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

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Hospital

LOGAN REGIONAL MEDICAL CENTER

Logan, WV · CCN 510048 · Rates published

Your selected procedure

You selected 29916 (HCPCS)

Hip arthro w/labral repair

This hospital’s price: $18,446 across 4 payers · range $7,100-$48,308

Source: https://hospitalpricedisclosure.com/Download.aspx?pi=ONe08OU5VouZQeeOlB0azA*-* · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,587 distinct procedures filed
20 distinct payers
55,571 rate rows
2026-04-01 last MRF observed
Data quality

32,675 of 55,571 rate rows are consumer-grade (58.8%)

22,896 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 19,340
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://url.us.m.mimecastprotect.com/s/yUtMCVOZnOTgroME6fMIrWhEcF2v?domain=hospitalpricedisclosure.com
Found on page https://url.us.m.mimecastprotect.com/s/lIXDCR6Bj6H59qNp1fXH6kh13AlY?domain=hospitalpricedisclosure.com
Discovered viaCMS hospital list
Last fetch success · 2026-10-31

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 4 $307,863.43 $1,040,100.92 $475,377.35 nat. median
$359,244
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $199,790.98 $674,983.66 $308,500.78 nat. median
$248,541
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $152,214.26 $514,248.14 $235,036.73 nat. median
$198,115
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $151,320.97 $511,230.17 $175,127.77 nat. median
$190,359
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $98,750.88 $333,624.82 $152,482.98 nat. median
$126,461
1.2× median
7
MS_DRG 		Lung Transplant 4 $92,325.95 $311,918.52 $142,562.13 nat. median
$117,977
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $85,679.30 $289,463.14 $132,298.91 nat. median
$110,084
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $80,787.88 $272,937.73 $124,745.99 nat. median
$103,938
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 4 $80,695.20 $272,624.62 $124,602.88 nat. median
$92,645
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $78,573.52 $265,456.62 $121,326.76 nat. median
$93,226
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 4 $77,524.79 $261,913.57 $119,707.40 nat. median
$97,137
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $73,506.72 $248,338.70 $113,503.02 nat. median
$94,943
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 4 $70,986.51 $239,824.30 $109,611.53 nat. median
$93,787
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $69,744.58 $235,628.52 $107,693.83 nat. median
$90,512
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $64,232.20 $217,005.23 $99,182.08 nat. median
$77,936
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 4 $61,736.23 $208,572.72 $95,328.01 nat. median
$78,164
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 4 $60,099.35 $203,042.57 $92,800.46 nat. median
$76,979
1.2× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $59,910.41 $202,404.29 $92,508.73 nat. median
$77,487
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $56,099.09 $189,527.92 $86,623.60 nat. median
$74,298
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $54,740.95 $184,939.53 $84,526.47 nat. median
$72,247
1.2× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $54,504.98 $184,142.29 $84,162.09 nat. median
$71,737
1.2× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $54,324.61 $183,532.91 $83,883.58 nat. median
$67,908
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $51,463.61 $173,867.20 $79,465.87 nat. median
$63,564
1.3× median
10
MS_DRG 		Pancreas Transplant 4 $51,157.76 $172,833.91 $78,993.60 nat. median
$64,851
1.2× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 $51,136.37 $172,761.65 $78,960.57 nat. median
$61,263
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $50,864.75 $171,843.98 $78,541.15 nat. median
$66,623
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $50,834.81 $171,742.81 $78,494.93 nat. median
$66,584
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 $49,034.66 $165,661.10 $75,715.29 nat. median
$63,829
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 4 $47,988.07 $162,125.27 $74,099.23 nat. median
$61,660
1.2× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $47,670.11 $161,051.04 $73,608.26 nat. median
$57,485
1.3× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $47,635.17 $160,933.02 $73,554.32 nat. median
$60,517
1.2× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $46,877.33 $158,372.68 $72,384.12 nat. median
$59,493
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $46,877.33 $158,372.68 $72,384.12 nat. median
$61,995
1.2× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $46,706.94 $157,797.02 $72,121.01 nat. median
$58,052
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $43,691.24 $147,608.64 $67,464.42 nat. median
$58,220
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $43,640.63 $147,437.63 $67,386.26 nat. median
$58,234
1.2× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $43,222.13 $146,023.78 $66,740.06 nat. median
$57,798
1.2× median
28
MS_DRG 		Spinal Procedures With Mcc 4 $42,835.01 $144,715.91 $66,142.30 nat. median
$54,377
1.2× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 $42,822.89 $144,674.97 $66,123.58 nat. median
$56,633
1.2× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $42,512.77 $143,627.23 $65,644.73 nat. median
$55,110
1.2× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 4 $42,274.65 $142,822.75 $65,277.04 nat. median
$53,841
1.2× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $41,839.05 $141,351.10 $64,604.42 nat. median
$55,425
1.2× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 $41,811.96 $141,259.57 $64,562.59 nat. median
$53,768
1.2× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 $41,115.42 $138,906.37 $63,487.05 nat. median
$51,152
1.2× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 $40,853.07 $138,020.01 $63,081.94 nat. median
$53,419
1.2× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 4 $40,686.24 $137,456.39 $62,824.34 nat. median
$48,413
1.3× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 4 $40,633.48 $137,278.16 $62,742.88 nat. median
$49,873
1.3× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $40,080.96 $135,411.49 $61,889.72 nat. median
$50,496
1.2× median
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 4 $39,956.91 $134,992.40 $61,698.17 nat. median
$50,763
1.2× median
278
MS_DRG 		Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 4 $39,683.15 $134,067.49 $61,275.46 nat. median
$47,998
1.3× median

