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

WAUPUN MEMORIAL HOSPITAL

Waupun, WI · CCN 521327 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $18,496 across 4 payers · range $7,609-$27,583

Source: https://hospitalpricedisclosure.com/download.aspx?pi=qrjjGipjrFx4NGWFLmvnSg*-*&f=p22CpYLrWLxCnt4HoK7iZA*-* · observed 2026-04-01

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

11,827 distinct procedures filed
27 distinct payers
96,634 rate rows
2026-04-01 last MRF observed
Data quality

69,896 of 96,634 rate rows are consumer-grade (72.3%)

26,738 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 26,460
template filing: same amount across many unrelated codes — excluded 204
placeholder amount (≤ $0.02) — excluded from medians 43
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=qrjjGipjrFx4NGWFLmvnSg*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.ssmhealth.com/resources/pay-my-bill/price-estimate/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-11
Content fingerprint ac0f994a8dd523da… · 24,864,549 bytes · first seen 2026-05-06

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
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $1,464,178.00 $1,464,178.00 $1,464,178.00 nat. median
$809,151
1.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $636,648.23 $1,539,910.91 $1,098,816.70 nat. median
$691,418
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $608,486.23 $1,500,964.18 $1,051,419.78 nat. median
$631,793
1.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $568,086.52 $1,406,133.05 $1,029,107.75 nat. median
$624,417
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $580,384.71 $1,438,330.59 $1,028,394.85 nat. median
$610,161
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $553,124.80 $1,332,710.45 $1,012,845.30 nat. median
$588,565
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $538,339.08 $1,328,720.23 $930,468.00 nat. median
$577,541
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $471,426.63 $888,350.52 $722,779.67 nat. median
$370,165
2.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $305,936.92 $576,503.75 $469,054.93 nat. median
$261,939
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $233,083.41 $439,219.50 $357,357.73 nat. median
$205,166
1.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $231,715.51 $436,641.84 $355,260.50 nat. median
$199,832
1.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $151,215.73 $284,949.06 $231,840.23 nat. median
$132,706
1.7× median
7
MS_DRG 		Lung Transplant 10 $141,377.33 $266,409.70 $216,756.24 nat. median
$122,690
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $131,199.41 $247,230.56 $201,151.71 nat. median
$114,305
1.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $198,192.56 $198,192.56 $198,192.56 nat. median
$75,807
outlier · 2.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $123,709.26 $233,116.20 $189,667.98 nat. median
$108,240
1.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $123,567.34 $232,848.77 $189,450.40 nat. median
$96,134
2.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $120,318.44 $226,726.58 $184,469.27 nat. median
$96,835
1.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $118,712.55 $223,700.46 $182,007.15 nat. median
$100,978
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $112,559.73 $212,106.16 $172,573.80 nat. median
$99,646
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 10 $108,700.57 $204,834.01 $166,657.03 nat. median
$98,002
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $106,798.83 $201,250.39 $163,741.33 nat. median
$92,900
1.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 1 $154,704.84 $154,704.84 $154,704.84 nat. median
$63,643
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $98,357.80 $185,344.23 $150,799.76 nat. median
$81,124
1.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $94,535.76 $178,142.02 $144,939.90 nat. median
$81,364
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $92,029.22 $173,418.72 $141,096.92 nat. median
$79,040
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $91,739.92 $172,873.57 $140,653.38 nat. median
$80,459
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $85,903.69 $161,875.85 $131,705.42 nat. median
$77,385
1.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $83,824.00 $157,956.91 $128,516.89 nat. median
$74,472
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $83,462.65 $157,275.98 $127,962.88 nat. median
$73,475
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $83,186.45 $156,755.52 $127,539.41 nat. median
$71,485
1.8× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $123,114.30 $123,114.30 $123,114.30 nat. median
$4,125
outlier · 29.8×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $78,805.46 $148,500.03 $120,822.58 nat. median
$66,640
1.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $68,646.98 $172,612.06 $120,519.00 nat. median
$69,291
1.7× median
10
MS_DRG 		Pancreas Transplant 10 $78,337.12 $147,617.50 $120,104.54 nat. median
$67,750
1.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $78,304.37 $147,555.78 $120,054.32 nat. median
$62,911
1.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $77,888.43 $146,771.99 $119,416.61 nat. median
$69,153
1.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $77,842.58 $146,685.59 $119,346.32 nat. median
$68,581
1.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $75,456.12 $142,188.58 $115,687.46 nat. median
$65,958
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $75,086.03 $141,491.20 $115,120.05 nat. median
$65,792
1.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $73,483.42 $138,471.25 $112,662.96 nat. median
$64,357
1.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 $72,996.52 $137,553.74 $111,916.46 nat. median
$59,832
1.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 $72,943.03 $137,452.94 $111,834.45 nat. median
$62,262
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $71,782.55 $135,266.15 $110,055.24 nat. median
$63,840
1.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $71,782.55 $135,266.15 $110,055.24 nat. median
$60,895
1.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $71,521.63 $134,774.48 $109,655.21 nat. median
$59,159
1.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $70,247.62 $132,373.75 $107,701.92 nat. median
$62,218
1.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $62,718.81 $151,198.13 $106,297.34 nat. median
$65,655
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $66,903.74 $126,072.59 $102,575.17 nat. median
$60,162
1.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $66,826.23 $125,926.53 $102,456.33 nat. median
$60,294
1.7× median

