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

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Hospital

CROOK COUNTY HOSPITAL

Sundance, WY · CCN 531311 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $5,096 across 1 payer

Source: https://ccmsd.org/wp-content/uploads/2026/04/830210617_crook-county-hospital_standardcharges.csv · 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.

9,400 distinct procedures filed
6 distinct payers
30,366 rate rows
2026-04-01 last MRF observed
Data quality

21,684 of 30,366 rate rows are consumer-grade (71.4%)

8,682 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 8,650
professional (physician) fee — not the facility price 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ccmsd.org/wp-content/uploads/2026/04/830210617_crook-county-hospital_standardcharges.csv
Found on page https://ccmsd.org/patient-liability/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint deaf549360340b17… · 3,610,401 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $226,709.70 $256,721.75 $226,709.70 nat. median
$370,165
0.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $147,125.48 $166,602.09 $147,125.48 nat. median
$261,939
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $112,090.12 $126,928.72 $112,090.12 nat. median
$205,166
0.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $111,432.30 $126,183.81 $111,432.30 nat. median
$199,832
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $72,719.85 $82,346.57 $72,719.85 nat. median
$132,706
0.5× median
7
MS_DRG 		Lung Transplant 3 $67,988.55 $76,988.94 $67,988.55 nat. median
$122,690
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $63,093.98 $71,446.42 $63,093.98 nat. median
$114,305
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $59,491.95 $67,367.55 $59,491.95 nat. median
$108,240
0.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 3 $59,423.70 $67,290.27 $59,423.70 nat. median
$96,134
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $57,861.30 $65,521.03 $57,861.30 nat. median
$96,835
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $57,089.02 $64,646.52 $57,089.02 nat. median
$100,978
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $54,130.12 $61,295.92 $54,130.12 nat. median
$99,646
0.5× median
215
MS_DRG 		Other Heart Assist System Implant 3 $52,274.25 $59,194.36 $52,274.25 nat. median
$98,002
0.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $51,359.70 $58,158.75 $51,359.70 nat. median
$92,900
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $47,300.40 $53,562.07 $47,300.40 nat. median
$81,124
0.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $45,462.38 $51,480.73 $45,462.38 nat. median
$81,364
0.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $44,256.98 $50,115.76 $44,256.98 nat. median
$79,040
0.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $44,117.85 $49,958.21 $44,117.85 nat. median
$80,459
0.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $41,311.20 $46,780.02 $41,311.20 nat. median
$77,385
0.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $40,311.07 $45,647.49 $40,311.07 nat. median
$74,472
0.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $40,137.30 $45,450.71 $40,137.30 nat. median
$73,475
0.5× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $40,004.48 $45,300.31 $40,004.48 nat. median
$71,485
0.6× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $37,897.65 $42,914.58 $37,897.65 nat. median
$66,640
0.6× median
10
MS_DRG 		Pancreas Transplant 3 $37,672.43 $42,659.54 $37,672.43 nat. median
$67,750
0.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 $37,656.68 $42,641.70 $37,656.68 nat. median
$62,911
0.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $37,456.65 $42,415.20 $37,456.65 nat. median
$69,153
0.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $37,434.60 $42,390.23 $37,434.60 nat. median
$68,581
0.5× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $36,286.95 $41,090.65 $36,286.95 nat. median
$65,958
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $36,108.98 $40,889.12 $36,108.98 nat. median
$65,792
0.5× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $35,338.28 $40,016.39 $35,338.28 nat. median
$64,357
0.5× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $35,104.12 $39,751.24 $35,104.12 nat. median
$59,832
0.6× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $35,078.40 $39,722.11 $35,078.40 nat. median
$62,262
0.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $34,520.32 $39,090.16 $34,520.32 nat. median
$63,840
0.5× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $34,520.32 $39,090.16 $34,520.32 nat. median
$60,895
0.6× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $34,394.85 $38,948.07 $34,394.85 nat. median
$59,159
0.6× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $33,782.18 $38,254.29 $33,782.18 nat. median
$62,218
0.5× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $32,174.10 $36,433.34 $32,174.10 nat. median
$60,162
0.5× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $32,136.82 $36,391.13 $32,136.82 nat. median
$60,294
0.5× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $31,828.65 $36,042.16 $31,828.65 nat. median
$59,257
0.5× median
28
MS_DRG 		Spinal Procedures With Mcc 3 $31,543.58 $35,719.34 $31,543.58 nat. median
$56,970
0.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $31,534.65 $35,709.24 $31,534.65 nat. median
