Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SWEDISH EDMONDS HOSPITAL

Edmonds, WA · CCN 500026 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $10,725 across 14 payers · range $5,885-$19,106

Source: https://pricetransparency.providence.org/swedish/live/272305304_swedish-edmonds-hospital_standardcharges.json · 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.

14,923 distinct procedures filed
16 distinct payers
303,505 rate rows
2026-04-01 last MRF observed
Data quality

246,845 of 303,505 rate rows are consumer-grade (81.3%)

56,660 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 55,680
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889
placeholder amount (≤ $0.02) — excluded from medians 66
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/swedish/live/272305304_swedish-edmonds-hospital_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-04
Content fingerprint e7cf6376d5c10918… · 203,649,504 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,691,450.00 $4,429,740.00 $3,876,022.50 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,321,376.38 $4,982,064.57 $3,520,658.96 nat. median
$3,324,572
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 12 $2,479,853.20 $4,786,111.43 $2,975,150.34 nat. median
$2,460,273
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $614,180.81 $1,560,019.25 $919,930.49 nat. median
$691,418
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $494,384.00 $1,350,896.76 $742,708.44 nat. median
$588,565
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $542,190.00 $1,494,776.81 $741,101.77 nat. median
$631,793
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $502,980.50 $1,421,843.95 $706,656.73 nat. median
$610,161
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $499,938.24 $1,428,142.52 $699,854.44 nat. median
$624,417
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $489,290.60 $1,242,798.13 $637,395.96 nat. median
$577,541
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $364,777.87 $1,114,028.12 $583,644.59 nat. median
$370,165
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $237,085.50 $860,080.96 $379,336.80 nat. median
$261,939
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $180,871.51 $673,419.12 $289,394.42 nat. median
$205,166
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $179,816.04 $608,339.09 $287,705.66 nat. median
$199,832
1.4× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 7 $153,031.64 $273,315.44 $197,542.00 nat. median
$83,623
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $117,702.16 $401,082.76 $188,323.46 nat. median
$132,706
1.4× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $127,987.73 $278,194.90 $185,442.85 nat. median
$58,534
outlier · 3.2×
7
MS_DRG 		Lung Transplant 14 $110,110.82 $370,958.48 $176,177.31 nat. median
$122,690
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $118,503.07 $257,578.99 $171,700.42 nat. median
$51,048
outlier · 3.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $102,257.51 $371,895.25 $163,612.02 nat. median
$114,305
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $96,478.09 $445,315.56 $154,364.94 nat. median
$108,240
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 7 $110,877.23 $200,301.42 $144,770.25 nat. median
$62,767
outlier · 2.3×
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $140,934.70 $147,340.82 $144,137.76 nat. median
$22,408
outlier · 6.4×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $140,934.70 $147,340.82 $144,137.76 nat. median
$22,425
outlier · 6.4×
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $140,934.70 $147,340.82 $144,137.76 nat. median
$22,408
outlier · 6.4×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 7 $106,997.44 $195,289.06 $141,147.50 nat. median
$46,826
outlier · 3.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $87,875.07 $304,460.55 $140,600.11 nat. median
$99,646
1.4× median
0266T
OTHER 		Implt/rpl Crtd Sns Dev Total 4 $7,277.00 $147,340.82 $134,146.49 nat. median
$39,896
outlier · 3.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $83,429.94 $298,639.06 $133,487.90 nat. median
$92,900
1.4× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 7 $101,815.48 $181,251.45 $131,001.65 nat. median
$57,648
outlier · 2.3×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 12 $108,243.35 $397,069.20 $129,892.02 nat. median
$111,503
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 14 $37,856.94 $314,080.72 $127,346.00 nat. median
$98,002
1.3× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 7 $87,235.79 $189,616.25 $126,396.91 nat. median
$40,712
outlier · 3.1×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 7 $84,544.51 $183,766.47 $122,497.49 nat. median
$45,104
outlier · 2.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $71,810.44 $255,824.20 $114,896.70 nat. median
$80,459
1.4× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 7 $83,926.02 $155,044.34 $112,060.15 nat. median
$38,383
outlier · 2.9×
38240
HCPCS 		Transplt Allo Hct/donor 12 $3,304.00 $257,920.55 $111,029.56 nat. median
$13,835
