Price Transparency 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

MILE BLUFF MEDICAL CENTER

Mauston, WI · CCN 520109 · Rates published

9,057 distinct procedures filed
18 distinct payers
111,924 rate rows
2026-04-01 last MRF observed
Data quality

61,508 of 111,924 rate rows are consumer-grade (55.0%)

50,416 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 50,408
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.milebluff.com/documents/standard_charges/390992883_mile-bluff-medical-center_standardcharges.csv
Found on page https://www.milebluff.com/patient-visitors/billing-information/understanding-medical-bill/price-estimates/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 4998063f5233e894… · 15,574,973 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $310,556.42 $589,678.10 $310,556.42 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $201,538.62 $438,356.78 $201,538.62 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $153,545.74 $421,878.64 $153,545.74 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $152,644.62 $341,237.58 $152,644.62 nat. median
$202,986
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $110,901.76 $180,769.87 $145,835.82 nat. median
$111,989
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $141,829.28 $141,829.28 $141,829.28 nat. median
$87,411
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $106,151.88 $106,151.88 $106,151.88 nat. median
$65,381
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $99,614.69 $235,277.76 $99,614.69 nat. median
$133,176
0.7× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $97,893.16 $97,893.16 $97,893.16 nat. median
$62,270
1.6× median
7
MS_DRG 		Lung Transplant 11 $93,133.56 $203,377.17 $93,133.56 nat. median
$122,708
0.8× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 2 $68,801.71 $112,146.79 $90,474.25 nat. median
$70,825
1.3× median
9096
OTHER 		Inj Retacrit Esrd On Dialysi 3 $5,126.75 $154,500.50 $87,048.25 nat. median
$1
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $86,428.76 $203,890.75 $86,428.76 nat. median
$117,303
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $81,494.56 $195,970.37 $81,494.56 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $81,401.07 $128,613.69 $81,401.07 nat. median
$98,017
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $79,260.83 $163,126.29 $79,260.83 nat. median
$98,905
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $78,202.93 $172,388.18 $78,202.93 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $74,149.71 $165,725.33 $74,149.71 nat. median
$100,136
0.7× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $73,713.96 $73,713.96 $73,713.96 nat. median
$48,483
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 11 $71,607.45 $164,878.70 $71,607.45 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $70,354.66 $155,336.14 $70,354.66 nat. median
$93,672
0.8× median
L7181
HCPCS 		Electronic Elbo Simultaneous 2 $49,338.18 $80,421.23 $64,879.71 nat. median
$50,598
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $64,794.06 $129,796.34 $64,794.06 nat. median
$82,712
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,272.32 $90,093.89 $64,544.23 nat. median
$66,682
1.0× median
L7180
HCPCS 		Electronic Elbow Sequential 2 $47,919.99 $78,109.58 $63,014.79 nat. median
$49,027
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $62,276.26 $143,356.48 $62,276.26 nat. median
$83,442
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $60,625.05 $131,872.46 $60,625.05 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $60,434.47 $134,914.99 $60,434.47 nat. median
$81,118
0.7× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $58,545.75 $58,545.75 $58,545.75 nat. median
$39,075
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $56,589.81 $135,283.11 $56,589.81 nat. median
$77,576
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $55,219.79 $123,419.99 $55,219.79 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $54,981.75 $124,834.86 $54,981.75 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $54,799.80 $116,158.38 $54,799.80 nat. median
$72,138
0.8× median
J9226
HCPCS 		Supprelin La Implant 3 $45,020.65 $73,383.66 $52,150.79 nat. median
$60,368
0.9× median
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $8,924.25 $93,581.96 $52,050.69 nat. median
$46,084
1.1× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $51,913.78 $110,477.85 $51,913.78 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 11 $51,605.26 $124,078.45 $51,605.26 nat. median
$68,882
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $51,583.69 $110,751.81 $51,583.69 nat. median
$64,027
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $51,309.68 $127,938.29 $51,309.68 nat. median
$71,240
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $51,279.48 $112,610.02 $51,279.48 nat. median
$68,887
0.7× median
5694
OTHER 		Level 4 Drug Administration 6 $3,378.57 $522,367.61 $50,743.34 nat. median
$743
outlier · 68.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $49,707.38 $111,475.24 $49,707.38 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $49,463.58 $109,711.46 $49,463.58 nat. median
$65,950
