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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

WATERTOWN MEMORIAL HOSPITAL

Watertown, WI · CCN 520116 · Rates published

11,457 distinct procedures filed
8 distinct payers
36,615 rate rows
2025-01-01 last MRF observed · ⚠ 21 mo old
Data quality

23,668 of 36,615 rate rows are consumer-grade (64.6%)

12,947 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 12,058
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 889

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=ogdlopNDdhPXQBHfTqbnOg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=ogdlopNDdhPXQBHfTqbnOg*-*
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 7e915d5c94c30e82… · 11,917,763 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 6 $303,799.82 $514,436.70 $400,788.27 nat. median
$168,055
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $197,316.85 $333,848.72 $260,156.59 nat. median
$186,516
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 $150,439.88 $254,348.51 $198,246.33 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 $149,559.71 $252,855.81 $197,083.89 nat. median
$145,435
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 $97,762.81 $165,011.73 $128,675.90 nat. median
$97,418
1.3× median
7
MS_DRG 		Lung Transplant 6 $91,432.38 $154,275.73 $120,315.32 nat. median
$70,649
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $84,883.48 $143,169.24 $111,666.21 nat. median
$72,715
1.5× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $110,901.76 $110,901.76 $110,901.76 nat. median
$108,243
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $80,064.00 $134,995.73 $105,301.15 nat. median
$65,418
1.6× median
209
MS_DRG 		Complex Aortic Arch Procedures 6 $79,972.68 $134,840.86 $105,180.54 nat. median
$2,110
outlier · 49.8×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $77,882.21 $131,295.56 $102,419.66 nat. median
$2,736
outlier · 37.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 6 $76,848.91 $129,543.15 $101,054.99 nat. median
$74,509
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $72,889.93 $122,828.99 $95,826.38 nat. median
$69,922
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 6 $70,406.79 $118,617.74 $92,546.90 nat. median
$73,023
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $69,183.13 $116,542.50 $90,930.81 nat. median
$69,822
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 $63,751.82 $107,331.36 $83,757.71 nat. median
$2,596
outlier · 32.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 6 $61,292.56 $103,160.62 $80,509.77 nat. median
$2,633
outlier · 30.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $59,679.75 $100,425.40 $78,379.73 nat. median
$60,505
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $59,493.60 $100,109.70 $78,133.89 nat. median
$59,651
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 $55,738.33 $93,741.01 $73,174.31 nat. median
$56,428
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 $54,400.17 $91,471.59 $71,407.01 nat. median
$55,923
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 $54,167.66 $91,077.27 $71,099.94 nat. median
$55,935
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $53,989.94 $90,775.87 $70,865.22 nat. median
$52,327
1.4× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 1 $68,801.71 $68,801.71 $68,801.71 nat. median
$68,802
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 $51,171.03 $85,995.18 $67,142.30 nat. median
$9,905
outlier · 6.8×
10
MS_DRG 		Pancreas Transplant 6 $50,869.68 $85,484.11 $66,744.30 nat. median
$23,080
outlier · 2.9×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 $50,848.61 $85,448.38 $66,716.48 nat. median
$37,013
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 $50,580.97 $84,994.49 $66,363.01 nat. median
$45,605
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 $50,551.47 $84,944.46 $66,324.05 nat. median
$51,518
1.3× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $49,015.93 $82,340.27 $64,296.06 nat. median
$48,611
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 $48,777.80 $81,936.42 $63,981.56 nat. median
$49,569
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 6 $47,746.61 $80,187.59 $62,619.68 nat. median
$47,340
1.3× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 $47,433.32 $79,656.27 $62,205.91 nat. median
$2,633
outlier · 23.6×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 $47,398.90 $79,597.90 $62,160.46 nat. median
$2,958
outlier · 21.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $46,652.20 $78,331.55 $61,174.29 nat. median
$47,458
1.3× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 $46,652.20 $78,331.55 $61,174.29 nat. median
$45,446
1.3× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 $46,484.31 $78,046.83 $60,952.57 nat. median
$43,299
1.4× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 6 $45,664.56 $76,656.58 $59,869.92 nat. median
$47,121
1.3× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 $43,512.97 $73,007.63 $57,028.32 nat. median
