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Hospital

Memorial Hermann Hospital

Houston, TX · CCN 459824 · Rates published

9,772 distinct procedures filed
25 distinct payers
129,698 rate rows
2026-04-01 last MRF observed
Data quality

86,618 of 129,698 rate rows are consumer-grade (66.8%)

43,080 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 43,080
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_childrens-memorial-hermann-hospital_standardcharges.ashx
Found on page https://memorialhermann.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 14069092b22972ea… · 36,141,330 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 22 $387,671.85 $771,347.08 $399,661.70 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $49,797.56 $620,742.46 $261,443.44 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $17,568.67 $387,149.59 $200,595.64 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $138,578.28 $823,290.79 $199,453.16 nat. median
$202,976
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,492.17 $211,835.12 $167,238.26 nat. median
$111,989
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $33,782.12 $342,805.82 $159,232.00 nat. median
$87,428
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $47,407.07 $594,537.70 $132,219.14 nat. median
$133,161
1.0× median
7
MS_DRG 		Lung Transplant 22 $103,108.42 $310,222.52 $124,002.04 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $112,036.32 $222,917.62 $115,501.36 nat. median
$117,357
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $101,920.07 $202,789.42 $110,325.85 nat. median
$102,358
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $105,968.16 $210,843.87 $109,245.53 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 22 $105,853.18 $210,615.09 $109,126.99 nat. median
$98,047
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $103,221.09 $205,378.04 $106,413.49 nat. median
$98,894
1.1× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $130,723.25 $103,202.56 nat. median
$70,825
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $96,935.35 $192,871.37 $99,933.35 nat. median
$100,136
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 22 $93,808.86 $186,650.61 $96,710.16 nat. median
$99,019
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $79,545.02 $236,050.66 $95,121.81 nat. median
$93,672
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $85,429.65 $169,978.57 $88,071.80 nat. median
$82,711
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $80,302.54 $159,777.21 $86,925.42 nat. median
$79,312
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $60,554.13 $496,878.87 $86,710.66 nat. median
$72,135
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $65,109.62 $557,312.00 $85,437.03 nat. median
$77,570
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $82,333.21 $163,817.63 $84,879.60 nat. median
$83,470
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $73,339.12 $236,597.66 $82,544.49 nat. median
$81,118
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $1,800.00 $569,655.44 $79,729.71 nat. median
$74,915
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $73,362.31 $304,200.15 $79,412.82 nat. median
$73,807
1.1× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $50,007.15 $95,013.58 $75,010.73 nat. median
$49,027
1.5× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,600.83 $94,241.58 $74,401.24 nat. median
$50,598
1.5× median
5464
OTHER 		Level 4 Neurostimulator And Related Procedures 2 $54,635.62 $93,920.16 $74,277.89 nat. median
$20,658
outlier · 3.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 22 $42,818.73 $220,367.59 $72,391.35 nat. median
$66,526
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $69,589.28 $138,461.15 $71,741.53 nat. median
$68,090
1.1× median
10
MS_DRG 		Pancreas Transplant 22 $69,209.86 $137,706.21 $71,350.37 nat. median
$68,884
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 22 $29,490.84 $413,023.09 $71,323.02 nat. median
$64,023
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $68,846.35 $136,982.95 $70,975.62 nat. median
$71,271
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $59,554.46 $136,909.05 $70,937.33 nat. median
$68,886
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 22 $58,244.64 $183,680.00 $70,554.88 nat. median
$62,134
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 22 $56,571.01 $202,570.86 $69,488.90 nat. median
$64,732
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $53,598.59 $83,994.17 $68,796.38 nat. median
$65,393
1.1× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 $55,885.58 $132,465.63 $68,635.04 nat. median
$65,950
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 $64,883.16 $129,097.43 $66,889.86 nat. median
$60,691
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 $64,839.83 $129,011.22 $66,845.19 nat. median
$63,724
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 $58,311.76 $956,202.82 $66,126.74 nat. median
$52,303
1.3× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $63,899.67 $127,140.58 $65,875.95 nat. median
$61,920
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $63,899.67 $127,140.58 $65,875.95 nat. median
$64,508