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 11 $48,407.85 $106,263.36 $48,407.85 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $48,087.10 $96,273.40 $48,087.10 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $48,051.86 $104,338.20 $48,051.86 nat. median
$63,738
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $47,287.38 $92,586.50 $47,287.38 nat. median
$61,920
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $47,287.38 $101,878.47 $47,287.38 nat. median
$64,510
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 11 $47,115.50 $99,522.49 $47,115.50 nat. median
$59,793
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 11 $46,276.23 $110,564.54 $46,276.23 nat. median
$62,134
0.7× median

Other procedures at this hospital

Browse this hospital's 9,057 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 28 11 — — $310,556.42 $589,678.10 $310,556.42 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 11 — — $201,538.62 $438,356.78 $201,538.62 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 11 — — $153,545.74 $421,878.64 $153,545.74 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 11 — — $152,644.62 $341,237.58 $152,644.62 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 2 — — $110,901.76 $180,769.87 $145,835.82 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $141,829.28 $141,829.28 $141,829.28 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $106,151.88 $106,151.88 $106,151.88 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 11 — — $99,614.69 $235,277.76 $99,614.69 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $97,893.16 $97,893.16 $97,893.16 2026-04-01
7 MS_DRG Lung Transplant 28 11 — — $93,133.56 $203,377.17 $93,133.56 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 2 — — $68,801.71 $112,146.79 $90,474.25 2026-04-01
9096 OTHER Inj Retacrit Esrd On Dialysi 6 3 — — $5,126.75 $154,500.50 $87,048.25 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 11 — — $86,428.76 $203,890.75 $86,428.76 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 11 — — $81,494.56 $195,970.37 $81,494.56 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 9 — — $81,401.07 $128,613.69 $81,401.07 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 10 — — $79,260.83 $163,126.29 $79,260.83 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 11 — — $78,202.93 $172,388.18 $78,202.93 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 11 — — $74,149.71 $165,725.33 $74,149.71 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 1 — — $73,713.96 $73,713.96 $73,713.96 2026-04-01
215 MS_DRG Other Heart Assist System Implant 28 11 — — $71,607.45 $164,878.70 $71,607.45 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 11 — — $70,354.66 $155,336.14 $70,354.66 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 2 — — $49,338.18 $80,421.23 $64,879.71 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 10 — — $64,794.06 $129,796.34 $64,794.06 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 3 — — $55,272.32 $90,093.89 $64,544.23 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 2 — — $47,919.99 $78,109.58 $63,014.79 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 26 10 — — $62,276.26 $143,356.48 $62,276.26 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 11 — — $60,625.05 $131,872.46 $60,625.05 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 11 — — $60,434.47 $134,914.99 $60,434.47 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $58,545.75 $58,545.75 $58,545.75 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 11 — — $56,589.81 $135,283.11 $56,589.81 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 11 — — $55,219.79 $123,419.99 $55,219.79 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 11 — — $54,981.75 $124,834.86 $54,981.75 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 11 — — $54,799.80 $116,158.38 $54,799.80 2026-04-01
J9226 HCPCS Supprelin La Implant 6 3 — — $45,020.65 $73,383.66 $52,150.79 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 12 — — $8,924.25 $93,581.96 $52,050.69 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 10 — — $51,913.78 $110,477.85 $51,913.78 2026-04-01
10 MS_DRG Pancreas Transplant 28 11 — — $51,605.26 $124,078.45 $51,605.26 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 28 11 — — $51,583.69 $110,751.81 $51,583.69 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 11 — — $51,309.68 $127,938.29 $51,309.68 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 11 — — $51,279.48 $112,610.02 $51,279.48 2026-04-01