Other procedures at this hospital

Browse this hospital's 7,587 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 4 4 — — $307,863.43 $1,040,100.92 $475,377.35 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $199,790.98 $674,983.66 $308,500.78 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $152,214.26 $514,248.14 $235,036.73 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 5 — — $151,320.97 $511,230.17 $175,127.77 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $98,750.88 $333,624.82 $152,482.98 2026-04-01
7 MS_DRG Lung Transplant 4 4 — — $92,325.95 $311,918.52 $142,562.13 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $85,679.30 $289,463.14 $132,298.91 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $80,787.88 $272,937.73 $124,745.99 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 4 4 — — $80,695.20 $272,624.62 $124,602.88 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $78,573.52 $265,456.62 $121,326.76 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 4 4 — — $77,524.79 $261,913.57 $119,707.40 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $73,506.72 $248,338.70 $113,503.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 4 4 — — $70,986.51 $239,824.30 $109,611.53 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $69,744.58 $235,628.52 $107,693.83 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 4 — — $64,232.20 $217,005.23 $99,182.08 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 4 4 — — $61,736.23 $208,572.72 $95,328.01 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $60,099.35 $203,042.57 $92,800.46 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $59,910.41 $202,404.29 $92,508.73 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 4 — — $56,099.09 $189,527.92 $86,623.60 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $54,740.95 $184,939.53 $84,526.47 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 4 — — $54,504.98 $184,142.29 $84,162.09 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $54,324.61 $183,532.91 $83,883.58 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $51,463.61 $173,867.20 $79,465.87 2026-04-01
10 MS_DRG Pancreas Transplant 4 4 — — $51,157.76 $172,833.91 $78,993.60 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 4 4 — — $51,136.37 $172,761.65 $78,960.57 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $50,864.75 $171,843.98 $78,541.15 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $50,834.81 $171,742.81 $78,494.93 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 4 4 — — $49,034.66 $165,661.10 $75,715.29 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $47,988.07 $162,125.27 $74,099.23 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 4 — — $47,670.11 $161,051.04 $73,608.26 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 4 — — $47,635.17 $160,933.02 $73,554.32 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $46,877.33 $158,372.68 $72,384.12 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 4 — — $46,877.33 $158,372.68 $72,384.12 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $46,706.94 $157,797.02 $72,121.01 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 4 — — $43,691.24 $147,608.64 $67,464.42 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $43,640.63 $147,437.63 $67,386.26 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 4 4 — — $43,222.13 $146,023.78 $66,740.06 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 4 4 — — $42,835.01 $144,715.91 $66,142.30 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 4 4 — — $42,822.89 $144,674.97 $66,123.58 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $42,512.77 $143,627.23 $65,644.73 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 4 — — $42,274.65 $142,822.75 $65,277.04 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 4 4 — — $41,839.05 $141,351.10 $64,604.42 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $41,811.96 $141,259.57 $64,562.59 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 4 — — $41,115.42 $138,906.37 $63,487.05 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $40,853.07 $138,020.01 $63,081.94 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 4 4 — — $40,686.24 $137,456.39 $62,824.34 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $40,633.48 $137,278.16 $62,742.88 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $40,080.96 $135,411.49 $61,889.72 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $39,956.91 $134,992.40 $61,698.17 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $39,683.15 $134,067.49 $61,275.46 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $39,375.16 $133,026.98 $60,799.88 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 4 4 — — $39,139.18 $132,229.73 $60,435.51 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $39,000.87 $131,762.46 $60,221.94 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 4 4 — — $38,945.26 $131,574.59 $60,136.07 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 4 4 — — $38,728.53 $130,842.38 $59,801.42 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $38,019.16 $128,445.82 $58,706.06 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 4 — — $37,996.36 $128,368.75 $58,670.85 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 4 — — $37,741.12 $127,506.47 $58,276.74 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 4 — — $37,616.37 $127,084.96 $58,084.10 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $37,046.73 $125,160.49 $57,204.