Price Transparencybeta Hospital negotiated rates

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

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Hospital

ORTHOPAEDIC HOSPITAL OF WISCONSIN

Glendale, WI · CCN 520194 · Rates published

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You selected 29806 (CPT)

SHO ARTHRS SRG CAPSULORRAPHY

This hospital’s price: $13,370 across 6 payers · range $2,302-$32,214

Source: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/392015655_orthopaedic-hospital-of-wisconsin-llc_standardcharges.csv · observed 2026-01-01

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.

10,476 distinct procedures filed
17 distinct payers
86,682 rate rows
2026-01-01 last MRF observed
Data quality

86,655 of 86,682 rate rows are consumer-grade (100.0%)

27 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 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/392015655_orthopaedic-hospital-of-wisconsin-llc_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-11-07
Content fingerprint 7cfb7eb34b99bee7… · 17,059,904 bytes · first seen 2026-07-17

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 9 $295,996.07 $651,191.35 $295,996.07 nat. median
$360,195
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $192,089.54 $422,596.99 $192,089.54 nat. median
$247,805
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $146,346.79 $321,962.94 $146,346.79 nat. median
$197,664
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $145,487.92 $320,073.42 $145,487.92 nat. median
$190,274
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $94,944.28 $208,877.42 $94,944.28 nat. median
$126,240
0.8× median
7
MS_DRG 		Lung Transplant 9 $88,767.02 $195,287.44 $88,767.02 nat. median
$117,943
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $82,376.58 $181,228.48 $82,376.58 nat. median
$109,875
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $77,673.71 $170,882.16 $77,673.71 nat. median
$103,911
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $77,584.60 $170,686.12 $77,584.60 nat. median
$92,760
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $75,544.71 $166,198.36 $75,544.71 nat. median
$93,094
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $74,536.41 $163,980.10 $74,536.41 nat. median
$97,029
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $70,673.22 $155,481.08 $70,673.22 nat. median
$94,844
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 9 $68,250.16 $150,150.35 $68,250.16 nat. median
$93,531
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $67,056.10 $147,523.42 $67,056.10 nat. median
$90,525
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $61,756.21 $135,863.66 $61,756.21 nat. median
$77,933
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $59,356.46 $130,584.21 $59,356.46 nat. median
$78,028
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 9 $57,782.67 $127,121.87 $57,782.67 nat. median
$76,979
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $57,601.02 $126,722.24 $57,601.02 nat. median
$77,595
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 $53,936.61 $118,660.54 $53,936.61 nat. median
$74,260
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $52,630.83 $115,787.83 $52,630.83 nat. median
$72,153
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 9 $52,403.95 $115,288.69 $52,403.95 nat. median
$71,672
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 9 $52,230.53 $114,907.17 $52,230.53 nat. median
$67,850
0.8× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $49,479.82 $108,855.60 $49,479.82 nat. median
$63,446
0.8× median
10
MS_DRG 		Pancreas Transplant 9 $49,185.76 $108,208.67 $49,185.76 nat. median
$64,615
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 9 $49,165.20 $108,163.44 $49,165.20 nat. median
$61,444
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 $48,904.04 $107,588.89 $48,904.04 nat. median
$66,332
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $48,875.26 $107,525.57 $48,875.26 nat. median
$66,553
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 9 $47,376.86 $104,229.09 $47,376.86 nat. median
$62,605
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 $47,144.50 $103,717.90 $47,144.50 nat. median
$63,874
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 9 $46,138.26 $101,504.17 $46,138.26 nat. median
$61,601
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $45,832.55 $100,831.61 $45,832.55 nat. median
$57,570
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $45,798.96 $100,757.71 $45,798.96 nat. median
$60,364
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $45,070.33 $99,154.73 $45,070.33 nat. median
$59,554
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $45,070.33 $99,154.73 $45,070.33 nat. median
$61,992
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 9 $44,906.51 $98,794.32 $44,906.51 nat. median
$58,210
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $44,106.59 $97,034.50 $44,106.59 nat. median
$59,289
0.7× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 9 $42,007.06 $92,415.53 $42,007.06 nat. median
$58,153
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 9 $41,958.39 $92,308.46 $41,958.39 nat. median
$58,315
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 9 $41,556.03 $91,423.27 $41,556.03 nat. median
$57,665
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 9 $41,183.83 $90,604.43 $41,183.83 nat. median
$54,301
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 $41,172.18 $90,578.80 $41,172.18 nat. median
$56,565
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $40,874.01 $89,922.82 $40,874.01 nat. median
$55,148
0.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $40,739.66 $89,627.25 $40,739.66 nat. median
$50,769
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 9 $40,645.07 $89,419.15 $40,645.07 nat. median
$53,896
0.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $40,226.26 $88,497.77 $40,226.26 nat. median
$55,354
0.7× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 9 $40,200.21 $88,440.46 $40,200.21 nat. median
$53,708
0.7× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 $39,530.53 $86,967.17 $39,530.53 nat. median
$51,145
0.8× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 $39,278.28 $86,412.22 $39,278.28 nat. median
$53,315
0.7× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 9 $39,117.89 $86,059.36 $39,117.89 nat. median
$48,569
0.8× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 9 $39,067.17 $85,947.77 $39,067.17 nat. median
$49,857
0.8× median