5694 OTHER Level 4 Drug Administration 20 6 — — $3,378.57 $522,367.61 $50,743.34 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 11 — — $49,707.38 $111,475.24 $49,707.38 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 11 — — $49,463.58 $109,711.46 $49,463.58 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 11 — — $48,407.85 $106,263.36 $48,407.85 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 26 10 — — $48,087.10 $96,273.40 $48,087.10 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 10 — — $48,051.86 $104,338.20 $48,051.86 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 11 — — $47,287.38 $92,586.50 $47,287.38 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 11 — — $47,287.38 $101,878.47 $47,287.38 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 11 — — $47,115.50 $99,522.49 $47,115.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 11 — — $46,276.23 $110,564.54 $46,276.23 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 2 — — $34,970.13 $57,001.31 $45,985.72 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 11 — — $44,073.43 $99,970.64 $44,073.43 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 11 — — $44,022.37 $109,997.96 $44,022.37 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 11 — — $43,600.21 $95,209.07 $43,600.21 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 28 11 — — $43,209.71 $96,449.48 $43,209.71 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 11 — — $43,197.48 $99,396.05 $43,197.48 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 11 — — $42,884.64 $97,236.94 $42,884.64 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 11 — — $42,743.69 $96,033.34 $42,743.69 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 11 — — $42,644.44 $98,864.68 $42,644.44 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 11 — — $42,205.03 $94,120.71 $42,205.03 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 11 — — $42,177.70 $96,779.19 $42,177.70 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 10 — — $41,475.08 $85,131.77 $41,475.08 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 11 — — $41,210.42 $90,730.79 $41,210.42 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 9 — — $41,042.14 $64,846.58 $41,042.14 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 11 — — $40,988.92 $90,649.16 $40,988.92 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 10 — — $40,431.57 $85,678.03 $40,431.57 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 11 — — $40,306.43 $84,675.77 $40,306.43 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 11 — — $40,030.27 $77,860.68 $40,030.27 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 11 — — $39,719.59 $109,132.07 $39,719.59 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 30 11 — — $30,778.38 $89,613.62 $39,481.55 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 11 — — $39,342.03 $88,112.32 $39,342.03 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 11 — — $39,285.93 $83,193.90 $39,285.93 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 11 — — $39,224.08 $83,972.32 $39,224.08 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 28 11 — — $39,067.31 $98,864.68 $39,067.31 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 2 — — $29,559.78 $48,182.44 $38,871.11 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 2 — — $29,510.19 $48,101.61 $38,805.90 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 2 — — $29,420.21 $47,954.94 $38,687.57 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 11 — — $38,351.73 $83,941.34 $38,351.73 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 10 — — $38,328.72 $80,145.35 $38,328.72 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 4 2 — — $31,446.63 $44,825.54 $38,136.08 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 11 — — $38,071.26 $98,294.89 $38,071.26 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 11 — — $37,945.41 $80,937.15 $37,945.41 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 26 8 — — $13,222.12 $68,629.18 $37,727.92 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 11 — — $37,435.52 $83,013.04 $37,435.52 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 28 11 — — $37,370.79 $86,751.89 $37,370.79 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 11 — — $36,247.45 $74,402.19 $36,247.45 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 11 — — $35,867.73 $81,290.87 $35,867.73 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 11 — — $35,580.06 $80,645.85 $35,580.06 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 34 11 — — $28,152.46 $92,051.61 $35,516.78 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 11 — — $35,395.24 $78,383.60 $35,395.24 2026-04-01
5054 OTHER Level 4 Skin Procedures 18 8 — — $5,464.72 $84,291.87 $35,388.61 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 11 — — $35,247.81 $90,959.66 $35,247.81 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 28 11 — — $34,726.41 $78,730.02 $34,726.41 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 11 — — $34,550.94 $77,921.38 $34,550.94 2026-04-01
5801 OTHER Ventilation Initiation And Management 2 1 — — $34,463.26 $34,463.26 $34,463.26 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 11 — — $34,238.10 $78,109.02 $34,238.10 2026-04-01
27445 HCPCS Revision Of Knee Joint 2 1 — — $33,865.58 $33,865.58 $33,865.58 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 11 — — $33,810.91 $71,983.79 $33,810.91 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 11 — — $33,641.19 $74,316.96 $33,641.19 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 28 11 — — $33,347.77 $77,415.99 $33,347.77 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 11 — — $26,801.91 $87,305.43 $33,300.18 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 11 — — $33,214.72 $76,543.70 $33,214.72 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 11 — — $33,056.51 $143,269.64 $33,056.51 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 11 — — $32,972.37 $72,822.90 $32,972.37 2026-04-01
