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Hospital

Uw Health Rehabilitation Hospital

Madison, WI · CCN 523028 · Rates published

11,601 distinct procedures filed
69 distinct payers
551,374 rate rows
2026-07-20 last MRF observed
Data quality

302,849 of 551,374 rate rows are consumer-grade (54.9%)

248,525 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
per-diem day rate — not a per-procedure price 243,836
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,267
placeholder amount (≤ $0.02) — excluded from medians 2,032
exceeds 10× this hospital's gross charge — excluded from medians 372
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
percent-of-charges filed in the dollar field — excluded from medians 6
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.kaweahhealth.org/sites/default/files/images/941534475-1942260799_kaweah-health-rehabilitation-hospital_standardcharges.csv
Found on page https://www.kaweahhealth.org/chargemaster-access/chargemaster/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-02
Content fingerprint 7d71fed820507f02… · 9,706,885 bytes · first seen 2026-07-20

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $767,619.51 $767,619.51 $767,619.51 nat. median
$168,055
outlier · 4.6×
7
MS_DRG 		Lung Transplant 4 $552,277.91 $552,277.91 $552,277.91 nat. median
$70,649
outlier · 7.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $283,250.00 $283,250.00 $283,250.00 nat. median
$186,516
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 $227,341.39 $227,341.39 $227,341.39 nat. median
$97,418
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 $215,878.92 $215,878.92 $215,878.92 nat. median
$131,925
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 $214,613.95 $214,613.95 $214,613.95 nat. median
$145,435
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $172,564.03 $172,564.03 $172,564.03 nat. median
$65,418
outlier · 2.6×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 4 $163,316.26 $163,316.26 $163,316.26 nat. median
$41,943
outlier · 3.9×
6
MS_DRG 		Liver Transplant Without Mcc 4 $127,622.67 $127,622.67 $127,622.67 nat. median
$31,278
outlier · 4.1×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 4 $122,736.86 $122,736.86 $122,736.86 nat. median
$32,772
outlier · 3.7×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 4 $121,661.97 $121,661.97 $121,661.97 nat. median
$72,715
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $114,632.78 $114,632.78 $114,632.78 nat. median
$47,121
outlier · 2.4×
570
MS_DRG 		Skin Debridement With Mcc 4 $112,418.12 $112,418.12 $112,418.12 nat. median
$20,813
outlier · 5.4×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $25,867.00 $110,810.63 $110,810.63 nat. median
$49,569
outlier · 2.2×
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 4 $110,114.77 $110,114.77 $110,114.77 nat. median
$74,509
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $104,424.98 $104,424.98 $104,424.98 nat. median
$69,922
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $46,617.00 $89,795.64 $89,795.64 nat. median
$2,106
outlier · 42.6×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 $88,903.56 $88,903.56 $88,903.56 nat. median
$32,992
outlier · 2.7×
B0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 $46,067.59 $87,789.18 $86,919.98 nat. median
$90,183
1.0× median
163
MS_DRG 		Major Chest Procedures With Mcc 5 $68,352.00 $86,265.64 $86,265.64 nat. median
$31,995
outlier · 2.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $46,617.00 $85,171.90 $85,171.90 nat. median
$59,651
1.4× median
B1904
HCPCS 		Guillain-barré M <38.50 24 $43,128.40 $82,188.08 $81,374.34 nat. median
$84,429
1.0× median
653
MS_DRG 		Major Bladder Procedures With Mcc 4 $80,206.47 $80,206.47 $80,206.47 nat. median
$36,547
outlier · 2.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $51,910.00 $85,439.44 $79,819.72 nat. median
$60,505
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 $77,262.11 $77,262.11 $77,262.11 nat. median
$52,327
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $33,000.00 $79,774.88 $75,992.00 nat. median
$56,428
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $51,910.00 $77,517.54 $75,858.77 nat. median
$55,935
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $51,910.00 $77,851.70 $74,200.00 nat. median
$55,923
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 9 $51,910.00 $100,856.23 $74,200.00 nat. median
$73,023
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $51,910.00 $99,097.61 $74,200.00 nat. median
$69,822
1.1× median
10
MS_DRG 		Pancreas Transplant 4 $72,777.69 $72,777.69 $72,777.69 nat. median
$23,080
outlier · 3.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 $72,747.41 $72,747.41 $72,747.41 nat. median
$37,013
2.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 $72,362.80 $72,362.80 $72,362.80 nat. median
$45,605
1.6× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 $72,320.38 $72,320.38 $72,320.38 nat. median
$51,518
1.4× median
C0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 $37,654.52 $71,756.73 $71,046.26 nat. median
