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

Memorial Hermann The Woodlands Medical Center

The Woodlands, TX · CCN 450732 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $9,574 across 21 payers · range $2,002-$19,883

Source: https://memorialhermann.org/-/media/memorial-hermann/org/files/patients-and-visitors/cms-standard-hospital-charges/741152597_memorial-hermann-the-woodlands-medical-center_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.

9,314 distinct procedures filed
24 distinct payers
123,084 rate rows
2026-04-01 last MRF observed
Data quality

81,932 of 123,084 rate rows are consumer-grade (66.6%)

41,152 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 41,152
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-the-woodlands-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 d83ca25e3cd91655… · 33,835,702 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 21 $323,984.31 $644,628.57 $334,004.44 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $209,498.57 $421,338.40 $218,310.05 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $162,356.59 $323,039.40 $167,377.93 nat. median
$205,166
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
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $1,800.00 $321,193.75 $166,421.63 nat. median
$199,832
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $68,719.43 $212,577.86 $110,143.97 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 21 $100,167.94 $199,303.23 $103,265.92 nat. median
$122,690
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
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $72,639.36 $126,030.00 $96,873.32 nat. median
$83,623
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $93,265.98 $185,570.46 $96,150.50 nat. median
$114,305
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $84,798.26 $168,722.32 $91,791.93 nat. median
$100,978
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $88,186.69 $175,464.23 $90,914.11 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 21 $88,090.44 $175,272.74 $90,814.89 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $85,887.27 $170,889.11 $88,543.58 nat. median
$96,835
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $80,625.86 $160,420.52 $83,119.44 nat. median
$99,646
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $76,304.56 $152,647.50 $83,046.57 nat. median
$92,900
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 21 $77,333.44 $155,213.48 $80,421.49 nat. median
$98,002
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $66,703.50 $150,979.30 $75,643.14 nat. median
$79,040
1.0× 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 21 $70,995.11 $141,258.30 $73,190.83 nat. median
$81,124
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 21 $68,403.26 $136,101.32 $70,518.82 nat. median
$81,364
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $60,050.68 $153,506.78 $69,333.22 nat. median
$74,472
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $60,706.95 $120,788.05 $68,842.93 nat. median
$71,485
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $65,579.43 $132,328.98 $68,564.24 nat. median
$80,459
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $30,926.62 $140,164.47 $65,916.46 nat. median
$73,475
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $62,549.60 $124,454.35 $64,484.12 nat. median
$77,385
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $57,736.07 $114,876.92 $59,521.72 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 21 $57,418.47 $114,245.00 $59,194.30 nat. median
$67,750
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 21 $57,396.26 $114,200.80 $59,171.40 nat. median
$62,911
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 $57,114.20 $113,639.60 $58,880.62 nat. median
$69,153
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 $57,083.11 $113,577.74 $58,848.57 nat. median
$68,581
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $43,528.62 $72,398.82 $57,963.72 nat. median
$62,767
0.9× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 4 $55,374.69 $152,524.10 $57,428.44 nat. median
$57,648
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $27,330.34 $110,357.77 $57,180.19 nat. median
$65,958
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 $51,972.66 $109,858.42 $56,921.46 nat. median
$65,792
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 21 $54,127.03 $107,696.05 $55,801.06 nat. median
$64,357
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 $53,796.85 $107,039.09 $55,460.67 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 $53,760.57 $106,966.91 $55,423.27 nat. median
$62,262
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 $48,296.31 $96,094.72 $54,769.01 nat. median
$51,433
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $52,973.62 $105,401.12 $54,611.98 nat. median
$63,840
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $52,973.62 $105,401.12 $54,611.98 nat. median
$60,895
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 $52,796.68 $105,049.07 $54,429.57 nat. median
$59,159
0.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 3 $35,179.64 $94,306.76 $53,592.27 nat. median
$37,051
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 21 $42,942.27 $103,330.10 $53,538.91 nat. median
$62,218
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 21 $44,475.76 $158,857.41 $52,979.14 nat. median
$55,685
1.0× 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
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 21 $47,491.89 $126,030.00 $51,679.29 nat. median
$57,082
