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 MEDICAL CENTER

Seattle, WA · CCN 500027 · Rates published

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Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc

This hospital’s price: $28,456 across 18 payers · range $15,592-$49,499

Source: https://pricetransparency.providence.org/swedish/live/910433740_swedish-medical-center_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.

6,812 distinct procedures filed
19 distinct payers
169,751 rate rows
2026-04-01 last MRF observed
Data quality

134,530 of 169,751 rate rows are consumer-grade (79.3%)

35,221 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 33,417
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,778
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 14
placeholder amount (≤ $0.02) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pricetransparency.providence.org/swedish/live/910433740_swedish-medical-center_standardcharges.json
Found on page https://www.providence.org/billing-support/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 85cdce4f8e845bdc… · 234,112,770 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
$3,691,450
1.1× 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 11 $2,479,853.20 $4,786,111.43 $2,819,925.11 nat. median
$2,467,989
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $614,180.81 $2,193,693.82 $936,993.02 nat. median
$739,658
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $494,384.00 $1,899,626.47 $824,366.14 nat. median
$607,251
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $542,190.00 $2,101,950.12 $794,467.99 nat. median
$646,415
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $499,938.24 $2,008,249.20 $759,052.12 nat. median
$637,620
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $502,980.50 $1,999,392.17 $755,704.46 nat. median
$621,967
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 $23,630.16 $1,370,162.41 $665,537.20 nat. median
$360,195
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $489,290.60 $1,747,618.54 $660,542.31 nat. median
$589,091
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $3,721.14 $1,023,397.98 $427,042.77 nat. median
$247,805
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $203,638.00 $861,944.22 $378,186.85 nat. median
$197,664
1.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $44,259.98 $782,503.92 $323,920.26 nat. median
$190,274
1.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $129,687.47 $531,309.11 $244,517.83 nat. median
$126,240
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 18 $98,978.96 $814,518.86 $233,722.73 nat. median
$94,844
outlier · 2.5×
7
MS_DRG 		Lung Transplant 18 $124,003.28 $474,809.08 $226,305.98 nat. median
$117,943
1.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 10 $165,384.00 $321,970.11 $216,546.03 nat. median
$70,514
outlier · 3.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 $108,660.87 $460,510.56 $214,605.22 nat. median
$103,911
outlier · 2.1×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 $143,118.00 $278,194.90 $212,195.01 nat. median
$47,119
outlier · 4.5×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $115,165.09 $476,008.10 $207,297.16 nat. median
$109,875
1.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 $135,343.80 $257,578.99 $196,470.09 nat. median
$37,424
outlier · 5.2×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 10 $121,203.00 $240,977.99 $183,807.56 nat. median
$52,652
outlier · 3.5×
215
MS_DRG 		Other Heart Assist System Implant 18 $95,627.79 $384,929.66 $183,481.30 nat. median
$93,531
2.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 $118,170.00 $232,570.30 $177,394.54 nat. median
$37,803
outlier · 4.7×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $93,976.38 $350,637.63 $177,281.85 nat. median
$90,525
2.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 12 $108,243.35 $386,617.04 $162,365.03 nat. median
$111,503
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 $80,899.69 $307,698.11 $152,232.21 nat. median
$77,595
2.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 $75,831.69 $317,986.79 $149,767.59 nat. median
$74,260
outlier · 2.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 10 $109,675.80 $222,229.64 $149,464.02 nat. median
$49,393
outlier · 3.0×
0424T
OTHER 		Insj/rplc Nstim Apnea Compl 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$22,408
outlier · 6.5×
0312T
OTHER 		Laps Impltj Nstim Vagus 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$18,042
outlier · 8.1×
0316T
OTHER 		Replc Vagus Nerve Pls Gen 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$14,943
outlier · 9.7×
0427T
OTHER 		Insj/rplc Nstim Apnea Pls Gn 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$22,407