$73,713
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $70,113.52 $70,113.52 $70,113.52 nat. median
$48,611
1.4× median
D0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 $36,663.61 $69,868.39 $69,176.63 nat. median
$69,540
1.0× median
B1806
HCPCS 		Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 $36,505.07 $69,566.26 $68,877.48 nat. median
$71,463
1.0× median
471
MS_DRG 		Cervical Spinal Fusion With Mcc 5 $46,617.00 $68,406.09 $68,406.09 nat. median
$34,932
2.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 8 $33,000.00 $75,992.00 $68,289.26 nat. median
$47,340
1.4× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $46,617.00 $67,291.83 $67,291.83 nat. median
$2,106
outlier · 32.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $51,910.00 $74,200.00 $66,716.39 nat. median
$47,458
1.4× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $34,109.33 $74,200.00 $66,716.39 nat. median
$45,446
1.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 4 $66,495.03 $66,495.03 $66,495.03 nat. median
$35,986
1.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 $66,475.11 $66,475.11 $66,475.11 nat. median
$43,299
1.5× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 $65,442.31 $65,442.31 $65,442.31 nat. median
$38,844
1.7× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 8 $33,000.00 $75,992.00 $63,923.21 nat. median
$38,173
1.7× median
B0406
HCPCS 		Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 24 $33,640.07 $64,106.55 $63,471.83 nat. median
$65,854
1.0× median
A0407
HCPCS 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 $33,176.63 $63,223.39 $62,597.42 nat. median
$64,947
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $49,889.00 $88,824.00 $62,204.74 nat. median
$44,036
1.4× median

Other procedures at this hospital

Browse this hospital's 11,601 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $767,619.51 $767,619.51 $767,619.51 2026-07-20
7 MS_DRG Lung Transplant 4 4 — — $552,277.91 $552,277.91 $552,277.91 2026-07-20
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 4 — — $283,250.00 $283,250.00 $283,250.00 2026-07-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 4 — — $227,341.39 $227,341.39 $227,341.39 2026-07-20
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 4 4 — — $215,878.92 $215,878.92 $215,878.92 2026-07-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 4 — — $214,613.95 $214,613.95 $214,613.95 2026-07-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 4 — — $172,564.03 $172,564.03 $172,564.03 2026-07-20
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $163,316.26 $163,316.26 $163,316.26 2026-07-20
6 MS_DRG Liver Transplant Without Mcc 4 4 — — $127,622.67 $127,622.67 $127,622.67 2026-07-20
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 4 — — $122,736.86 $122,736.86 $122,736.86 2026-07-20
14 MS_DRG Allogeneic Bone Marrow Transplant 4 4 — — $121,661.97 $121,661.97 $121,661.97 2026-07-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 4 4 — — $114,632.78 $114,632.78 $114,632.78 2026-07-20
570 MS_DRG Skin Debridement With Mcc 4 4 — — $112,418.12 $112,418.12 $112,418.12 2026-07-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 7 — — $25,867.00 $110,810.63 $110,810.63 2026-07-20
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 4 4 — — $110,114.77 $110,114.77 $110,114.77 2026-07-20
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 4 — — $104,424.98 $104,424.98 $104,424.98 2026-07-20
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 5 5 — — $46,617.00 $89,795.64 $89,795.64 2026-07-20
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 4 — — $88,903.56 $88,903.56 $88,903.56 2026-07-20
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 24 $86,919.98 $86,919.98 $46,067.59 $87,789.18 $86,919.98 2026-03-16
163 MS_DRG Major Chest Procedures With Mcc 5 5 — — $68,352.00 $86,265.64 $86,265.64 2026-07-20
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $46,617.00 $85,171.90 $85,171.90 2026-07-20
B1904 HCPCS Guillain-barré M <38.50 24 24 $81,374.34 $81,374.34 $43,128.40 $82,188.08 $81,374.34 2026-03-16
653 MS_DRG Major Bladder Procedures With Mcc 4 4 — — $80,206.47 $80,206.47 $80,206.47 2026-07-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 8 — — $51,910.00 $85,439.44 $79,819.72 2026-07-20
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 4 — — $77,262.11 $77,262.11 $77,262.11 2026-07-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 9 8 — — $33,000.00 $79,774.88 $75,992.00 2026-07-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 8 — — $51,910.00 $77,517.54 $75,858.77 2026-07-20
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $51,910.00 $77,851.70 $74,200.00 2026-07-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $51,910.00 $99,097.61 $74,200.00 2026-07-20
215 MS_DRG Other Heart Assist System Implant 9 9 — — $51,910.00 $100,856.23 $74,200.00 2026-07-20
10 MS_DRG Pancreas Transplant 4 4 — — $72,777.69 $72,777.69 $72,777.69 2026-07-20