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 7 — — $27,443.02 $154,986.18 $56,232.96 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 2 2 — — $40,229.78 $70,951.86 $55,590.82 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 4 — — $35,933.13 $121,398.26 $55,484.99 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $35,556.70 $120,126.52 $54,903.73 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 4 — — $35,271.53 $119,163.08 $54,463.39 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $35,088.31 $118,544.07 $54,180.48 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $34,942.16 $118,050.30 $53,954.81 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 8 — — $7,612.80 $166,477.61 $53,206.22 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 4 4 — — $34,425.29 $116,304.07 $53,156.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $34,251.32 $115,716.37 $52,888.07 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 4 4 — — $33,941.20 $114,668.63 $52,409.21 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $33,517.72 $113,237.92 $51,755.31 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $33,449.28 $113,006.69 $51,649.62 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $33,349.47 $112,669.49 $51,495.51 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $33,058.60 $111,686.78 $51,046.37 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 4 4 — — $32,926.70 $111,241.19 $50,842.70 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $32,686.45 $110,429.49 $50,471.73 2026-04-01
245 MS_DRG Aicd Generator Procedures 4 4 — — $32,526.75 $109,889.97 $50,225.13 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $32,429.07 $109,559.99 $50,074.31 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 4 4 — — $32,414.81 $109,511.82 $50,052.29 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 4 4 — — $32,287.92 $109,083.09 $49,856.34 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 4 4 — — $31,952.12 $107,948.63 $49,337.83 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 4 — — $31,942.86 $107,917.32 $49,323.54 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 — — $31,817.38 $107,493.41 $49,129.78 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $31,317.62 $105,804.98 $48,358.10 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $30,851.36 $104,229.76 $47,638.12 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $30,605.41 $103,398.79 $47,258.35 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $30,408.63 $102,734.02 $46,954.50 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $30,233.96 $102,143.91 $46,684.79 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 4 4 — — $30,108.49 $101,720.00 $46,491.06 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $30,057.16 $101,546.58 $46,411.78 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $30,042.18 $101,496.00 $46,388.67 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $29,954.49 $101,199.74 $46,253.26 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $29,918.84 $101,079.31 $46,198.22 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 4 4 — — $29,863.24 $100,891.44 $46,112.36 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 4 — — $29,747.75 $100,501.24 $45,934.03 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $29,608.01 $100,029.16 $45,718.25 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 4 — — $29,411.96 $99,366.79 $45,415.51 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 4 — — $28,663.38 $96,837.76 $44,259.63 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $28,403.87 $95,961.03 $43,858.92 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 — — $4,441.35 $143,155.14 $43,619.30 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 4 4 — — $27,889.14 $94,222.02 $43,064.10 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 4 — — $27,762.95 $93,795.70 $42,869.26 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 4 4 — — $27,595.41 $93,229.68 $42,610.56 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 5 — — $37,110.89 $125,377.26 $42,556.45 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $27,554.06 $93,089.98 $42,546.71 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 4 — — $27,527.68 $93,000.86 $42,505.97 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $27,371.55 $92,473.38 $42,264.89 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $26,827.58 $90,635.62 $41,424.94 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 4 — — $26,710.66 $90,240.61 $41,244.40 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 4 — — $26,644.36 $90,016.61 $41,142.03 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 4 — — $26,569.50 $89,763.70 $41,026.43 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $26,419.78 $89,257.90 $40,795.26 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 4 4 — — $26,186.65 $88,470.29 $40,435.27 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 4 — — $26,175.96 $88,434.16 $40,418.77 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $25,868.69 $87,396.05 $39,944.30 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 — — $25,848.73 $87,328.61 $39,913.47 2026-04-01
332 MS_DRG Rectal Resection With Mcc 4 4 — — $25,813.08 $87,208.18 $39,858.43 2026-04-01