$44,036
1.3× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 6 $43,463.10 $72,923.05 $56,962.46 nat. median
$41,943
1.4× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 6 $43,050.76 $72,223.75 $56,417.89 nat. median
$43,803
1.3× median
28
MS_DRG 		Spinal Procedures With Mcc 6 $42,669.33 $71,576.88 $55,914.14 nat. median
$41,895
1.3× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $42,657.39 $71,556.63 $55,898.36 nat. median
$43,533
1.3× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $42,351.83 $71,038.41 $55,494.81 nat. median
$42,674
1.3× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 $42,214.15 $70,804.92 $55,312.98 nat. median
$40,584
1.4× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 6 $42,117.21 $70,640.52 $55,184.95 nat. median
$38,932
1.4× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 6 $41,688.02 $69,912.63 $54,618.12 nat. median
$43,023
1.3× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 $41,661.32 $69,867.36 $54,582.86 nat. median
$40,726
1.3× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 $40,975.04 $68,703.46 $53,676.49 nat. median
$2,596
outlier · 20.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 $40,716.54 $68,265.06 $53,335.08 nat. median
$40,301
1.3× median

Other procedures at this hospital

Browse this hospital's 11,457 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 15 6 — — $303,799.82 $514,436.70 $400,788.27 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 6 — — $197,316.85 $333,848.72 $260,156.59 2025-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 6 — — $150,439.88 $254,348.51 $198,246.33 2025-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 6 — — $149,559.71 $252,855.81 $197,083.89 2025-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 6 — — $97,762.81 $165,011.73 $128,675.90 2025-01-01
7 MS_DRG Lung Transplant 15 6 — — $91,432.38 $154,275.73 $120,315.32 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 6 — — $84,883.48 $143,169.24 $111,666.21 2025-01-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $110,901.76 $110,901.76 $110,901.76 2025-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 6 — — $80,064.00 $134,995.73 $105,301.15 2025-01-01
209 MS_DRG Complex Aortic Arch Procedures 15 6 — — $79,972.68 $134,840.86 $105,180.54 2025-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 6 — — $77,882.21 $131,295.56 $102,419.66 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 6 — — $76,848.91 $129,543.15 $101,054.99 2025-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 6 — — $72,889.93 $122,828.99 $95,826.38 2025-01-01
215 MS_DRG Other Heart Assist System Implant 15 6 — — $70,406.79 $118,617.74 $92,546.90 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 6 — — $69,183.13 $116,542.50 $90,930.81 2025-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 6 — — $63,751.82 $107,331.36 $83,757.71 2025-01-01
850 MS_DRG Acute Leukemia With Other Procedures 15 6 — — $61,292.56 $103,160.62 $80,509.77 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 6 — — $59,679.75 $100,425.40 $78,379.73 2025-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 6 — — $59,493.60 $100,109.70 $78,133.89 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 6 — — $55,738.33 $93,741.01 $73,174.31 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 6 — — $54,400.17 $91,471.59 $71,407.01 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 6 — — $54,167.66 $91,077.27 $71,099.94 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 6 — — $53,989.94 $90,775.87 $70,865.22 2025-01-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2025-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 6 — — $51,171.03 $85,995.18 $67,142.30 2025-01-01
10 MS_DRG Pancreas Transplant 15 6 — — $50,869.68 $85,484.11 $66,744.30 2025-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 15 6 — — $50,848.61 $85,448.38 $66,716.48 2025-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 6 — — $50,580.97 $84,994.49 $66,363.01 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 6 — — $50,551.47 $84,944.46 $66,324.05 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 6 — — $49,015.93 $82,340.27 $64,296.06 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 6 — — $48,777.80 $81,936.42 $63,981.56 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 6 — — $47,746.61 $80,187.59 $62,619.68 2025-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 6 — — $47,433.32 $79,656.27 $62,205.91 2025-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 6 — — $47,398.90 $79,597.90 $62,160.46 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 6 — — $46,652.20 $78,331.55 $61,174.29 2025-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 6 — — $46,652.20 $78,331.55 $61,174.29 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 6 — — $46,484.31 $78,046.83 $60,952.57 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 6 — — $45,664.56 $76,656.58 $59,869.92 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 6 — — $43,512.97 $73,007.63 $57,028.32 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 6 — — $43,463.10 $72,923.05 $56,962.46 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 6 — — $43,050.76 $72,223.75 $56,417.89 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 15 6 — — $42,669.33 $71,576.88 $55,914.14 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 6 — — $42,657.39 $71,556.63 $55,898.36 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 6 — — $42,351.83 $71,038.41 $55,494.81 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 6 — — $42,214.15 $70,804.92 $55,312.98 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 15 6 — — $42,117.21 $70,640.52 $55,184.95 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 6 — — $41,688.02 $69,912.63 $54,618.12 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 6 — — $41,661.32 $69,867.36 $54,582.86 2025-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 6 — — $40,975.04 $68,703.46 $53,676.49 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 6 — — $40,716.54 $68,265.06 $53,335.08 2025-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 6 — — $40,552.16 $67,986.30 $53,118.00 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 6 — — $40,500.18 $67,898.14 $53,049.35 2025-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 6 — — $39,955.79 $66,974.89 $52,330.37 2025-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 6 — — $39,833.56 $66,767.60 $52,168.94 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 6 — — $39,563.82 $66,310.14 $51,812.70 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 6 — — $39,260.37 $65,795.50 $51,411.93 2025-01-01
834 MS_DRG Acute Leukemia With Mcc 15 6 — — $39,027.86 $65,401.18 $51,104.85 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 6 — — $38,891.58 $65,170.07 $50,924.88 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 6 — — $38,836.79 $65,077.15 $50,852.51 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 6 — — $38,776.38 $64,974.69 $50,772.73 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 15 6 — — $38,623.25 $64,714.99 $50,570.49 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 6 — — $37,924.32 $63,529.65 $49,647.41 2025-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 6 — — $37,901.84 $63,491.52 $49,617.72 2025-01-01
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $49,338.18 $49,338.18 $49,338.18 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 6 — — $37,650.36 $63,065.04 $49,285.60 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 6 — — $37,527.43 $62,856.56 $49,123.25 2025-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 6 — — $37,029.40 $62,011.93 $48,465.50 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 15 6 — — $36,966.18 $61,904.71 $48,382.00 2025-01-01
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $47,919.99 $47,919.99 $47,919.99 2025-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 6 — — $35,868.96 $60,043.90 $46,932.91 2025-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 6 — — $35,498.07 $59,414.90 $46,443.07 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 6 — — $35,217.09 $58,938.38 $46,071.99 2025-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 6 — — $35,036.56 $58,632.21 $45,833.56 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 6 — — $34,892.56 $58,388.00 $45,643.38 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 6 — — $34,383.29 $57,524.30 $44,970.79 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 6 — — $34,211.89 $57,233.63 $44,744.42 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 6 — — $33,906.33 $56,715.41 $44,340.87 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 6 — — $33,489.08 $56,007.78 $43,789.81 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 6 — — $33,421.64 $55,893.41 $43,700.74 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 6 — — $33,323.30 $55,726.63 $43,570.86 2025-01-01
6 MS_DRG Liver Transplant Without Mcc 15 6 — — $33,036.70 $55,240.58 $43,192.35 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 6 — — $32,906.75 $55,020.19 $43,020.73 2025-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 6 — — $32,670.03 $54,618.72 $42,708.09 2025-01-01
245 MS_DRG Aicd Generator Procedures 15 6 — — $32,512.68 $54,351.87 $42,500.28 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 6 — — $32,416.44 $54,188.66 $42,373.18 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 6 — — $32,402.39 $54,164.84 $42,354.62 2025-01-01