$58,419
0.5× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $31,306.28 $35,450.63 $31,306.28 nat. median
$57,394
0.5× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 $31,203.38 $35,334.11 $31,203.38 nat. median
$51,433
0.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 3 $31,130.92 $35,252.07 $31,130.92 nat. median
$55,867
0.6× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $30,810.15 $34,888.83 $30,810.15 nat. median
$57,082
0.5× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $30,790.20 $34,866.24 $30,790.20 nat. median
$56,397
0.5× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 $30,277.28 $34,285.41 $30,277.28 nat. median
$53,268
0.6× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $30,084.08 $34,066.63 $30,084.08 nat. median
$55,685
0.5× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 3 $29,961.22 $33,927.52 $29,961.22 nat. median
$50,294
0.6× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 3 $29,922.38 $33,883.53 $29,922.38 nat. median
$51,984
0.6× median

Other procedures at this hospital

Browse this hospital's 9,400 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 6 3 — — $226,709.70 $256,721.75 $226,709.70 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 3 — — $147,125.48 $166,602.09 $147,125.48 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 3 — — $112,090.12 $126,928.72 $112,090.12 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 3 — — $111,432.30 $126,183.81 $111,432.30 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 3 — — $72,719.85 $82,346.57 $72,719.85 2026-04-01
7 MS_DRG Lung Transplant 6 3 — — $67,988.55 $76,988.94 $67,988.55 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 3 — — $63,093.98 $71,446.42 $63,093.98 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 3 — — $59,491.95 $67,367.55 $59,491.95 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 6 3 — — $59,423.70 $67,290.27 $59,423.70 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $57,861.30 $65,521.03 $57,861.30 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 3 — — $57,089.02 $64,646.52 $57,089.02 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 3 — — $54,130.12 $61,295.92 $54,130.12 2026-04-01
215 MS_DRG Other Heart Assist System Implant 6 3 — — $52,274.25 $59,194.36 $52,274.25 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $51,359.70 $58,158.75 $51,359.70 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 3 — — $47,300.40 $53,562.07 $47,300.40 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 6 3 — — $45,462.38 $51,480.73 $45,462.38 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 3 — — $44,256.98 $50,115.76 $44,256.98 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $44,117.85 $49,958.21 $44,117.85 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 3 — — $41,311.20 $46,780.02 $41,311.20 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $40,311.07 $45,647.49 $40,311.07 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 3 — — $40,137.30 $45,450.71 $40,137.30 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 3 — — $40,004.48 $45,300.31 $40,004.48 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $37,897.65 $42,914.58 $37,897.65 2026-04-01
10 MS_DRG Pancreas Transplant 6 3 — — $37,672.43 $42,659.54 $37,672.43 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 6 3 — — $37,656.68 $42,641.70 $37,656.68 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 3 — — $37,456.65 $42,415.20 $37,456.65 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $37,434.60 $42,390.23 $37,434.60 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 3 — — $36,286.95 $41,090.65 $36,286.95 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $36,108.98 $40,889.12 $36,108.98 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $35,338.28 $40,016.39 $35,338.28 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 6 3 — — $35,104.12 $39,751.24 $35,104.12 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 6 3 — — $35,078.40 $39,722.11 $35,078.40 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $34,520.32 $39,090.16 $34,520.32 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $34,520.32 $39,090.16 $34,520.32 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $34,394.85 $38,948.07 $34,394.85 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 3 — — $33,782.18 $38,254.29 $33,782.18 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 3 — — $32,174.10 $36,433.34 $32,174.10 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 3 — — $32,136.82 $36,391.13 $32,136.82 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 3 — — $31,828.65 $36,042.16 $31,828.65 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 6 3 — — $31,543.58 $35,719.34 $31,543.58 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 3 — — $31,534.65 $35,709.24 $31,534.65 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $31,306.28 $35,450.63 $31,306.28 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 3 — — $31,203.38 $35,334.11 $31,203.38 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 6 3 — — $31,130.92 $35,252.07 $31,130.92 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 3 — — $30,810.15 $34,888.83 $30,810.15 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 3 — — $30,790.20 $34,866.24 $30,790.20 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 