Other procedures at this hospital

Browse this hospital's 10,476 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 13 9 — — $295,996.07 $651,191.35 $295,996.07 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $192,089.54 $422,596.99 $192,089.54 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 9 — — $146,346.79 $321,962.94 $146,346.79 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 9 — — $145,487.92 $320,073.42 $145,487.92 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 9 — — $94,944.28 $208,877.42 $94,944.28 2026-01-01
7 MS_DRG Lung Transplant 13 9 — — $88,767.02 $195,287.44 $88,767.02 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 9 — — $82,376.58 $181,228.48 $82,376.58 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $77,673.71 $170,882.16 $77,673.71 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 13 9 — — $77,584.60 $170,686.12 $77,584.60 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $75,544.71 $166,198.36 $75,544.71 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 9 — — $74,536.41 $163,980.10 $74,536.41 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $70,673.22 $155,481.08 $70,673.22 2026-01-01
215 MS_DRG Other Heart Assist System Implant 13 9 — — $68,250.16 $150,150.35 $68,250.16 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $67,056.10 $147,523.42 $67,056.10 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 9 — — $61,756.21 $135,863.66 $61,756.21 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 13 9 — — $59,356.46 $130,584.21 $59,356.46 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 9 — — $57,782.67 $127,121.87 $57,782.67 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $57,601.02 $126,722.24 $57,601.02 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 9 — — $53,936.61 $118,660.54 $53,936.61 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $52,630.83 $115,787.83 $52,630.83 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 9 — — $52,403.95 $115,288.69 $52,403.95 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 9 — — $52,230.53 $114,907.17 $52,230.53 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $49,479.82 $108,855.60 $49,479.82 2026-01-01
10 MS_DRG Pancreas Transplant 13 9 — — $49,185.76 $108,208.67 $49,185.76 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 9 — — $49,165.20 $108,163.44 $49,165.20 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 9 — — $48,904.04 $107,588.89 $48,904.04 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 9 — — $48,875.26 $107,525.57 $48,875.26 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 9 — — $47,376.86 $104,229.09 $47,376.86 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 9 — — $47,144.50 $103,717.90 $47,144.50 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 9 — — $46,138.26 $101,504.17 $46,138.26 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 9 — — $45,832.55 $100,831.61 $45,832.55 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 9 — — $45,798.96 $100,757.71 $45,798.96 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $45,070.33 $99,154.73 $45,070.33 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $45,070.33 $99,154.73 $45,070.33 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $44,906.51 $98,794.32 $44,906.51 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 9 — — $44,106.59 $97,034.50 $44,106.59 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 9 — — $42,007.06 $92,415.53 $42,007.06 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 9 — — $41,958.39 $92,308.46 $41,958.39 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 9 — — $41,556.03 $91,423.27 $41,556.03 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 13 9 — — $41,183.83 $90,604.43 $41,183.83 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 9 — — $41,172.18 $90,578.80 $41,172.18 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $40,874.01 $89,922.82 $40,874.01 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 9 — — $40,739.66 $89,627.25 $40,739.66 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 9 — — $40,645.07 $89,419.15 $40,645.07 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 9 — — $40,226.26 $88,497.77 $40,226.26 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 9 — — $40,200.21 $88,440.46 $40,200.21 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 9 — — $39,530.53 $86,967.17 $39,530.53 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 9 — — $39,278.28 $86,412.22 $39,278.28 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 9 — — $39,117.89 $86,059.36 $39,117.89 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 9 — — $39,067.17 $85,947.77 $39,067.17 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $38,535.94 $84,779.07 $38,535.94 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 9 — — $38,416.67 $84,516.67 $38,416.67 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 9 — — $38,153.46 $83,937.61 $38,153.46 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 9 — — $37,857.35 $83,286.17 $37,857.35 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 13 9 — — $37,630.46 $82,787.01 $37,630.46 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 9 — — $37,497.49 $82,494.48 $37,497.49 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 9 — — $37,444.02 $82,376.84 $37,444.02 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 9 — — $37,385.07 $82,247.15 $37,385.07 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 9 — — $37,235.65 $81,918.43 $37,235.65 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $36,553.62 $80,417.96 $36,553.62 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 9 — — $36,531.69 $80,369.72 $36,531.69 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 9 — — $36,286.30 $79,829.86 $36,286.30 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 9 — — $36,166.35 $79,565.97 $36,166.35 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 9 — — $35,680.36 $78,496.79 $35,680.36 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 13 9 — — $35,618.67 $78,361.07 $35,618.67 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $34,548.00 $76,005.60 $34,548.00 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 9 — — $34,186.08 $75,209.38 $34,186.08 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 9 — — $33,911.90 $74,606.18 $33,911.90 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 9 — — $33,851.58 $74,473.48 $33,851.58 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 9 — — $33,735.74 $74,218.63 $33,735.74 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $33,595.23 $73,909.51 $33,595.23 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 13 9 — — $33,098.28 $72,816.22 $33,098.28 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 13 9 — — $32,931.03 $72,448.27 $32,931.03 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 9 — — $32,632.86 $71,792.29 $32,632.86 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 9 — — $32,225.70 $70,896.54 $32,225.70 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 9 — — $32,159.90 $70,751.78 $32,159.90 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 9 — — $32,063.93 $70,540.65 $32,063.93 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 13 9 — — $31,784.27 $69,925.39 $31,784.27 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 13 9 — — $31,657.46 $69,646.41 $31,657.46 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 13 9 — — $31,506.66 $69,314.65 $31,506.66 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 13 9 — — $31,426.47 $69,138.23 $31,426.47 2026-01-01
245 MS_DRG Aicd Generator Procedures 13 9 — — $31,272.93 $68,800.45 $31,272.93 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 9 — — $31,179.02 $68,593.84 $31,179.02 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 9 — — $31,165.31 $68,563.68 $31,165.31 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 13 9 — — $31,043.30 $68,295.26 $31,043.30 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 13 9 — — $30,720.45 $67,584.99 $30,720.45 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 9 — — $30,711.54 $67,565.39 $30,711.54 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 9 — — $30,590.90 $67,299.98 $30,590.90 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 13 9 — — $30,110.40 $66,242.88 $30,110.40 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 13 9 — — $29,662.12 $65,256.66 $29,662.12 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 13 9 — — $29,425.64 $64,736.41 $29,425.64 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 13 9 — — $29,236.46 $64,320.21 $29,236.46 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 9 — — $29,068.52 $63,950.74 $29,068.52 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 9 — — $28,947.88 $63,685.34 $28,947.88 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 9 — — $28,898.53 $63,576.77 $28,898.53 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 13 9 — — $28,884.14 $63,545.11 $28,884.14 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 13 9 — — $28,799.83 $63,359.63 $28,799.83 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 13 9 — — $28,765.55 $63,284.21 $28,765.55 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 9 — — $28,712.09 $63,166.60 $28,712.09 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $28,601.04 $62,922.29 $28,601.04 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 13 9 — — $28,580.48 $62,877.06 $28,580.48 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 13 9 — — $28,466.70 $62,626.74 $28,466.70 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 9 — — $28,278.20 $62,212.04 $28,278.20 2026-01-01
