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

PALESTINE REGIONAL MEDICAL CENTER

Palestine, TX · CCN 450747 · Rates published

12,658 distinct procedures filed
12 distinct payers
148,842 rate rows
2026-04-01 last MRF observed
Data quality

103,248 of 148,842 rate rows are consumer-grade (69.4%)

45,594 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 42,038
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://url.us.m.mimecastprotect.com/s/uyXoC2kJDkh8qz74XIQh3zh5tiSr?domain=hospitalpricedisclosure.com
Found on page https://url.us.m.mimecastprotect.com/s/A3KvC1w73wuqyN80oSqfp5hVJ6l8?domain=palestineregional.com
Discovered viaCMS hospital list
Last fetch success · 2026-10-01
Content fingerprint da7b5f5d91650462… · 18,772,969 bytes · first seen 2026-08-31

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 10 $319,697.85 $383,637.42 $329,745.50 nat. median
$168,055
2.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $208,245.16 $249,894.19 $214,790.01 nat. median
$186,516
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $159,180.37 $191,016.44 $164,183.18 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $103,200.22 $189,910.94 $155,728.88 nat. median
$145,435
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $62,584.70 $124,853.74 $101,723.50 nat. median
$97,418
1.0× median
7
MS_DRG 		Lung Transplant 10 $97,418.89 $116,902.67 $100,480.63 nat. median
$70,649
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $90,564.35 $108,677.22 $93,410.66 nat. median
$72,715
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $85,519.94 $102,623.93 $88,207.71 nat. median
$65,418
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $85,424.36 $102,509.23 $88,109.13 nat. median
$2,110
outlier · 41.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $83,236.32 $99,883.58 $85,852.32 nat. median
$2,736
outlier · 31.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $82,154.80 $98,585.76 $84,736.81 nat. median
$74,509
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $78,011.04 $93,613.25 $80,462.82 nat. median
$69,922
1.2× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $1,013.00 $245,168.46 $80,172.45 nat. median
$28,331
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $60,177.63 $88,957.49 $74,425.65 nat. median
$69,822
1.1× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 4 $26,547.00 $171,679.10 $71,237.72 nat. median
$44,163
1.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $68,446.44 $82,135.73 $70,597.61 nat. median
$2,596
outlier · 27.2×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $65,872.41 $79,046.89 $67,942.69 nat. median
$2,633
outlier · 25.8×
0620T
CPT 		Evasc Ven Artlz Tibl/prnl Vn 4 $8,133.00 $171,679.10 $67,554.92 nat. median
$34,349
2.0× median
0620T
OTHER 		Evasc Ven Artlz Tibl/prnl Vn 4 $8,133.00 $171,679.10 $67,554.92 nat. median
$32,565
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $56,474.91 $76,787.38 $64,809.87 nat. median
$59,651
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $53,848.51 $77,021.18 $64,657.41 nat. median
$60,505
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 10 $75,412.01 $111,695.88 $63,460.44 nat. median
$73,023
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $60,058.95 $72,070.74 $61,998.80 nat. median
$56,428
1.1× median
5232
OTHER 		Level 2 Icd And Similar Procedures 10 — — $60,673.18 nat. median
$32,102
1.9× median
64568
HCPCS 		Inc For Vagus N Elect Impl 4 $1,013.00 $171,679.10 $59,533.60 nat. median
$27,905
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $42,609.90 $70,390.01 $58,265.39 nat. median
$55,923
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $40,092.54 $70,097.98 $57,731.09 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $37,378.04 $69,874.75 $57,223.89 nat. median
$52,327
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $55,278.49 $66,334.19 $57,015.81 nat. median
$9,905
outlier · 5.8×
10
MS_DRG 		Pancreas Transplant 10 $54,963.07 $65,955.68 $56,690.48 nat. median
$23,080
outlier · 2.5×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $54,941.02 $65,929.22 $56,667.74 nat. median
$37,013
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $54,660.89 $65,593.07 $56,378.80 nat. median
$45,605
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $54,630.01 $65,556.01 $56,346.95 nat. median
$51,518
1.1× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 10 $55,896.32 $55,896.32 $55,896.32 nat. median
$2,106
outlier · 26.5×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $52,773.56 $63,328.27 $54,432.16 nat. median
$49,569
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $43,067.80 $63,627.36 $53,236.55 nat. median
$48,611
1.1× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $51,366.33 $61,639.60 $52,980.70 nat. median
$2,633