6 3 — — $30,277.28 $34,285.41 $30,277.28 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $30,084.08 $34,066.63 $30,084.08 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 6 3 — — $29,961.22 $33,927.52 $29,961.22 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $29,922.38 $33,883.53 $29,922.38 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 3 — — $29,515.50 $33,422.79 $29,515.50 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 3 — — $29,424.15 $33,319.35 $29,424.15 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $29,222.55 $33,091.06 $29,222.55 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 6 3 — — $28,995.75 $32,834.24 $28,995.75 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 6 3 — — $28,821.98 $32,637.46 $28,821.98 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 3 — — $28,720.12 $32,522.12 $28,720.12 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 3 — — $28,679.18 $32,475.75 $28,679.18 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 3 — — $28,634.02 $32,424.62 $28,634.02 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 6 3 — — $28,519.58 $32,295.02 $28,519.58 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $27,997.20 $31,703.50 $27,997.20 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 6 3 — — $27,980.40 $31,684.47 $27,980.40 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 3 — — $27,792.45 $31,471.64 $27,792.45 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $27,700.58 $31,367.60 $27,700.58 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $27,328.35 $30,946.10 $27,328.35 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 6 3 — — $27,281.10 $30,892.60 $27,281.10 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $26,461.05 $29,963.99 $26,461.05 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 3 — — $26,183.85 $29,650.09 $26,183.85 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $25,973.85 $29,412.29 $25,973.85 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 3 — — $25,927.65 $29,359.98 $25,927.65 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $25,838.92 $29,259.51 $25,838.92 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $25,731.30 $29,137.63 $25,731.30 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 3 — — $25,350.68 $28,706.62 $25,350.68 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 3 — — $25,222.58 $28,561.56 $25,222.58 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 3 — — $24,994.20 $28,302.96 $24,994.20 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 3 — — $24,682.35 $27,949.82 $24,682.35 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $24,631.95 $27,892.75 $24,631.95 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $24,558.45 $27,809.52 $24,558.45 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 6 3 — — $24,344.25 $27,566.96 $24,344.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 3 — — $24,247.12 $27,456.98 $24,247.12 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 3 — — $24,131.62 $27,326.19 $24,131.62 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 3 — — $24,070.20 $27,256.64 $24,070.20 2026-04-01
245 MS_DRG Aicd Generator Procedures 6 3 — — $23,952.60 $27,123.47 $23,952.60 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 3 — — $23,880.68 $27,042.02 $23,880.68 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 3 — — $23,870.18 $27,030.13 $23,870.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 6 3 — — $23,776.72 $26,924.31 $23,776.72 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 6 3 — — $23,529.45 $26,644.30 $23,529.45 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 3 — — $23,522.62 $26,636.57 $23,522.62 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 3 — — $23,430.22 $26,531.94 $23,430.22 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $23,062.20 $26,115.20 $23,062.20 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 3 — — $22,718.85 $25,726.39 $22,718.85 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 3 — — $22,537.72 $25,521.29 $22,537.72 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 6 3 — — $22,392.82 $25,357.21 $22,392.82 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $22,264.20 $25,211.56 $22,264.20 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $22,171.80 $25,106.92 $22,171.80 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 3 — — $22,134.00 $25,064.12 $22,134.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 3 — — $22,122.98 $25,051.64 $22,122.98 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $22,058.40 $24,978.51 $22,058.40 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 6 3 — — $22,032.15 $24,948.79 $22,032.15 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 3 — — $21,991.20 $24,902.42 $21,991.20 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $21,906.15 $24,806.11 $21,906.15 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 6 3 — — $21,890.40 $24,788.27 $21,890.40 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 3 — — $21,803.25 $24,689.58 $21,803.25 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 6 3 — — $21,658.88 $24,526.10 $21,658.88 2026-04-01