1.0× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 $63,688.29 $126,720.00 $65,658.03 nat. median
$59,793
1.1× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 $49,002.20 $272,178.44 $63,988.40 nat. median
$55,916
1.1× median
28
MS_DRG 		Spinal Procedures With Mcc 22 $37,977.93 $117,162.70 $63,741.36 nat. median
$57,822
1.1× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 22 $56,153.73 $191,511.65 $63,679.48 nat. median
$52,746
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 $49,458.86 $119,276.18 $61,801.13 nat. median
$60,726
1.0× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 22 $59,884.30 $119,151.23 $61,736.39 nat. median
$60,185
1.0× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 $44,999.55 $192,345.66 $61,218.18 nat. median
$52,857
1.2× median

Other procedures at this hospital

Browse this hospital's 9,772 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 29 22 — — $387,671.85 $771,347.08 $399,661.70 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 22 — — $49,797.56 $620,742.46 $261,443.44 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 22 — — $17,568.67 $387,149.59 $200,595.64 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 22 — — $138,578.28 $823,290.79 $199,453.16 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 7 4 — — $111,492.17 $211,835.12 $167,238.26 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 5 — — $33,782.12 $342,805.82 $159,232.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 22 — — $47,407.07 $594,537.70 $132,219.14 2026-04-01
7 MS_DRG Lung Transplant 32 22 — — $103,108.42 $310,222.52 $124,002.04 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 29 22 — — $112,036.32 $222,917.62 $115,501.36 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 30 22 — — $101,920.07 $202,789.42 $110,325.85 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 22 — — $105,968.16 $210,843.87 $109,245.53 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 29 22 — — $105,853.18 $210,615.09 $109,126.99 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 22 — — $103,221.09 $205,378.04 $106,413.49 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 22 — — $96,935.35 $192,871.37 $99,933.35 2026-04-01
215 MS_DRG Other Heart Assist System Implant 29 22 — — $93,808.86 $186,650.61 $96,710.16 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 22 — — $79,545.02 $236,050.66 $95,121.81 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 22 — — $85,429.65 $169,978.57 $88,071.80 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 30 22 — — $80,302.54 $159,777.21 $86,925.42 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 37 22 — — $60,554.13 $496,878.87 $86,710.66 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 38 22 — — $65,109.62 $557,312.00 $85,437.03 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 29 22 — — $82,333.21 $163,817.63 $84,879.60 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 22 — — $73,339.12 $236,597.66 $82,544.49 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 38 22 — — $1,800.00 $569,655.44 $79,729.71 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 22 — — $73,362.31 $304,200.15 $79,412.82 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
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $54,635.62 $93,920.16 $74,277.89 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 22 — — $42,818.73 $220,367.59 $72,391.35 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 22 — — $69,589.28 $138,461.15 $71,741.53 2026-04-01
10 MS_DRG Pancreas Transplant 29 22 — — $69,209.86 $137,706.21 $71,350.37 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 35 22 — — $29,490.84 $413,023.09 $71,323.02 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 22 — — $68,846.35 $136,982.95 $70,975.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 22 — — $59,554.46 $136,909.05 $70,937.33 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 22 — — $58,244.64 $183,680.00 $70,554.88 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 22 — — $56,571.01 $202,570.86 $69,488.90 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $53,598.59 $83,994.17 $68,796.38 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 22 — — $55,885.58 $132,465.63 $68,635.04 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 22 — — $64,883.16 $129,097.43 $66,889.86 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 22 — — $64,839.83 $129,011.22 $66,845.19 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 22 — — $58,311.76 $956,202.82 $66,126.74 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 22 — — $63,899.67 $127,140.58 $65,875.95 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 22 — — $63,899.67 $127,140.58 $65,875.95 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 22 — — $63,688.29 $126,720.00 $65,658.03 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 22 — — $49,002.20 $272,178.44 $63,988.40 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 32 22 — — $37,977.93 $117,162.70 $63,741.36 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 22 — — $56,153.73 $191,511.65 $63,679.48 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 22 — — $49,458.86 $119,276.18 $61,801.13 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 22 — — $59,884.30 $119,151.23 $61,736.39 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 22 — — $44,999.55 $192,345.66 $61,218.18 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 29 22 — — $59,365.13 $118,118.26 $61,201.17 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 22 — — $49,825.12 $117,132.78 $60,690.56 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 22 — — $24.36 $274,298.54 $60,293.93 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 8 7 — — $59,866.20 $152,017.69 $60,215.49 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 29 22 — — $58,189.71 $115,779.52 $59,989.39 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 30 22 — — $54,974.76 $109,382.77 $59,508.