Other procedures at this hospital

Browse this hospital's 11,827 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
             
Q2057 HCPCS Afamitresgene Autoleucel 3 1 — — $1,464,178.00 $1,464,178.00 $1,464,178.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 4 — — $636,648.23 $1,539,910.91 $1,098,816.70 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 6 4 — — $608,486.23 $1,500,964.18 $1,051,419.78 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 4 — — $568,086.52 $1,406,133.05 $1,029,107.75 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 6 4 — — $580,384.71 $1,438,330.59 $1,028,394.85 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 4 — — $553,124.80 $1,332,710.45 $1,012,845.30 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 6 4 — — $538,339.08 $1,328,720.23 $930,468.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 10 — — $471,426.63 $888,350.52 $722,779.67 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 10 — — $305,936.92 $576,503.75 $469,054.93 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 10 — — $233,083.41 $439,219.50 $357,357.73 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 10 — — $231,715.51 $436,641.84 $355,260.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 10 — — $151,215.73 $284,949.06 $231,840.23 2026-04-01
7 MS_DRG Lung Transplant 12 10 — — $141,377.33 $266,409.70 $216,756.24 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 10 — — $131,199.41 $247,230.56 $201,151.71 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $198,192.56 $198,192.56 $198,192.56 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 10 — — $123,709.26 $233,116.20 $189,667.98 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $123,567.34 $232,848.77 $189,450.40 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $120,318.44 $226,726.58 $184,469.27 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 10 — — $118,712.55 $223,700.46 $182,007.15 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 10 — — $112,559.73 $212,106.16 $172,573.80 2026-04-01
215 MS_DRG Other Heart Assist System Implant 12 10 — — $108,700.57 $204,834.01 $166,657.03 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $106,798.83 $201,250.39 $163,741.33 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 1 1 — — $154,704.84 $154,704.84 $154,704.84 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 10 — — $98,357.80 $185,344.23 $150,799.76 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 12 10 — — $94,535.76 $178,142.02 $144,939.90 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 10 — — $92,029.22 $173,418.72 $141,096.92 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $91,739.92 $172,873.57 $140,653.38 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 10 — — $85,903.69 $161,875.85 $131,705.42 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $83,824.00 $157,956.91 $128,516.89 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 10 — — $83,462.65 $157,275.98 $127,962.88 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 10 — — $83,186.45 $156,755.52 $127,539.41 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $123,114.30 $123,114.30 $123,114.30 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $78,805.46 $148,500.03 $120,822.58 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 5 — — $68,646.98 $172,612.06 $120,519.00 2026-04-01
10 MS_DRG Pancreas Transplant 12 10 — — $78,337.12 $147,617.50 $120,104.54 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 10 — — $78,304.37 $147,555.78 $120,054.32 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 10 — — $77,888.43 $146,771.99 $119,416.61 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 10 — — $77,842.58 $146,685.59 $119,346.32 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 10 — — $75,456.12 $142,188.58 $115,687.46 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 10 — — $75,086.03 $141,491.20 $115,120.05 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 10 — — $73,483.42 $138,471.25 $112,662.96 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 10 — — $72,996.52 $137,553.74 $111,916.46 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 10 — — $72,943.03 $137,452.94 $111,834.45 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $71,782.55 $135,266.15 $110,055.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $71,782.55 $135,266.15 $110,055.24 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 10 — — $71,521.63 $134,774.48 $109,655.21 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 10 — — $70,247.62 $132,373.75 $107,701.92 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $62,718.81 $151,198.13 $106,297.34 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 10 — — $66,903.74 $126,072.59 $102,575.17 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 10 — — $66,826.23 $125,926.53 $102,456.33 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 10 — — $66,185.40 $124,718.96 $101,473.83 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 10 — — $65,592.61 $123,601.91 $100,564.98 