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 $890.00 $98,818.30 $51,201.19 nat. median
$60,162
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 21 $49,612.59 $98,713.71 $51,147.00 nat. median
$60,294
0.8× median

Other procedures at this hospital

Browse this hospital's 9,314 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 27 21 — — $323,984.31 $644,628.57 $334,004.44 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 21 — — $209,498.57 $421,338.40 $218,310.05 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 21 — — $162,356.59 $323,039.40 $167,377.93 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 4 — — $111,492.17 $211,835.12 $167,238.26 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 21 — — $1,800.00 $321,193.75 $166,421.63 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 21 — — $68,719.43 $212,577.86 $110,143.97 2026-04-01
7 MS_DRG Lung Transplant 27 21 — — $100,167.94 $199,303.23 $103,265.92 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
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 2 — — $72,639.36 $126,030.00 $96,873.32 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 21 — — $93,265.98 $185,570.46 $96,150.50 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 21 — — $84,798.26 $168,722.32 $91,791.93 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 21 — — $88,186.69 $175,464.23 $90,914.11 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 21 — — $88,090.44 $175,272.74 $90,814.89 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $85,887.27 $170,889.11 $88,543.58 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 21 — — $80,625.86 $160,420.52 $83,119.44 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 21 — — $76,304.56 $152,647.50 $83,046.57 2026-04-01
215 MS_DRG Other Heart Assist System Implant 28 21 — — $77,333.44 $155,213.48 $80,421.49 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 21 — — $66,703.50 $150,979.30 $75,643.14 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 27 21 — — $70,995.11 $141,258.30 $73,190.83 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 21 — — $68,403.26 $136,101.32 $70,518.82 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 21 — — $60,050.68 $153,506.78 $69,333.22 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 21 — — $60,706.95 $120,788.05 $68,842.93 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 21 — — $65,579.43 $132,328.98 $68,564.24 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 21 — — $30,926.62 $140,164.47 $65,916.46 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 21 — — $62,549.60 $124,454.35 $64,484.12 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $57,736.07 $114,876.92 $59,521.72 2026-04-01
10 MS_DRG Pancreas Transplant 27 21 — — $57,418.47 $114,245.00 $59,194.30 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 21 — — $57,396.26 $114,200.80 $59,171.40 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 21 — — $57,114.20 $113,639.60 $58,880.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 21 — — $57,083.11 $113,577.74 $58,848.57 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $43,528.62 $72,398.82 $57,963.72 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 4 — — $55,374.69 $152,524.10 $57,428.44 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 32 21 — — $27,330.34 $110,357.77 $57,180.19 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 21 — — $51,972.66 $109,858.42 $56,921.46 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 21 — — $54,127.03 $107,696.05 $55,801.06 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 21 — — $53,796.85 $107,039.09 $55,460.67 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 21 — — $53,760.57 $106,966.91 $55,423.27 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 21 — — $48,296.31 $96,094.72 $54,769.01 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $52,973.62 $105,401.12 $54,611.98 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $52,973.62 $105,401.12 $54,611.98 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $52,796.68 $105,049.07 $54,429.57 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 3 — — $35,179.64 $94,306.76 $53,592.27 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 31 21 — — $42,942.27 $103,330.10 $53,538.91 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 21 — — $44,475.76 $158,857.41 $52,979.14 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 21 — — $47,491.89 $126,030.00 $51,679.29 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 21 — — $890.00 $98,818.30 $51,201.19 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 21 — — $49,612.59 $98,713.71 $51,147.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 21 — — $44,794.63 $127,276.77 $50,798.03 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 21 — — $49,178.03 $97,849.07 $50,699.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 31 21 — — $42,712.74 $103,171.79 $50,284.57 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 29 21 — — $7,676.00 $97,024.19 $50,271.60 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 21 — — $48,186.75 $96,383.43 $49,939.60 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 21 — — $48,194.15 $95,891.45 $49,684.69 2026-04-01
69930 HCPCS Implant Cochlear Device 7 4 — — $33,122.37 $62,932.51 $49,683.56 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 21 — — $47,713.69 $94,935.48 $49,189.37 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 21 — — $46,990.40 $93,496.36 $48,443.71 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 21 — — $46,544.73 $92,609.62 $47,984.26 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 21 — — $46,489.95 $92,500.62 $47,927.78 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $45,916.20 $91,359.04 $47,336.29 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