outlier · 20.1×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $51,330.31 $61,596.37 $52,943.55 nat. median
$2,958
outlier · 17.9×
0571T
OTHER 		Insj/rplcmt Icds Ss Eltrd 4 $26,547.00 $122,343.77 $52,291.93 nat. median
$34,418
1.5× median
0571T
CPT 		Insj/rplcmt Icds Ss Eltrd 4 $26,547.00 $122,343.77 $52,291.93 nat. median
$32,945
1.6× median
0408T
OTHER 		Insj/rplc Cardiac Modulj Sys 4 $26,547.00 $122,343.77 $52,291.93 nat. median
$32,779
1.6× median
0408T
CPT 		Insj/rplc Cardiac Modulj Sys 4 $26,547.00 $122,343.77 $52,291.93 nat. median
$31,369
1.7× median
0915T
OTHER 		Insj Perm Ccm-d Sys Pg&eltrd 4 $26,547.00 $122,343.77 $52,291.93 nat. median
$34,310
1.5× median
0915T
CPT 		Insj Perm Ccm-d Sys Pg&eltrd 4 $26,547.00 $122,343.77 $52,291.93 nat. median
$35,266
1.5× median
0870T
OTHER 		Imp Subq Prtl Ascts Pmp Sys 4 $3,689.00 $133,528.62 $52,015.54 nat. median
$34,094
1.5× median
0870T
CPT 		Imp Subq Prtl Ascts Pmp Sys 4 $3,689.00 $133,528.62 $52,015.54 nat. median
$3,182
outlier · 16.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $38,267.69 $62,033.09 $51,437.51 nat. median
$47,340
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $39,457.02 $60,658.51 $50,552.38 nat. median
$47,458
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $37,439.77 $60,658.51 $50,300.23 nat. median
$45,446
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $42,120.46 $59,418.02 $49,952.36 nat. median
$47,121
1.1× median

Other procedures at this hospital

Browse this hospital's 12,658 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 46 10 — — $319,697.85 $383,637.42 $329,745.50 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 46 10 — — $208,245.16 $249,894.19 $214,790.01 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 10 — — $159,180.37 $191,016.44 $164,183.18 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 48 10 — — $103,200.22 $189,910.94 $155,728.88 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 10 — — $62,584.70 $124,853.74 $101,723.50 2026-04-01
7 MS_DRG Lung Transplant 46 10 — — $97,418.89 $116,902.67 $100,480.63 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 46 10 — — $90,564.35 $108,677.22 $93,410.66 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 10 — — $85,519.94 $102,623.93 $88,207.71 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 46 10 — — $85,424.36 $102,509.23 $88,109.13 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 10 — — $83,236.32 $99,883.58 $85,852.32 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 10 — — $82,154.80 $98,585.76 $84,736.81 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 46 10 — — $78,011.04 $93,613.25 $80,462.82 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 12 4 — — $1,013.00 $245,168.46 $80,172.45 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 10 — — $60,177.63 $88,957.49 $74,425.65 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 4 — — $26,547.00 $171,679.10 $71,237.72 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 46 10 — — $68,446.44 $82,135.73 $70,597.61 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 46 10 — — $65,872.41 $79,046.89 $67,942.69 2026-04-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $8,133.00 $171,679.10 $67,554.92 2025-01-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 5 4 — — $8,133.00 $171,679.10 $67,554.92 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 10 — — $56,474.91 $76,787.38 $64,809.87 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 48 10 — — $53,848.51 $77,021.18 $64,657.41 2026-04-01
215 MS_DRG Other Heart Assist System Implant 48 10 — — $75,412.01 $111,695.88 $63,460.44 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 48 10 — — $60,058.95 $72,070.74 $61,998.80 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 32 10 — — — — $60,673.18 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 4 — — $1,013.00 $171,679.10 $59,533.60 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 10 — — $42,609.90 $70,390.01 $58,265.39 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 48 10 — — $40,092.54 $70,097.98 $57,731.09 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 48 10 — — $37,378.04 $69,874.75 $57,223.89 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 10 — — $55,278.49 $66,334.19 $57,015.81 2026-04-01
10 MS_DRG Pancreas Transplant 46 10 — — $54,963.07 $65,955.68 $56,690.48 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 46 10 — — $54,941.02 $65,929.22 $56,667.74 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 46 10 — — $54,660.89 $65,593.07 $56,378.80 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 10 — — $54,630.01 $65,556.01 $56,346.95 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 34 10 — — $55,896.32 $55,896.32 $55,896.32 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 10 — — $52,773.56 $63,328.27 $54,432.16 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 48 10 — — $43,067.80 $63,627.36 $53,236.55 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 10 — — $51,366.33 $61,639.60 $52,980.70 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 46 10 — — $51,330.31 $61,596.37 $52,943.55 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 5 4 — — $26,547.00 $122,343.77 $52,291.93 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 5 4 — — $26,547.00 $122,343.77 $52,291.93 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 5 4 — — $26,547.00 $122,343.77 $52,291.93 2025-01-01