265 MS_DRG Aicd Lead Procedures 4 4 — — $25,795.26 $87,147.97 $39,830.92 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 4 — — $25,749.63 $86,993.81 $39,760.46 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 4 — — $25,711.13 $86,863.75 $39,701.01 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 6 — — $33,923.71 $131,367.45 $39,455.77 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 4 — — $25,542.88 $86,295.32 $39,441.21 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 4 — — $25,483.71 $86,095.41 $39,349.85 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 4 — — $25,458.04 $86,008.70 $39,310.21 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 4 4 — — $25,420.26 $85,881.04 $39,251.86 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $25,398.87 $85,808.78 $39,218.83 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 — — $25,374.63 $85,726.89 $39,181.42 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 4 4 — — $25,353.96 $85,657.04 $39,149.49 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $25,142.21 $84,941.69 $38,822.53 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 4 — — $25,090.88 $84,768.27 $38,743.26 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 4 4 — — $24,869.16 $84,019.19 $38,400.91 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $24,862.74 $83,997.52 $38,391.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $24,748.68 $83,612.14 $38,214.87 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $24,628.90 $83,207.50 $38,029.92 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 4 4 — — $24,514.83 $82,822.12 $37,853.79 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 7 — — $22,689.54 $118,951.12 $37,849.56 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 4 — — $24,322.34 $82,171.80 $37,556.55 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $24,290.26 $82,063.41 $37,507.02 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 — — $23,550.24 $79,563.28 $36,364.34 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 4 4 — — $23,470.39 $79,293.52 $36,241.05 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 4 4 — — $23,467.54 $79,283.89 $36,236.64 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 4 4 — — $23,190.21 $78,346.94 $35,808.42 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $23,088.26 $78,002.51 $35,651.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $23,062.60 $77,915.80 $35,611.36 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 4 — — $23,030.51 $77,807.41 $35,561.82 2026-04-01
652 MS_DRG Kidney Transplant 4 4 — — $23,024.09 $77,785.74 $35,551.90 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 4 — — $23,006.99 $77,727.93 $35,525.50 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 4 4 — — $22,962.07 $77,576.19 $35,456.13 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $22,887.92 $77,325.69 $35,341.65 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 4 4 — — $22,762.45 $76,901.78 $35,147.90 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $22,720.39 $76,759.67 $35,082.95 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 — — $22,698.28 $76,685.01 $35,048.82 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 4 4 — — $22,652.66 $76,530.86 $34,978.37 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $22,562.83 $76,227.37 $34,839.66 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 — — $22,528.61 $76,111.76 $34,786.82 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $22,464.45 $75,894.99 $34,687.75 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 8 7 — — $20,835.60 $110,711.30 $34,674.55 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 4 — — $22,453.75 $75,858.86 $34,671.23 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 4 4 — — $22,401.00 $75,680.62 $34,589.77 2026-04-01
665 MS_DRG Prostatectomy With Mcc 4 4 — — $22,251.99 $75,177.22 $34,359.69 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $22,205.66 $75,020.66 $34,288.14 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 4 — — $22,166.44 $74,888.19 $34,227.58 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 4 4 — — $21,826.37 $73,739.29 $33,702.48 2026-04-01
263 MS_DRG Vein Ligation And Stripping 4 4 — — $21,797.14 $73,640.54 $33,657.36 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 4 4 — — $21,534.07 $72,751.76 $33,251.13 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 4 — — $21,531.22 $72,742.13 $33,246.74 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 4 4 — — $21,507.69 $72,662.64 $33,210.40 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 4 — — $21,219.67 $71,689.57 $32,765.67 2026-04-01
0627T OTHER Perq Njx Algc Fluor Lmbr 1st 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