outlier · 6.5×
0431T
OTHER 		Rmvl/rplc Nstim Apnea Pls Gn 1 $141,808.26 $149,379.14 $145,593.70 nat. median
$22,407
outlier · 6.5×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 $104,374.80 $189,616.25 $144,631.05 nat. median
$32,405
outlier · 4.5×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 $101,120.40 $183,766.47 $140,169.10 nat. median
$33,425
outlier · 4.2×
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 $93,817.80 $182,422.11 $139,143.68 nat. median
$31,560
outlier · 4.4×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 $73,472.12 $271,186.08 $134,749.81 nat. median
$67,850
2.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 18 $19,229.87 $307,872.52 $129,841.44 nat. median
$76,979
1.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 $69,232.67 $242,656.62 $126,349.62 nat. median
$61,444
outlier · 2.1×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 $68,871.48 $288,008.72 $125,690.45 nat. median
$66,332
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $104,321.88 $395,789.90 $125,186.26 nat. median
$97,029
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 $61,131.70 $242,246.04 $122,910.24 nat. median
$63,874
1.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 $55,131.29 $332,568.00 $120,318.86 nat. median
$50,769
outlier · 2.4×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 18 $65,046.31 $248,084.92 $118,709.51 nat. median
$61,601
1.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $108,537.63 $227,929.02 $117,220.64 nat. median
$92,760
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 $59,332.72 $225,611.93 $117,182.12 nat. median
$58,153
outlier · 2.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $63,569.32 $234,623.17 $117,153.12 nat. median
$61,992
1.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 $63,569.32 $216,154.60 $116,014.01 nat. median
$59,554
1.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 $63,342.75 $223,737.51 $115,600.52 nat. median
$58,210
2.0× median

Other procedures at this hospital

Browse this hospital's 6,812 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 14 11 — — $2,479,853.20 $4,786,111.43 $2,819,925.11 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 19 12 — — $614,180.81 $2,193,693.82 $936,993.02 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 12 — — $494,384.00 $1,899,626.47 $824,366.14 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 18 11 — — $542,190.00 $2,101,950.12 $794,467.99 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 11 — — $499,938.24 $2,008,249.20 $759,052.12 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 18 11 — — $502,980.50 $1,999,392.17 $755,704.46 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 44 18 — — $23,630.16 $1,370,162.41 $665,537.20 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 18 11 — — $489,290.60 $1,747,618.54 $660,542.31 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 18 — — $3,721.14 $1,023,397.98 $427,042.77 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 18 — — $203,638.00 $861,944.22 $378,186.85 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 18 — — $44,259.98 $782,503.92 $323,920.26 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 18 — — $129,687.47 $531,309.11 $244,517.83 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 53 18 — — $98,978.96 $814,518.86 $233,722.73 2026-04-01
7 MS_DRG Lung Transplant 40 18 — — $124,003.28 $474,809.08 $226,305.98 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 15 10 — — $165,384.00 $321,970.11 $216,546.03 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 18 — — $108,660.87 $460,510.56 $214,605.22 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 19 10 — — $143,118.00 $278,194.90 $212,195.01 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 41 18 — — $115,165.09 $476,008.10 $207,297.16 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 19 10 — — $135,343.80 $257,578.99 $196,470.09 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 19 10 — — $121,203.00 $240,977.99 $183,807.56 2026-04-01
215 MS_DRG Other Heart Assist System Implant 40 18 — — $95,627.79 $384,929.66 $183,481.30 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 19 10 — — $118,170.00 $232,570.30 $177,394.54 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 18 — — $93,976.38 $350,637.63 $177,281.85 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 17 12 — — $108,243.35 $386,617.04 $162,365.03 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 18 — — $80,899.69 $307,698.11 $152,232.21 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 40 18 — — $75,831.69 $317,986.79 $149,767.59 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 15 10 — — $109,675.80 $222,229.64 $149,464.02 2026-04-01