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 4 4 — — $72,747.41 $72,747.41 $72,747.41 2026-07-20
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 4 — — $72,362.80 $72,362.80 $72,362.80 2026-07-20
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 4 — — $72,320.38 $72,320.38 $72,320.38 2026-07-20
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 24 $71,046.26 $71,046.26 $37,654.52 $71,756.73 $71,046.26 2026-03-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 4 4 — — $70,113.52 $70,113.52 $70,113.52 2026-07-20
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 24 $69,176.63 $69,176.63 $36,663.61 $69,868.39 $69,176.63 2026-03-16
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 24 $68,877.48 $68,877.48 $36,505.07 $69,566.26 $68,877.48 2026-03-16
471 MS_DRG Cervical Spinal Fusion With Mcc 5 5 — — $46,617.00 $68,406.09 $68,406.09 2026-07-20
955 MS_DRG Craniotomy For Multiple Significant Trauma 9 8 — — $33,000.00 $75,992.00 $68,289.26 2026-07-20
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 5 — — $46,617.00 $67,291.83 $67,291.83 2026-07-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $34,109.33 $74,200.00 $66,716.39 2026-07-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 9 — — $51,910.00 $74,200.00 $66,716.39 2026-07-20
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 4 — — $66,495.03 $66,495.03 $66,495.03 2026-07-20
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $66,475.11 $66,475.11 $66,475.11 2026-07-20
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 4 4 — — $65,442.31 $65,442.31 $65,442.31 2026-07-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 9 8 — — $33,000.00 $75,992.00 $63,923.21 2026-07-20
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 24 24 $63,471.83 $63,471.83 $33,640.07 $64,106.55 $63,471.83 2026-03-16
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 24 24 $62,597.42 $62,597.42 $33,176.63 $63,223.39 $62,597.42 2026-03-16
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 7 — — $49,889.00 $88,824.00 $62,204.74 2026-07-20
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 5 5 — — $46,617.00 $62,082.57 $62,082.57 2026-07-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 8 — — $51,910.00 $74,200.00 $61,540.45 2026-07-20
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $60,992.26 $64,480.00 $60,992.26 2026-07-20
276 MS_DRG Non-maligant Breast Disorders 4 4 — — $60,975.10 $60,975.10 $60,975.10 2026-07-20
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 24 $60,911.87 $60,911.87 $32,283.29 $61,520.98 $60,911.87 2026-03-16
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $46,617.00 $60,535.95 $60,535.95 2026-07-20
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 — — $60,338.08 $60,338.08 $60,338.08 2026-07-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 4 4 — — $60,198.75 $60,198.75 $60,198.75 2026-07-20
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 24 24 $59,908.97 $59,908.97 $31,751.76 $60,508.06 $59,908.97 2026-03-16
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 8 — — $51,910.00 $74,200.00 $59,581.93 2026-07-20
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $59,543.56 $59,543.56 $59,543.56 2026-07-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $33,000.00 $75,992.00 $58,185.73 2026-07-20
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $57,874.78 $57,874.78 $57,874.78 2026-07-20
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 9 8 — — $33,000.00 $75,992.00 $57,708.87 2026-07-20
C1904 HCPCS Guillain-barré M <38.50 24 24 $57,510.08 $57,510.08 $30,480.34 $58,085.18 $57,510.08 2026-03-16
278 MS_DRG Cellulitis Age >17 Without Cc 4 4 — — $56,529.05 $56,529.05 $56,529.05 2026-07-20
74080530 CDM Occ/emb Non Hemorr Art 24 24 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-16
74080532 CDM Occ/emb Hemorrhag/lymph 24 24 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-16
74080531 CDM Occ/emb Tumor/organ Infar 24 24 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-16
74080529 CDM Occ/emb Non Hemorr Venous 24 24 $56,399.93 $56,399.93 $56,399.93 $56,399.93 $56,399.93 2026-03-16
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 24 $56,348.03 $56,348.03 $29,864.46 $56,911.51 $56,348.03 2026-03-16
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 4 4 — — $55,758.77 $55,758.77 $55,758.77 2026-07-20
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 4 4 — — $55,562.93 $55,562.93 $55,562.93 2026-07-20
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 8 — — $51,910.00 $74,200.00 $55,484.18 2026-07-20
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 4 — — $55,397.35 $55,397.35 $55,397.35 2026-07-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 4 4 — — $55,177.27 $55,177.27 $55,177.27 2026-07-20
B0106 HCPCS Stroke M <41.50 And A <84.50 24 24 $54,315.40 $54,315.40 $28,787.16 $54,858.55 $54,315.40 2026-03-16
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $51,910.00 $74,200.00 $54,172.78 2026-07-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 6 — — $27,121.00 $74,200.00 $53,602.38 2026-07-20