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 36 22 — — $45,597.83 $1,036,869.57 $59,434.89 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 34 22 — — $48,652.62 $130,898.89 $59,432.28 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 22 — — $47,835.86 $114,637.45 $59,397.64 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 22 — — $1,890.00 $704,176.21 $58,866.73 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 22 — — $56,751.61 $112,918.14 $58,506.81 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 29 22 — — $56,219.17 $111,858.77 $57,957.91 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 22 — — $55,468.29 $110,364.73 $57,183.80 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 22 — — $55,314.39 $110,058.52 $57,025.14 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 22 — — $36,104.52 $214,474.31 $56,537.29 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 22 — — $54,592.69 $108,622.56 $56,281.12 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 30 22 — — $51,783.69 $103,033.53 $56,054.51 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 31 22 — — $46,837.36 $121,529.23 $55,979.31 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 30 22 — — $51,704.09 $102,875.16 $55,968.35 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 22 — — $47,039.16 $123,767.83 $55,802.42 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 22 — — $54,059.36 $107,561.41 $55,731.30 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 29 22 — — $53,790.50 $107,026.45 $55,454.12 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 22 — — $50.00 $149,841.34 $54,546.88 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 29 22 — — $52,882.17 $105,219.16 $54,517.70 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 29 22 — — $52,565.54 $104,589.17 $54,191.28 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 39 22 — — $500.00 $2,360,792.66 $53,572.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 22 — — $40,447.00 $109,999.17 $52,616.66 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
799 MS_DRG Splenic Procedures With Mcc 31 22 — — $45,800.44 $121,957.22 $51,938.64 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 22 — — $50,322.60 $100,126.41 $51,878.97 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 22 — — $11,461.81 $168,865.32 $51,453.20 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 35 22 — — $20,000.00 $281,875.98 $51,032.82 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 22 — — $49,274.54 $98,041.09 $50,798.49 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 29 22 — — $49,093.22 $97,680.33 $50,611.57 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 30 22 — — $41,976.55 $96,404.50 $49,950.52 2026-04-01
998 MS_DRG Principal Diagnosis Invalid As Discharge Diagnosis 1 1 — — $49,785.64 $49,785.64 $49,785.64 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 30 22 — — $500.00 $95,975.12 $49,728.04 2026-04-01
69930 HCPCS Implant Cochlear Device 7 4 — — $33,122.37 $62,932.51 $49,683.56 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 22 — — $41,694.14 $113,003.06 $49,331.41 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 29 22 — — $47,326.11 $94,164.31 $48,789.80 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 29 22 — — $47,117.38 $93,749.02 $48,574.62 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 29 22 — — $46,756.52 $93,031.02 $48,202.60 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 22 — — $24,355.40 $149,182.97 $48,033.92 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 22 — — $42,232.61 $84,029.83 $47,892.65 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 22 — — $992.24 $146,963.46 $47,880.29 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 29 22 — — $46,294.85 $92,112.43 $47,726.65 2026-04-01
245 MS_DRG Aicd Generator Procedures 29 22 — — $46,096.73 $91,718.23 $47,522.40 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 38 22 — — $500.00 $812,944.40 $47,397.49 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 30 22 — — $43,713.16 $86,975.66 $47,318.37 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 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
