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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 KATY HOSPITAL

Katy, TX · CCN 450847 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $7,778 across 21 payers · range $991-$15,011

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

7,839 distinct procedures filed
23 distinct payers
104,959 rate rows
2026-04-01 last MRF observed
Data quality

69,999 of 104,959 rate rows are consumer-grade (66.7%)

34,960 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 34,960
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-katy-hospital_standardcharges.ashx
Found on page https://memorialhermann.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint acd0e1495e34576d… · 27,861,605 bytes · first seen 2026-05-09

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 $308,789.23 $614,395.06 $318,339.41 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $201,363.05 $400,650.19 $207,590.77 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $154,070.83 $306,553.31 $158,835.91 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $153,182.87 $304,786.53 $157,920.48 nat. median
$199,832
0.8× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $110,356.54 $110,356.54 $110,356.54 nat. median
$62,767
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $100,927.15 $260,010.89 $109,251.04 nat. median
$132,706
0.8× median
7
MS_DRG 		Lung Transplant 21 $94,540.64 $188,106.64 $97,464.58 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $87,933.73 $174,960.93 $90,653.33 nat. median
$114,305
0.8× median
2616
OTHER 		Brachytx, Non-str,yttrium-90 1 $85,923.29 $85,923.29 $85,923.29 nat. median
$18,126
outlier · 4.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $83,071.57 $165,286.72 $85,640.79 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 21 $82,979.44 $165,103.41 $85,545.81 nat. median
$96,134
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $80,870.44 $160,907.17 $83,371.59 nat. median
$96,835
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $79,827.99 $158,833.02 $82,296.90 nat. median
$100,978
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $75,833.95 $150,886.11 $78,179.33 nat. median
$99,646
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 21 $56,346.92 $145,901.65 $75,596.71 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $3,137.38 $143,445.38 $74,324.03 nat. median
$92,900
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $66,614.89 $132,543.02 $68,675.14 nat. median
$81,124
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $62,318.95 $134,707.49 $67,458.65 nat. median
$80,459
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 21 $64,133.85 $127,606.52 $66,117.37 nat. median
$81,364
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $62,506.74 $124,369.08 $64,439.94 nat. median
$79,040
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 $56,766.54 $114,838.90 $61,448.32 nat. median
$71,485
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $58,530.41 $116,457.42 $60,340.63 nat. median
$77,385
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 $57,180.40 $113,771.32 $58,948.87 nat. median
$74,472
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 $56,945.83 $113,304.59 $58,707.04 nat. median
$73,475
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 $53,922.66 $107,289.41 $55,590.37 nat. median
$66,640
0.8× median
10
MS_DRG 		Pancreas Transplant 21 $53,618.64 $106,684.51 $55,276.95 nat. median
$67,750
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 21 $53,597.38 $106,642.21 $55,255.03 nat. median
$62,911
0.9× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 1 $55,072.04 $55,072.04 $55,072.04 nat. median
$20,895
outlier · 2.6×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 $53,327.38 $106,104.99 $54,976.68 nat. median
$69,153
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 $46,943.33 $106,045.76 $54,945.99 nat. median
$68,581
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 21 $50,467.91 $100,415.53 $54,630.21 nat. median
$64,357
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 21 $51,748.46 $102,963.43 $53,348.93 nat. median
$65,958
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 $51,508.22 $102,485.43 $53,101.26 nat. median
$65,792
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 $50,151.84 $99,786.65 $51,702.93 nat. median
$59,832
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 $50,117.12 $99,717.56 $51,667.13 nat. median
$62,262
0.8× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 $44,886.44 $256,505.73 $50,902.15 nat. median
$51,433
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $49,363.79 $98,218.68 $50,890.51 nat. median
$63,840
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $49,363.79 $98,218.68 $50,890.51 nat. median
$60,895
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 $49,194.42 $97,881.69 $50,715.90 nat. median
$59,159
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 21 $48,367.41 $96,236.19 $49,863.31 nat. median
$62,218
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 $46,196.76 $91,917.27 $47,625.53 nat. median
$60,162
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 21 $46,146.45 $91,817.16 $47,573.66 nat. median
$60,294
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 21 $45,730.47 $90,989.48 $47,144.81 nat. median
$59,257
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 21 $45,345.66 $90,223.83 $46,748.10 nat. median
$56,970
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 $45,333.61 $90,199.86 $46,735.68 nat. median