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 24 24 $52,919.40 $52,919.40 $28,047.28 $53,448.59 $52,919.40 2026-03-16
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 5 — — $29,016.00 $52,886.61 $52,886.61 2026-07-20
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 4 4 — — $52,420.93 $52,420.93 $52,420.93 2026-07-20
B0205 HCPCS Traumatic Brain Injury M <35.50 24 24 $52,250.17 $52,250.17 $27,692.59 $52,772.67 $52,250.17 2026-03-16
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 9 — — $51,218.85 $74,200.00 $51,910.00 2026-07-20
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 24 24 $51,880.07 $51,880.07 $27,496.44 $52,398.87 $51,880.07 2026-03-16
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 24 $51,835.97 $51,835.97 $27,473.06 $52,354.33 $51,835.97 2026-03-16
228 MS_DRG Other Cardiothoracic Procedures With Mcc 8 8 — — $50,281.98 $74,200.00 $51,095.99 2026-07-20
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 24 24 $50,514.76 $50,514.76 $26,772.82 $51,019.90 $50,514.76 2026-03-16
C1825 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable With Carotid Sinus Ba… 12 10 $75,200.00 $37,600.00 50% off $26,320.00 $67,680.00 $50,346.40 2026-07-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 4 4 — — $50,193.14 $50,193.14 $50,193.14 2026-07-20
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 4 4 — — $50,022.54 $50,022.54 $50,022.54 2026-07-20
A1904 HCPCS Guillain-barré M <38.50 24 24 $50,010.43 $50,010.43 $26,505.53 $50,510.54 $50,010.43 2026-03-16
D1904 HCPCS Guillain-barré M <38.50 24 24 $49,995.09 $49,995.09 $26,497.40 $50,495.04 $49,995.09 2026-03-16
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $49,815.57 $49,815.57 $49,815.57 2026-07-20
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 24 $49,788.00 $49,788.00 $26,387.64 $50,285.88 $49,788.00 2026-03-16
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 24 24 $49,007.54 $49,007.54 $25,974.00 $49,497.62 $49,007.54 2026-03-16
B2102 HCPCS Burns M <52.50 24 24 $48,804.28 $48,804.28 $25,866.27 $49,292.32 $48,804.28 2026-03-16
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 24 24 $48,652.79 $48,652.79 $25,785.98 $49,139.32 $48,652.79 2026-03-16
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 24 $48,478.29 $48,478.29 $25,693.49 $48,963.07 $48,478.29 2026-03-16
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 7 — — $48,398.16 $88,824.00 $48,398.16 2026-07-20
74080268 CDM Insert Tips 24 24 $48,288.18 $48,288.18 $48,288.18 $48,288.18 $48,288.18 2026-03-16
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 24 24 $48,248.18 $48,248.18 $25,571.54 $48,730.66 $48,248.18 2026-03-16
C0106 HCPCS Stroke M <41.50 And A <84.50 24 24 $48,232.84 $48,232.84 $25,563.40 $48,715.17 $48,232.84 2026-03-16
B0105 HCPCS Stroke M <41.50 And A >=84.50 24 24 $48,219.42 $48,219.42 $25,556.29 $48,701.61 $48,219.42 2026-03-16
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $47,798.51 $47,798.51 $47,798.51 2026-07-20
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $47,701.59 $47,701.59 $47,701.59 2026-07-20
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 4 4 — — $47,560.25 $47,560.25 $47,560.25 2026-07-20
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 24 24 $47,540.59 $47,540.59 $25,196.51 $48,016.00 $47,540.59 2026-03-16
74080483 CDM Revise Tips 24 24 $47,034.04 $47,034.04 $47,034.04 $47,034.04 $47,034.04 2026-03-16
B0604 HCPCS Neurological M <43.50 24 24 $46,976.83 $46,976.83 $24,897.72 $47,446.59 $46,976.83 2026-03-16
277 MS_DRG Cellulitis Age >17 W Cc 4 4 — — $46,961.59 $46,961.59 $46,961.59 2026-07-20
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 5 5 — — $46,617.00 $46,831.35 $46,831.35 2026-07-20
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 4 4 — — $46,739.48 $46,739.48 $46,739.48 2026-07-20
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 4 4 — — $46,621.36 $46,621.36 $46,621.36 2026-07-20
245 MS_DRG Aicd Generator Procedures 6 6 — — $22,569.00 $66,915.00 $46,395.22 2026-07-20
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $46,256.92 $46,256.92 $46,256.92 2026-07-20
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 9 8 — — $33,000.00 $75,992.00 $46,236.74 2026-07-20
799 MS_DRG Splenectomy With Mcc 4 4 — — $46,057.03 $46,057.03 $46,057.03 2026-07-20
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 24 24 $46,039.13 $46,039.13 $24,400.74 $46,499.52 $46,039.13 2026-03-16
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 24 24 $45,711.22 $45,711.22 $24,226.95 $46,168.34 $45,711.22 2026-03-16
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 6 — — $45,568.41 $49,741.00 $45,568.41 2026-07-20
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 24 24 $45,444.68 $45,444.68 $24,085.68 $45,899.13 $45,444.68 2026-03-16
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 4 4 — — $45,390.73 $45,390.73 $45,390.73 2026-07-20
B1004 HCPCS Amputation Lower Extremity M <47.50 24 24 $45,320.04 $45,320.04 $24,019.62 $45,773.24 $45,320.04 2026-03-16