0571T OTHER Insj/rplcmt Icds Ss 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
0915T OTHER Insj Perm Ccm-d Sys Pg&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
33231 HCPCS Insrt Pulse Gen W/mult Leads 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 21 — — $45,787.39 $91,102.74 $47,203.49 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 21 — — $45,503.11 $90,537.11 $46,910.42 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 21 — — $45,183.29 $89,900.77 $46,580.71 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 21 — — $42,832.05 $85,222.53 $46,364.58 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 21 — — $44,938.25 $89,413.21 $46,328.09 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 21 — — $44,736.88 $89,012.56 $46,120.50 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 21 — — $44,673.21 $88,885.88 $46,054.86 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 21 — — $44,511.83 $88,564.77 $45,888.48 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 21 — — $4,072.68 $87,099.12 $45,129.08 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 21 — — $43,751.52 $87,051.99 $45,104.66 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 21 — — $43,486.49 $86,524.66 $44,831.43 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 21 — — $27,917.99 $328,364.64 $44,697.87 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
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 21 — — $8,252.06 $125,559.07 $44,348.62 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 4 — — $29,510.19 $56,069.36 $44,265.28 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 21 — — $42,765.43 $85,089.98 $44,088.07 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 21 — — $40,043.29 $90,000.99 $43,345.82 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $41,609.05 $82,789.14 $42,895.93 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 30 21 — — $39,013.21 $82,011.39 $42,492.95 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 21 — — $40,922.04 $81,422.20 $42,187.67 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 21 — — $38,926.15 $88,908.16 $42,136.56 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 21 — — $40,529.32 $81,043.63 $41,991.52 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $40,580.02 $80,741.69 $41,835.07 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 30 21 — — $37,970.41 $87,087.87 $41,101.99 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 21 — — $39,862.64 $79,314.33 $41,095.51 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 21 — — $38,959.12 $149,165.00 $40,763.52 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 21 — — $39,100.86 $77,798.63 $40,310.17 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 21 — — $38,070.62 $94,796.65 $40,236.90 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 21 — — $38,624.10 $76,850.01 $39,818.66 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 21 — — $36,789.20 $97,328.94 $39,677.47 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 34 21 — — $36,882.30 $148,797.58 $39,509.56 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 30 21 — — $27,705.84 $76,081.12 $39,420.27 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 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
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 4 — — $26,256.97 $49,888.23 $39,385.45 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 21 — — $38,071.83 $75,751.17 $39,249.31 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 21 — — $20,450.35 $245,063.20 $39,129.48 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 21 — — $37,823.82 $75,257.71 $38,993.63 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 28 21 — — $35,872.36 $145,881.97 $38,830.90 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 37 21 — — $25,824.38 $161,834.84 $38,634.16 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 21 — — $37,465.51 $74,544.78 $38,624.24 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 21 — — $37,335.21 $74,285.53 $38,489.91 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 21 — — $35,491.83 $127,015.82 $38,418.99 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 21 — — $34,044.39 $73,252.96 $37,954.90 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 21 — — $32,505.12 $89,129.11 $37,710.58 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 29 21 — — $36,159.41 $72,289.62 $37,455.76 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 21 — — $35,905.75 $71,781.43 $37,192.45 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 21 — — $35,690.98 $71,014.00 $36,794.82 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 21 — — $35,403.22 $70,754.76 $36,660.50 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 21 — — $35,507.37 $70,648.69 $36,605.54 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 21 — — $21,557.75 $70,436.59 $36,495.64 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 21 — — $35,197.65 $70,362.94 $36,457.48 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 21 — — $35,306.01 $70,248.04 $36,397.95 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $35,186.08 $70,009.42 $36,274.31 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 29 21 — — $6,235.00 $69,965.22 $36,251.41 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 21 — — $34,877.05 $69,720.71 $36,124.72 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 4 — — $23,640.73 $44,917.39 $35,461.10 2026-04-01