791 MS_DRG Prematurity With Major Problems 13 9 — — $27,822.37 $61,209.21 $27,822.37 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 13 9 — — $27,558.48 $60,628.66 $27,558.48 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 9 — — $27,308.97 $60,079.73 $27,308.97 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 9 — — $26,814.08 $58,990.98 $26,814.08 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 9 — — $26,692.75 $58,724.05 $26,692.75 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 13 9 — — $26,531.67 $58,369.67 $26,531.67 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 13 9 — — $26,491.92 $58,282.22 $26,491.92 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 13 9 — — $26,466.56 $58,226.43 $26,466.56 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 13 9 — — $26,316.44 $57,896.17 $26,316.44 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 13 9 — — $25,793.45 $56,745.59 $25,793.45 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 13 9 — — $25,681.03 $56,498.27 $25,681.03 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 9 — — $25,620.03 $56,364.07 $25,620.03 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 13 9 — — $25,617.29 $56,358.04 $25,617.29 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 13 9 — — $25,545.31 $56,199.68 $25,545.31 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 9 — — $25,401.37 $55,883.01 $25,401.37 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 13 9 — — $25,177.23 $55,389.91 $25,177.23 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 13 9 — — $25,166.95 $55,367.29 $25,166.95 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 9 — — $24,871.52 $54,717.34 $24,871.52 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 9 — — $24,852.32 $54,675.10 $24,852.32 2026-01-01
332 MS_DRG Rectal Resection With Mcc 13 9 — — $24,818.05 $54,599.71 $24,818.05 2026-01-01
265 MS_DRG Aicd Lead Procedures 13 9 — — $24,800.92 $54,562.02 $24,800.92 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 13 9 — — $24,757.05 $54,465.51 $24,757.05 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 9 — — $24,720.03 $54,384.07 $24,720.03 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 13 9 — — $24,558.27 $54,028.19 $24,558.27 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 13 9 — — $24,501.37 $53,903.01 $24,501.37 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 13 9 — — $24,476.70 $53,848.74 $24,476.70 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 9 — — $24,440.37 $53,768.81 $24,440.37 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 9 — — $24,419.81 $53,723.58 $24,419.81 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 9 — — $24,396.50 $53,672.30 $24,396.50 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 13 9 — — $24,376.62 $53,628.56 $24,376.62 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 9 — — $24,173.04 $53,180.69 $24,173.04 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 9 — — $24,123.69 $53,072.12 $24,123.69 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 13 9 — — $23,910.52 $52,603.14 $23,910.52 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 13 9 — — $23,904.35 $52,589.57 $23,904.35 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 13 9 — — $23,794.68 $52,348.30 $23,794.68 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 9 — — $23,679.52 $52,094.94 $23,679.52 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 13 9 — — $23,569.85 $51,853.67 $23,569.85 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 9 — — $23,499.93 $51,699.85 $23,499.93 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 9 — — $23,384.78 $51,446.52 $23,384.78 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 13 9 — — $23,353.93 $51,378.65 $23,353.93 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 13 9 — — $22,898.11 $50,375.84 $22,898.11 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 9 — — $22,642.44 $49,813.37 $22,642.44 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 13 9 — — $22,565.67 $49,644.47 $22,565.67 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 13 9 — — $22,562.92 $49,638.42 $22,562.92 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 13 9 — — $22,296.29 $49,051.84 $22,296.29 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 13 9 — — $22,198.27 $48,836.19 $22,198.27 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 13 9 — — $22,173.59 $48,781.90 $22,173.59 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 9 — — $22,142.74 $48,714.03 $22,142.74 2026-01-01