B1504 HCPCS Pulmonary M <45.50 24 24 $44,919.26 $44,919.26 $23,807.21 $45,368.46 $44,919.26 2026-03-16
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 4 4 — — $44,022.80 $44,022.80 $44,022.80 2026-07-20
B0704 HCPCS Fracture Of Lower Extremity M <41.50 24 24 $43,989.24 $43,989.24 $23,314.30 $44,429.13 $43,989.24 2026-03-16
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 24 24 $43,935.55 $43,935.55 $23,285.84 $44,374.90 $43,935.55 2026-03-16
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 24 $43,868.43 $43,868.43 $23,250.27 $44,307.12 $43,868.43 2026-03-16
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 24 24 $43,849.26 $43,849.26 $23,240.11 $44,287.75 $43,849.26 2026-03-16
D0106 HCPCS Stroke M <41.50 And A <84.50 24 24 $43,699.69 $43,699.69 $23,160.83 $44,136.68 $43,699.69 2026-03-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $43,674.50 $43,674.50 $43,674.50 2026-07-20
140 MS_DRG Major Head And Neck Procedures With Mcc 4 4 — — $43,395.87 $43,395.87 $43,395.87 2026-07-20
B0904 HCPCS Other Orthopedic M <44.5 24 24 $43,110.99 $43,110.99 $22,848.82 $43,542.10 $43,110.99 2026-03-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 7 — — $25,867.00 $74,200.00 $42,970.85 2026-07-20
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 4 4 — — $42,898.17 $42,898.17 $42,898.17 2026-07-20
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 4 4 — — $42,876.96 $42,876.96 $42,876.96 2026-07-20
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 24 24 $42,831.02 $42,831.02 $22,700.44 $43,259.33 $42,831.02 2026-03-16
C0105 HCPCS Stroke M <41.50 And A >=84.50 24 24 $42,819.52 $42,819.52 $22,694.34 $43,247.71 $42,819.52 2026-03-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 4 4 — — $42,752.79 $42,752.79 $42,752.79 2026-07-20
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $42,702.31 $42,702.31 $42,702.31 2026-07-20
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 7 — — $42,623.57 $63,896.00 $42,623.57 2026-07-20
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $42,460.02 $46,617.00 $42,460.02 2026-07-20
793 MS_DRG Full Term Neonate With Major Problems 4 4 — — $42,429.74 $42,429.74 $42,429.74 2026-07-20
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 24 24 $42,412.99 $42,412.99 $22,478.88 $42,837.12 $42,412.99 2026-03-16
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 4 — — $42,262.14 $42,262.14 $42,262.14 2026-07-20
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 24 24 $42,165.62 $42,165.62 $22,347.78 $42,587.28 $42,165.62 2026-03-16
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 24 24 $42,096.59 $42,096.59 $22,311.19 $42,517.56 $42,096.59 2026-03-16
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 8 8 — — $32,131.35 $74,200.00 $42,020.68 2026-07-20
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 6 — — $24,777.00 $41,984.52 $41,984.52 2026-07-20
A5104 HCPCS Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 24 24 $41,958.52 $41,958.52 $22,238.02 $42,378.11 $41,958.52 2026-03-16
76085035 CDM Sm153 Lexidron To 150mci 24 24 $41,825.76 $41,825.76 $41,825.76 $41,825.76 $41,825.76 2026-03-16
C0205 HCPCS Traumatic Brain Injury M <35.50 24 24 $41,544.33 $41,544.33 $22,018.49 $41,959.77 $41,544.33 2026-03-16
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 24 24 $41,486.80 $41,486.80 $21,988.00 $41,901.67 $41,486.80 2026-03-16
A0106 HCPCS Stroke M <41.50 And A <84.50 24 24 $41,450.37 $41,450.37 $21,968.69 $41,864.87 $41,450.37 2026-03-16
791 MS_DRG Prematurity With Major Problems 4 4 — — $41,313.18 $41,313.18 $41,313.18 2026-07-20
B1404 HCPCS Cardiac M <45.50 24 24 $41,166.56 $41,166.56 $21,818.28 $41,578.23 $41,166.56 2026-03-16
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 24 24 $41,160.81 $41,160.81 $21,815.23 $41,572.42 $41,160.81 2026-03-16
C2102 HCPCS Burns M <52.50 24 24 $41,030.42 $41,030.42 $21,746.12 $41,440.72 $41,030.42 2026-03-16
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 19 14 $86,383.61 $6,700.00 92% off $3,135.00 $77,745.25 $40,737.44 2026-07-17
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 24 24 $40,727.44 $40,727.44 $21,585.54 $41,134.71 $40,727.44 2026-03-16
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 4 4 — — $40,557.04 $40,557.04 $40,557.04 2026-07-20
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 24 24 $40,520.34 $40,520.34 $21,475.78 $40,925.54 $40,520.34 2026-03-16
C1767 HCPCS Generator, Neurostimulator (implantable), Non-rechargeable 12 10 $60,458.80 $30,229.40 50% off $21,160.58 $54,412.92 $40,477.17 2026-07-17
347 MS_DRG Anal And Stomal Procedures With Mcc 4 4 — — $40,123.70 $40,123.70 $40,123.70 2026-07-20
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 24 24 $40,096.56 $40,096.56 $21,251.17 $40,497.52 $40,096.56 2026-03-16
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 24 24 $39,981.50 $39,981.50 $21,190.20 $40,381.32 $39,981.50 2026-03-16
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 9 8 — — $33,000.00 $75,992.00 $39,828.13 2026-07-20
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 4 — — $39,649.43 $39,649.43 $39,649.43 2026-07-20