791 MS_DRG Prematurity With Major Problems 29 21 — — $12,155.28 $68,336.09 $35,407.30 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 7 4 — — $23,514.53 $44,677.61 $35,271.80 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 21 — — $34,060.07 $67,769.00 $35,113.47 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 21 — — $33,790.59 $67,232.82 $34,835.66 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 4 — — $23,210.23 $44,099.44 $34,815.34 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 7 4 — — $23,134.38 $43,955.32 $34,701.57 2026-04-01
L5858 HCPCS Stance Phase Only 7 4 — — $23,006.91 $43,713.13 $34,510.36 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 21 — — $30,716.62 $66,169.32 $34,284.62 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 21 — — $33,125.04 $65,908.59 $34,149.53 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 21 — — $31,488.21 $175,114.25 $34,085.18 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 21 — — $32,801.31 $65,562.45 $33,970.18 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 21 — — $32,908.13 $65,477.01 $33,925.91 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $33,912.79 $33,912.79 $33,912.79 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 21 — — $32,880.74 $65,422.50 $33,897.67 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 21 — — $32,570.42 $65,099.92 $33,730.53 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 7 4 — — $22,344.94 $42,455.38 $33,517.41 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 21 — — $30,670.16 $91,261.97 $33,199.65 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 31 21 — — $2,370.00 $63,976.03 $33,148.20 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 21 — — $29,889.59 $63,734.45 $33,023.03 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 21 — — $31,194.24 $63,603.36 $32,955.11 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 21 — — $31,963.49 $63,597.46 $32,952.05 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 21 — — $360.00 $73,496.21 $32,871.92 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 21 — — $30,350.35 $97,713.69 $32,853.47 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 21 — — $31,730.29 $63,133.47 $32,711.64 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 21 — — $30,644.99 $60,974.05 $32,666.97 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 21 — — $29,995.00 $59,680.77 $32,468.81 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 21 — — $31,337.32 $195,311.68 $32,450.62 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 28 21 — — $31,158.03 $61,994.84 $32,121.68 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 21 — — $31,137.30 $61,953.60 $32,100.31 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 21 — — $31,100.29 $61,879.95 $32,062.15 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 21 — — $31,081.78 $61,843.13 $32,043.07 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 30 21 — — $29,508.62 $104,580.54 $31,994.22 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 21 — — $29,518.97 $58,733.62 $31,953.53 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 21 — — $30,994.42 $61,669.31 $31,953.01 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
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 21 — — $30,819.70 $61,321.68 $31,772.89 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 21 — — $30,758.26 $61,199.43 $31,709.55 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 31 21 — — $27,787.60 $61,146.40 $31,682.07 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 21 — — $30,692.37 $61,068.33 $31,641.62 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 21 — — $28,117.45 $88,714.23 $31,570.64 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 7 5 — — $31,474.25 $57,639.00 $31,496.54 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 21 — — $30,307.13 $60,493.86 $31,343.97 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
53444 HCPCS Insert Tandem Cuff 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
5166 OTHER Cochlear Implant Procedure 1 1 — — $31,229.16 $31,229.16 $31,229.16 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 37 21 — — $5,098.99 $143,044.75 $31,051.66 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 21 — — $24,442.01 $59,916.44 $31,044.79 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 21 — — $25,235.36 $59,433.31 $30,794.46 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 21 — — $29,752.17 $59,197.62 $30,672.34 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 21 — — $28,270.81 $105,270.29 $30,602.42 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 21 — — $29,676.66 $59,047.38 $30,594.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 21 — — $29,552.29 $58,799.92 $30,466.28 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
5465 OTHER Level 5 Neurostimulator And Related Procedures 3 3 — — $29,918.10 $40,294.44 $29,992.72 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 21 — — $27,689.66 $55,093.86 $29,973.34 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 21 — — $28,812.15 $57,754.09 $29,924.40 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 21 — — $28,750.53 $57,204.66 $29,639.72 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 32 21 — — $28,326.35 $121,057.14 $29,554.24 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 34 21 — — $22,765.10 $57,033.80 $29,551.19 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 21 — — $27,021.92 $54,426.58 $29,306.03 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 21 — — $28,376.67 $56,460.80 $29,254.30 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 29 21 — — $25,766.31 $74,672.38 $29,219.53 2026-04-01