0424T OTHER Insj/rplc Nstim Apnea Compl 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0312T OTHER Laps Impltj Nstim Vagus 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0316T OTHER Replc Vagus Nerve Pls Gen 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $141,808.26 $149,379.14 $145,593.70 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 19 10 — — $104,374.80 $189,616.25 $144,631.05 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 19 10 — — $101,120.40 $183,766.47 $140,169.10 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 19 10 — — $93,817.80 $182,422.11 $139,143.68 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 40 18 — — $73,472.12 $271,186.08 $134,749.81 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 18 — — $19,229.87 $307,872.52 $129,841.44 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 40 18 — — $69,232.67 $242,656.62 $126,349.62 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 18 — — $68,871.48 $288,008.72 $125,690.45 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 13 — — $104,321.88 $395,789.90 $125,186.26 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 18 — — $61,131.70 $242,246.04 $122,910.24 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 56 18 — — $55,131.29 $332,568.00 $120,318.86 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 40 18 — — $65,046.31 $248,084.92 $118,709.51 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 21 13 — — $108,537.63 $227,929.02 $117,220.64 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 40 18 — — $59,332.72 $225,611.93 $117,182.12 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 18 — — $63,569.32 $234,623.17 $117,153.12 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 18 — — $63,569.32 $216,154.60 $116,014.01 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 40 18 — — $63,342.75 $223,737.51 $115,600.52 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $74,025.75 $281,116.16 $114,739.91 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 40 18 — — $11,277.72 $283,979.28 $114,253.54 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 14 — — $6,652.50 $380,838.45 $114,173.70 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 15 10 — — $86,063.40 $167,339.87 $112,547.05 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 18 — — $10,241.04 $221,938.97 $107,168.40 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 18 — — $20,126.05 $252,757.47 $106,814.94 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 41 18 — — $59,265.41 $247,722.97 $106,677.74 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 40 18 — — $58,194.17 $220,878.02 $106,237.51 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 18 — — $53,637.80 $208,520.83 $105,422.36 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 44 18 — — $38,257.13 $219,293.86 $104,844.51 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 18 — — $53,593.54 $222,970.86 $104,309.33 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 40 18 — — $55,558.74 $207,274.57 $102,438.93 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 18 — — $17,487.50 $211,532.91 $102,375.72 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 40 18 — — $51,420.72 $232,054.86 $101,555.92 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 18 — — $10,981.17 $626,390.52 $101,414.05 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 19 10 — — $70,752.60 $132,906.14 $101,375.04 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 13 — — $86,646.45 $303,025.56 $99,643.42 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 51 18 — — $49,497.69 $257,738.72 $98,567.54 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 41 18 — — $50,497.37 $202,532.98 $98,265.60 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 51 18 — — $18,724.22 $197,235.49 $98,227.30 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 44 18 — — $45,194.27 $470,012.00 $98,067.06 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 41 18 — — $52,778.08 $197,686.03 $97,860.78 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 18 — — $52,940.37 $237,206.43 $96,616.17 2026-04-01
0426T OTHER Insj/rplc Nstim Apnea Stm Ld 2 1 — — $93,890.78 $98,903.42 $96,397.10 2026-04-01
10 MS_DRG Pancreas Transplant 40 18 — — $65,160.00 $289,676.45 $95,586.76 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 50 18 — — $48,773.89 $197,496.24 $92,812.34 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 18 — — $6,431.38 $230,331.29 $92,546.10 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 18 — — $52,733.70 $219,293.86 $91,981.86 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 32 13 — — $32,090.17 $334,683.37 $91,660.26 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 40 18 — — $46,367.89 $176,389.31 $91,576.59 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 18 — — $47,698.88 $196,018.30 $89,694.76 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 40 18 — — $47,011.58 $176,474.24 $88,663.01 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 14 — — $56,869.82 $213,781.99 $88,148.22 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 59 18 — — $2,729.16 $202,286.41 $87,328.91 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 48 18 — — $2,693.22 $182,996.19 $86,447.90 2026-04-01