0629T OTHER Perq Njx Algc CT Lmbr 1st 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24362 HCPCS Reconstruct Elbow Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24920 HCPCS Amputation Of Upper Arm 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27138 HCPCS Revise Hip Joint Replacement 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24366 HCPCS Reconstruct Head Of Radius 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24365 HCPCS Reconstruct Head Of Radius 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27130 HCPCS Total Hip Arthroplasty 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27132 HCPCS Total Hip Arthroplasty 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23615 HCPCS Treat Humerus Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27125 HCPCS Partial Hip Replacement 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23485 HCPCS Revision Of Collar Bone 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24370 HCPCS Revise Reconst Elbow Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27134 HCPCS Revise Hip Joint Replacement 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27091 HCPCS Removal Of Hip Prosthesis 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23474 HCPCS Revis Reconst Shoulder Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23470 HCPCS Reconstruct Shoulder Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27137 HCPCS Revise Hip Joint Replacement 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24900 HCPCS Amputation Of Upper Arm 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
0220T OTHER Plmt Post Facet Implt Thor 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22869 HCPCS Insj Stablj Dev Without Dcmprn 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22849 HCPCS Reinsert Spinal Fixation 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24802 HCPCS Fusion/graft Of Elbow Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24931 HCPCS Amputate Upper Arm & Implant 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
0202T OTHER Post Vert Arthrplst 1 Lumbar 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22532 HCPCS Lat Thorax Spine Fusion 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22548 HCPCS Neck Spine Fusion 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22551 HCPCS Neck Spine Fuse&remov Bel C2 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22327 HCPCS Treat Thorax Spine Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22554 HCPCS Neck Spine Fusion 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24587 HCPCS Treat Elbow Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22318 HCPCS Treat Odontoid Fx Without Graft 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22319 HCPCS Treat Odontoid Fx W/graft 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22590 HCPCS Spine & Skull Spinal Fusion 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22325 HCPCS Treat Spine Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22326 HCPCS Treat Neck Spine Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24586 HCPCS Treat Elbow Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24575 HCPCS Treat Humerus Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24579 HCPCS Treat Humerus Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
0219T OTHER Plmt Post Facet Implt Cerv 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
22595 HCPCS Neck Spinal Fusion 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24546 HCPCS Treat Humerus Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24516 HCPCS Treat Humerus Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
25810 HCPCS Fusion/graft Of Wrist Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
25365 HCPCS Revise Radius & Ulna 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24515 HCPCS Treat Humerus Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
C9781 HCPCS Arthro/shoul Surg; W/spacer 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
0737T OTHER Xenograft Impltj Artclr Surf 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
1003T OTHER Arthrp 1st Crp/mtcrpl Prostc 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
69719 HCPCS Revj/rplcmt Oi Implt Tc Esp 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
64628 HCPCS Trml Dstrj Ios Bvn 1st 2 L/s 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
69729 HCPCS Impl Oi Implt Sk Tc Esp>=100 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24940 HCPCS Revision Of Upper Arm 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
29856 HCPCS Tibial Arthroscopy/surgery 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
29867 HCPCS Allgrft Implnt Knee W/scope 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
69730 HCPCS Rplc Oi Implt Sk Tc Esp>=100 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
28730 HCPCS Fusion Of Foot Bones 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
28715 HCPCS Fusion Of Foot Bones 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
28735 HCPCS Fusion Of Foot Bones 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
20692 HCPCS Apply Bone Fixation Device 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23473 HCPCS Revis Reconst Shoulder Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
28297 HCPCS Correction Hallux Valgus 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24346 HCPCS Reconstruct Elbow Med Ligmnt 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23491 HCPCS Reinforce Shoulder Bones 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27120 HCPCS Reconstruction Of Hip Socket 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27871 HCPCS Fusion Of Tibiofibular Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
28320 HCPCS Repair Of Foot Bones 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
28737 HCPCS Revision Of Foot Bones 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