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 10 — — $65,574.05 $123,566.93 $100,536.52 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $65,099.16 $122,672.06 $99,808.43 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 10 — — $64,885.19 $122,268.85 $99,480.37 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 12 10 — — $64,734.53 $121,984.96 $99,249.39 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 10 — — $64,067.51 $120,728.02 $98,226.72 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 10 — — $64,026.02 $120,649.84 $98,163.12 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 10 — — $62,959.43 $118,639.97 $96,527.85 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 10 — — $62,557.69 $117,882.93 $95,911.90 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 10 — — $62,302.23 $117,401.55 $95,520.24 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 10 — — $62,221.44 $117,249.32 $95,396.38 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $61,375.37 $115,655.00 $94,099.21 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 10 — — $61,185.42 $115,297.05 $93,807.98 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 10 — — $60,766.21 $114,507.09 $93,165.24 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 10 — — $60,294.59 $113,618.38 $92,442.18 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 12 10 — — $59,933.24 $112,937.45 $91,888.16 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 10 — — $59,721.45 $112,538.36 $91,563.45 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 10 — — $59,636.30 $112,377.90 $91,432.89 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 10 — — $59,542.41 $112,200.98 $91,288.96 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 12 10 — — $59,304.42 $111,752.52 $90,924.07 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $58,218.18 $109,705.62 $89,258.68 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 10 — — $58,183.24 $109,639.79 $89,205.11 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 10 — — $57,792.41 $108,903.31 $88,605.90 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 10 — — $57,601.37 $108,543.30 $88,312.99 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 10 — — $56,827.35 $107,084.76 $87,126.30 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 12 10 — — $56,729.10 $106,899.61 $86,975.65 2026-04-01
J9226 HCPCS Supprelin La Implant 7 5 — — $49,006.08 $123,225.25 $86,564.74 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $55,023.86 $103,686.29 $84,361.23 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 10 — — $54,010.77 $101,777.22 $82,807.98 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 10 — — $53,730.20 $101,248.52 $82,377.82 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 10 — — $53,506.40 $100,826.80 $82,034.70 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 13 10 — — $43,273.60 $102,600.09 $81,294.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 10 — — $52,714.92 $99,335.34 $80,821.21 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 10 — — $52,448.54 $98,833.39 $80,412.81 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 10 — — $51,973.65 $97,938.51 $79,684.73 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 11 — — $19,230.30 $101,596.19 $78,763.26 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 10 — — $51,325.18 $96,716.54 $78,690.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 10 — — $51,220.38 $96,519.05 $78,529.82 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 10 — — $51,067.54 $96,231.05 $78,295.49 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 12 10 — — $50,622.13 $95,391.71 $77,612.60 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 10 — — $50,420.16 $95,011.14 $77,302.95 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 10 — — $50,052.26 $94,317.86 $76,738.89 2026-04-01
245 MS_DRG Aicd Generator Procedures 12 10 — — $49,807.72 $93,857.05 $76,363.97 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 10 — — $49,658.16 $93,575.22 $76,134.66 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 10 — — $49,636.32 $93,534.08 $76,101.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 12 10 — — $49,442.00 $93,167.90 $75,803.26 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 12 10 — — $48,927.81 $92,198.96 $75,014.91 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 10 — — $48,913.62 $92,172.22 $74,993.15 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 10 — — $48,721.48 $91,810.15 $74,698.57 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 10 — — $47,956.20 $90,368.07 $73,525.26 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 10 — — $47,242.23 $89,022.67 $72,430.61 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 10 — — $46,865.59 $88,312.94 $71,853.17 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 11 — — $6,621.68 $94,558.55 $71,691.61 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 10 — — $46,564.28 $87,745.15 $71,391.21 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 10 — — $46,296.81 $87,241.14 $70,981.13 