0408T CPT Insj/rplc Cardiac Modulj Sys 5 4 — — $26,547.00 $122,343.77 $52,291.93 2025-01-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 5 4 — — $26,547.00 $122,343.77 $52,291.93 2025-01-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 5 4 — — $26,547.00 $122,343.77 $52,291.93 2026-04-01
0870T CPT Imp Subq Prtl Ascts Pmp Sys 5 4 — — $3,689.00 $133,528.62 $52,015.54 2025-01-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 5 4 — — $3,689.00 $133,528.62 $52,015.54 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 48 10 — — $38,267.69 $62,033.09 $51,437.51 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 10 — — $39,457.02 $60,658.51 $50,552.38 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 48 10 — — $37,439.77 $60,658.51 $50,300.23 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 48 10 — — $42,120.46 $59,418.02 $49,952.36 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $17,441.00 $120,273.46 $49,675.69 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 4 — — $17,441.00 $120,273.46 $49,675.69 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 4 — — $17,441.00 $120,273.46 $49,675.69 2026-04-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $17,441.00 $120,273.46 $49,675.69 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 48 10 — — $47,263.02 $56,715.62 $49,173.36 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 10 — — $46,367.51 $55,641.01 $47,824.77 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 4 — — $8,133.00 $120,273.46 $47,814.09 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 10 — — $17,927.48 $60,447.65 $47,702.60 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 46 10 — — $45,802.12 $54,962.54 $47,241.61 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 10 — — $40,142.49 $56,135.09 $47,236.07 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $3,689.00 $120,273.46 $46,925.29 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $3,689.00 $120,273.46 $46,925.29 2025-01-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $3,689.00 $120,273.46 $46,925.29 2026-04-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $3,689.00 $120,273.46 $46,925.29 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 48 10 — — $32,637.43 $56,652.98 $46,687.44 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 34 10 — — $46,399.68 $46,399.68 $46,399.68 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 10 — — $38,372.19 $55,257.22 $46,354.56 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 10 — — $44,606.63 $53,527.96 $46,008.55 2026-04-01
69930 HCPCS Implant Cochlear Device 12 4 — — $1,976.00 $128,514.80 $45,880.78 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 48 10 — — $37,806.50 $54,389.94 $45,631.58 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 46 10 — — $44,164.02 $52,996.82 $45,552.03 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 48 10 — — $27,811.92 $55,656.01 $45,334.45 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 10 — — $43,539.81 $52,247.77 $44,908.20 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 46 10 — — $43,411.89 $52,094.27 $44,776.26 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 10 — — $37,074.16 $53,203.28 $44,647.57 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 48 10 — — $29,685.53 $54,423.47 $44,641.68 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 10 — — $43,129.56 $51,755.47 $44,485.06 2026-04-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 5 4 — — $17,441.00 $105,759.75 $44,102.13 2025-01-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 5 4 — — $17,441.00 $105,759.75 $44,102.13 2026-04-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 5 4 — — $17,441.00 $105,759.75 $44,102.13 2025-01-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 5 4 — — $17,441.00 $105,759.75 $44,102.13 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 10 — — $33,519.12 $52,931.54 $43,998.82 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 34 10 — — $43,904.29 $43,904.29 $43,904.29 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 48 10 — — $42,568.58 $51,082.30 $43,871.90 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 4 — — $1,013.00 $122,343.77 $43,745.44 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 4 — — $1,013.00 $122,343.77 $43,745.44 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 4 — — $1,013.00 $122,343.77 $43,745.44 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 4 — — $1,013.00 $122,343.77 $43,745.44 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 46 10 — — $42,145.08 $50,574.10 $43,469.64 2026-04-01