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 24 24 $39,626.75 $39,626.75 $21,002.18 $40,023.02 $39,626.75 2026-03-16
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 24 24 $39,471.43 $39,471.43 $20,919.86 $39,866.14 $39,471.43 2026-03-16
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 24 24 $39,436.91 $39,436.91 $20,901.56 $39,831.28 $39,436.91 2026-03-16
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 4 4 — — $39,415.35 $39,415.35 $39,415.35 2026-07-20
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 7 — — $23,503.00 $39,412.21 $39,412.21 2026-07-20
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 4 — — $39,353.63 $39,353.63 $39,353.63 2026-07-20
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 6 — — $39,316.28 $49,741.00 $39,316.28 2026-07-20
A5102 HCPCS Expired, Orthopedic, Length Of Stay Is 14 Days Or More 24 24 $39,281.59 $39,281.59 $20,819.24 $39,674.40 $39,281.59 2026-03-16
197 MS_DRG Interstitial Lung Disease With Cc 4 4 — — $39,178.06 $39,178.06 $39,178.06 2026-07-20
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 4 4 — — $39,095.20 $39,095.20 $39,095.20 2026-07-20
74080527 CDM Stnt Plc Transc Vein Ini 24 24 $39,032.60 $39,032.60 $39,032.60 $39,032.60 $39,032.60 2026-03-16
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 24 24 $38,892.32 $38,892.32 $20,612.93 $39,281.24 $38,892.32 2026-03-16
74080525 CDM Stnt Plc Transcth Art Ini 24 24 $38,869.80 $38,869.80 $38,869.80 $38,869.80 $38,869.80 2026-03-16
76085037 CDM Strontium Sr-89 Thera/mci 24 24 $38,865.52 $38,865.52 $38,865.52 $38,865.52 $38,865.52 2026-03-16
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 24 24 $38,825.20 $38,825.20 $20,577.36 $39,213.45 $38,825.20 2026-03-16
D0105 HCPCS Stroke M <41.50 And A >=84.50 24 24 $38,794.52 $38,794.52 $20,561.10 $39,182.47 $38,794.52 2026-03-16
74080549 CDM Verteb Augm Ea Add W Imag 24 24 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-16
74080548 CDM Verteb Augm Lumbar W Imag 24 24 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-16
74080547 CDM Verteb Augm Thorac W Imag 24 24 $38,769.13 $38,769.13 $38,769.13 $38,769.13 $38,769.13 2026-03-16
B0104 HCPCS Stroke M >=41.50 And M <50.50 24 24 $38,690.97 $38,690.97 $20,506.21 $39,077.88 $38,690.97 2026-03-16
B1604 HCPCS Pain Syndrome M <43.50 24 24 $38,445.52 $38,445.52 $20,376.13 $38,829.98 $38,445.52 2026-03-16
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 24 24 $38,399.50 $38,399.50 $20,351.73 $38,783.49 $38,399.50 2026-03-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 4 4 — — $38,324.91 $38,324.91 $38,324.91 2026-07-20
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 4 — — $38,159.35 $38,159.35 $38,159.35 2026-07-20
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 4 — — $38,069.51 $38,069.51 $38,069.51 2026-07-20
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 6 — — $9,500.00 $38,065.47 $38,065.47 2026-07-20
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 4 4 — — $37,959.46 $37,959.46 $37,959.46 2026-07-20
D0205 HCPCS Traumatic Brain Injury M <35.50 24 24 $37,954.62 $37,954.62 $20,115.95 $38,334.17 $37,954.62 2026-03-16
C1882 HCPCS Cardioverter-defibrillator, Other Than Single Or Dual Chamber (implantable) 12 10 $56,569.19 $28,284.60 50% off $2,410.00 $50,912.27 $37,873.07 2026-07-17
C1721 HCPCS Cardioverter-defibrillator, Dual Chamber (implantable) 12 10 $56,569.19 $28,284.60 50% off $2,410.00 $50,912.27 $37,873.07 2026-07-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 4 — — $37,747.46 $37,747.46 $37,747.46 2026-07-20
C1004 HCPCS Amputation Lower Extremity M <47.50 24 24 $37,657.40 $37,657.40 $19,958.42 $38,033.97 $37,657.40 2026-03-16
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 24 24 $37,592.20 $37,592.20 $19,923.87 $37,968.12 $37,592.20 2026-03-16
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 4 4 — — $37,417.33 $37,417.33 $37,417.33 2026-07-20
B1902 HCPCS Guillain-barré M >=51.50 And M <66.50 24 24 $37,402.36 $37,402.36 $19,823.25 $37,776.38 $37,402.36 2026-03-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $37,402.18 $39,520.00 $37,402.18 2026-07-20
C1903 HCPCS Guillain-barré M >=38.50 And M <51.50 24 24 $37,400.44 $37,400.44 $19,822.23 $37,774.45 $37,400.44 2026-03-16
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 5 — — $37,263.89 $46,617.00 $37,263.89 2026-07-20
B0603 HCPCS Neurological M >=43.50 And M <52.50 24 24 $37,143.49 $37,143.49 $19,686.05 $37,514.92 $37,143.49 2026-03-16
B1103 HCPCS Amputation Non-lower Extremity M <52.50 24 24 $37,093.63 $37,093.63 $19,659.62 $37,464.57 $37,093.63 2026-03-16
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 4 4 — — $36,967.07 $36,967.07 $36,967.07 2026-07-20
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 4 4 — — $36,938.82 $36,938.82 $36,938.82 2026-07-20
332 MS_DRG Rectal Resection With Mcc 4 4 — — $36,888.32 $36,888.32 $36,888.32 2026-07-20
265 MS_DRG Aicd Lead Procedures 5 5 — — $26,055.00 $36,863.09 $36,863.09 2026-07-20
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 4 — — $36,798.48 $36,798.48 $36,798.48 2026-07-20