33270 HCPCS Ins/rep Subq Defibrillator 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 7 4 — — $31,531.90 $59,910.61 $47,297.85 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 32 22 — — $32,222.72 $239,280.51 $47,054.13 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 22 — — $42,649.17 $106,247.06 $46,920.62 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 35 22 — — $25,503.13 $529,346.83 $46,787.50 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 30 22 — — $43,096.70 $317,748.88 $46,651.07 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 29 22 — — $45,216.71 $89,967.28 $46,615.17 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 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
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 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
63685 HCPCS Insrt/redo Spine N Generator 7 4 — — $30,998.31 $58,896.80 $46,497.47 2026-04-01
0674T HCPCS 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 22 — — $42,792.45 $85,143.74 $46,321.72 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 22 — — $38,911.75 $88,733.68 $45,976.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 3 — — $33,782.12 $49,288.47 $45,462.03 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 22 — — $36,404.04 $87,582.78 $45,379.68 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 22 — — $31,976.80 $154,603.08 $45,022.13 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 29 22 — — $43,252.37 $86,058.84 $44,590.07 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
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 30 22 — — $37,584.25 $85,622.40 $44,363.94 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 22 — — $40,982.01 $460,510.13 $44,361.96 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 22 — — $35,271.46 $185,734.72 $44,344.80 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 6 — — $5,328.24 $183,909.68 $44,265.30 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 7 4 — — $29,510.19 $56,069.36 $44,265.28 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 35 22 — — $23,082.72 $321,442.00 $44,256.86 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 31 22 — — $37,470.71 $85,369.00 $44,232.64 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 29 22 — — $42,861.44 $85,281.01 $44,187.05 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 33 22 — — $2,984.99 $84,805.88 $43,940.87 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 29 22 — — $42,475.82 $84,513.75 $43,789.51 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 4 — — $28,814.06 $54,746.72 $43,221.09 2026-04-01
791 MS_DRG Prematurity With Major Problems 32 22 — — $34,684.75 $243,660.61 $42,932.42 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 29 22 — — $41,303.94 $82,182.06 $42,581.38 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 22 — — $32,654.63 $136,342.97 $42,183.70 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 30 22 — — $38,881.45 $77,362.06 $42,088.17 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 22 — — $34,013.32 $80,270.96 $41,591.17 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 29 22 — — $40,186.89 $79,959.48 $41,429.78 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 32 22 — — $35,282.09 $106,317.52 $41,384.49 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 30 22 — — $34,976.79 $79,545.93 $41,215.51 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 29 22 — — $39,927.75 $79,443.88 $41,162.63 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 22 — — $500.00 $120,844.91 $41,128.89 2026-04-01
5166 OTHER Cochlear Implant Procedure 4 4 — — $125.00 $113,241.93 $41,101.30 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 22 — — $37,836.93 $75,283.78 $40,957.49 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 22 — — $7,037.06 $214,298.91 $40,732.41 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 22 — — $37,327.49 $74,270.16 $40,406.04 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 22 — — $33,974.40 $77,205.44 $40,002.82 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 22 — — $32,119.20 $77,198.40 $39,999.17 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 29 22 — — $38,706.34 $77,013.64 $39,903.44 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 29 22 — — $38,520.60 $76,644.08 $39,711.96 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 22 — — $300.00 $69,356.89 $39,529.83 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 22 — — $2,587.13 $76,042.23 $39,400.12 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
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
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 32 22 — — $29,469.75 $94,865.89 $39,292.60 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 22 — — $36,067.16 $87,436.08 $39,041.77 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 22 — — $37,812.16 $75,234.51 $38,981.61 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 35 22 — — $29,964.40 $238,879.53 $38,960.14 2026-04-01
332 MS_DRG Rectal Resection With Mcc 29 22 — — $37,767.94 $75,146.52 $38,936.02 2026-04-01
265 MS_DRG Aicd Lead Procedures 29 22 — — $37,745.83 $75,102.53 $38,913.23 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 32 22 — — $500.00 $74,989.90 $38,854.87 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 22 — — $37,641.46 $74,894.87 $38,805.63 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 29 22 — — $37,432.74 $74,479.57 $38,590.45 2026-04-01