5166 OTHER Cochlear Implant Procedure 9 5 — — $30,377.47 $121,855.39 $86,014.18 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 18 — — $29,078.46 $166,856.63 $85,334.04 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 44 18 — — $43,795.40 $175,750.14 $85,067.05 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 19 10 — — $56,919.60 $109,358.07 $83,413.60 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 11 6 — — $56,237.40 $108,834.86 $83,014.52 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 13 — — $68,831.66 $256,754.21 $82,597.99 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 48 18 — — $20,394.77 $269,061.00 $81,910.60 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 18 — — $10,212.24 $181,048.69 $81,832.67 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 41 18 — — $44,169.48 $177,999.19 $81,713.54 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 53 18 — — $11,303.93 $238,935.71 $80,932.30 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 46 18 — — $42,949.31 $170,014.05 $80,745.67 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 40 18 — — $40,791.77 $164,511.76 $80,563.74 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 45 18 — — $33,814.83 $163,913.57 $79,842.94 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 40 18 — — $43,710.65 $152,250.36 $79,777.65 2026-04-01
69715 HCPCS Temple Bne Implnt W/Stimulat 2 1 — — $77,657.41 $81,803.39 $79,730.40 2026-04-01
G2170 HCPCS Avf By Tissue W Thermal E 2 1 — — $77,627.65 $81,772.05 $79,699.85 2026-04-01
G2171 HCPCS Avf Use Magnetic/art/ven 2 1 — — $77,627.65 $81,772.05 $79,699.85 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 18 — — $43,543.80 $159,597.10 $79,467.43 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 53 18 — — $23,726.41 $167,459.77 $78,774.99 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 51 18 — — $2,261.79 $645,554.86 $77,182.67 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 40 18 — — $41,183.29 $149,314.57 $75,945.85 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $5,768.63 $257,924.17 $75,937.90 2026-04-01
245 MS_DRG Aicd Generator Procedures 44 18 — — $6,337.88 $177,546.09 $75,628.01 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 46 18 — — $15,057.22 $147,774.01 $75,233.61 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 58 18 — — $21,120.21 $166,834.83 $74,580.82 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 44 18 — — $36,999.84 $162,936.19 $74,423.89 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 47 18 — — $38,187.69 $164,313.47 $74,288.61 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 51 18 — — $24,583.10 $192,958.78 $74,212.10 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 45 18 — — $40,247.65 $149,092.94 $74,165.76 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 43 18 — — $2,296.43 $160,966.89 $73,834.70 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 40 18 — — $40,345.26 $142,065.94 $73,630.10 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 19 10 — — $50,351.40 $96,521.27 $73,622.24 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 46 18 — — $38,512.12 $169,945.30 $73,541.71 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 17 12 — — $48,155.50 $171,998.90 $72,233.25 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 65 18 — — $7,873.89 $299,895.36 $72,080.14 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 37 18 — — $41,047.60 $162,485.65 $70,941.17 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 13 — — $16,630.37 $243,590.40 $70,388.99 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 50 18 — — $36,180.06 $183,381.91 $70,343.49 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 43 18 — — $35,478.81 $130,294.16 $70,208.62 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 45 18 — — $25,442.01 $199,426.76 $70,170.40 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 41 18 — — $23,826.27 $141,284.76 $70,170.