245 MS_DRG Aicd Generator Procedures 28 11 — — $32,811.27 $76,049.14 $32,811.27 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 11 — — $32,712.75 $70,877.83 $32,712.75 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 11 — — $32,698.36 $70,679.36 $32,698.36 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 28 11 — — $32,570.35 $79,299.81 $32,570.35 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 28 11 — — $32,231.62 $75,442.53 $32,231.62 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 11 — — $32,222.27 $65,887.38 $32,222.27 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 11 — — $32,095.70 $69,813.47 $32,095.70 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 11 — — $31,591.57 $68,481.83 $31,591.57 2026-04-01
5361 OTHER Level 1 Laparoscopy And Related Services 34 10 — — $9,541.95 $67,478.41 $31,477.75 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 11 — — $31,121.23 $66,286.40 $31,121.23 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 11 — — $30,873.12 $69,791.21 $30,873.12 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 28 11 — — $30,674.63 $65,816.39 $30,674.63 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 10 — — $30,498.43 $63,547.29 $30,498.43 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 11 — — $30,371.86 $66,559.60 $30,371.86 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 2 — — $23,087.32 $37,632.33 $30,359.83 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 11 — — $30,320.08 $64,099.59 $30,320.08 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 11 — — $30,304.98 $64,738.20 $30,304.98 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 28 11 — — $30,216.52 $65,209.43 $30,216.52 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 11 — — $30,180.56 $69,267.69 $30,180.56 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 11 — — $30,124.46 $64,680.58 $30,124.46 2026-04-01
L5858 HCPCS Stance Phase Only 4 2 — — $22,885.05 $37,302.63 $30,093.84 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 11 — — $30,007.96 $72,519.97 $30,007.96 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 38 12 — — $4,406.56 $67,371.07 $29,986.38 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 11 — — $29,867.00 $63,296.72 $29,867.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 28 11 — — $29,669.23 $62,372.62 $29,669.23 2026-04-01
791 MS_DRG Prematurity With Major Problems 34 11 — — $2,369.06 $65,584.88 $29,190.99 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 26 10 — — $28,914.11 $61,150.57 $28,914.11 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 4 2 — — $21,834.21 $35,589.76 $28,711.99 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 30 11 — — $28,652.33 $124,828.47 $28,652.33 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 2 — — $21,739.52 $35,435.42 $28,587.47 2026-04-01
J9266 HCPCS Pegaspargase Injection 6 3 — — $25,632.69 $46,331.22 $28,424.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 11 — — $28,133.09 $60,640.84 $28,133.09 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 28 11 — — $28,005.80 $67,336.91 $28,005.80 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 11 — — $27,836.79 $62,443.04 $27,836.79 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 44 11 — — $9,101.98 $61,153.68 $27,795.08 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 11 — — $27,768.47 $61,628.37 $27,768.47 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 11 — — $27,610.98 $61,995.65 $27,610.98 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 38 11 — — $17,239.87 $69,589.18 $27,238.99 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 48 12 — — $17,680.72 $79,137.07 $27,125.14 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 11 — — $27,062.25 $62,071.72 $27,062.25 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 28 11 — — $26,944.31 $53,227.19 $26,944.31 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 11 — — $26,880.30 $64,946.27 $26,880.30 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 28 11 — — $26,877.43 $58,448.12 $26,877.43 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 28 11 — — $26,650.89 $55,352.69 $26,650.89 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 60 12 — — $13,969.82 $82,580.12 $26,507.41 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 28 11 — — $26,415.72 $60,087.61 $26,415.72 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 28 11 — — $26,404.93 $55,411.91 $26,404.93 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 2 — — $20,015.46 $32,625.20 $26,320.33 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 30 11 — — $26,094.97 $51,461.81 $26,094.97 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 28 11 — — $26,074.84 $57,318.14 $26,074.84 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 4 2 — — $19,809.02 $32,288.70 $26,048.86 2026-04-01
332 MS_DRG Rectal Resection With Mcc 28 11 — — $26,038.88 $58,488.13 $26,038.88 2026-04-01