5661 OTHER Therapeutic Nuclear Medicine 1 1 — — $38,531.17 $38,531.17 $38,531.17 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 29 22 — — $37,359.33 $74,333.51 $38,514.77 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 22 — — $32,689.34 $74,176.89 $38,433.62 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 29 22 — — $37,254.08 $74,124.10 $38,406.27 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 29 22 — — $37,224.01 $74,064.27 $38,375.27 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 33 22 — — $27,538.34 $78,823.06 $38,208.92 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 22 — — $36,596.94 $72,816.58 $38,151.06 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 31 22 — — $33,600.45 $181,682.83 $38,103.60 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 31 22 — — $30,111.53 $73,490.58 $38,078.02 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 29 22 — — $36,872.00 $73,363.87 $38,012.37 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 22 — — $21,063.71 $245,314.22 $37,754.56 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 30 22 — — $500.00 $72,800.76 $37,720.60 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 29 22 — — $36,447.47 $72,519.19 $37,574.71 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 29 22 — — $36,157.37 $71,941.99 $37,275.64 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 30 22 — — $34,387.61 $68,420.70 $37,223.69 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $37,116.92 $37,116.92 $37,116.92 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 30 22 — — $34,231.06 $68,109.22 $37,054.24 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 30 22 — — $31,482.76 $71,387.65 $36,988.42 2026-04-01
9512 OTHER Rbc Leukocytes Reduced 3 2 — — $4,731.73 $37,659.15 $36,429.55 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 33 22 — — $30,663.04 $120,803.76 $36,382.08 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 29 22 — — $34,960.72 $69,561.02 $36,041.98 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 29 22 — — $34,861.66 $69,363.93 $35,939.86 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 31 22 — — $30,319.81 $137,500.99 $35,581.52 2026-04-01
263 MS_DRG Vein Ligation And Stripping 30 22 — — $32,785.87 $105,988.03 $35,489.87 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 7 4 — — $23,640.73 $44,917.39 $35,461.10 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 29 22 — — $34,315.96 $68,278.15 $35,377.28 2026-04-01
652 MS_DRG Kidney Transplant 29 22 — — $34,308.00 $68,262.31 $35,369.07 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 29 22 — — $34,286.77 $68,220.08 $35,347.19 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 7 4 — — $23,514.53 $44,677.61 $35,271.80 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 30 22 — — $32,571.84 $64,807.89 $35,258.18 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 29 22 — — $34,139.07 $67,926.20 $35,194.92 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 32 22 — — $28,553.15 $64,519.28 $35,101.17 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 22 — — $36.30 $361,634.36 $35,034.45 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 22 — — $23,983.72 $67,512.65 $34,980.65 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 29 22 — — $33,903.81 $67,458.09 $34,952.38 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 29 22 — — $33,847.21 $67,345.48 $34,894.03 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 7 4 — — $23,210.23 $44,099.44 $34,815.34 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 30 22 — — $29,514.53 $67,123.74 $34,779.14 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 7 4 — — $23,134.38 $43,955.32 $34,701.57 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 30 22 — — $28,377.24 $66,880.89 $34,653.31 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 29 22 — — $33,535.00 $66,724.27 $34,572.16 2026-04-01
L5858 HCPCS Stance Phase Only 7 4 — — $23,006.91 $43,713.13 $34,510.36 2026-04-01
665 MS_DRG Prostatectomy With Mcc 29 22 — — $33,350.15 $66,356.49 $34,381.60 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 31 22 — — $30,260.80 $124,767.82 $34,316.37 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 37 22 — — $9,076.56 $113,541.88 $34,272.18 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 30 22 — — $31,411.45 $62,499.07 $34,002.08 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 29 22 — — $32,822.14 $65,305.91 $33,837.26 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 5 5 — — $7,201.52 $111,039.52 $33,575.26 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 29 22 — — $32,459.52 $64,584.40 $33,463.42 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 29 22 — — $32,455.98 $64,577.36 $33,459.77 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 29 22 — — $32,069.48 $63,808.35 $33,061.32 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 30 22 — — $30,503.13 $62,257.09 $33,018.85 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 33 22 — — $662.35 $278,656.00 $32,785.04 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 29 22 — — $31,783.81 $63,239.94 $32,766.81 2026-04-01
570 MS_DRG Skin Debridement With Mcc 30 22 — — $27,970.60 $63,187.14 $32,739.45 2026-04-01