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 18 — — $10,696.80 $138,120.07 $69,934.60 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 29 13 — — $58,178.06 $225,052.80 $69,813.67 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 31 13 — — $11,117.24 $224,762.12 $69,793.38 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 41 18 — — $37,222.01 $137,044.58 $69,566.40 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 42 18 — — $35,082.71 $138,875.81 $67,358.49 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 17 12 — — $44,853.57 $160,205.27 $67,280.36 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 44 18 — — $35,200.47 $144,634.75 $66,976.43 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 40 18 — — $36,056.51 $140,281.94 $66,895.27 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 51 18 — — $7,445.71 $153,656.49 $66,672.90 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 42 18 — — $35,650.62 $143,384.86 $66,023.63 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 49 18 — — $2,045.32 $153,349.75 $66,004.06 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 45 18 — — $26,885.87 $130,213.79 $65,997.23 2026-04-01
332 MS_DRG Rectal Resection With Mcc 41 18 — — $35,559.76 $138,781.05 $65,785.56 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 18 — — $35,607.16 $127,906.58 $65,713.73 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 45 18 — — $1,701.14 $126,158.91 $65,459.72 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 15 — — $53,248.49 $219,217.29 $65,455.65 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 49 18 — — $23,602.84 $147,910.25 $65,421.16 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 44 18 — — $31,324.34 $254,730.16 $65,037.99 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 18 — — $35,121.79 $145,784.54 $64,975.31 2026-04-01
265 MS_DRG Aicd Lead Procedures 40 18 — — $35,536.06 $129,599.74 $64,853.31 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 13 — — $54,003.07 $181,775.37 $64,803.68 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 18 — — $32,109.93 $127,208.97 $64,722.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 40 18 — — $35,633.71 $115,316.85 $64,664.22 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 55 18 — — $31,497.86 $578,272.57 $64,177.20 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 18 — — $38,152.54 $157,206.32 $63,838.58 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 14 — — $186.16 $193,293.25 $63,626.27 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 14 — — $40,945.34 $149,398.14 $63,465.28 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 30 16 — — $30,267.37 $128,383.33 $63,259.90 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 30 16 — — $30,267.37 $128,383.33 $63,259.90 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 30 16 — — $30,267.37 $128,383.33 $63,259.90 2026-04-01
1289 OTHER AbobotulinumtoxinA 1 1 — — $63,066.49 $63,066.49 $63,066.49 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $63,030.00 $63,030.00 $63,030.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 47 18 — — $34,976.74 $246,089.56 $62,958.13 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 19 10 — — $41,803.20 $82,078.51 $62,605.93 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 45 18 — — $2,083.59 $142,770.82 $62,437.60 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 18 — — $34,144.40 $125,886.41 $62,313.53 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 40 18 — — $31,357.28 $148,973.53 $61,930.63 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 44 18 — — $32,072.07 $123,782.67 $61,772.37 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 18 — — $25,184.96 $140,427.28 $61,732.94 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 13 — — $55,907.60 $198,750.61 $61,498.36 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 15 — — $38,591.91 $183,900.26 $60,992.29 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 40 18 — — $32,550.81 $115,466.88 $60,869.37 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 41 18 — — $32,728.64 $121,955.07 $60,439.50 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 44 18 — — $31,898.01 $129,022.03 $60,063.83 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 40 18 — — $32,440.85 $114,827.71 $59,587.18 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 28 13 — — $51,760.11 $187,109.20 $59,524.12 2026-04-01
69718 HCPCS Revise Temple Bone Implant 2 1 — — $57,956.46 $61,050.64 $59,503.55 2026-04-01
C9752 HCPCS Intraosseous Des Lumb/sacrum 2 1 — — $57,956.46 $61,050.64 $59,503.55 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 51 18 — — $496.37 $210,353.41 $59,227.96 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 22 13 — — $55,336.91 $116,207.51 $59,210.49 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 43 18 — — $32,047.37 $120,654.31 $58,996.80 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 44 18 — — $4,721.00 $132,560.97 $58,819.04 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 47 18 — — $2,525.19 $119,963.97 $58,805.26 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 18 — — $31,232.04 $256,616.10 $58,626.62 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 43 18 — — $27,772.90 $113,507.84 $58,323.09 2026-04-01