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 10 — — $46,104.67 $86,879.08 $70,686.55 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 10 — — $46,026.07 $86,730.96 $70,566.04 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 10 — — $46,003.15 $86,687.76 $70,530.89 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 10 — — $45,868.87 $86,434.73 $70,325.01 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 10 — — $45,814.28 $86,331.87 $70,241.33 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 10 — — $45,729.13 $86,171.41 $70,110.77 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $45,552.27 $85,838.14 $69,839.62 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 10 — — $45,338.30 $85,434.93 $69,511.57 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 10 — — $45,038.08 $84,869.21 $69,051.28 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 10 — — $43,891.80 $82,709.16 $67,293.82 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 10 — — $43,494.42 $81,960.35 $66,684.57 2026-04-01
791 MS_DRG Prematurity With Major Problems 13 11 — — $6,165.31 $83,501.18 $66,161.70 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 1 1 — — $65,961.87 $65,961.87 $65,961.87 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 10 — — $42,706.21 $80,475.06 $65,476.11 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 12 10 — — $42,512.98 $80,110.94 $65,179.85 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 10 — — $42,256.43 $79,627.50 $64,786.52 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 10 — — $42,193.11 $79,508.18 $64,689.44 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 10 — — $42,152.72 $79,432.07 $64,627.51 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 10 — — $41,913.64 $78,981.54 $64,260.96 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 16 10 — — $915.98 $85,776.43 $63,919.96 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 10 — — $41,080.67 $77,411.91 $62,983.87 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 12 10 — — $40,901.63 $77,074.53 $62,709.38 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 12 10 — — $40,804.47 $76,891.44 $62,560.41 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 12 10 — — $40,800.10 $76,883.21 $62,553.71 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 10 — — $40,685.48 $76,667.21 $62,377.96 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 12 10 — — $40,456.22 $76,235.20 $62,026.48 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 12 10 — — $40,099.23 $75,562.50 $61,479.15 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 10 — — $40,082.86 $75,531.64 $61,454.05 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 12 10 — — $39,581.77 $74,587.39 $60,685.79 2026-04-01
332 MS_DRG Rectal Resection With Mcc 12 10 — — $39,527.18 $74,484.53 $60,602.10 2026-04-01
265 MS_DRG Aicd Lead Procedures 12 10 — — $39,499.89 $74,433.10 $60,560.26 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 10 — — $39,430.02 $74,301.44 $60,453.13 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 10 — — $39,371.07 $74,190.36 $60,362.75 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 10 — — $39,113.43 $73,704.86 $59,967.74 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 12 10 — — $39,022.82 $73,534.11 $59,828.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 12 10 — — $38,983.52 $73,460.05 $59,768.57 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 12 10 — — $38,925.66 $73,351.02 $59,679.85 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 12 10 — — $38,892.90 $73,289.31 $59,629.64 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 12 10 — — $38,855.79 $73,219.36 $59,572.74 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 12 10 — — $38,824.13 $73,159.71 $59,524.19 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 13 11 — — $3,250.92 $74,644.99 $59,144.55 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 12 10 — — $38,421.29 $72,400.60 $58,906.57 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 12 10 — — $38,081.77 $71,760.82 $58,386.03 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 12 10 — — $38,071.95 $71,742.30 $58,370.97 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 12 10 — — $37,897.27 $71,413.15 $58,103.17 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 12 10 — — $37,539.20 $70,738.40 $57,554.17 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 13 10 — — $3,310.84 $72,548.72 $57,483.58 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 10 — — $37,427.84 $70,528.56 $57,383.44 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 12 10 — — $37,244.44 $70,182.96 $57,102.25 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 12 10 — — $37,195.31 $70,090.38 $57,026.93 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 13 10 — — $15,973.78 $71,067.55 $56,309.98 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 12 10 — — $36,062.13 $67,955.03 $55,289.56 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 12 10 — — $35,939.86 $67,724.62 $55,102.10 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 12 10 — — $35,935.49 $67,716.39 $55,095.40 2026-04-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0409T CPT Insj/rplc Car Modulj Pls Gn 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0520T CPT Rmvl&rplcmt Pg Wcs New Eltrd 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