$58,419
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $45,025.33 $89,586.49 $46,417.87 nat. median
$57,394
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 21 $44,788.64 $89,115.55 $46,173.86 nat. median
$55,867
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 21 $44,355.65 $88,254.02 $45,727.47 nat. median
$57,082
0.8× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 $44,328.72 $88,200.44 $45,699.71 nat. median
$56,397
0.8× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 $43,636.35 $86,822.84 $44,985.93 nat. median
$53,268
0.8× median

Other procedures at this hospital

Browse this hospital's 7,839 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 — — $308,789.23 $614,395.06 $318,339.41 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 21 — — $201,363.05 $400,650.19 $207,590.77 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 21 — — $154,070.83 $306,553.31 $158,835.91 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 21 — — $153,182.87 $304,786.53 $157,920.48 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $110,356.54 $110,356.54 $110,356.54 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 21 — — $100,927.15 $260,010.89 $109,251.04 2026-04-01
7 MS_DRG Lung Transplant 27 21 — — $94,540.64 $188,106.64 $97,464.58 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 21 — — $87,933.73 $174,960.93 $90,653.33 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 1 1 — — $85,923.29 $85,923.29 $85,923.29 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 21 — — $83,071.57 $165,286.72 $85,640.79 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 27 21 — — $82,979.44 $165,103.41 $85,545.81 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $80,870.44 $160,907.17 $83,371.59 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 21 — — $79,827.99 $158,833.02 $82,296.90 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 21 — — $75,833.95 $150,886.11 $78,179.33 2026-04-01
215 MS_DRG Other Heart Assist System Implant 29 21 — — $56,346.92 $145,901.65 $75,596.71 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 21 — — $3,137.38 $143,445.38 $74,324.03 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 21 — — $66,614.89 $132,543.02 $68,675.14 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 21 — — $62,318.95 $134,707.49 $67,458.65 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 27 21 — — $64,133.85 $127,606.52 $66,117.37 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 21 — — $62,506.74 $124,369.08 $64,439.94 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 21 — — $56,766.54 $114,838.90 $61,448.32 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 21 — — $58,530.41 $116,457.42 $60,340.63 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $57,180.40 $113,771.32 $58,948.87 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 21 — — $56,945.83 $113,304.59 $58,707.04 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $53,922.66 $107,289.41 $55,590.37 2026-04-01
10 MS_DRG Pancreas Transplant 27 21 — — $53,618.64 $106,684.51 $55,276.95 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 21 — — $53,597.38 $106,642.21 $55,255.03 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $55,072.04 $55,072.04 $55,072.04 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 21 — — $53,327.38 $106,104.99 $54,976.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 21 — — $46,943.33 $106,045.76 $54,945.99 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 21 — — $50,467.91 $100,415.53 $54,630.21 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 29 21 — — $51,748.46 $102,963.43 $53,348.93 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 21 — — $51,508.22 $102,485.43 $53,101.26 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 21 — — $50,151.84 $99,786.65 $51,702.93 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 21 — — $50,117.12 $99,717.56 $51,667.13 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 21 — — $44,886.44 $256,505.73 $50,902.15 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $49,363.79 $98,218.68 $50,890.51 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 21 — — $49,363.79 $98,218.68 $50,890.51 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $49,194.42 $97,881.69 $50,715.90 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 21 — — $48,367.41 $96,236.19 $49,863.31 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 21 — — $46,196.76 $91,917.27 $47,625.53 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 27 21 — — $46,146.45 $91,817.16 $47,573.66 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 21 — — $45,730.47 $90,989.48 $47,144.81 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 21 — — $45,345.66 $90,223.83 $46,748.10 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 21 — — $45,333.61 $90,199.86 $46,735.68 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $45,025.33 $89,586.49 $46,417.87 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 21 — — $44,788.64 $89,115.55 $46,173.86 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 21 — — $44,355.65 $88,254.02 $45,727.47 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 21 — — $44,328.72 $88,200.44 $45,699.71 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 21 — — $43,636.35 $86,822.84 $44,985.93 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 21 — — $43,375.56 $86,303.95 $44,717.07 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 27 21 — — $43,209.73 $85,973.99 $44,546.11 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 