652 MS_DRG Kidney Transplant 13 9 — — $22,136.58 $48,700.48 $22,136.58 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 9 — — $22,120.12 $48,664.26 $22,120.12 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 13 9 — — $22,076.94 $48,569.27 $22,076.94 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 13 9 — — $22,005.65 $48,412.43 $22,005.65 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 13 9 — — $21,885.02 $48,147.04 $21,885.02 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 13 9 — — $21,844.57 $48,058.05 $21,844.57 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 13 9 — — $21,823.33 $48,011.33 $21,823.33 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 13 9 — — $21,779.46 $47,914.81 $21,779.46 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 13 9 — — $21,693.09 $47,724.80 $21,693.09 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 13 9 — — $21,660.19 $47,652.42 $21,660.19 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 13 9 — — $21,598.50 $47,516.70 $21,598.50 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 13 9 — — $21,588.22 $47,494.08 $21,588.22 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 9 — — $21,537.49 $47,382.48 $21,537.49 2026-01-01
10650 CDM Joint Replacement Device 1 1 $21,500.00 $11,395.00 47% off $21,500.00 $21,500.00 $21,500.00 2026-01-01
665 MS_DRG Prostatectomy With Mcc 13 9 — — $21,394.23 $47,067.31 $21,394.23 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 9 — — $21,349.68 $46,969.30 $21,349.68 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 13 9 — — $21,311.98 $46,886.36 $21,311.98 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 13 9 — — $20,985.02 $46,167.04 $20,985.02 2026-01-01
263 MS_DRG Vein Ligation And Stripping 13 9 — — $20,956.92 $46,105.22 $20,956.92 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 9 — — $20,791.04 $45,740.29 $20,791.04 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 13 9 — — $20,703.99 $45,548.78 $20,703.99 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 13 9 — — $20,701.25 $45,542.75 $20,701.25 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 13 9 — — $20,678.63 $45,492.99 $20,678.63 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 9 — — $20,401.70 $44,883.74 $20,401.70 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 13 9 — — $20,194.01 $44,426.82 $20,194.01 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 13 9 — — $20,180.30 $44,396.66 $20,180.30 2026-01-01
570 MS_DRG Skin Debridement With Mcc 13 9 — — $20,159.74 $44,351.43 $20,159.74 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 13 9 — — $20,015.11 $44,033.24 $20,015.11 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 9 — — $19,962.33 $43,917.13 $19,962.33 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 9 — — $19,891.73 $43,761.81 $19,891.73 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 13 9 — — $19,879.39 $43,734.66 $19,879.39 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 9 — — $19,791.65 $43,541.63 $19,791.65 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 13 9 — — $19,782.06 $43,520.53 $19,782.06 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 13 9 — — $19,753.27 $43,457.19 $19,753.27 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 9 — — $19,673.76 $43,282.27 $19,673.76 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 13 9 — — $19,538.72 $42,985.18 $19,538.72 2026-01-01
800 MS_DRG Splenic Procedures With Cc 13 9 — — $19,257.00 $42,365.40 $19,257.00 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 13 9 — — $19,187.77 $42,213.09 $19,187.77 2026-01-01
503 MS_DRG Foot Procedures With Mcc 13 9 — — $19,131.57 $42,089.45 $19,131.57 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 13 9 — — $18,999.96 $41,799.91 $18,999.96 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 13 9 — — $18,898.51 $41,576.72 $18,898.51 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 13 9 — — $18,840.94 $41,450.07 $18,840.94 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 13 9 — — $18,836.14 $41,439.51 $18,836.14 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 13 9 — — $18,738.80 $41,225.36 $18,738.80 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 13 9 — — $18,649.70 $41,029.34 $18,649.70 2026-01-01