791 MS_DRG Prematurity With Major Problems 6 3 — — $21,309.75 $24,130.76 $21,309.75 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $21,107.62 $23,901.87 $21,107.62 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 6 3 — — $20,916.53 $23,685.47 $20,916.53 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $20,537.47 $23,256.25 $20,537.47 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 6 3 — — $20,444.55 $23,151.02 $20,444.55 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 3 — — $20,321.18 $23,011.31 $20,321.18 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 6 3 — — $20,290.72 $22,976.83 $20,290.72 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 3 — — $20,271.30 $22,954.83 $20,271.30 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 3 — — $20,156.32 $22,824.64 $20,156.32 2026-04-01
5041 OTHER Critical Care 2 1 — — $20,022.89 $20,022.89 $20,022.89 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 3 — — $19,755.75 $22,371.04 $19,755.75 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 3 — — $19,669.65 $22,273.54 $19,669.65 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 3 — — $19,622.92 $22,220.63 $19,622.92 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 3 — — $19,620.82 $22,218.25 $19,620.82 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 3 — — $19,565.70 $22,155.83 $19,565.70 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 3 — — $19,455.45 $22,030.98 $19,455.45 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 6 3 — — $19,283.78 $21,836.58 $19,283.78 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 — — $19,275.90 $21,827.66 $19,275.90 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 3 — — $19,049.62 $21,571.43 $19,049.62 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $19,034.92 $21,554.79 $19,034.92 2026-04-01
332 MS_DRG Rectal Resection With Mcc 6 3 — — $19,008.68 $21,525.06 $19,008.68 2026-04-01
265 MS_DRG Aicd Lead Procedures 6 3 — — $18,995.55 $21,510.20 $18,995.55 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 6 3 — — $18,961.95 $21,472.15 $18,961.95 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $18,933.60 $21,440.05 $18,933.60 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 3 — — $18,809.70 $21,299.75 $18,809.70 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 3 — — $18,766.12 $21,250.40 $18,766.12 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 6 3 — — $18,747.22 $21,229.00 $18,747.22 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 3 — — $18,719.40 $21,197.49 $18,719.40 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 6 3 — — $18,703.65 $21,179.66 $18,703.65 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 3 — — $18,685.80 $21,159.44 $18,685.80 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 3 — — $18,670.58 $21,142.20 $18,670.58 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 3 — — $18,514.65 $20,965.64 $18,514.65 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $18,476.85 $20,922.83 $18,476.85 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 6 3 — — $18,313.58 $20,737.94 $18,313.58 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $18,308.85 $20,732.59 $18,308.85 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 3 — — $18,224.85 $20,637.47 $18,224.85 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 3 — — $18,136.65 $20,537.60 $18,136.65 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 6 3 — — $18,052.65 $20,442.48 $18,052.65 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $17,999.10 $20,381.84 $17,999.10 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 3 — — $17,910.90 $20,281.96 $17,910.90 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 6 3 — — $17,887.28 $20,255.21 $17,887.28 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 6 3 — — $17,538.15 $19,859.87 $17,538.15 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 6 3 — — $17,342.32 $19,638.12 $17,342.32 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 6 3 — — $17,283.53 $19,571.53 $17,283.53 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 6 3 — — $17,281.42 $19,569.16 $17,281.42 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 3 — — $17,077.20 $19,337.90 $17,077.20 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 3 — — $17,002.12 $19,252.88 $17,002.12 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 3 — — $16,983.22 $19,231.48 $16,983.22 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 6 3 — — $16,959.60 $19,204.73 $16,959.60 2026-04-01
652 MS_DRG Kidney Transplant 6 3 — — $16,954.88 $19,199.38 $16,954.88 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 3 — — $16,942.28 $19,185.11 $16,942.28 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 6 3 — — $16,909.20 $19,147.66 $16,909.20 2026-04-01
5045 OTHER Trauma Response With Critical Care 2 1 — — $16,862.02 $16,862.02 $16,862.02 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 3 — — $16,854.60 $19,085.83 $16,854.60 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 3 — — $16,762.20 $18,981.20 $16,762.20 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 3 — — $16,731.22 $18,946.12 $16,731.22 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 6 3 — — $16,714.95 $18,927.69 $16,714.95 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 3 — — $16,681.35 $18,889.64 $16,681.35 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 6 3 — — $16,615.20 $18,814.74 $16,615.20 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 3 — — $16,590.00 $18,786.20 $16,590.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 3 — — $16,542.75 $18,732.70 $16,542.75 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 3 — — $16,534.88 $18,723.78 $16,534.88 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 3 — — $16,496.03 $18,679.78 $16,496.03 2026-04-01