21 — — $43,157.29 $85,869.66 $44,492.05 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 21 — — $42,608.07 $84,776.89 $43,925.85 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 21 — — $42,484.77 $84,531.55 $43,798.73 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 21 — — $42,212.63 $83,990.09 $43,518.18 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 21 — — $41,906.49 $83,380.96 $43,202.57 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 21 — — $41,671.93 $82,914.25 $42,960.75 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 21 — — $39,655.76 $78,902.70 $42,926.34 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 21 — — $41,534.44 $82,640.69 $42,819.01 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 21 — — $41,479.17 $82,530.72 $42,762.03 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 21 — — $41,418.22 $82,409.46 $42,699.20 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 21 — — $41,263.73 $82,102.06 $42,539.93 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $42,139.62 $42,139.62 $42,139.62 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $40,558.61 $80,699.09 $41,813.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 21 — — $40,535.93 $80,653.97 $41,789.62 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 21 — — $40,282.23 $80,149.18 $41,528.07 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 21 — — $40,158.21 $79,902.42 $41,400.22 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 21 — — $24,666.99 $78,042.73 $40,879.68 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 21 — — $39,591.99 $78,775.81 $40,816.48 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 21 — — $38,485.04 $76,573.33 $39,675.30 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 27 21 — — $38,110.87 $75,828.85 $39,289.56 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 21 — — $37,827.40 $75,264.83 $38,997.32 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 21 — — $36,016.05 $129,685.67 $38,986.44 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 21 — — $37,645.27 $74,902.45 $38,809.56 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 21 — — $37,500.00 $74,613.39 $38,659.79 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 21 — — $35,340.69 $101,226.30 $38,255.38 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 21 — — $36,986.22 $73,591.13 $38,130.12 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 21 — — $36,813.29 $73,247.07 $37,951.85 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 21 — — $36,505.03 $72,633.72 $37,634.05 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 28 21 — — $34,527.85 $117,545.60 $37,375.51 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 21 — — $36,084.08 $71,796.15 $37,200.08 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 21 — — $35,916.83 $71,463.38 $37,027.66 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 21 — — $35,627.70 $70,888.11 $36,729.59 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 21 — — $35,496.60 $70,627.25 $36,594.43 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 21 — — $35,257.77 $70,152.06 $36,348.22 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 21 — — $35,099.03 $69,836.22 $36,184.57 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 21 — — $24,654.66 $69,643.05 $36,084.48 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 21 — — $34,987.77 $69,614.85 $36,069.87 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 21 — — $34,861.63 $69,363.85 $35,939.82 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 21 — — $34,518.63 $68,681.40 $35,586.22 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 21 — — $34,393.91 $68,433.25 $35,457.64 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 21 — — $32,629.33 $75,485.99 $35,320.40 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 21 — — $32,268.14 $67,444.82 $34,945.50 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 21 — — $32,002.86 $64,896.62 $34,642.27 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 21 — — $33,433.66 $66,522.64 $34,467.69 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 21 — — $33,189.17 $66,036.19 $34,215.64 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 27 21 — — $32,993.58 $65,647.02 $34,014.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 27 21 — — $32,819.96 $65,301.57 $33,835.01 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 21 — — $32,695.24 $65,053.41 $33,706.43 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 21 — — $32,644.21 $64,951.87 $33,653.82 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 21 — — $32,542.16 $64,748.84 $33,548.62 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 21 — — $32,506.73 $64,678.33 $33,512.09 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 21 — — $32,451.45 $64,568.34 $33,455.10 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 21 — — $32,336.65 $64,339.93 $33,336.75 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 28 21 — — $9,063.42 $64,297.62 $33,314.83 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 21 — — $32,197.74 $64,063.55 $33,193.55 2026-04-01