9378 OTHER Daratumumab, Hyaluronidase 1 1 — — $32,571.09 $32,571.09 $32,571.09 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 30 22 — — $27,811.59 $62,815.85 $32,547.07 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 35 22 — — $25,783.71 $65,716.59 $32,476.86 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 30 22 — — $27,669.55 $62,467.40 $32,366.53 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 34 22 — — $26,310.24 $66,964.65 $32,267.31 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 29 22 — — $31,282.33 $62,242.15 $32,249.82 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 29 22 — — $31,269.94 $62,217.51 $32,237.05 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 29 22 — — $31,232.80 $62,143.61 $32,198.76 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 33 22 — — $26,263.82 $61,939.47 $32,092.99 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 30 22 — — $29,601.89 $103,743.92 $32,043.28 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 31 22 — — $28,217.74 $56,144.57 $31,999.50 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 34 22 — — $22,323.34 $79,238.79 $31,951.35 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
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 29 22 — — $30,955.97 $61,592.80 $31,913.37 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 35 22 — — $16,608.27 $56,436.70 $31,829.98 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 37 22 — — $24,818.73 $139,148.96 $31,818.95 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 32 22 — — $24,375.21 $58,076.79 $31,596.18 2026-04-01
800 MS_DRG Splenic Procedures With Cc 29 22 — — $30,592.46 $60,869.54 $31,538.62 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 6 5 — — $23,742.84 $43,737.87 $31,475.92 2026-04-01
503 MS_DRG Foot Procedures With Mcc 29 22 — — $30,430.61 $60,547.50 $31,371.76 2026-04-01
53444 HCPCS Insert Tandem Cuff 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
54405 HCPCS Insert Multi-comp Penis Pros 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
54410 HCPCS Remove/replace Penis Prosth 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
54416 HCPCS Remv/repl Penis Contain Pros 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
53447 HCPCS Remove/replace Ur Sphincter 7 4 — — $20,820.57 $39,559.08 $31,230.85 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 34 22 — — $7,425.00 $103,840.18 $31,173.04 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 33 22 — — $12,632.83 $64,608.51 $31,138.94 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 31 22 — — $24,917.82 $59,949.18 $31,061.75 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 32 22 — — $25,343.29 $57,052.59 $31,038.97 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 33 22 — — $26,520.52 $59,801.36 $30,985.16 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 31 22 — — $250.00 $72,252.04 $30,978.78 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 34 22 — — $21,041.40 $83,588.28 $30,849.30 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 30 22 — — $28,324.75 $56,357.49 $30,660.81 2026-04-01
849 MS_DRG Radiotherapy 29 22 — — $29,708.90 $59,111.52 $30,627.73 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 29 22 — — $29,679.72 $59,053.46 $30,597.65 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
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 29 22 — — $29,271.11 $58,240.45 $30,176.40 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 31 22 — — $26,428.50 $54,390.81 $29,970.47 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 29 22 — — $29,071.22 $57,842.74 $29,970.33 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 31 22 — — $26,413.47 $83,116.90 $29,953.42 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 30 22 — — $27,336.83 $61,549.66 $29,591.42 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 35 22 — — $25,033.44 $67,742.73 $29,589.20 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 5 4 — — $18,246.42 $36,124.42 $29,539.87 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 29 22 — — $28,588.32 $56,881.91 $29,472.49 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 29 22 — — $28,556.47 $56,818.54 $29,439.66 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 29 22 — — $28,556.47 $56,818.54 $29,439.66 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 29 22 — — $28,453.88 $56,614.43 $29,333.90 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 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
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
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 7 4 — — $19,488.52 $37,028.18 $29,232.78 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 36 22 — — $13,359.18 $135,230.47 $29,169.21 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 34 22 — — $23,797.14 $53,425.72 $29,065.81 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 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 HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 7 4 — — $19,349.47 $36,763.98 $29,024.20 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 29 22 — — $27,784.36 $55,282.28 $28,643.67 2026-04-01
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