799 MS_DRG Splenic Procedures With Mcc 15 6 — — $32,277.36 $53,952.79 $42,189.49 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 15 6 — — $31,946.51 $53,391.68 $41,752.54 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 6 — — $31,937.38 $53,376.20 $41,740.48 2025-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 6 — — $31,813.75 $53,166.53 $41,577.20 2025-01-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 6 — — $12,848.43 $21,002.62 $41,571.50 2025-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 6 — — $31,321.33 $52,331.43 $40,926.87 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 6 — — $30,861.93 $51,552.32 $40,320.14 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 6 — — $30,619.59 $51,141.32 $40,000.08 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 6 — — $30,425.71 $50,812.52 $39,744.03 2025-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 6 — — $30,253.62 $50,520.65 $39,516.74 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 6 — — $30,129.98 $50,310.98 $39,353.46 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 6 — — $30,079.41 $50,225.21 $39,286.67 2025-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 6 — — $30,064.66 $50,200.19 $39,267.18 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 6 — — $29,978.26 $50,053.66 $39,153.08 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 6 — — $29,943.13 $49,994.10 $39,106.69 2025-01-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 15 6 — — $12,092.60 $19,720.78 $39,084.98 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 6 — — $29,888.34 $49,901.17 $39,034.33 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 6 — — $29,774.55 $49,708.18 $38,884.04 2025-01-01
793 MS_DRG Full Term Neonate With Major Problems 15 6 — — $29,753.47 $49,672.44 $38,856.20 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 6 — — $29,636.87 $49,474.69 $38,702.21 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 6 — — $29,443.70 $49,147.08 $38,447.08 2025-01-01
791 MS_DRG Prematurity With Major Problems 15 6 — — $28,976.57 $48,354.87 $37,830.15 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 9 6 — — — — $37,625.34 2025-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 6 — — $28,706.13 $47,896.22 $37,472.98 2025-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 6 — — $28,450.44 $47,462.58 $37,135.29 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 6 — — $27,943.27 $46,602.46 $36,465.48 2025-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 6 — — $27,818.94 $46,391.60 $36,301.27 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 6 — — $27,653.87 $46,111.65 $36,083.26 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 6 — — $27,613.12 $46,042.55 $36,029.45 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 6 — — $27,587.13 $45,998.48 $35,995.12 2025-01-01
38240 HCPCS Transplt Allo Hct/donor 2 2 — — $9,004.00 $62,216.08 $35,610.04 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 6 — — $26,897.33 $44,828.62 $35,084.11 2025-01-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 1 1 — — $34,970.13 $34,970.13 $34,970.13 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 6 — — $26,782.13 $44,633.25 $34,931.96 2025-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 6 — — $26,719.61 $44,527.22 $34,849.39 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 6 — — $26,716.80 $44,522.45 $34,845.68 2025-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 6 — — $26,643.05 $44,397.37 $34,748.28 2025-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 6 — — $26,495.53 $44,147.20 $34,553.45 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 15 6 — — $26,265.83 $43,757.64 $34,250.09 2025-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 6 — — $26,255.30 $43,739.77 $34,236.18 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 6 — — $25,952.54 $43,226.32 $33,836.33 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 6 — — $25,932.87 $43,192.96 $33,810.35 2025-01-01
332 MS_DRG Rectal Resection With Mcc 15 6 — — $25,897.75 $43,133.40 $33,763.97 2025-01-01
265 MS_DRG Aicd Lead Procedures 15 6 — — $25,880.19 $43,103.62 $33,740.77 2025-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 6 — — $25,835.23 $43,027.37 $33,681.40 2025-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 6 — — $25,797.30 $42,963.04 $33,631.30 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 6 — — $25,631.53 $42,681.90 $33,412.36 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 6 — — $25,573.22 $42,583.02 $33,335.36 2025-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 6 — — $25,547.93 $42,540.13 $33,301.96 2025-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 6 — — $25,510.71 $42,476.99 $33,252.80 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 6 — — $25,489.63 $42,441.25 $33,224.96 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 6 — — $25,465.75 $42,400.75 $33,193.42 2025-01-01
81416 HCPCS Exome Sequence Analysis 2 2 — — $12,000.00 $54,000.00 $33,000.00 2025-01-01
5194 OTHER Level 4 Endovascular Procedures 9 6 — — — — $32,932.37 2025-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 6 — — $25,186.18 $41,926.61 $32,824.19 2025-01-01