C9734 HCPCS U/s Trtmt, Not Leiomyomata 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27759 HCPCS Treatment Of Tibia Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27712 HCPCS Realignment Of Lower Leg 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27827 HCPCS Treat Lower Leg Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27513 HCPCS Treatment Of Thigh Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27486 HCPCS Revise/replace Knee Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27514 HCPCS Treatment Of Thigh Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27828 HCPCS Treat Lower Leg Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27443 HCPCS Revision Of Knee Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27440 HCPCS Revision Of Knee Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27446 HCPCS Revision Of Knee Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27429 HCPCS Reconstruction Knee 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27286 HCPCS Fusion Of Hip Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27284 HCPCS Fusion Of Hip Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27356 HCPCS Remove Femur Lesion/graft 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27438 HCPCS Revise Kneecap With Implant 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27447 HCPCS Total Knee Arthroplasty 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27870 HCPCS Fusion Of Ankle Joint Open 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
C9757 HCPCS Spine/lumbar Disk Surgery 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27415 HCPCS Osteochondral Knee Allograft 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27428 HCPCS Reconstruction Knee 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23920 HCPCS Amputation At Shoulder Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
25391 HCPCS Lengthen Radius Or Ulna 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27441 HCPCS Revision Of Knee Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27442 HCPCS Revision Of Knee Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
25441 HCPCS Reconstruct Wrist Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23680 HCPCS Treat Dislocation/fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27488 HCPCS Removal Of Knee Prosthesis 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27511 HCPCS Treatment Of Thigh Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27580 HCPCS Fusion Of Knee 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27709 HCPCS Incision Of Tibia & Fibula 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27715 HCPCS Revision Of Lower Leg 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
27758 HCPCS Treatment Of Tibia Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23900 HCPCS Amputation Of Arm & Girdle 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24498 HCPCS Reinforce Humerus 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
23802 HCPCS Fusion Of Shoulder Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
25444 HCPCS Reconstruct Wrist Joint 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
25491 HCPCS Reinforce Ulna 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
28420 HCPCS Treat/graft Heel Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
28725 HCPCS Fusion Of Foot Bones 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24410 HCPCS Revision Of Humerus 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24435 HCPCS Repair Humerus With Graft 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24430 HCPCS Repair Of Humerus 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24666 HCPCS Treat Radius Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
24545 HCPCS Treat Humerus Fracture 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
29889 HCPCS Knee Arthroscopy/surgery 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
29907 HCPCS Subtalar Arthro W/fusion 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
69714 HCPCS Implant Temple Bone W/Stimul 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
69716 HCPCS Impltj Oi Implt Skl Tc Esp 4 4 — — $12,561.90 $85,472.65 $32,636.31 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 4 — — $21,003.65 $70,959.76 $32,432.10 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 4 4 — — $20,989.40 $70,911.59 $32,410.10 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 4 4 — — $20,817.58 $70,331.12 $32,144.79 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 4 4 — — $20,689.25 $69,897.57 $31,946.64 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 4 4 — — $20,676.42 $69,854.22 $31,926.82 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 4 4 — — $20,585.16 $69,545.92 $31,785.91 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 4 4 — — $20,575.17 $69,512.20 $31,770.49 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 4 4 — — $20,545.24 $69,411.03 $31,724.26 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 4 — — $20,462.54 $69,131.64 $31,596.57 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 4 — — $20,322.09 $68,657.14 $31,379.70 2026-04-01
800 MS_DRG Splenic Procedures With Cc 4 4 — — $20,029.08 $67,667.21 $30,927.25 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 4 4 — — $19,957.06 $67,423.94 $30,816.06 2026-04-01
503 MS_DRG Foot Procedures With Mcc 4 4 — — $19,898.61 $67,226.43 $30,725.79 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 5 4 — — $14,908.10 $50,366.23 $30,693.14 2026-04-01
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