849 MS_DRG Radiotherapy 13 9 — — $18,572.24 $40,858.93 $18,572.24 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 13 9 — — $18,549.62 $40,809.16 $18,549.62 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 9 — — $18,489.30 $40,676.46 $18,489.30 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 9 — — $18,232.94 $40,112.47 $18,232.94 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 9 — — $18,169.20 $39,972.24 $18,169.20 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 9 — — $18,078.03 $39,771.67 $18,078.03 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 13 9 — — $17,791.51 $39,141.32 $17,791.51 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 13 9 — — $17,770.27 $39,094.59 $17,770.27 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 13 9 — — $17,703.78 $38,948.32 $17,703.78 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 13 9 — — $17,679.10 $38,894.02 $17,679.10 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 13 9 — — $17,679.10 $38,894.02 $17,679.10 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 13 9 — — $17,599.59 $38,719.10 $17,599.59 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 13 9 — — $17,499.51 $38,498.92 $17,499.51 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 9 — — $17,416.57 $38,316.45 $17,416.57 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 9 — — $17,383.67 $38,244.07 $17,383.67 2026-01-01
0312T OTHER Laps Impltj Nstim Vagus 10 6 — — $2,278.00 $36,764.00 $17,376.50 2026-01-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 10 6 — — $2,278.00 $36,764.00 $17,376.50 2026-01-01
44899 CPT Unlisted Px Meckel's Dvrtclm 10 6 — — $2,302.00 $39,708.00 $17,338.50 2026-01-01
39599 CPT Unlisted Px Diaphragm 10 6 — — $2,302.00 $39,708.00 $17,338.50 2026-01-01
39499 CPT Unlisted Px Mediastinum 10 6 — — $2,302.00 $39,708.00 $17,338.50 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 13 9 — — $17,300.73 $38,061.61 $17,300.73 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 13 9 — — $17,293.19 $38,045.02 $17,293.19 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 13 9 — — $17,080.70 $37,577.54 $17,080.70 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 13 9 — — $17,010.79 $37,423.74 $17,010.79 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 13 9 — — $16,856.56 $37,084.43 $16,856.56 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 9 — — $16,851.76 $37,073.87 $16,851.76 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 13 9 — — $16,828.46 $37,022.61 $16,828.46 2026-01-01
792 MS_DRG Prematurity Without Major Problems 13 9 — — $16,788.02 $36,933.64 $16,788.02 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 9 — — $16,753.74 $36,858.23 $16,753.74 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 13 9 — — $16,733.87 $36,814.51 $16,733.87 2026-01-01
33300 CPT Repair Of Heart Wound 10 6 — — $4,935.00 $33,842.00 $16,694.00 2026-01-01
54417 CPT Remv/replc Penis Pros Compl 10 6 — — $1,898.00 $36,764.00 $16,679.50 2026-01-01
54411 CPT Remov/replc Penis Pros Comp 10 6 — — $949.00 $36,764.00 $16,679.50 2026-01-01
33422 CPT Revision Of Mitral Valve 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
33737 CPT Revision Of Heart Chamber 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
50360 CPT Rnl Altrnsplj Without Rcp Nfrct 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
32854 CPT Lung Transplant With Bypass 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
32853 CPT Lung Transplant Double 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
32851 CPT Lung Transplant Single 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
32852 CPT Lung Transplant With Bypass 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
50365 CPT Rnl Altrnsplj W/rcp Nfrct 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
47135 CPT Transplantation Of Liver 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
33945 CPT Transplantation Of Heart 10 6 — — $2,278.00 $36,764.00 $16,679.50 2026-01-01
33935 CPT Transplantation Heart/lung 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
50380 CPT Rnl Autotrnsplj Rimpltj Kdn 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
22856 CPT Tot Disc Arthrp 1ntrspc Crv 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
33736 CPT Revision Of Heart Chamber 10 6 — — $2,302.00 $36,764.00 $16,679.50 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 13 9 — — $16,602.95 $36,526.49 $16,602.95 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 13 9 — — $16,548.80 $36,407.36 $16,548.80 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 13 9 — — $16,487.10 $36,271.62 $16,487.10 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 13 9 — — $16,431.58 $36,149.48 $16,431.58 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 13 9 — — $16,415.82 $36,114.80 $16,415.82 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 13 9 — — $16,385.66 $36,048.45 $16,385.66 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 13 9 — — $16,357.55 $35,986.61 $16,357.55 2026-01-01