61886 HCPCS Implant Neurostim Arrays 12 4 — — $1,013.00 $120,273.46 $43,082.91 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 10 — — $41,126.79 $49,352.15 $42,736.25 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 46 10 — — $41,390.00 $49,668.00 $42,690.83 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 48 10 — — $30,673.05 $51,374.33 $42,471.91 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 10 4 — — $16,256.00 $101,877.03 $42,374.08 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 10 4 — — $16,256.00 $101,877.03 $42,374.08 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 10 4 — — $16,256.00 $101,877.03 $42,374.08 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 48 10 — — $32,057.51 $50,842.31 $42,244.84 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 12 4 — — $885.00 $120,273.46 $41,543.91 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 12 4 — — $885.00 $120,273.46 $41,543.91 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 10 — — $30,836.43 $49,696.24 $41,230.26 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 48 10 — — $22,046.25 $50,911.13 $41,045.19 2026-04-01
0871T CPT Rplcmt Subq Prtl Ascites Pmp 5 4 — — $3,689.00 $104,915.75 $41,027.61 2025-01-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 5 4 — — $3,689.00 $104,915.75 $41,027.61 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 10 — — $22,164.29 $50,766.43 $40,951.12 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 48 10 — — $38,579.96 $46,295.95 $40,412.43 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 4 — — $1,013.00 $111,798.56 $40,370.79 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 48 10 — — $28,044.50 $48,492.82 $39,976.20 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 48 10 — — $22,371.89 $48,572.22 $39,326.84 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 48 10 — — $29,586.68 $46,218.31 $39,104.57 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 10 — — $27,636.12 $47,114.70 $38,888.70 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 48 10 — — $31,728.52 $46,069.20 $38,613.94 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 5 4 — — $22,344.94 $86,698.36 $38,603.36 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 5 4 — — $22,344.94 $86,698.36 $38,603.36 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 5 4 — — $22,344.94 $86,698.36 $38,603.36 2025-01-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 5 4 — — $22,344.94 $86,698.36 $38,603.36 2025-01-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 5 4 — — $22,344.94 $86,698.36 $38,603.36 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 5 4 — — $22,344.94 $86,698.36 $38,603.36 2025-01-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 5 4 — — $22,344.94 $86,698.36 $38,603.36 2025-01-01
0515T CPT Insj Wcs Lv Compl Sys 5 4 — — $22,344.94 $86,698.36 $38,603.36 2025-01-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 5 4 — — $22,344.94 $86,698.36 $38,603.36 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 5 4 — — $22,344.94 $86,698.36 $38,603.36 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 48 10 — — $28,096.96 $46,648.86 $38,595.95 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 4 — — $1,013.00 $104,915.75 $38,168.18 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 10 — — $36,771.29 $44,125.55 $37,926.96 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 48 10 — — $25,408.20 $45,888.34 $37,687.88 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 34 10 — — $37,683.65 $37,683.65 $37,683.65 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 46 10 — — $36,297.81 $43,557.37 $37,438.60 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 48 10 — — $29,941.06 $44,649.62 $37,322.87 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 10 — — $36,161.79 $43,394.15 $37,298.30 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 34 10 — — $37,250.38 $37,250.38 $37,250.38 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 48 10 — — $33,460.45 $43,917.34 $37,212.05 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 48 10 — — $25,770.67 $45,033.41 $37,090.21 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 10 — — $24,258.06 $45,248.69 $37,063.04 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 12 4 — — $1,013.00 $105,759.75 $36,723.11 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 48 10 — — $35,503.02 $42,603.62 $36,711.79 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 10 — — $27,533.02 $44,040.85 $36,564.02 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 48 10 — — $32,070.07 $43,096.82 $36,421.16 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 10 — — $35,017.77 $42,021.32 $36,118.33 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 34 10 — — $35,823.78 $35,823.78 $35,823.78 2026-04-01