outlier · 8.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $67,307.19 $307,494.74 $107,691.50 nat. median
$77,385
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $92,622.61 $309,222.43 $106,516.00 nat. median
$100,978
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $65,702.50 $239,689.43 $105,124.00 nat. median
$74,472
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $65,423.68 $235,664.66 $104,677.89 nat. median
$73,475
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $65,210.56 $220,749.51 $104,336.90 nat. median
$71,485
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $96,368.58 $202,374.02 $104,078.07 nat. median
$96,134
1.1× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 7 $80,036.21 $142,229.33 $102,797.95 nat. median
$46,399
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $6,096.95 $297,541.18 $101,370.66 nat. median
$96,835
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 14 $61,443.53 $194,295.51 $98,309.65 nat. median
$62,911
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 $61,122.59 $225,015.23 $97,796.14 nat. median
$69,153
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $18,463.26 $259,271.88 $97,245.45 nat. median
$79,040
1.2× median
0426T
OTHER 		Insj/rplc Nstim Apnea Stm Ld 1 $93,312.39 $97,553.87 $95,433.13 nat. median
$13,011
outlier · 7.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $58,960.25 $207,137.29 $94,336.40 nat. median
$65,792
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $57,723.67 $193,823.60 $92,357.87 nat. median
$64,357
1.4× median

Other procedures at this hospital

Browse this hospital's 14,923 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 8 — — $3,691,450.00 $4,429,740.00 $3,876,022.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — — $3,321,376.38 $4,982,064.57 $3,520,658.96 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 12 — — $2,479,853.20 $4,786,111.43 $2,975,150.34 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 12 — — $614,180.81 $1,560,019.25 $919,930.49 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 12 — — $494,384.00 $1,350,896.76 $742,708.44 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 18 11 — — $542,190.00 $1,494,776.81 $741,101.77 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 18 11 — — $502,980.50 $1,421,843.95 $706,656.73 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 11 — — $499,938.24 $1,428,142.52 $699,854.44 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 18 11 — — $489,290.60 $1,242,798.13 $637,395.96 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 31 14 — — $364,777.87 $1,114,028.12 $583,644.59 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 14 — — $237,085.50 $860,080.96 $379,336.80 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 14 — — $180,871.51 $673,419.12 $289,394.42 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 14 — — $179,816.04 $608,339.09 $287,705.66 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 11 7 — — $153,031.64 $273,315.44 $197,542.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 14 — — $117,702.16 $401,082.76 $188,323.46 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 7 — — $127,987.73 $278,194.90 $185,442.85 2026-04-01
7 MS_DRG Lung Transplant 31 14 — — $110,110.82 $370,958.48 $176,177.31 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 7 — — $118,503.07 $257,578.99 $171,700.42 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 31 14 — — $102,257.51 $371,895.25 $163,612.02 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 14 — — $96,478.09 $445,315.56 $154,364.94 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 11 7 — — $110,877.23 $200,301.42 $144,770.25 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $140,934.70 $147,340.82 $144,137.76 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 2 1 — — $140,934.70 $147,340.82 $144,137.76 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 2 1 — — $140,934.70 $147,340.82 $144,137.76 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 11 7 — — $106,997.44 $195,289.06 $141,147.50 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 14 — — $87,875.07 $304,460.55 $140,600.11 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 7 4 — — $7,277.00 $147,340.82 $134,146.49 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $83,429.94 $298,639.06 $133,487.90 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 11 7 — — $101,815.48 $181,251.45 $131,001.65 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 12 — — $108,243.35 $397,069.20 $129,892.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 33 14 — — $37,856.94 $314,080.72 $127,346.00 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 11 7 — — $87,235.79 $189,616.25 $126,396.91 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 11 7 — — $84,544.51 $183,766.47 $122,497.49 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $71,810.44 $255,824.20 $114,896.70 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 11 7 — — $83,926.02 $155,044.34 $112,060.15 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 24 12 — — $3,304.00 $257,920.55 $111,029.56 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 14 — — $67,307.19 $307,494.74 $107,691.50 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 13 — — $92,622.61 $309,222.43 $106,516.