791 MS_DRG Prematurity With Major Problems 28 21 — — $10,429.13 $62,738.12 $32,506.80 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 21 — — $29,974.66 $89,459.23 $32,446.79 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 21 — — $31,258.76 $62,195.27 $32,225.53 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 21 — — $31,000.81 $61,682.03 $31,959.60 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 2 — — $31,462.42 $32,081.24 $31,771.83 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 21 — — $30,489.15 $60,663.97 $31,432.11 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 21 — — $30,363.72 $60,414.40 $31,302.80 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 21 — — $30,197.18 $60,083.04 $31,131.11 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 27 21 — — $30,156.08 $60,001.27 $31,088.74 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 21 — — $30,129.86 $59,949.10 $31,061.71 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 21 — — $28,072.60 $65,633.74 $30,387.86 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 21 — — $29,433.94 $90,341.14 $30,344.27 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 21 — — $29,317.73 $58,333.21 $30,224.46 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 21 — — $29,254.66 $58,207.72 $30,159.44 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 21 — — $29,251.81 $58,202.06 $30,156.51 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 21 — — $29,177.41 $58,054.01 $30,079.80 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 21 — — $29,028.59 $57,757.91 $29,926.38 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 27 21 — — $28,796.86 $57,296.84 $29,687.48 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 21 — — $28,786.22 $57,275.68 $29,676.52 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $29,484.32 $29,484.32 $29,484.32 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 27 21 — — $28,480.79 $56,667.97 $29,361.64 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 21 — — $28,460.94 $56,628.48 $29,341.18 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 21 — — $28,425.51 $56,557.97 $29,304.65 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 21 — — $27,062.75 $53,846.50 $29,294.72 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 21 — — $28,407.80 $56,522.73 $29,286.39 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 21 — — $28,362.44 $56,432.49 $29,239.63 2026-04-01
64580 HCPCS Implant Neuroelectrodes 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
63655 HCPCS Implant Neuroelectrodes 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 21 — — $28,324.17 $56,356.35 $29,200.18 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 21 — — $28,156.93 $56,023.58 $29,027.76 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 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
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm 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
33229 HCPCS Remv&replc Pm Gen Mult Leads 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 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
0823T OTHER Tcat Ins 1chmbr 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
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 21 — — $28,098.11 $55,906.54 $28,967.12 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 21 — — $28,035.04 $55,781.05 $28,902.10 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 21 — — $28,013.77 $55,738.75 $28,880.18 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 21 — — $27,989.68 $55,690.81 $28,855.34 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 21 — — $27,969.13 $59,293.13 $28,834.15 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 21 — — $26,440.53 $106,610.40 $28,621.19 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 29 21 — — $26,452.24 $55,231.14 $28,617.17 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 21 — — $27,707.63 $55,129.62 $28,564.57 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 21 — — $27,304.93 $54,691.10 $28,337.36 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 21 — — $26,176.20 $52,082.54 $28,335.06 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 21 — — $27,480.86 $54,678.41 $28,330.78 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 21 — — $27,367.47 $54,452.81 $28,213.89 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 21 — — $27,248.42 $54,215.92 $28,091.15 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 27 21 — — $27,135.03 $53,990.32 $27,974.26 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 21 — — $26,943.69 $53,609.61 $27,777.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 21 — — $26,911.80 $53,546.15 $27,744.12 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 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
93590 HCPCS Perq Transcath Cls Mitral 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
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
C9775 HCPCS Revasc Lith-sten-ath Tib/per 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
61624 HCPCS Transcath Occlusion Cns 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 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
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 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
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 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
37271 HCPCS Revsc Evsc Fpvt Athrc 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
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 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
93582 HCPCS Perq Transcath Closure Pda 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
93581 HCPCS Transcath Closure Of Vsd 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
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 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
C9766 HCPCS Revasc Intra Lithotrip-ather 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