A0105 HCPCS Stroke M <41.50 And A >=84.50 24 24 $36,798.32 $36,798.32 $19,503.11 $37,166.31 $36,798.32 2026-03-16
279 MS_DRG Cellulitis Age 0-17 4 4 — — $36,743.96 $36,743.96 $36,743.96 2026-07-20
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 24 24 $36,583.55 $36,583.55 $19,389.28 $36,949.39 $36,583.55 2026-03-16
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 5 5 — — $27,420.00 $36,505.72 $36,505.72 2026-07-20
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 18 13 $86,383.61 $6,700.00 92% off $3,135.00 $77,745.25 $36,479.26 2026-07-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 5 — — $27,420.00 $36,421.92 $36,421.92 2026-07-20
335 MS_DRG Peritoneal Adhesiolysis With Mcc 4 4 — — $36,385.57 $36,385.57 $36,385.57 2026-07-20
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 5 5 — — $13,069.00 $36,332.08 $36,332.08 2026-07-20
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $36,301.78 $36,301.78 $36,301.78 2026-07-20
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 — — $36,267.46 $36,267.46 $36,267.46 2026-07-20
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 6 — — $27,121.00 $74,200.00 $36,238.18 2026-07-20
33289 CPT Transcatheter Implantation Of Wireless Pulmonary Artery Pressure Sensor For Long… 19 14 $90,302.60 $15,000.00 83% off $2,410.00 $81,272.34 $36,121.04 2026-07-17
C1504 HCPCS Pulmonary M <45.50 24 24 $36,117.58 $36,117.58 $19,142.32 $36,478.76 $36,117.58 2026-03-16
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 24 24 $36,048.55 $36,048.55 $19,105.73 $36,409.03 $36,048.55 2026-03-16
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 24 24 $36,017.87 $36,017.87 $19,089.47 $36,378.05 $36,017.87 2026-03-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 5 — — $29,016.00 $35,938.35 $35,938.35 2026-07-20
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 4 4 — — $35,865.66 $35,865.66 $35,865.66 2026-07-20
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 24 24 $35,820.36 $35,820.36 $18,984.79 $36,178.56 $35,820.36 2026-03-16
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 24 24 $35,801.18 $35,801.18 $18,974.63 $36,159.19 $35,801.18 2026-03-16
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 24 24 $35,778.17 $35,778.17 $18,962.43 $36,135.95 $35,778.17 2026-03-16
A0205 HCPCS Traumatic Brain Injury M <35.50 24 24 $35,659.28 $35,659.28 $18,899.42 $36,015.87 $35,659.28 2026-03-16
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 24 24 $35,624.76 $35,624.76 $18,881.12 $35,981.01 $35,624.76 2026-03-16
C0604 HCPCS Neurological M <43.50 24 24 $35,576.82 $35,576.82 $18,855.72 $35,932.59 $35,576.82 2026-03-16
252 MS_DRG Other Vascular Procedures With Mcc 4 4 — — $35,551.69 $35,551.69 $35,551.69 2026-07-20
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 4 — — $35,542.61 $35,542.61 $35,542.61 2026-07-20
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 4 4 — — $35,381.07 $35,381.07 $35,381.07 2026-07-20
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 24 24 $35,287.27 $35,287.27 $18,702.25 $35,640.14 $35,287.27 2026-03-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $35,211.48 $35,211.48 $35,211.48 2026-07-20
C0704 HCPCS Fracture Of Lower Extremity M <41.50 24 24 $35,172.22 $35,172.22 $18,641.27 $35,523.94 $35,172.22 2026-03-16
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 24 24 $35,126.19 $35,126.19 $18,616.88 $35,477.46 $35,126.19 2026-03-16
C1103 HCPCS Amputation Non-lower Extremity M <52.50 24 24 $35,116.61 $35,116.61 $18,611.80 $35,467.77 $35,116.61 2026-03-16
C1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 24 24 $35,055.24 $35,055.24 $18,579.28 $35,405.80 $35,055.24 2026-03-16
B0303 HCPCS Non-traumatic Brain Injury M >=42.50 And M <52.50 24 24 $35,018.81 $35,018.81 $18,559.97 $35,369.00 $35,018.81 2026-03-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 4 — — $34,946.97 $34,946.97 $34,946.97 2026-07-20
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 5 5 — — $34,777.37 $64,480.00 $34,777.37 2026-07-20
A0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 24 24 $34,748.43 $34,748.43 $18,416.67 $35,095.92 $34,748.43 2026-03-16
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 4 4 — — $34,731.96 $34,731.96 $34,731.96 2026-07-20
C2624 HCPCS Implantable Wireless Pulmonary Artery Pressure Sensor With Delivery Catheter, In… 12 10 $55,225.00 $27,612.50 50% off $14,000.00 $49,702.50 $34,681.30 2026-07-17
C1604 HCPCS Pain Syndrome M <43.50 36 34 $34,455.04 $34,455.04 $18,261.17 $77,587.20 $34,455.04 2026-07-17
C0104 HCPCS Stroke M >=41.50 And M <50.50 24 24 $34,359.16 $34,359.16 $18,210.36 $34,702.75 $34,359.16 2026-03-16
D1004 HCPCS Amputation Lower Extremity M <47.50 24 24 $34,178.91 $34,178.91 $18,114.82 $34,520.70 $34,178.91 2026-03-16
B1003 HCPCS Amputation Lower Extremity M >=47.50 And M <55.50 24 24 $34,071.53 $34,071.53 $18,057.91 $34,412.24 $34,071.53 2026-03-16
264 MS_DRG Other Circulatory System O.r. Procedures 4 4 — — $34,060.59 $34,060.59 $34,060.59 2026-07-20