652 MS_DRG Kidney Transplant 54 18 — — $1,000.00 $225,618.26 $58,128.42 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 40 18 — — $31,768.72 $115,549.39 $57,977.91 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 44 18 — — $30,087.55 $115,124.28 $57,600.50 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 41 18 — — $30,967.44 $118,416.14 $57,485.72 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 44 18 — — $1,890.40 $124,945.36 $57,418.21 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 18 — — $31,022.64 $101,931.40 $57,208.84 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 14 — — $15,514.26 $192,435.76 $56,969.48 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 48 18 — — $28,405.53 $122,821.59 $56,926.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 18 — — $1,756.05 $132,898.68 $56,760.62 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 42 18 — — $15,937.53 $112,857.04 $56,744.34 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 41 18 — — $31,447.34 $112,351.99 $56,605.21 2026-04-01
665 MS_DRG Prostatectomy With Mcc 40 18 — — $30,824.51 $124,749.16 $56,254.73 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 53 18 — — $1,677.97 $182,616.64 $55,468.30 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 18 11 — — $35,732.90 $151,566.13 $55,385.99 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 18 11 — — $35,732.90 $151,566.13 $55,385.99 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 18 11 — — $35,732.90 $151,566.13 $55,385.99 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 52 18 — — $8,754.61 $136,625.97 $54,887.38 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 40 18 — — $29,869.87 $103,842.57 $54,512.51 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 44 18 — — $18,988.61 $117,126.28 $54,108.35 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 29 13 — — $45,018.89 $169,033.03 $54,022.67 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 18 — — $24,222.98 $127,278.00 $53,978.82 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 18 — — $29,834.80 $91,732.45 $53,825.38 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
53444 HCPCS Insert Tandem Cuff 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 31 16 — — $7,277.00 $101,802.09 $53,728.11 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 44 18 — — $8,327.59 $123,244.93 $53,555.57 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 44 18 — — $28,202.71 $105,259.60 $53,225.32 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 40 18 — — $29,145.60 $96,056.20 $53,190.72 2026-04-01
800 MS_DRG Splenic Procedures With Cc 41 18 — — $27,868.65 $105,862.74 $53,170.20 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 11 6 — — $35,517.60 $69,379.77 $52,919.88 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 18 — — $25,393.53 $107,134.43 $52,656.30 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 44 18 — — $16,570.84 $104,046.04 $52,243.37 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 43 18 — — $27,642.00 $105,953.58 $52,050.85 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 41 18 — — $27,372.85 $100,236.27 $52,041.60 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 50 18 — — $4,635.93 $128,229.95 $51,979.00 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 53 18 — — $1,375.80 $105,757.52 $51,856.20 2026-04-01
570 MS_DRG Skin Debridement With Mcc 42 18 — — $4,033.53 $109,379.87 $51,780.74 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 18 — — $28,746.50 $106,560.36 $51,743.70 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 40 18 — — $26,238.09 $105,561.51 $51,168.54 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 51 18 — — $16,223.78 $121,371.48 $51,043.81 2026-04-01
5432 OTHER Level 2 Nerve Procedures 6 5 — — $4,760.07 $83,365.16 $50,649.48 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 19 10 — — $33,726.60 $66,007.98 $50,348.02 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 44 18 — — $24,296.29 $96,671.29 $50,213.70 2026-04-01
503 MS_DRG Foot Procedures With Mcc 41 18 — — $27,196.36 $96,157.93 $49,851.31 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 37 18 — — $20,119.03 $111,123.91 $49,137.20 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 55 18 — — $11,244.60 $125,181.84 $49,115.84 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 42 18 — — $15,549.64 $98,704.94 $49,005.86 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 18 — — $26,806.89 $95,060.64 $48,922.57 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 45 18 — — $8,271.54 $113,340.28 $48,413.68 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 41 18 — — $10,163.55 $99,239.05 $48,402.58 2026-04-01