665 MS_DRG Prostatectomy With Mcc 6 3 — — $16,386.30 $18,555.53 $16,386.30 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $16,352.18 $18,516.89 $16,352.18 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $16,323.30 $18,484.19 $16,323.30 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 6 3 — — $16,072.88 $18,200.62 $16,072.88 2026-04-01
263 MS_DRG Vein Ligation And Stripping 6 3 — — $16,051.35 $18,176.24 $16,051.35 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 3 — — $15,924.30 $18,032.37 $15,924.30 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 3 — — $15,857.62 $17,956.87 $15,857.62 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 3 — — $15,855.52 $17,954.49 $15,855.52 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 3 — — $15,838.20 $17,934.88 $15,838.20 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 6 3 — — $15,626.10 $17,694.70 $15,626.10 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 6 3 — — $15,467.02 $17,514.56 $15,467.02 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 6 3 — — $15,456.52 $17,502.67 $15,456.52 2026-04-01
570 MS_DRG Skin Debridement With Mcc 6 3 — — $15,440.78 $17,484.84 $15,440.78 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 6 3 — — $15,330.00 $17,359.40 $15,330.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 3 — — $15,289.58 $17,313.62 $15,289.58 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 6 3 — — $15,235.50 $17,252.39 $15,235.50 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 6 3 — — $15,226.05 $17,241.69 $15,226.05 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 3 — — $15,158.85 $17,165.59 $15,158.85 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 6 3 — — $15,151.50 $17,157.27 $15,151.50 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 6 3 — — $15,129.45 $17,132.30 $15,129.45 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 3 — — $15,068.55 $17,063.34 $15,068.55 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 3 — — $14,965.12 $16,946.22 $14,965.12 2026-04-01
800 MS_DRG Splenic Procedures With Cc 6 3 — — $14,749.35 $16,701.88 $14,749.35 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 6 3 — — $14,696.32 $16,641.84 $14,696.32 2026-04-01
503 MS_DRG Foot Procedures With Mcc 6 3 — — $14,653.28 $16,593.09 $14,653.28 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 3 — — $14,552.48 $16,478.95 $14,552.48 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 3 — — $14,474.78 $16,390.96 $14,474.78 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 3 — — $14,430.68 $16,341.02 $14,430.68 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 6 3 — — $14,427.00 $16,336.86 $14,427.00 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 3 — — $14,352.45 $16,252.44 $14,352.45 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 3 — — $14,284.20 $16,175.16 $14,284.20 2026-04-01
849 MS_DRG Radiotherapy 6 3 — — $14,224.88 $16,107.98 $14,224.88 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 6 3 — — $14,207.55 $16,088.36 $14,207.55 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 3 — — $14,161.35 $16,036.04 $14,161.35 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 3 — — $13,965.00 $15,813.70 $13,965.00 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 3 — — $13,916.18 $15,758.41 $13,916.18 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 3 — — $13,846.35 $15,679.34 $13,846.35 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 6 3 — — $13,626.90 $15,430.84 $13,626.90 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 6 3 — — $13,610.62 $15,412.41 $13,610.62 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 3 — — $13,559.70 $15,354.75 $13,559.70 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 6 3 — — $13,540.80 $15,333.34 $13,540.80 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 6 3 — — $13,540.80 $15,333.34 $13,540.80 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 6 3 — — $13,479.90 $15,264.38 $13,479.90 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 6 3 — — $13,403.25 $15,177.58 $13,403.25 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 3 — — $13,339.72 $15,105.65 $13,339.72 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 3 — — $13,314.52 $15,077.11 $13,314.52 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 6 3 — — $13,251.00 $15,005.18 $13,251.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 6 3 — — $13,245.22 $14,998.64 $13,245.22 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 6 3 — — $13,082.48 $14,814.35 $13,082.48 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0520T OTHER Rmvl&rplcmt Pg Wcs New Eltrd 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
69930 HCPCS Implant Cochlear Device 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 2 1 — — $13,053.00 $13,053.00 $13,053.00 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 6 3 — — $13,028.92 $14,753.71 $13,028.92 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 6 3 — — $12,910.80 $14,619.94 $12,910.80 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 3 — — $12,907.12 $14,615.78 $12,907.12 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 6 3 — — $12,889.28 $14,595.57 $12,889.28 2026-04-01