22534 CPT Arthrd Lat Xtrcvtry Tq Ea Ad 10 6 — — $4,935.00 $32,214.00 $16,289.50 2026-01-01
22533 CPT Arthrd Lat Xtrcvtry Tq Lmbr 10 6 — — $4,935.00 $32,214.00 $16,289.50 2026-01-01
25446 CPT Arthrp W/prostc Dst Rds&crps 10 6 — — $7,505.00 $36,764.00 $16,212.00 2026-01-01
24371 CPT Revise Reconst Elbow Joint 10 6 — — $9,341.00 $36,764.00 $16,212.00 2026-01-01
24363 CPT Replace Elbow Joint 10 6 — — $2,302.00 $36,764.00 $16,212.00 2026-01-01
24361 CPT Reconstruct Elbow Joint 10 6 — — $2,302.00 $36,764.00 $16,212.00 2026-01-01
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 10 6 — — $1,104.00 $36,764.00 $16,212.00 2026-01-01
25442 CPT Arthrp W/prostc Dstl Ulna 10 6 — — $5,037.00 $36,764.00 $16,212.00 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 13 9 — — $16,115.59 $35,454.30 $16,115.59 2026-01-01
333 MS_DRG Rectal Resection With Cc 13 9 — — $16,054.59 $35,320.10 $16,054.59 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 13 9 — — $16,029.91 $35,265.80 $16,029.91 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 13 9 — — $16,018.26 $35,240.17 $16,018.26 2026-01-01
33471 CPT Vlvt Pv Clsd Hrt Via P-art 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33470 CPT Revision Of Pulmonary Valve 10 6 — — $2,278.00 $33,842.00 $15,994.50 2026-01-01
33465 CPT Replace Tricuspid Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
22586 CPT Arthrd Pre-sac Ntrbdy L5-s1 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33468 CPT Revision Of Tricuspid Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33460 CPT Revision Of Tricuspid Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33463 CPT Valvuloplasty Tricuspid 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33464 CPT Valvuloplasty Tricuspid 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33474 CPT Revision Of Pulmonary Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33426 CPT Repair Of Mitral Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33475 CPT Replacement Pulmonary Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33427 CPT Repair Of Mitral Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33425 CPT Repair Of Mitral Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33417 CPT Repair Of Aortic Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33416 CPT Revise Ventricle Muscle 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33420 CPT Revision Of Mitral Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33414 CPT Repair Of Aortic Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33415 CPT Revision Subvalvular Tissue 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33430 CPT Replacement Of Mitral Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33410 CPT Replacement Aortic Valve Opn 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33406 CPT Replacement Aortic Valve Opn 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
55866 CPT Laps Surg Prst8ect Rpbic Rad 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33411 CPT Replacement Of Aortic Valve 10 6 — — $2,278.00 $33,842.00 $15,994.50 2026-01-01
33405 CPT Replacement Aortic Valve Opn 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33476 CPT Revision Of Heart Chamber 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33412 CPT Replacement Of Aortic Valve 10 6 — — $2,278.00 $33,842.00 $15,994.50 2026-01-01
33368 CPT Replace Aortic Valve W/byp 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33369 CPT Replace Aortic Valve W/byp 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33413 CPT Replacement Of Aortic Valve 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33366 CPT Trcath Replace Aortic Valve 10 6 — — $2,278.00 $33,842.00 $15,994.50 2026-01-01
33364 CPT Replace Aortic Valve Open 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33363 CPT Replace Aortic Valve Open 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33365 CPT Replace Aortic Valve Open 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33722 CPT Repair Of Heart Defect 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
33367 CPT Replace Aortic Valve W/byp 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
23474 CPT Revis Reconst Shoulder Joint 10 6 — — $4,935.00 $33,842.00 $15,994.50 2026-01-01
33503 CPT Coronary Artery Graft 10 6 — — $2,302.00 $33,842.00 $15,994.50 2026-01-01
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