0424T CPT Insj/rplc Nstim Apnea Compl 3 1 — — $54,996.00 $54,996.00 $54,996.00 2026-04-01
0100T CPT Prosth Retina Receive&Gen 4 2 — — $51,942.00 $54,996.00 $54,996.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 13 10 — — $14,281.41 $68,722.36 $54,451.78 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 12 10 — — $35,510.82 $66,916.15 $54,444.31 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 12 10 — — $35,354.70 $66,621.97 $54,204.96 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 12 10 — — $35,315.40 $66,547.91 $54,144.71 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 10 — — $35,266.28 $66,455.34 $54,069.38 2026-04-01
652 MS_DRG Kidney Transplant 12 10 — — $35,256.45 $66,436.82 $54,054.32 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 12 10 — — $35,230.25 $66,387.45 $54,014.15 2026-04-01
J9266 HCPCS Pegaspargase Injection 7 5 — — $29,309.94 $73,699.51 $54,005.71 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 12 10 — — $35,161.47 $66,257.85 $53,908.71 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 12 10 — — $35,047.94 $66,043.90 $53,734.63 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 12 10 — — $34,855.80 $65,681.83 $53,440.05 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 12 10 — — $34,791.39 $65,560.46 $53,341.29 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 12 10 — — $34,757.54 $65,496.69 $53,289.41 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 12 10 — — $34,687.68 $65,365.03 $53,182.29 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 12 10 — — $34,550.12 $65,105.82 $52,971.40 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 10 — — $34,497.72 $65,007.08 $52,891.06 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 12 10 — — $34,399.47 $64,821.93 $52,740.42 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 12 10 — — $34,383.09 $64,791.07 $52,715.31 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 12 10 — — $34,302.31 $64,638.84 $52,591.45 2026-04-01
665 MS_DRG Prostatectomy With Mcc 12 10 — — $34,074.14 $64,208.89 $52,241.63 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 10 — — $34,003.18 $64,075.17 $52,132.83 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 12 10 — — $33,943.14 $63,962.03 $52,040.78 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 7 3 — — $7,609.00 $54,996.00 $51,942.00 2026-04-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 7 3 — — $7,609.00 $54,996.00 $51,942.00 2026-04-01
69930 HCPCS Implant Cochlear Device 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
0515T CPT Insj Wcs Lv Compl Sys 7 3 — — $1,666.16 $54,996.00 $51,942.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 3 — — $8,923.00 $54,996.00 $51,942.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 12 10 — — $33,422.40 $62,980.75 $51,242.39 2026-04-01
263 MS_DRG Vein Ligation And Stripping 12 10 — — $33,377.64 $62,896.40 $51,173.77 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 12 10 — — $33,113.44 $62,398.57 $50,768.71 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 12 10 — — $32,974.80 $62,137.30 $50,556.15 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 12 10 — — $32,970.43 $62,129.07 $50,549.45 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 12 10 — — $32,934.41 $62,061.19 $50,494.22 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 12 10 — — $32,493.36 $61,230.08 $49,818.01 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 12 10 — — $32,162.57 $60,606.76 $49,310.87 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 12 10 — — $32,140.74 $60,565.61 $49,277.39 2026-04-01
570 MS_DRG Skin Debridement With Mcc 12 10 — — $32,107.99 $60,503.90 $49,227.18 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 12 10 — — $31,877.64 $60,069.83 $48,874.01 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 3 3 — — $19,532.39 $66,804.60 $48,565.56 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 12 10 — — $31,661.48 $59,662.51 $48,542.60 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 12 10 — — $31,521.75 $59,399.19 $48,328.37 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 12 10 — — $31,506.46 $59,370.39 $48,304.93 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 12 10 — — $31,460.61 $59,283.99 $48,234.63 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 10 — — $31,118.91 $58,640.09 $47,710.74 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 13 11 — — $31,793.58 $59,911.43 $47,470.49 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 13 10 — — $9,526.42 $59,699.54 $47,302.60 2026-04-01
800 MS_DRG Splenic Procedures With Cc 12 10 — — $30,670.22 $57,794.58 $47,022.82 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 12 10 — — $30,559.96 $57,586.81 $46,853.77 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 13 11 — — $14,793.56 $59,045.35 $46,784.26 2026-04-01