252 MS_DRG Other Vascular Procedures With Mcc 15 6 — — $24,967.72 $41,556.12 $32,535.67 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 6 — — $24,961.39 $41,545.40 $32,527.32 2025-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 6 — — $24,849.00 $41,354.79 $32,378.88 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 6 — — $24,730.99 $41,154.65 $32,223.03 2025-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 6 — — $24,618.60 $40,964.04 $32,074.60 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 6 — — $24,546.95 $40,842.53 $31,979.97 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 6 — — $24,428.94 $40,642.39 $31,824.11 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 6 — — $24,397.33 $40,588.78 $31,782.36 2025-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 15 6 — — $23,930.20 $39,796.57 $31,165.43 2025-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 6 — — $23,668.19 $39,352.21 $30,819.39 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 15 6 — — $23,589.52 $39,218.79 $30,715.49 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 6 — — $23,586.71 $39,214.02 $30,711.78 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 6 — — $23,313.46 $38,750.61 $30,350.90 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 6 — — $23,213.01 $38,580.25 $30,218.23 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 6 — — $23,187.72 $38,537.36 $30,184.83 2025-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 6 — — $23,156.11 $38,483.76 $30,143.09 2025-01-01
652 MS_DRG Kidney Transplant 15 6 — — $23,149.79 $38,473.03 $30,134.74 2025-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 6 — — $23,132.93 $38,444.44 $30,112.47 2025-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 15 6 — — $23,088.67 $38,369.39 $30,054.03 2025-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 6 — — $23,015.62 $38,245.50 $29,957.54 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 6 — — $22,891.99 $38,035.83 $29,794.27 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 6 — — $22,850.55 $37,965.54 $29,739.53 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 6 — — $22,828.77 $37,928.61 $29,710.77 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 6 — — $22,783.81 $37,852.37 $29,651.40 2025-01-01
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $29,559.78 $29,559.78 $29,559.78 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 15 6 — — $22,695.30 $37,702.26 $29,534.50 2025-01-01
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $29,510.19 $29,510.19 $29,510.19 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 6 — — $22,661.59 $37,645.08 $29,489.98 2025-01-01
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $29,420.21 $29,420.21 $29,420.21 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 6 — — $22,598.37 $37,537.86 $29,406.48 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 6 — — $22,587.83 $37,519.99 $29,392.56 2025-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 6 — — $22,535.85 $37,431.84 $29,323.92 2025-01-01
665 MS_DRG Prostatectomy With Mcc 15 6 — — $22,389.04 $37,182.86 $29,130.02 2025-01-01
398 MS_DRG Appendix Procedures With Cc 15 6 — — $11,096.53 $18,031.52 $29,106.34 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 6 — — $17,303.34 $28,557.84 $29,075.56 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 6 — — $22,304.75 $37,039.90 $29,018.70 2025-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 6 — — $21,969.68 $36,471.65 $28,576.17 2025-01-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 15 6 — — $15,884.40 $26,151.42 $28,544.92 2025-01-01
263 MS_DRG Vein Ligation And Stripping 15 6 — — $21,940.88 $36,422.81 $28,538.14 2025-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 6 — — $21,770.89 $36,134.51 $28,313.63 2025-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 6 — — $21,681.68 $35,983.22 $28,195.81 2025-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 6 — — $21,678.87 $35,978.45 $28,192.10 2025-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 6 — — $21,655.69 $35,939.14 $28,161.49 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 6 — — $21,371.90 $35,457.85 $27,786.69 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 6 — — $21,159.06 $35,096.89 $27,505.59 2025-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 15 6 — — $21,145.01 $35,073.06 $27,487.03 2025-01-01
668 MS_DRG Transurethral Procedures With Mcc 15 6 — — $20,975.72 $34,785.96 $27,263.46 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 6 — — $20,921.63 $34,694.23 $27,192.02 2025-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 6 — — $20,849.28 $34,571.53 $27,096.47 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 6 — — $20,836.63 $34,550.08 $27,079.76 2025-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 15 6 — — $20,746.72 $34,397.60 $26,961.02 2025-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 15 6 — — $20,736.89 $34,380.92 $26,948.03 2025-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 15 6 — — $20,707.39 $34,330.88 $26,909.07 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 6 — — $20,625.90 $34,192.69 $26,801.45 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 6 — — $20,487.52 $33,958.01 $26,618.69 2025-01-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 2 — — $9,004.00 $43,566.78 $26,285.39 2025-01-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $9,004.00 $43,566.78 $26,285.39 2025-01-01