245 MS_DRG Aicd Generator Procedures 48 10 — — $27,273.93 $42,899.18 $35,673.00 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 12 4 — — $1,013.00 $105,759.75 $35,628.94 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 12 4 — — $1,424.00 $105,759.75 $35,627.77 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 12 4 — — $1,013.00 $105,759.75 $35,382.94 2026-04-01
22558 HCPCS Lumbar Spine Fusion 12 4 — — $1,013.00 $105,759.75 $35,369.27 2026-04-01
22630 HCPCS Lumbar Spine Fusion 12 4 — — $1,013.00 $105,759.75 $35,369.27 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 10 — — $21,312.80 $43,200.05 $35,154.14 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 10 — — $34,021.54 $40,825.85 $35,090.79 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 34 10 — — $34,922.07 $34,922.07 $34,922.07 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 5 4 — — $8,133.00 $86,698.36 $34,920.56 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 5 4 — — $8,133.00 $86,698.36 $34,920.56 2026-04-01
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 5 4 — — $8,133.00 $86,698.36 $34,920.56 2025-01-01
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 5 4 — — $8,133.00 $86,698.36 $34,920.56 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 48 10 — — $21,937.36 $42,760.67 $34,901.76 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 48 10 — — $21,496.61 $42,778.32 $34,859.94 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 48 10 — — $24,699.50 $42,188.08 $34,816.39 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 46 10 — — $33,564.96 $40,277.95 $34,619.86 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 46 10 — — $33,384.83 $40,061.80 $34,434.07 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 46 10 — — $33,255.43 $39,906.52 $34,300.60 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
0981T CPT Tcat Impl Wrls Ivc Snr 4 3 — — $18,415.17 $71,450.87 $34,298.26 2025-01-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 4 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 8 3 — — $18,415.17 $71,450.87 $34,298.26 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 10 — — $18,136.00 $39,715.94 $34,149.54 2026-04-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 48 10 — — $4,197.74 $9,738.88 $34,000.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 48 10 — — $16,593.74 $42,176.60 $33,794.54 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 46 10 — — $32,537.11 $39,044.53 $33,559.70 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 10 — — $30,527.53 $39,460.08 $33,493.21 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 48 10 — — $23,805.46 $40,521.46 $33,451.19 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 48 10 — — $18,204.50 $41,402.86 $33,413.96 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 48 10 — — $28,473.59 $39,671.83 $33,395.72 2026-04-01
791 MS_DRG Prematurity With Major Problems 46 10 — — $32,048.18 $38,457.82 $33,055.41 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 48 10 — — $26,638.20 $39,287.16 $32,876.99 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 48 10 — — $23,943.86 $39,603.01 $32,777.75 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 46 10 — — $31,765.12 $38,118.14 $32,763.45 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 48 10 — — $22,453.23 $39,824.46 $32,757.97 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 4 — — $1,013.00 $86,698.36 $32,338.30 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 4 — — $1,013.00 $86,698.36 $32,338.30 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 4 — — $1,013.00 $86,698.36 $32,338.30 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 4 — — $1,013.00 $86,698.36 $32,338.30 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 6 4 — — $1,013.00 $86,698.36 $32,338.30 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 6 4 — — $1,013.00 $86,698.36 $32,338.30 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 48 10 — — $17,403.03 $39,842.99 $32,140.63 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 46 10 — — $30,836.52 $37,003.82 $31,805.67 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 46 10 — — $30,621.10 $36,745.32 $31,583.48 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 34 10 — — $31,434.55 $31,434.55 $31,434.55 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 48 10 — — $29,998.82 $36,796.49 $31,423.88 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 48 10 — — $23,343.93 $37,796.99 $31,344.48 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 48 10 — — $29,871.90 $35,846.28 $31,245.07 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 10 — — $25,684.45 $37,159.99 $31,157.97 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 10 4 — — $17,441.00 $71,450.87 $30,926.81 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 10 4 — — $17,441.00 $71,450.87 $30,926.81 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 10 4 — — $17,441.00 $71,450.87 $30,926.81 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 10 4 — — $16,256.00 $71,450.87 $30,689.81 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 10 4 — — $16,256.00 $71,450.87 $30,689.81 2026-04-01