B1303 HCPCS Rheumatoid Other Arthritis M >=44.50 And M <51.50 And A >=64.50 24 24 $34,040.84 $34,040.84 $18,041.65 $34,381.25 $34,040.84 2026-03-16
C2005 HCPCS Miscellaneous M <46.50 And A <77.50 24 24 $34,014.00 $34,014.00 $18,027.42 $34,354.14 $34,014.00 2026-03-16
B1803 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 24 24 $33,929.63 $33,929.63 $17,982.70 $34,268.92 $33,929.63 2026-03-16
C1822 HCPCS Generator, Neurostimulator (implantable), High Frequency, With Rechargeable Batt… 12 10 $50,525.00 $25,262.50 50% off $17,683.75 $45,472.50 $33,826.49 2026-07-17
D1504 HCPCS Pulmonary M <45.50 24 24 $33,824.16 $33,824.16 $17,926.80 $34,162.40 $33,824.16 2026-03-16
C0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 24 24 $33,770.47 $33,770.47 $17,898.35 $34,108.17 $33,770.47 2026-03-16
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 4 4 — — $33,684.03 $33,684.03 $33,684.03 2026-07-20
A1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 24 24 $33,580.63 $33,580.63 $17,797.73 $33,916.43 $33,580.63 2026-03-16
D0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 24 24 $33,578.71 $33,578.71 $17,796.72 $33,914.50 $33,578.71 2026-03-16
37 MS_DRG Extracranial Procedures With Mcc 7 6 — — $33,570.96 $49,741.00 $33,570.96 2026-07-20
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 6 — — $25,034.00 $33,566.91 $33,566.91 2026-07-20
D0604 HCPCS Neurological M <43.50 24 24 $33,509.68 $33,509.68 $17,760.13 $33,844.77 $33,509.68 2026-03-16
D0704 HCPCS Fracture Of Lower Extremity M <41.50 24 24 $33,404.21 $33,404.21 $17,704.23 $33,738.25 $33,404.21 2026-03-16
C1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 24 24 $33,350.52 $33,350.52 $17,675.77 $33,684.02 $33,350.52 2026-03-16
849 MS_DRG Radiotherapy 4 4 — — $33,226.77 $33,226.77 $33,226.77 2026-07-20
B2003 HCPCS Miscellaneous M >=46.50 And M <55.50 24 24 $33,223.96 $33,223.96 $17,608.70 $33,556.20 $33,223.96 2026-03-16
A1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 24 24 $33,185.60 $33,185.60 $17,588.37 $33,517.46 $33,185.60 2026-03-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 7 — — $22,569.00 $74,200.00 $33,174.21 2026-07-20
C1404 HCPCS Cardiac M <45.50 24 24 $33,162.59 $33,162.59 $17,576.17 $33,494.22 $33,162.59 2026-03-16
B0203 HCPCS Traumatic Brain Injury M >=49.50 And M <61.50 24 24 $33,045.62 $33,045.62 $17,514.18 $33,376.08 $33,045.62 2026-03-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $33,029.83 $33,029.83 $33,029.83 2026-07-20
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 9 8 — — $25,805.53 $75,992.00 $33,000.00 2026-07-20
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 9 8 — — $31,724.51 $75,992.00 $33,000.00 2026-07-20
B1403 HCPCS Cardiac M >=45.50 And M <55.50 24 24 $32,995.76 $32,995.76 $17,487.76 $33,325.72 $32,995.76 2026-03-16
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $32,993.49 $32,993.49 $32,993.49 2026-07-20
652 MS_DRG Kidney Transplant 4 4 — — $32,938.98 $32,938.98 $32,938.98 2026-07-20
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 4 4 — — $32,914.77 $32,914.77 $32,914.77 2026-07-20
C0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 24 24 $32,880.71 $32,880.71 $17,426.78 $33,209.52 $32,880.71 2026-03-16
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 4 — — $32,851.16 $32,851.16 $32,851.16 2026-07-20
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 4 4 — — $32,746.16 $32,746.16 $32,746.16 2026-07-20
C1204 HCPCS Osteoarthritis M <49.50 And A <74.50 24 24 $32,669.78 $32,669.78 $17,314.98 $32,996.47 $32,669.78 2026-03-16
C0904 HCPCS Other Orthopedic M <44.5 24 24 $32,654.44 $32,654.44 $17,306.85 $32,980.98 $32,654.44 2026-03-16
B0402 HCPCS Traumatic Spinal Cord Injury M >=47.50 And M <56.50 24 24 $32,570.06 $32,570.06 $17,262.13 $32,895.76 $32,570.06 2026-03-16
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 7 — — $22,569.00 $32,568.49 $32,568.49 2026-07-20
A1903 HCPCS Guillain-barré M >=38.50 And M <51.50 24 24 $32,522.12 $32,522.12 $17,236.73 $32,847.34 $32,522.12 2026-03-16
D1903 HCPCS Guillain-barré M >=38.50 And M <51.50 24 24 $32,514.45 $32,514.45 $17,232.66 $32,839.60 $32,514.45 2026-03-16
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 4 — — $32,508.90 $32,508.90 $32,508.90 2026-07-20
C1722 HCPCS Cardioverter-defibrillator, Single Chamber (implantable) 12 10 $48,545.05 $24,272.52 50% off $2,410.00 $43,690.54 $32,500.91 2026-07-17
C2004 HCPCS Miscellaneous M <46.50 And A >=77.50 24 24 $32,495.28 $32,495.28 $17,222.50 $32,820.23 $32,495.28 2026-03-16
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 — — $32,477.62 $32,477.62 $32,477.62 2026-07-20
C1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 24 24 $32,418.57 $32,418.57 $17,181.84 $32,742.76 $32,418.57 2026-03-16
C0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 24 24 $32,403.23 $32,403.23 $17,173.71 $32,727.27 $32,403.23 2026-03-16
C0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 24 24 $32,382.14 $32,382.14 $17,162.53 $32,705.96 $32,382.14 2026-03-16
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