $34,433.93 $68,512.88 $39,048.79 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 17 — — $34,308.69 $68,263.68 $38,906.76 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 17 — — $34,257.45 $68,161.73 $38,848.66 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 17 — — $34,242.50 $68,131.99 $38,831.71 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 17 — — $34,119.39 $67,887.04 $38,692.09 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 17 — — $34,063.89 $67,776.60 $38,629.15 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 17 — — $33,948.60 $67,547.22 $38,498.42 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 23 17 — — $33,927.25 $67,504.74 $38,474.21 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 17 — — $33,809.13 $67,269.71 $38,340.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 17 — — $32,866.24 $65,393.65 $37,270.99 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 17 — — $32,607.21 $64,878.26 $36,977.25 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 17 — — $32,093.42 $63,855.98 $36,394.60 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 17 — — $31,967.46 $63,605.35 $36,251.75 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 25 17 — — $35,050.19 $69,739.04 $36,134.22 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 17 — — $31,758.95 $63,190.50 $36,015.31 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 17 — — $31,732.63 $63,138.12 $35,985.46 2026-04-01
791 MS_DRG Prematurity With Major Problems 26 17 — — $11,252.04 $65,938.76 $35,873.42 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 17 — — $30,090.70 $67,957.83 $35,211.31 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 17 — — $31,033.82 $61,747.71 $35,192.99 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 17 — — $30,917.11 $61,515.49 $35,060.64 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 17 — — $30,853.78 $61,389.48 $34,988.82 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 17 — — $30,850.93 $61,383.80 $34,985.59 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 17 — — $30,626.77 $60,937.80 $34,731.39 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 23 17 — — $30,394.07 $60,474.79 $34,467.50 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 17 — — $30,383.40 $60,453.56 $34,455.40 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 17 — — $31,576.78 $62,828.02 $34,181.05 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 17 — — $30,076.69 $59,843.32 $34,107.59 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 17 — — $30,056.76 $59,803.66 $34,084.98 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 17 — — $30,021.18 $59,732.86 $34,044.64 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 17 — — $30,003.39 $59,697.47 $34,024.46 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 17 — — $29,957.85 $59,606.85 $33,972.82 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 17 — — $29,919.42 $59,530.39 $33,929.24 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 17 — — $29,751.48 $59,196.25 $33,738.79 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 17 — — $29,692.42 $59,078.73 $33,671.81 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 17 — — $27,962.37 $59,027.76 $33,642.76 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 17 — — $29,629.08 $58,952.70 $33,599.98 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 17 — — $29,607.74 $58,910.24 $33,575.78 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 17 — — $29,583.54 $58,862.09 $33,548.34 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 17 — — $30,776.21 $61,235.14 $33,314.46 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 23 17 — — $29,351.55 $58,400.51 $33,285.26 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 17 — — $29,300.31 $58,298.56 $33,227.16 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 17 — — $29,072.60 $57,845.48 $32,968.93 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 17 — — $28,958.74 $57,618.93 $32,839.81 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 25 17 — — $31,384.06 $63,272.62 $32,783.74 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 17 — — $28,839.19 $57,381.06 $32,704.23 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 23 17 — — $28,725.33 $57,154.52 $32,575.11 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 17 — — $28,652.74 $57,010.10 $32,492.80 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 17 — — $28,533.19 $56,772.22 $32,357.23 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 17 — — $28,501.17 $56,708.51 $32,320.92 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 17 — — $27,762.51 $55,238.80 $31,483.25 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 23 17 — — $27,682.80 $55,080.21 $31,392.87 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 17 — — $27,403.14 $54,523.77 $31,075.73 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 17 — — $27,301.38 $54,321.30 $30,960.32 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 17 — — $27,275.76 $54,270.33 $30,931.27 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 23 17 — — $27,243.74 $54,206.62 $30,894.96 2026-04-01
652 MS_DRG Kidney Transplant 23 17 — — $27,237.33 $54,193.86 $30,887.69 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 17 — — $27,220.26 $54,159.89 $30,868.33 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 17 — — $27,175.42 $54,070.69 $30,817.49 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 17 — — $27,101.41 $53,923.43 $30,733.56 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 17 — — $26,934.18 $53,590.70 $30,543.92 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 17 — — $26,912.13 $53,546.81 $30,518.91 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 17 — — $29,450.86 $58,821.03 $30,477.22 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 17 — — $26,866.58 $53,456.18 $30,467.25 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 17 — — $26,776.92 $53,277.79 $30,365.58 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 26 17 — — $28,027.94 $55,766.93 $30,339.52 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 17 — — $26,668.04 $53,061.14 $30,242.10 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 17 — — $26,615.37 $52,956.36 $30,182.38 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 29 17 — — $26,315.01 $63,717.69 $29,978.35 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 17 — — $26,420.39 $52,568.41 $29,961.27 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 17 — — $26,381.25 $52,490.54 $29,916.89 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 17 — — $26,041.81 $51,815.15 $29,531.95 2026-04-01