93580 HCPCS Transcath Closure Of Asd 10 4 — — $16,256.00 $71,450.87 $30,689.81 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 46 10 — — $29,751.32 $35,701.58 $30,686.36 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 5 4 — — $8,133.00 $75,615.45 $30,664.49 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 5 4 — — $8,133.00 $75,615.45 $30,664.49 2026-04-01
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 5 4 — — $8,133.00 $75,615.45 $30,664.49 2025-01-01
0680T OTHER Insj/rplcmt Pg Only Isdss 5 4 — — $8,133.00 $75,615.45 $30,664.49 2026-04-01
0680T CPT Insj/rplcmt Pg Only Isdss 5 4 — — $8,133.00 $75,615.45 $30,664.49 2025-01-01
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 5 4 — — $8,133.00 $75,615.45 $30,664.49 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 10 — — $40,998.13 $49,197.76 $30,528.59 2026-04-01
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 5 4 — — $8,133.00 $75,075.93 $30,457.30 2025-01-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 5 4 — — $8,133.00 $75,075.93 $30,457.30 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 5 4 — — $8,133.00 $75,075.93 $30,457.30 2026-04-01
0525T CPT Insj/rplcmt Compl Iims 5 4 — — $8,133.00 $75,075.93 $30,457.30 2025-01-01
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 5 4 — — $8,133.00 $75,075.93 $30,457.30 2025-01-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 5 4 — — $8,133.00 $75,075.93 $30,457.30 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 5 4 — — $8,133.00 $75,075.93 $30,457.30 2026-04-01
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 5 4 — — $8,133.00 $75,075.93 $30,457.30 2025-01-01
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 5 4 — — $8,133.00 $75,075.93 $30,457.30 2025-01-01
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 5 4 — — $8,133.00 $75,075.93 $30,457.30 2025-01-01
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 5 4 — — $8,133.00 $75,075.93 $30,457.30 2025-01-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 5 4 — — $8,133.00 $75,075.93 $30,457.30 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 5 4 — — $8,133.00 $75,075.93 $30,457.30 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 5 4 — — $8,133.00 $75,075.93 $30,457.30 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 46 10 — — $29,451.35 $35,341.62 $30,376.96 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 48 10 — — $19,238.76 $36,712.68 $30,015.84 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 48 10 — — $20,213.66 $36,519.46 $29,992.38 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 10 — — $28,720.53 $34,464.64 $29,623.18 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 34 10 — — $29,615.14 $29,615.14 $29,615.14 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 48 10 — — $21,533.24 $35,623.07 $29,483.17 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 48 10 — — $26,957.50 $34,659.62 $29,436.61 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 10 4 — — $9,691.00 $71,450.87 $29,376.81 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 10 — — $28,373.50 $34,048.20 $29,295.83 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 10 — — $28,352.18 $34,022.62 $29,243.25 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 10 4 — — $17,207.54 $66,765.26 $29,127.44 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 10 4 — — $17,207.54 $66,765.26 $29,127.44 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 10 — — $19,130.42 $35,526.90 $29,110.49 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 48 10 — — $21,652.81 $35,053.12 $29,069.47 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 10 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 5 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
0645T CPT Tcat Impltj C Sins Rdctj Dev 5 4 — — $8,133.00 $71,450.87 $29,065.21 2025-01-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 5 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 10 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 10 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 10 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 10 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 10 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 5 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 5 4 — — $8,133.00 $71,450.87 $29,065.21 2025-01-01