503 MS_DRG Foot Procedures With Mcc 12 10 — — $30,470.44 $57,418.12 $46,716.53 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 10 — — $30,260.83 $57,023.14 $46,395.16 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 10 — — $30,099.26 $56,718.68 $46,147.45 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 12 10 — — $30,007.56 $56,545.87 $46,006.85 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 12 10 — — $29,999.92 $56,531.47 $45,995.13 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 12 10 — — $29,844.89 $56,239.35 $45,757.46 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 10 — — $29,702.97 $55,971.92 $45,539.87 2026-04-01
849 MS_DRG Radiotherapy 12 10 — — $29,579.61 $55,739.45 $45,350.73 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 12 10 — — $29,543.59 $55,671.57 $45,295.49 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 12 10 — — $29,447.52 $55,490.54 $45,148.21 2026-04-01
0308T CPT Insj Ocular Telescope Prosth 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 3 1 — — $44,873.00 $44,873.00 $44,873.00 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 3 1 — — $44,873.00 $44,873.00 $44,873.00 2026-04-01
0268T CPT Implt/rpl Crtd Sns Dev Gen 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
0266T CPT Implt/rpl Crtd Sns Dev Total 4 2 — — $43,285.00 $44,873.00 $44,873.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 12 10 — — $29,039.22 $54,721.15 $44,522.21 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 12 10 — — $28,937.69 $54,529.83 $44,366.56 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 12 10 — — $28,792.50 $54,256.22 $44,143.94 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93580 HCPCS Transcath Closure Of Asd 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 4 2 — — $41,120.00 $43,643.00 $43,643.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 12 10 — — $28,336.17 $53,396.32 $43,444.31 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 12 10 — — $28,302.32 $53,332.55 $43,392.42 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 7 3 — — $7,609.00 $44,873.00 $43,285.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 7 3 — — $3,735.00 $44,873.00 $43,285.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 7 3 — — $3,735.00 $44,873.00 $43,285.00 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 7 3 — — $8,923.00 $44,873.00 $43,285.00 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 12 10 — — $28,196.43 $53,133.00 $43,230.07 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 12 10 — — $28,157.13 $53,058.94 $43,169.81 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 12 10 — — $28,157.13 $53,058.94 $43,169.81 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 12 10 — — $28,030.49 $52,820.31 $42,975.65 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 12 10 — — $27,871.10 $52,519.96 $42,731.29 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 10 — — $27,739.01 $52,271.04 $42,528.76 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 12 10 — — $27,686.60 $52,172.29 $42,448.42 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 12 10 — — $27,554.51 $51,923.37 $42,245.89 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 12 10 — — $27,542.50 $51,900.75 $42,227.48 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 12 10 — — $27,204.07 $51,263.02 $41,708.61 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 12 10 — — $27,092.72 $51,053.18 $41,537.89 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 10 — — $26,847.09 $50,590.32 $41,161.29 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 10 — — $26,839.44 $50,575.92 $41,149.57 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 7 3 — — $8,923.00 $43,643.00 $41,120.00 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 7 3 — — $7,609.00 $43,643.00 $41,120.00 2026-04-01
33820 HCPCS Revise Major Vessel 7 3 — — $6,019.00 $43,643.00 $41,120.00 2026-04-01
33824 HCPCS Revise Major Vessel 7 3 — — $6,019.00 $43,643.00 $41,120.00 2026-04-01
33214 HCPCS Upgrade Of Pacemaker System 7 3 — — $7,609.00 $43,643.00 $41,120.00 2026-04-01
33208 HCPCS Insrt Heart Pm Atrial & Vent 7 3 — — $7,609.00 $43,643.00 $41,120.00 2026-04-01
33224 HCPCS Insert Pacing Lead & Connect 7 3 — — $7,609.00 $43,643.00 $41,120.00 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 7 3 — — $5,512.00 $43,643.00 $41,120.00 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 12 10 — — $26,802.33 $50,505.97 $41,092.66 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 12 10 — — $26,683.33 $50,281.74 $40,910.22 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 12 10 — — $26,651.67 $50,222.08 $40,861.68 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 12 10 — — $26,443.16 $49,829.16 $40,541.99 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 12 10 — — $26,356.91 $49,666.64 $40,409.77 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 12 10 — — $26,258.66 $49,481.49 $40,259.13 2026-04-01
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