800 MS_DRG Splenic Procedures With Cc 15 6 — — $20,198.81 $33,468.38 $26,237.40 2025-01-01
654 MS_DRG Major Bladder Procedures With Cc 15 6 — — $20,127.87 $33,348.06 $26,143.70 2025-01-01
503 MS_DRG Foot Procedures With Mcc 15 6 — — $20,070.27 $33,250.37 $26,067.63 2025-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 6 — — $19,935.40 $33,021.64 $25,889.51 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 6 — — $19,831.44 $32,845.33 $25,752.21 2025-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 6 — — $19,772.43 $32,745.26 $25,674.28 2025-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 6 — — $19,667.77 $32,567.76 $25,536.05 2025-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 4 — — — — $25,482.05 2025-01-01
849 MS_DRG Radiotherapy 15 6 — — $19,497.07 $32,278.27 $25,310.61 2025-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 6 — — $19,473.89 $32,238.96 $25,279.99 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 6 — — $19,412.08 $32,134.13 $25,198.36 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 15 6 — — $18,696.99 $30,921.38 $25,158.45 2025-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 6 — — $19,149.36 $31,688.58 $24,851.39 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 6 — — $25,236.75 $42,012.39 $24,792.34 2025-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 6 — — $19,084.03 $31,577.79 $24,765.11 2025-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 6 — — $18,990.61 $31,419.35 $24,641.73 2025-01-01
5115 OTHER Level 5 Musculoskeletal Procedures 9 6 — — — — $24,439.05 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 6 — — $22,343.38 $37,105.42 $24,318.27 2025-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 15 6 — — $18,675.21 $30,884.45 $24,225.18 2025-01-01
570 MS_DRG Skin Debridement With Mcc 15 6 — — $21,123.94 $35,037.32 $24,136.24 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 6 — — $18,607.07 $30,768.90 $24,135.19 2025-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 6 — — $18,581.79 $30,726.01 $24,101.80 2025-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 15 6 — — $18,581.79 $30,726.01 $24,101.80 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 15 6 — — $19,767.51 $32,736.92 $24,067.98 2025-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 15 6 — — $18,500.30 $30,587.82 $23,994.18 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 15 6 — — $18,397.75 $30,413.89 $23,858.74 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 6 — — $18,312.75 $30,269.74 $23,746.48 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 6 — — $18,279.03 $30,212.56 $23,701.95 2025-01-01
5362 OTHER Level 2 Laparoscopy And Related Services 9 6 — — — — $23,701.22 2025-01-01
164 MS_DRG Major Chest Procedures With Cc 15 6 — — $18,194.04 $30,068.41 $23,589.70 2025-01-01
64568 HCPCS Inc For Vagus N Elect Impl 2 2 — — $3,609.00 $43,566.78 $23,587.89 2025-01-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 2 2 — — $3,609.00 $43,566.78 $23,587.89 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 15 6 — — $18,186.31 $30,055.31 $23,579.49 2025-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 6 — — $14,514.63 $23,828.38 $23,524.16 2025-01-01
0315U CPT Onc Cutan Sq Cll Ca Mrna 40 2 2 — — $8,500.00 $38,250.00 $23,375.00 2025-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 6 — — $17,968.55 $29,686.00 $23,291.90 2025-01-01
0211U CPT Onc Pan-tum Dna&rna Gnrj Seq 2 2 — — $8,455.00 $38,047.50 $23,251.25 2025-01-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 15 6 — — $16,008.03 $26,361.09 $23,233.01 2025-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 15 6 — — $17,896.90 $29,564.49 $23,197.27 2025-01-01
Q0483 HCPCS Monitor Elec Vad, Rep 1 1 — — $23,087.32 $23,087.32 $23,087.32 2025-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 15 6 — — $17,738.85 $29,296.45 $22,988.53 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 6 — — $17,733.93 $29,288.11 $22,982.04 2025-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 15 6 — — $17,710.05 $29,247.61 $22,950.50 2025-01-01
792 MS_DRG Prematurity Without Major Problems 15 6 — — $17,668.61 $29,177.32 $22,895.76 2025-01-01
L5858 HCPCS Stance Phase Only 1 1 — — $22,885.05 $22,885.05 $22,885.05 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 6 — — $17,633.48 $29,117.75 $22,849.38 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 15 6 — — $17,613.11 $29,083.21 $22,822.47 2025-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 15 6 — — $17,478.95 $28,855.67 $22,645.28 2025-01-01
5154 OTHER Level 4 Airway Endoscopy 9 6 — — — — $22,585.92 2025-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 15 6 — — $17,423.45 $28,761.56 $22,571.99 2025-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 15 6 — — $17,360.23 $28,654.34 $22,488.49 2025-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 15 6 — — $17,256.27 $28,478.03 $22,351.19 2025-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 6 — — $17,227.47 $28,429.18 $22,313.16 2025-01-01