792 MS_DRG Prematurity Without Major Problems 6 3 — — $12,858.30 $14,560.49 $12,858.30 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 6 3 — — $12,832.05 $14,530.77 $12,832.05 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 6 3 — — $12,816.82 $14,513.53 $12,816.82 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 6 3 — — $12,716.55 $14,399.98 $12,716.55 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 6 3 — — $12,675.08 $14,353.01 $12,675.08 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 3 — — $12,627.82 $14,299.51 $12,627.82 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 3 — — $12,585.30 $14,251.35 $12,585.30 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 6 3 — — $12,573.22 $14,237.68 $12,573.22 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 3 — — $12,550.12 $14,211.52 $12,550.12 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 3 — — $12,528.60 $14,187.15 $12,528.60 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 6 3 — — $12,343.28 $13,977.29 $12,343.28 2026-04-01
333 MS_DRG Rectal Resection With Cc 6 3 — — $12,296.55 $13,924.38 $12,296.55 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 6 3 — — $12,277.65 $13,902.98 $12,277.65 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 3 — — $12,268.72 $13,892.87 $12,268.72 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 6 3 — — $12,217.28 $13,834.61 $12,217.28 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 3 — — $12,208.88 $13,825.10 $12,208.88 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 3 — — $12,196.28 $13,810.83 $12,196.28 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $12,133.80 $13,740.08 $12,133.80 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 6 3 — — $12,051.90 $13,647.34 $12,051.90 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 6 3 — — $12,048.22 $13,643.18 $12,048.22 2026-04-01
81416 HCPCS Exome Sequence Analysis 2 1 — — $12,000.00 $12,000.00 $12,000.00 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 6 3 — — $11,999.40 $13,587.89 $11,999.40 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 6 3 — — $11,978.40 $13,564.11 $11,978.40 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 3 — — $11,947.42 $13,529.04 $11,947.42 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 6 3 — — $11,927.48 $13,506.45 $11,927.48 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 6 3 — — $11,894.40 $13,468.99 $11,894.40 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 3 — — $11,752.65 $13,308.48 $11,752.65 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 6 3 — — $11,745.82 $13,300.75 $11,745.82 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 6 3 — — $11,652.90 $13,195.52 $11,652.90 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 6 3 — — $11,617.20 $13,155.10 $11,617.20 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 6 3 — — $11,605.65 $13,142.02 $11,605.65 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 3 — — $11,591.48 $13,125.97 $11,591.48 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 6 3 — — $11,543.18 $13,071.27 $11,543.18 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 6 3 — — $11,524.80 $13,050.46 $11,524.80 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 6 3 — — $11,506.95 $13,030.25 $11,506.95 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 6 3 — — $11,486.48 $13,007.07 $11,486.48 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 3 — — $11,458.12 $12,974.96 $11,458.12 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 6 3 — — $11,450.78 $12,966.64 $11,450.78 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 3 — — $11,438.70 $12,952.97 $11,438.70 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 6 3 — — $11,430.82 $12,944.05 $11,430.82 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 6 3 — — $11,392.50 $12,900.65 $11,392.50 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 3 — — $11,242.88 $12,731.22 $11,242.88 2026-04-01
584 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc 6 3 — — $11,238.68 $12,726.46 $11,238.68 2026-04-01
374 MS_DRG Digestive Malignancy With Mcc 6 3 — — $11,228.18 $12,714.57 $11,228.18 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 6 3 — — $11,187.75 $12,668.80 $11,187.75 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 3 — — $11,187.22 $12,668.20 $11,187.22 2026-04-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 6 3 — — $11,182.50 $12,662.85 $11,182.50 2026-04-01
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 6 3 — — $11,165.18 $12,643.23 $11,165.18 2026-04-01
595 MS_DRG Major Skin Disorders With Mcc 6 3 — — $11,133.68 $12,607.56 $11,133.68 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 6 3 — — $11,117.92 $12,589.73 $11,117.92 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 6 3 — — $11,116.35 $12,587.94 $11,116.35 2026-04-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 6 3 — — $11,112.15 $12,583.19 $11,112.15 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 6 3 — — $11,070.68 $12,536.22 $11,070.68 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 6 3 — — $11,038.12 $12,499.36 $11,038.12 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 3 — — $10,996.12 $12,451.80 $10,996.12 2026-04-01
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