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
0525T CPT Insj/rplcmt Compl Iims 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 6 3 — — $19,349.47 $36,763.98 $29,507.93 2026-04-01
263 MS_DRG Vein Ligation And Stripping 23 17 — — $26,012.64 $51,757.10 $29,498.87 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 17 — — $25,840.42 $51,414.45 $29,303.57 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 17 — — $25,750.05 $51,234.63 $29,201.08 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 23 17 — — $25,747.20 $51,228.97 $29,197.86 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 23 17 — — $25,723.72 $51,182.25 $29,171.23 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 17 — — $26,742.75 $53,209.81 $28,948.35 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 17 — — $26,678.72 $53,082.39 $28,879.02 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 23 17 — — $25,436.22 $50,610.22 $28,845.20 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 17 — — $26,466.65 $52,660.46 $28,649.47 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 23 17 — — $25,220.60 $50,181.20 $28,600.68 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 23 17 — — $25,206.37 $50,152.88 $28,584.54 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 17 — — $21,314.53 $43,052.15 $28,565.86 2026-04-01
570 MS_DRG Skin Debridement With Mcc 23 17 — — $25,185.02 $50,110.40 $28,560.33 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 25 17 — — $26,874.71 $55,074.56 $28,536.04 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 23 17 — — $25,034.88 $49,811.66 $28,390.06 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 23 17 — — $24,906.78 $49,556.78 $28,244.80 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 17 — — $24,893.97 $49,531.31 $28,230.28 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 23 17 — — $24,802.88 $49,350.06 $28,126.98 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 23 17 — — $24,792.92 $49,330.24 $28,115.68 2026-04-01
0981T CPT Tcat Impl Wrls Ivc Snr 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
61624 HCPCS Transcath Occlusion Cns 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
0645T CPT Tcat Impltj C Sins Rdctj Dev 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
0238T CPT Trluml Perip Athrc Iliac Art 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
93580 HCPCS Transcath Closure Of Asd 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
0632T CPT Perq Tcat US Abltj Nrv P-art 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 6 3 — — $18,415.17 $34,988.83 $28,083.14 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 23 17 — — $24,763.03 $49,270.78 $28,081.79 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 23 17 — — $24,680.49 $49,106.53 $27,988.18 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 17 — — $24,540.30 $48,827.61 $27,829.21 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 27 17 — — $26,075.44 $53,674.23 $27,810.48 2026-04-01
800 MS_DRG Splenic Procedures With Cc 23 17 — — $24,247.83 $48,245.68 $27,497.54 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 23 17 — — $24,175.95 $48,102.66 $27,416.03 2026-04-01
503 MS_DRG Foot Procedures With Mcc 23 17 — — $24,117.59 $47,986.56 $27,349.85 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 23 17 — — $23,980.96 $47,714.70 $27,194.90 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 23 17 — — $23,875.65 $47,505.16 $27,075.48 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 24 17 — — $24,968.32 $49,702.63 $27,040.29 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 17 — — $23,810.89 $50,387.78 $27,002.04 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 23 17 — — $23,709.84 $47,175.24 $26,887.44 2026-04-01
22600 HCPCS Neck Spine Fusion 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
0656T CPT Vrt Bdy Tethering Ant 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22610 HCPCS Thorax Spine Fusion 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
0657T CPT Vrt Bdy Tethering Ant 8+ Seg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
25446 HCPCS Wrist Replacement 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
20802 HCPCS Replantation Arm Complete 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22612 HCPCS Lumbar Spine Fusion 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22556 HCPCS Thorax Spine Fusion 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
20838 HCPCS Replantation Foot Complete 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
24363 HCPCS Replace Elbow Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
20805 HCPCS Replant Forearm Complete 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
28705 HCPCS Fusion Of Foot Bones 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
0790T CPT Revj Rplcmt/rmvl Vrt Tethrg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
27487 HCPCS Revise/replace Knee Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
23616 HCPCS Treat Humerus Fracture 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
20808 HCPCS Replantation Hand Complete 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 6 3 — — $17,613.72 $33,466.06 $26,860.92 2026-04-01
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