113 MS_DRG Orbital Procedures With Cc/Mcc 15 6 — — $16,979.51 $28,008.65 $21,985.67 2025-01-01
948 MS_DRG Signs And Symptoms Without Mcc 15 6 — — $6,087.39 $9,536.36 $21,925.44 2025-01-01
333 MS_DRG Rectal Resection With Cc 15 6 — — $16,916.99 $27,902.63 $21,903.11 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 15 6 — — $16,891.70 $27,859.74 $21,869.71 2025-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 6 — — $16,879.76 $27,839.49 $21,853.94 2025-01-01
L6975 HCPCS Interscap-thor Myoelectronic 1 1 — — $21,834.21 $21,834.21 $21,834.21 2025-01-01
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 15 6 — — $12,085.57 $19,708.87 $21,780.92 2025-01-01
709 MS_DRG Penis Procedures With Cc/Mcc 15 6 — — $16,810.92 $27,722.74 $21,763.02 2025-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 15 6 — — $16,799.68 $27,703.68 $21,748.18 2025-01-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 1 1 — — $21,739.52 $21,739.52 $21,739.52 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 6 — — $16,782.82 $27,675.09 $21,725.91 2025-01-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 6 — — $16,699.23 $27,533.33 $21,615.51 2025-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 15 6 — — $16,589.65 $27,347.48 $21,470.79 2025-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 15 6 — — $16,584.73 $27,339.14 $21,464.29 2025-01-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 2 2 — — $7,776.00 $34,992.00 $21,384.00 2025-01-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 15 6 — — $16,519.41 $27,228.35 $21,378.02 2025-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 15 6 — — $16,491.31 $27,180.70 $21,340.91 2025-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 15 6 — — $16,423.17 $27,065.14 $21,250.92 2025-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 15 6 — — $16,378.92 $26,990.09 $21,192.48 2025-01-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 15 6 — — $14,499.88 $23,803.37 $20,974.06 2025-01-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 15 6 — — $16,189.26 $26,668.44 $20,941.99 2025-01-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 15 6 — — $16,180.13 $26,652.95 $20,929.93 2025-01-01
0094U CPT Genome Rapid Sequence Alys 2 2 — — $7,582.20 $34,119.90 $20,851.05 2025-01-01
0426U CPT Genome Ultra-rapid Seq Alys 2 2 — — $7,582.20 $34,119.90 $20,851.05 2025-01-01
0582U CPT Rare Ds Rpd Whlgen DNA Vrnts 2 2 — — $7,582.20 $34,119.90 $20,851.05 2025-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 15 6 — — $16,055.79 $26,442.09 $20,765.72 2025-01-01
69930 HCPCS Implant Cochlear Device 2 2 — — $8,828.00 $32,613.04 $20,720.52 2025-01-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 15 6 — — $15,992.57 $26,334.88 $20,682.23 2025-01-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 6 — — $15,973.61 $26,302.71 $20,657.18 2025-01-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 15 6 — — $15,908.98 $26,193.11 $20,571.83 2025-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 15 6 — — $15,860.51 $26,110.91 $20,507.82 2025-01-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 15 6 — — $15,833.12 $26,064.45 $20,471.64 2025-01-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 15 6 — — $15,795.19 $26,000.12 $20,421.54 2025-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 15 6 — — $15,785.35 $25,983.44 $20,408.55 2025-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 15 6 — — $15,769.20 $25,956.04 $20,387.22 2025-01-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 6 — — $15,758.66 $25,938.17 $20,373.30 2025-01-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 15 6 — — $15,707.38 $25,851.21 $20,305.58 2025-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 15 6 — — $15,507.18 $25,511.69 $20,041.18 2025-01-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 15 6 — — $15,501.56 $25,502.16 $20,033.76 2025-01-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 2 — — $9,004.00 $31,047.02 $20,025.51 2025-01-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 2 — — $9,004.00 $31,047.02 $20,025.51 2025-01-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 2 — — $9,004.00 $31,047.02 $20,025.51 2025-01-01
33270 HCPCS Ins/rep Subq Defibrillator 2 2 — — $9,004.00 $31,047.02 $20,025.51 2025-01-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 2 2 — — $9,004.00 $31,047.02 $20,025.51 2025-01-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 1 1 — — $20,015.46 $20,015.46 $20,015.46 2025-01-01
374 MS_DRG Digestive Malignancy With Mcc 15 6 — — $15,487.51 $25,478.33 $20,015.20 2025-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 15 6 — — $15,433.43 $25,386.60 $19,943.77 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 15 6 — — $15,432.72 $25,385.41 $19,942.84 2025-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 15 6 — — $15,426.40 $25,374.69 $19,934.49 2025-01-01
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