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 14 — — $65,702.50 $239,689.43 $105,124.00 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 14 — — $65,423.68 $235,664.66 $104,677.89 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 14 — — $65,210.56 $220,749.51 $104,336.90 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 13 — — $96,368.58 $202,374.02 $104,078.07 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 11 7 — — $80,036.21 $142,229.33 $102,797.95 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 13 — — $6,096.95 $297,541.18 $101,370.66 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 31 14 — — $61,443.53 $194,295.51 $98,309.65 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 14 — — $61,122.59 $225,015.23 $97,796.14 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 14 — — $18,463.26 $259,271.88 $97,245.45 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 2 1 — — $93,312.39 $97,553.87 $95,433.13 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 14 — — $58,960.25 $207,137.29 $94,336.40 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 14 — — $57,723.67 $193,823.60 $92,357.87 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $56,411.28 $181,733.35 $90,258.05 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 14 — — $56,411.28 $192,864.67 $90,258.05 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 7 4 — — $7,277.00 $147,340.82 $88,196.73 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $42,770.85 $174,801.47 $87,125.42 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 13 — — $76,916.82 $236,747.58 $84,608.50 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 11 7 — — $62,952.46 $116,926.53 $84,510.05 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 14 — — $52,646.77 $209,653.88 $84,234.83 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 14 — — $52,586.97 $179,516.55 $84,139.15 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 14 — — $52,092.50 $177,107.69 $83,348.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 31 14 — — $51,635.10 $173,219.76 $82,616.16 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $51,254.35 $193,233.54 $82,006.96 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 22 12 — — $56,824.55 $204,604.43 $81,904.36 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 23 12 — — $56,269.19 $142,923.75 $81,742.78 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 31 14 — — $50,973.01 $200,384.72 $81,556.82 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 25 13 — — $2,673.66 $261,481.17 $81,364.49 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 14 — — $50,458.32 $181,578.66 $80,733.31 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 14 — — $49,293.34 $168,722.01 $78,869.34 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 14 — — $20,913.12 $169,311.00 $78,160.78 2026-04-01
10 MS_DRG Pancreas Transplant 31 14 — — $61,468.80 $226,318.20 $77,387.58 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 14 — — $48,234.50 $161,624.38 $77,175.20 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 19 11 — — $64,282.30 $163,277.04 $77,138.76 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 24 12 — — $2,225.00 $180,608.75 $76,461.04 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 31 14 — — $47,547.13 $180,912.33 $76,075.41 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 14 — — $47,039.19 $158,729.99 $75,262.70 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 14 — — $46,966.75 $153,164.90 $75,146.80 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 4 2 — — $4,912.00 $147,340.82 $73,562.85 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 4 2 — — $4,912.00 $147,340.82 $73,562.85 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 14 — — $45,944.96 $160,791.46 $73,511.94 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 31 14 — — $46,783.11 $171,329.74 $73,050.59 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 14 — — $45,652.39 $170,676.39 $73,012.58 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 14 — — $45,616.44 $224,396.49 $72,986.30 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 9 6 — — $54,147.85 $92,938.55 $72,548.59 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 32 14 — — $44,795.99 $162,394.82 $71,318.10 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 33 14 — — $30,935.47 $180,034.79 $70,902.46 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 13 — — $61,087.21 $200,596.74 $70,250.29 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 14 — — $43,480.22 $136,238.29 $69,568.35 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 40 14 — — $12,198.88 $168,760.72 $68,970.49 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 14 — — $34,836.92 $197,474.17 $68,853.13 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 11 7 — — $50,311.82 $94,065.96 $67,987.30 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 14 — — $42,482.03 $143,261.55 $67,971.25 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 22 11 — — $2,443.00 $180,608.75 $67,716.35 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 14 — — $42,309.34 $153,145.03 $67,694.94 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 13 — — $5,286.90 $201,510.80 $67,394.89 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 14 — — $41,698.63 $149,321.02 $66,717.81 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 14 — — $31,369.24 $158,143.98 $66,704.96 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 14 — — $41,493.10 $169,537.08 $66,388.96 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 37 14 — — $7,294.74 $183,598.60 $66,272.30 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 22 11 — — $2,836.00 $180,608.75 $66,198.78 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 14 — — $42,698.51 $158,560.43 $66,182.69 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 14 — — $41,126.67 $166,523.71 $65,802.67 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 31 14 — — $40,626.31 $134,477.26 $65,002.10 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 14 — — $40,427.51 $150,058.74 $64,684.02 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 31 14 — — $40,083.83 $139,703.81 $64,134.13 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 45 14 — — $4,033.44 $308,856.04 $63,936.58 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 13 — — $57,306.70 $190,312.13 $63,037.37 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $63,030.00 $63,030.00 $63,030.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 37 14 — — $14,499.71 $154,297.69 $63,000.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 31 14 — — $39,323.18 $133,784.16 $62,917.09 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 14 — — $40,545.44 $137,267.53 $62,845.43 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 31 14 — — $39,173.24 $153,119.71 $62,677.18 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 13 — — $14,073.81 $175,601.98 $62,509.30 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 31 14 — — $38,776.49 $148,937.28 $62,042.38 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 31 14 — — $38,765.54 $130,044.96 $62,024.86 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 31 14 — — $38,617.28 $128,444.57 $61,787.65 2026-04-01
J9226 HCPCS Supprelin La Implant 23 12 — — $41,173.43 $104,580.50 $61,760.14 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 14 — — $37,605.54 $133,915.04 $61,448.38 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 14 — — $39,340.03 $138,737.03 $60,977.04 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 14 — — $38,026.79 $128,144.13 $60,842.86 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 14 — — $15,466.07 $159,018.54 $60,576.93 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 11 7 — — $44,406.05 $83,211.28 $60,141.95 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 13 — — $51,620.78 $175,829.08 $59,363.90 2026-04-01
245 MS_DRG Aicd Generator Procedures 33 14 — — $11,633.77 $161,163.30 $59,183.14 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 2 1 — — $57,599.44 $60,217.59 $58,908.51 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 31 14 — — $36,598.15 $128,361.28 $58,557.04 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 31 14 — — $36,537.50 $116,483.22 $58,460.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 31 14 — — $36,519.81 $125,106.96 $58,431.70 2026-04-01
69930 HCPCS Implant Cochlear Device 24 12 — — $4,633.00 $167,528.10 $58,200.56 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 31 14 — — $36,374.08 $126,981.02 $58,198.53 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 14 — — $36,308.38 $121,873.46 $58,093.41 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 14 — — $36,171.91 $148,961.08 $57,875.06 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 15 12 — — $48,155.50 $176,648.90 $57,786.60 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 14 — — $34,320.29 $127,298.66 $57,637.17 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 31 14 — — $36,006.81 $124,517.97 $57,610.90 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 31 14 — — $35,775.16 $113,832.84 $57,240.26 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 14 — — $34,973.74 $118,941.53 $56,445.11 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 38 14 — — $5,072.74 $159,750.31 $56,388.99 2026-04-01