0632T CPT Perq Tcat US Abltj Nrv P-art 5 4 — — $8,133.00 $71,450.87 $29,065.21 2025-01-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 10 4 — — $8,133.00 $71,450.87 $29,065.21 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 48 10 — — $7,672.83 $17,972.27 $28,780.10 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 48 10 — — $24,888.69 $34,104.67 $28,760.64 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 48 10 — — $19,234.99 $35,039.88 $28,757.28 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 48 10 — — $24,375.40 $34,183.19 $28,755.53 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 48 10 — — $22,368.06 $34,512.28 $28,752.12 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 12 4 — — $1,013.00 $80,783.81 $28,730.37 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 12 4 — — $1,013.00 $80,783.81 $28,730.37 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 12 4 — — $1,013.00 $80,783.81 $28,730.37 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 12 4 — — $1,013.00 $80,783.81 $28,730.37 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 12 4 — — $662.00 $80,783.81 $28,671.87 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 12 4 — — $662.00 $80,783.81 $28,671.87 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 34 10 — — $28,661.66 $28,661.66 $28,661.66 2026-04-01
332 MS_DRG Rectal Resection With Mcc 48 10 — — $20,633.54 $34,590.80 $28,594.36 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 48 10 — — $13,357.09 $35,619.54 $28,458.50 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 48 10 — — $19,241.41 $34,634.92 $28,453.52 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 46 10 — — $27,486.82 $32,984.18 $28,350.69 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 48 10 — — $23,953.42 $33,697.06 $28,337.17 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 48 10 — — $7,182.00 $14,077.02 $28,301.04 2026-04-01
237 MS_DRG Major Cardiovasc Procedures W Mcc 34 10 — — $28,294.66 $28,294.66 $28,294.66 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 10 4 — — $9,691.00 $68,341.22 $28,182.64 2026-04-01
265 MS_DRG Aicd Lead Procedures 48 10 — — $16,328.10 $34,568.75 $28,039.59 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 10 4 — — $8,133.00 $68,341.22 $27,871.04 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 10 4 — — $8,133.00 $68,341.22 $27,871.04 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 10 — — $19,744.94 $33,760.58 $27,858.89 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 48 10 — — $21,663.27 $33,414.73 $27,838.57 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 48 10 — — $16,175.04 $34,078.20 $27,651.53 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 48 10 — — $25,566.40 $36,432.30 $27,627.71 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 48 10 — — $14,606.70 $34,256.42 $27,589.52 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 48 10 — — $19,579.68 $33,422.68 $27,584.10 2026-04-01
53444 HCPCS Insert Tandem Cuff 12 4 — — $885.00 $80,783.81 $27,355.21 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 48 10 — — $18,966.77 $33,125.34 $27,283.86 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 12 4 — — $885.00 $75,615.45 $27,252.58 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 46 10 — — $26,406.77 $31,688.12 $27,236.70 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 48 10 — — $19,483.41 $32,894.18 $27,174.59 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 48 10 — — $16,933.61 $33,273.56 $27,141.19 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 12 4 — — $1,013.00 $75,075.93 $27,101.25 2026-04-01
0790T CPT Revj Rplcmt/rmvl Vrt Tethrg 5 4 — — $3,689.00 $68,341.22 $26,982.24 2025-01-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 5 4 — — $3,689.00 $68,341.22 $26,982.24 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 10 4 — — $3,689.00 $68,341.22 $26,982.24 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 10 4 — — $3,689.00 $68,341.22 $26,982.24 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 10 4 — — $3,689.00 $68,341.22 $26,982.24 2026-04-01
0656T CPT Vrt Bdy Tethering Ant 5 4 — — $3,689.00 $68,341.22 $26,982.24 2025-01-01
0656T OTHER Vrt Bdy Tethering Ant 5 4 — — $3,689.00 $68,341.22 $26,982.24 2026-04-01
0657T CPT Vrt Bdy Tethering Ant 8+ Seg 5 4 — — $3,689.00 $68,341.22 $26,982.24 2025-01-01
0657T OTHER Vrt Bdy Tethering Ant 8+ Seg 5 4 — — $3,689.00 $68,341.22 $26,982.24 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 48 10 — — $18,860.03 $32,706.26 $26,955.34 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 46 10 — — $25,956.07 $31,147.28 $26,771.83 2026-04-01
See an error in this hospital's data? Submit a correction