265 MS_DRG Aicd Lead Procedures 28 11 — — $26,020.90 $56,564.30 $26,020.90 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 11 — — $25,974.87 $58,209.64 $25,974.87 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 11 — — $25,936.04 $51,226.53 $25,936.04 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 28 11 — — $25,766.31 $61,952.07 $25,766.31 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 28 11 — — $25,706.62 $62,215.76 $25,706.62 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 11 — — $25,680.73 $57,218.91 $25,680.73 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 28 11 — — $25,642.62 $59,574.89 $25,642.62 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 28 11 — — $25,621.04 $56,421.85 $25,621.04 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 11 — — $25,596.59 $61,229.84 $25,596.59 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 11 — — $25,575.73 $55,317.48 $25,575.73 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 11 — — $25,362.14 $55,799.24 $25,362.14 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 28 11 — — $25,310.36 $57,982.36 $25,310.36 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 11 — — $25,086.70 $53,678.54 $25,086.70 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 11 — — $25,080.23 $63,344.14 $25,080.23 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 28 11 — — $24,965.16 $54,510.82 $24,965.16 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 40 11 — — $16,806.21 $88,700.45 $24,921.91 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 11 — — $24,844.34 $53,921.82 $24,844.34 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 9 — — $24,729.27 $39,072.25 $24,729.27 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 11 — — $24,655.92 $54,517.57 $24,655.92 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 11 — — $24,535.10 $54,869.34 $24,535.10 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 28 11 — — $24,502.74 $54,925.33 $24,502.74 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 4 2 — — $18,506.37 $30,165.38 $24,335.88 2026-04-01
5114 OTHER Level 4 Musculoskeletal Procedures 20 6 — — $9,837.66 $34,163.84 $24,319.76 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 11 — — $24,024.49 $54,391.51 $24,024.49 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 38 11 — — $15,053.60 $89,115.12 $23,784.69 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 28 11 — — $23,756.24 $48,662.48 $23,756.24 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 28 11 — — $23,675.69 $54,027.46 $23,675.69 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 11 — — $23,672.82 $51,869.94 $23,672.82 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 4 2 — — $17,892.75 $29,165.18 $23,528.97 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 4 2 — — $17,866.14 $29,121.81 $23,493.97 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 28 11 — — $23,393.06 $53,060.74 $23,393.06 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 11 — — $23,290.22 $53,492.88 $23,290.22 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 11 — — $23,264.33 $112,380.17 $23,264.33 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 26 10 — — $23,231.97 $48,024.64 $23,231.97 2026-04-01
652 MS_DRG Kidney Transplant 28 11 — — $23,225.50 $48,086.29 $23,225.50 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 11 — — $23,208.24 $52,721.43 $23,208.24 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 28 11 — — $23,162.93 $51,465.01 $23,162.93 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 28 11 — — $23,088.14 $44,541.62 $23,088.14 2026-04-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 10 3 — — $12,143.51 $43,364.05 $23,038.21 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 10 4 — — $15,593.43 $24,182.39 $22,974.99 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 11 — — $22,961.56 $55,299.88 $22,961.56 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 11 — — $22,919.13 $50,600.72 $22,919.13 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 28 11 — — $22,896.84 $50,699.94 $22,896.84 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 11 — — $22,850.81 $62,783.95 $22,850.81 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 28 11 — — $22,760.20 $51,901.95 $22,760.20 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 11 — — $22,725.68 $50,477.48 $22,725.68 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 38 11 — — $14,369.67 $68,686.83 $22,704.08 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 28 11 — — $22,660.95 $49,724.14 $22,660.95 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 28 11 — — $22,650.16 $50,890.42 $22,650.16 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 28 11 — — $22,596.94 $43,660.75 $22,596.94 2026-04-01
665 MS_DRG Prostatectomy With Mcc 28 11 — — $22,446.64 $53,434.38 $22,446.64 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 11 — — $22,399.89 $48,038.28 $22,399.89 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22612 HCPCS Lumbar Spine Fusion 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
20805 HCPCS Replant Forearm Complete 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
20808 HCPCS Replantation Hand Complete 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22556 HCPCS Thorax Spine Fusion 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