791 MS_DRG Prematurity With Major Problems 35 14 — — $8,411.57 $115,254.06 $56,343.98 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 4 — — $25,848.66 $81,995.41 $55,647.78 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 33 14 — — $8,512.49 $120,048.62 $55,429.17 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 24 12 — — $4,633.00 $163,350.16 $55,405.88 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 24 12 — — $4,633.00 $128,707.31 $55,405.88 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 24 12 — — $2,443.00 $163,350.16 $55,405.88 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 24 12 — — $2,443.00 $163,350.16 $55,405.88 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 24 12 — — $4,633.00 $163,350.16 $55,405.88 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 24 12 — — $2,443.00 $163,350.16 $55,405.88 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 31 14 — — $34,584.07 $110,411.94 $55,334.51 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 13 — — $47,911.03 $142,017.32 $55,097.68 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 13 — — $49,603.33 $155,279.73 $54,563.66 2026-04-01
61886 HCPCS Implant Neurostim Arrays 24 12 — — $2,443.00 $147,340.82 $54,468.30 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 24 12 — — $2,225.00 $147,340.82 $54,468.30 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 14 — — $33,975.88 $117,173.43 $54,361.41 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 15 12 — — $44,853.57 $164,536.38 $53,824.28 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 31 14 — — $33,628.83 $118,336.54 $53,806.13 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 24 12 — — $2,225.00 $126,529.31 $53,718.09 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 31 14 — — $33,548.81 $114,966.21 $53,678.10 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 14 — — $27,828.60 $111,543.88 $53,429.35 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 13 — — $48,381.07 $156,276.11 $53,219.18 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 13 — — $49,096.23 $103,102.08 $53,023.93 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 31 14 — — $32,505.13 $106,699.51 $52,008.21 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 31 14 — — $32,416.68 $112,023.62 $51,866.69 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 14 — — $17,857.70 $117,447.11 $51,714.71 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 31 14 — — $32,239.78 $110,016.30 $51,583.65 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 31 14 — — $31,964.33 $110,867.07 $51,142.93 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 31 14 — — $31,951.70 $103,222.09 $51,122.72 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 14 — — $33,826.79 $122,822.03 $50,699.63 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 24 12 — — $4,633.00 $144,318.94 $50,630.26 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 31 14 — — $31,588.64 $100,384.23 $50,541.82 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 13 — — $45,918.01 $146,184.53 $50,509.81 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 31 14 — — $31,565.05 $108,335.60 $50,504.08 2026-04-01
999 MS_DRG Ungroupable 1 1 — — $50,494.07 $50,494.07 $50,494.07 2026-04-01
332 MS_DRG Rectal Resection With Mcc 31 14 — — $31,522.93 $123,792.14 $50,436.69 2026-04-01
265 MS_DRG Aicd Lead Procedures 31 14 — — $31,501.88 $101,253.59 $50,403.01 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 34 14 — — $26,484.24 $110,762.95 $50,388.16 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 11 7 — — $37,761.44 $69,084.43 $49,931.60 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 31 14 — — $31,203.68 $113,752.53 $49,925.89 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 31 14 — — $31,133.76 $126,743.04 $49,814.02 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 31 14 — — $31,058.80 $111,637.52 $49,694.08 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 31 14 — — $31,033.52 $107,931.04 $49,653.63 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 31 14 — — $30,980.46 $106,059.95 $49,568.74 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 14 — — $2,915.91 $114,525.95 $49,082.42 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 31 14 — — $30,669.63 $108,216.61 $49,071.41 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 14 — — $10,523.54 $93,725.36 $48,875.19 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 14 — — $30,265.29 $98,352.44 $48,424.46 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 34 14 — — $15,183.88 $116,414.88 $48,210.33 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 14 — — $20,302.17 $107,532.43 $48,057.57 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 23 12 — — $4,633.00 $107,176.01 $47,625.39 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 23 12 — — $4,633.00 $107,176.01 $47,625.39 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 23 12 — — $4,633.00 $107,176.01 $47,625.39 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 31 14 — — $29,761.56 $98,069.91 $47,618.50 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 24 12 — — $4,912.00 $110,372.79 $47,513.24 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 22 11 — — $2,225.00 $126,529.31 $47,440.14 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 22 11 — — $2,443.00 $126,529.31 $47,440.14 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 22 11 — — $2,443.00 $126,529.31 $47,440.14 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 33 14 — — $12,836.46 $111,860.62 $47,171.94 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 