263 MS_DRG Vein Ligation And Stripping 44 18 — — $14,521.26 $97,444.15 $48,351.50 2026-04-01
0398T OTHER Mrgfus Strtctc Les Abltj 12 6 — — $36,282.65 $62,502.50 $48,217.86 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 46 18 — — $24,210.76 $108,493.32 $47,861.87 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 49 18 — — $14,809.60 $114,190.86 $47,785.73 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 14 — — $37,966.78 $161,479.35 $47,654.04 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 43 18 — — $19,872.63 $96,742.91 $47,455.52 2026-04-01
22558 HCPCS Lumbar Spine Fusion 27 15 — — $7,277.00 $133,276.26 $47,131.38 2026-04-01
19357 HCPCS Breast Reconstruction 31 16 — — $7,277.00 $71,067.58 $46,936.47 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 40 18 — — $25,686.36 $87,092.60 $46,877.61 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 45 18 — — $12,908.43 $102,927.50 $46,848.05 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 30 16 — — $21,227.85 $90,040.91 $46,705.29 2026-04-01
93580 HCPCS Transcath Closure Of Asd 30 16 — — $21,227.85 $90,040.91 $46,705.29 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 30 16 — — $21,227.85 $90,040.91 $46,705.29 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 30 16 — — $21,227.85 $90,040.91 $46,705.29 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 30 16 — — $21,227.85 $90,040.91 $46,705.29 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 30 16 — — $21,227.85 $90,040.91 $46,705.29 2026-04-01
849 MS_DRG Radiotherapy 42 18 — — $24,515.91 $97,044.48 $46,671.84 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 13 — — $17,253.91 $210,823.55 $46,485.20 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 49 18 — — $23,439.32 $92,782.50 $46,444.33 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 44 18 — — $23,098.59 $90,907.67 $46,424.31 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 50 18 — — $1,440.77 $106,858.29 $46,150.62 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 49 18 — — $13,794.44 $94,046.93 $46,037.50 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 51 18 — — $21,675.63 $113,853.90 $45,806.40 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 33 14 — — $28,608.09 $239,190.06 $45,772.94 2026-04-01
509 MS_DRG Arthroscopy 19 10 — — $29,943.55 $63,820.67 $45,674.27 2026-04-01
791 MS_DRG Prematurity With Major Problems 46 15 — — $14,198.00 $147,519.67 $45,672.07 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 45 18 — — $19,728.28 $105,899.08 $45,512.05 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 42 18 — — $24,174.76 $86,649.72 $45,401.64 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 40 18 — — $24,858.75 $87,921.01 $45,367.22 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 49 18 — — $12,061.83 $105,804.61 $45,213.25 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 43 18 — — $8,309.13 $87,391.42 $45,131.40 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 19 10 — — $30,553.20 $59,166.29 $45,129.48 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 41 18 — — $1,594.37 $91,805.12 $45,055.80 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 51 18 — — $1,951.30 $118,757.68 $44,985.40 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 54 18 — — $14,462.13 $86,347.75 $44,721.26 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
20808 HCPCS Replantation Hand Complete 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
20805 HCPCS Replant Forearm Complete 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
20838 HCPCS Replantation Foot Complete 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22556 HCPCS Thorax Spine Fusion 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
20802 HCPCS Replantation Arm Complete 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22610 HCPCS Thorax Spine Fusion 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22600 HCPCS Neck Spine Fusion 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 27 15 — — $7,277.00 $86,122.20 $44,359.36 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 49 18 — — $12,367.81 $101,239.71 $44,021.04 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 57 18 — — $14,189.96 $149,579.51 $43,931.81 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 42 18 — — $17,371.54 $84,472.45 $43,885.36 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 54 18 — — $1,176.23 $131,728.08 $43,682.19 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 17 12 — — $28,851.23 $103,049.08 $43,276.84 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 17 12 — — $28,715.00 $102,562.50 $43,072.50 2026-04-01
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