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 7 4 — — $18,415.17 $34,988.83 $27,622.76 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 21 — — $25,096.90 $49,935.06 $27,166.75 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 28 21 — — $26,096.83 $51,924.62 $26,903.95 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 21 — — $5,733.10 $51,918.99 $26,901.03 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 21 — — $24,839.65 $72,366.30 $26,888.28 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 7 4 — — $17,771.01 $33,764.92 $26,656.52 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 21 — — $25,818.33 $51,370.48 $26,616.83 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 21 — — $25,716.98 $51,168.84 $26,512.35 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 21 — — $25,691.47 $51,118.08 $26,486.05 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 27 21 — — $25,659.58 $51,054.64 $26,453.18 2026-04-01
652 MS_DRG Kidney Transplant 27 21 — — $25,653.20 $51,041.94 $26,446.60 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 27 21 — — $25,636.20 $51,008.11 $26,429.07 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
24363 HCPCS Replace Elbow Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22600 HCPCS Neck Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22610 HCPCS Thorax Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22556 HCPCS Thorax Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22612 HCPCS Lumbar Spine Fusion 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
25446 HCPCS Wrist Replacement 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
23616 HCPCS Treat Humerus Fracture 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
0657T OTHER Vrt Bdy Tethering Ant 8+ Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
28705 HCPCS Fusion Of Foot Bones 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20838 HCPCS Replantation Foot Complete 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
0656T OTHER Vrt Bdy Tethering Ant 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20805 HCPCS Replant Forearm Complete 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20802 HCPCS Replantation Arm Complete 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
20808 HCPCS Replantation Hand Complete 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27487 HCPCS Revise/replace Knee Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 7 4 — — $17,613.72 $33,466.06 $26,420.57 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 27 21 — — $25,591.55 $50,919.27 $26,383.04 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 21 — — $25,517.85 $50,772.63 $26,307.06 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 29 21 — — $25,393.13 $50,524.47 $26,178.48 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 29 21 — — $19,286.10 $50,441.26 $26,135.37 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 21 — — $25,329.34 $50,397.55 $26,112.72 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 21 — — $400.00 $50,307.32 $26,065.97 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 27 21 — — $25,194.69 $50,129.65 $25,973.91 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 21 — — $25,160.68 $50,061.98 $25,938.85 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 21 — — $25,086.27 $49,913.91 $25,862.13 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 21 — — $25,033.83 $49,809.58 $25,808.07 2026-04-01
665 MS_DRG Prostatectomy With Mcc 27 21 — — $24,885.72 $49,514.88 $25,655.38 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 27 21 — — $24,800.68 $49,345.68 $25,567.71 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 27 21 — — $24,462.64 $48,673.09 $25,219.22 2026-04-01
263 MS_DRG Vein Ligation And Stripping 27 21 — — $24,433.59 $48,615.29 $25,189.27 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 27 21 — — $24,262.09 $48,274.05 $25,012.46 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 21 — — $24,172.09 $48,094.98 $24,919.68 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 21 — — $24,169.26 $48,089.35 $24,916.76 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 21 — — $24,145.87 $48,042.81 $24,892.65 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 27 21 — — $23,859.57 $47,473.16 $24,597.49 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 29 21 — — $23,644.84 $53,433.33 $24,376.12 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 27 21 — — $23,630.66 $47,017.71 $24,361.51 2026-04-01
570 MS_DRG Skin Debridement With Mcc 27 21 — — $23,609.41 $46,975.43 $24,339.60 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 27 21 — — $23,459.88 $46,677.90 $24,185.44 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 29 21 — — $23,201.17 $75,894.40 $24,129.19 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 6 5 — — $6,579.99 $77,984.21 $24,087.86 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 21 — — $23,332.32 $46,424.10 $24,053.94 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 27 21 — — $23,319.57 $46,398.72 $24,040.79 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 27 21 — — $23,228.85 $46,218.23 $23,947.27 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 27 21 — — $23,218.93 $46,198.49 $23,937.04 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 27 21 — — $23,189.17 $46,139.27 $23,906.36 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 29 21 — — $22,797.36 $45,975.71 $23,821.61 2026-04-01
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