14 — — $30,400.07 $117,982.55 $47,120.10 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 24 12 — — $3,304.00 $111,260.70 $46,485.66 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 24 12 — — $3,294.00 $111,260.70 $46,485.66 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 24 12 — — $2,443.00 $111,260.70 $46,485.66 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 9 6 — — $34,518.03 $58,696.78 $46,248.09 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 14 — — $28,075.94 $106,419.89 $46,095.40 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 31 14 — — $28,754.94 $97,498.77 $46,007.90 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 31 14 — — $28,751.57 $97,766.49 $46,002.51 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 13 — — $39,927.99 $132,062.00 $45,917.19 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 9 5 — — $2,836.00 $80,656.25 $45,614.30 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 9 5 — — $2,836.00 $80,656.25 $45,614.30 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 9 5 — — $2,836.00 $80,656.25 $45,614.30 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 9 5 — — $2,836.00 $52,246.90 $45,614.30 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 9 5 — — $2,836.00 $80,656.25 $45,614.30 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 33 14 — — $8,023.53 $98,929.60 $45,611.48 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 39 14 — — $39,044.61 $145,349.79 $45,514.27 2026-04-01
652 MS_DRG Kidney Transplant 31 14 — — $28,227.63 $94,747.17 $45,164.21 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 31 14 — — $28,207.41 $101,425.37 $45,131.86 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 34 14 — — $21,783.38 $99,917.20 $45,110.63 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 31 14 — — $28,154.34 $90,276.34 $45,046.94 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 14 — — $28,769.12 $99,439.66 $44,854.62 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 32 14 — — $16,894.29 $111,655.36 $44,716.40 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 14 — — $27,868.78 $93,423.43 $44,590.05 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 31 14 — — $27,842.67 $97,718.90 $44,548.27 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 31 14 — — $27,788.76 $144,058.77 $44,462.02 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 32 14 — — $27,682.62 $94,878.06 $44,292.19 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 32 14 — — $27,642.19 $95,440.27 $44,227.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 33 14 — — $15,302.17 $102,365.38 $44,085.98 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 32 14 — — $28,423.90 $106,116.47 $44,057.04 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 31 14 — — $27,491.40 $94,241.47 $43,986.24 2026-04-01
665 MS_DRG Prostatectomy With Mcc 31 14 — — $27,315.35 $97,463.93 $43,704.56 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 14 — — $27,260.60 $88,524.10 $43,616.96 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 31 14 — — $27,214.27 $91,085.31 $43,542.83 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 31 14 — — $26,812.46 $88,550.41 $42,899.94 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 18 11 — — $2,225.00 $140,473.92 $42,524.88 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 35 14 — — $16,597.91 $99,209.73 $42,477.20 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 33 14 — — $26,200.23 $93,551.34 $42,455.16 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 31 14 — — $26,467.10 $81,616.84 $42,347.36 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 31 14 — — $26,435.93 $76,857.32 $42,297.49 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 15 11 — — $35,140.84 $126,529.31 $42,169.01 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 15 11 — — $35,140.84 $126,529.31 $42,169.01 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 15 11 — — $35,140.84 $126,529.31 $42,169.01 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 37 14 — — $11,103.02 $110,884.92 $41,877.72 2026-04-01
22630 HCPCS Lumbar Spine Fusion 22 11 — — $3,294.00 $111,260.70 $41,715.41 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 22 11 — — $3,294.00 $111,260.70 $41,715.41 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 4 2 — — $4,912.00 $80,687.16 $41,685.01 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 4 2 — — $4,912.00 $80,656.25 $41,670.22 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 4 2 — — $4,912.00 $80,656.25 $41,670.22 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 31 14 — — $25,840.38 $90,838.41 $41,344.61 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 31 14 — — $25,823.53 $81,390.77 $41,317.65 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 13 — — $19,879.79 $120,911.59 $41,223.48 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 20 11 — — $4,633.00 $128,707.31 $41,107.59 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 31 14 — — $25,620.52 $83,479.01 $40,992.83 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 31 14 — — $25,453.74 $85,698.13 $40,725.98 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 31 14 — — $25,345.92 $91,076.39 $40,553.47 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 31 14 — — $25,298.74 $81,024.88 $40,477.98 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 13 — — $36,746.40 $115,909.80 $40,421.04 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 11 7 — — $30,367.96 $55,736.95 $40,284.55 2026-04-01