5093 OTHER Level 3 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $21,396.04 $46,650.51 $29,121.36 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 21 — — $28,244.15 $56,197.12 $29,117.68 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 31 21 — — $25,661.19 $190,844.14 $29,100.32 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 21 — — $28,210.84 $56,130.85 $29,083.34 2026-04-01
652 MS_DRG Kidney Transplant 27 21 — — $28,204.18 $56,117.59 $29,076.47 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 21 — — $28,186.41 $56,082.23 $29,058.15 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
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 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
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 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
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 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
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 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
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
0525T OTHER Insj/rplcmt Compl Iims 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 27 21 — — $28,139.77 $55,989.44 $29,010.07 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 21 — — $28,062.78 $55,836.25 $28,930.70 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 21 — — $27,700.02 $55,576.99 $28,796.37 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 21 — — $27,773.31 $55,490.09 $28,751.34 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 21 — — $27,865.85 $55,444.42 $28,727.68 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 21 — — $27,818.47 $55,350.16 $28,678.84 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 29 21 — — $25,524.07 $55,164.55 $28,582.67 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 21 — — $26,593.26 $54,961.29 $28,477.35 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 21 — — $27,611.92 $54,939.19 $28,465.90 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 21 — — $27,557.14 $54,830.18 $28,409.42 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 3 3 — — $11,131.76 $46,151.44 $28,272.16 2026-04-01
665 MS_DRG Prostatectomy With Mcc 27 21 — — $27,402.41 $54,522.33 $28,249.91 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 33 21 — — $300.00 $101,761.20 $28,158.33 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 28 21 — — $26,162.02 $53,642.94 $27,794.27 2026-04-01
263 MS_DRG Vein Ligation And Stripping 27 21 — — $26,930.09 $53,582.55 $27,762.98 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 35 21 — — $24,019.04 $56,022.77 $27,713.41 2026-04-01
61624 HCPCS Transcath Occlusion Cns 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
92933 HCPCS Prq Card Stent/ath/angio 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
C9774 HCPCS Revasc Lithotr-ather Tib/per 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
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 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
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
C9766 HCPCS Revasc Intra Lithotrip-ather 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
C9602 HCPCS Perc D-e Cor Stent Ather S 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
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 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
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 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
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 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
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 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
37184 HCPCS Prim Art M-thrmbc 1st Vsl 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
0645T OTHER Tcat Impltj C Sins Rdctj Dev 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
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 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
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 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
93581 HCPCS Transcath Closure Of Vsd 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
93582 HCPCS Perq Transcath Closure Pda 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
93580 HCPCS Transcath Closure Of Asd 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
0981T OTHER Tcat Impl Wrls Ivc Snr 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
5116 OTHER Level 6 Musculoskeletal Procedures 8 4 — — $18,341.71 $70,691.63 $27,614.53 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 29 21 — — $26,750.94 $143,038.19 $27,578.29 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 21 — — $26,656.92 $53,039.02 $27,481.36 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 28 21 — — $26,546.82 $53,033.12 $27,478.30 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 21 — — $26,629.53 $52,984.52 $27,453.12 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 7 4 — — $18,105.99 $34,401.37 $27,158.98 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
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 21 — — $26,260.01 $52,389.43 $27,144.78 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
472 MS_DRG Cervical Spinal Fusion With Cc 35 21 — — $120.00 $56,371.75 $26,913.53 2026-04-01
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