25446 HCPCS Wrist Replacement 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22600 HCPCS Neck Spine Fusion 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
24363 HCPCS Replace Elbow Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
23616 HCPCS Treat Humerus Fracture 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
20838 HCPCS Replantation Foot Complete 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22610 HCPCS Thorax Spine Fusion 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
27487 HCPCS Revise/replace Knee Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
28705 HCPCS Fusion Of Foot Bones 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
20802 HCPCS Replantation Arm Complete 4 2 — — $17,031.17 $27,760.80 $22,395.99 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 28 11 — — $22,360.34 $47,598.22 $22,360.34 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 28 11 — — $22,017.30 $48,547.57 $22,017.30 2026-04-01
263 MS_DRG Vein Ligation And Stripping 28 11 — — $21,987.81 $45,218.15 $21,987.81 2026-04-01
509 MS_DRG Arthroscopy 10 4 — — $17,714.30 $27,336.60 $21,864.83 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 38 11 — — $15,294.52 $71,122.29 $21,818.80 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 11 — — $21,813.77 $53,294.41 $21,813.77 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 28 11 — — $21,722.44 $44,479.37 $21,722.44 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 28 11 — — $21,719.56 $46,754.65 $21,719.56 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 28 11 — — $21,695.83 $41,789.81 $21,695.83 2026-04-01
75842 HCPCS Vein X-ray Adrenal Glands 2 1 — — $21,466.66 $21,466.66 $21,466.66 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 28 11 — — $21,405.28 $49,216.27 $21,405.28 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 11 — — $21,187.38 $47,302.03 $21,187.38 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 28 11 — — $21,172.99 $41,144.19 $21,172.99 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 11 — — $21,151.42 $46,851.19 $21,151.42 2026-04-01
5182 OTHER Level 2 Vascular Procedures 2 1 — — $21,119.06 $21,119.06 $21,119.06 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 28 11 — — $20,999.67 $45,383.59 $20,999.67 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 11 — — $20,944.30 $47,198.00 $20,944.30 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 28 11 — — $20,870.22 $46,804.27 $20,870.22 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 28 11 — — $20,857.28 $46,213.67 $20,857.28 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 28 11 — — $20,765.23 $42,431.26 $20,765.23 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 28 11 — — $20,755.16 $46,679.43 $20,755.16 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 28 11 — — $20,724.95 $42,985.41 $20,724.95 2026-04-01
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 18 6 — — $10,390.30 $30,677.66 $20,682.86 2026-04-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 50 12 — — $9,605.19 $50,637.07 $20,669.37 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 28 11 — — $20,641.53 $47,923.04 $20,641.53 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 44 14 — — $12,326.52 $107,624.23 $20,546.15 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 4 2 — — $15,621.74 $25,463.44 $20,542.59 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 11 — — $20,499.85 $45,319.78 $20,499.85 2026-04-01
29889 HCPCS Knee Arthroscopy/surgery 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
29867 HCPCS Allgrft Implnt Knee W/scope 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27447 HCPCS Total Knee Arthroplasty 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27442 HCPCS Revision Of Knee Joint 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27443 HCPCS Revision Of Knee Joint 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27440 HCPCS Revision Of Knee Joint 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27441 HCPCS Revision Of Knee Joint 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27446 HCPCS Revision Of Knee Joint 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27138 HCPCS Revise Hip Joint Replacement 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27134 HCPCS Revise Hip Joint Replacement 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27137 HCPCS Revise Hip Joint Replacement 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27132 HCPCS Total Hip Arthroplasty 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
27130 HCPCS Total Hip Arthroplasty 6 3 — — $12,470.63 $33,865.58 $20,327.12 2026-04-01
643 MS_DRG Endocrine Disorders With Mcc 42 11 — — $11,838.21 $114,311.73 $20,244.37 2026-04-01
800 MS_DRG Splenic Procedures With Cc 28 11 — — $20,204.28 $45,344.68 $20,204.28 2026-04-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 38 12 — — $12,751.55 $52,705.32 $20,147.45 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 28 11 — — $20,131.64 $43,917.54 $20,131.64 2026-04-01
503 MS_DRG Foot Procedures With Mcc 28 11 — — $20,072.67 $42,924.59 $20,072.67 2026-04-01
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