263 MS_DRG Vein Ligation And Stripping 33 14 — — $13,942.36 $76,131.10 $40,166.90 2026-04-01
570 MS_DRG Skin Debridement With Mcc 32 14 — — $25,105.74 $85,456.22 $39,987.31 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 6 3 — — $34,077.51 $62,502.50 $39,638.94 2026-04-01
800 MS_DRG Splenic Procedures With Cc 31 14 — — $24,688.88 $87,869.66 $39,502.21 2026-04-01
J9266 HCPCS Pegaspargase Injection 23 12 — — $28,338.71 $72,197.11 $39,445.63 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 34 14 — — $25,334.12 $191,845.27 $39,267.88 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 24 12 — — $4,633.00 $114,927.22 $39,263.12 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 24 12 — — $4,633.00 $114,927.22 $39,263.12 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 24 12 — — $2,443.00 $114,927.22 $39,263.12 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 24 12 — — $2,443.00 $114,927.22 $39,263.12 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 24 12 — — $4,633.00 $114,927.22 $39,263.12 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 24 12 — — $2,443.00 $114,927.22 $39,263.12 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 24 12 — — $2,836.00 $114,927.22 $39,263.12 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 24 12 — — $3,294.00 $114,927.22 $39,263.12 2026-04-01
503 MS_DRG Foot Procedures With Mcc 31 14 — — $24,534.72 $78,549.93 $39,255.55 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $38,640.94 $38,640.94 $38,640.94 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 31 14 — — $24,052.05 $81,206.34 $38,483.28 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 13 — — $34,890.69 $111,538.20 $38,379.76 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 18 11 — — $2,225.00 $126,529.31 $38,303.51 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 18 11 — — $2,443.00 $126,529.31 $38,303.51 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 18 11 — — $2,225.00 $126,529.31 $38,303.51 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 33 14 — — $25,468.90 $89,981.70 $38,203.35 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 14 — — $26,686.36 $95,800.21 $38,168.70 2026-04-01
849 MS_DRG Radiotherapy 31 14 — — $23,847.36 $75,818.84 $38,155.78 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 32 14 — — $24,603.80 $86,349.59 $38,135.89 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 31 14 — — $23,819.56 $79,882.59 $38,111.30 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 31 14 — — $23,745.43 $75,417.57 $37,992.69 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 41 14 — — $4,206.00 $118,390.82 $37,953.97 2026-04-01
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 2 1 — — $36,986.55 $38,667.76 $37,827.15 2026-04-01
0454T OTHER Insj/rplcmt Subq Electrode 2 1 — — $36,986.55 $38,667.76 $37,827.15 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 33 14 — — $18,120.11 $91,210.25 $37,801.54 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 34 14 — — $14,224.50 $86,004.53 $37,584.90 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 31 14 — — $23,430.39 $93,447.23 $37,488.62 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 32 14 — — $23,687.33 $83,362.99 $37,466.08 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 31 14 — — $23,352.05 $75,842.95 $37,363.28 2026-04-01
5166 OTHER Cochlear Implant Procedure 1 1 — — $37,289.88 $37,289.88 $37,289.88 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 31 14 — — $23,240.02 $88,904.86 $37,184.03 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 24 12 — — $1,638.00 $88,924.24 $36,584.60 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 24 12 — — $2,443.00 $88,924.24 $36,584.60 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 24 12 — — $2,443.00 $88,924.24 $36,584.60 2026-04-01
53444 HCPCS Insert Tandem Cuff 24 12 — — $2,225.00 $88,924.24 $36,584.60 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 24 12 — — $1,638.00 $88,924.24 $36,584.60 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 24 12 — — $2,443.00 $88,924.24 $36,584.60 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 24 12 — — $3,304.00 $88,924.24 $36,584.60 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 24 12 — — $2,443.00 $88,924.24 $36,584.60 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 31 14 — — $22,861.80 $79,510.76 $36,578.88 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 33 14 — — $20,899.35 $72,332.91 $36,559.48 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 11 7 — — $27,220.33 $50,492.56 $36,494.10 2026-04-01
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