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

TEXAS HEALTH HOSPITAL MANSFIELD

Mansfield, TX · CCN 670309 · Rates published

Your selected procedure

You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $25,682 across 3 payers · range $12,567-$82,186

Source: https://urldefense.com/v3/__https://hospitalpricedisclosure.com/download.aspx?pi=8TD412ABjMMB7Z3bph2isQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT6X4QFNpw$ · 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.

27,377 distinct procedures filed
14 distinct payers
501,717 rate rows
2026-04-01 last MRF observed
Data quality

487,977 of 501,717 rate rows are consumer-grade (97.3%)

13,740 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 9,581
per-diem day rate — not a per-procedure price 1,683
template filing: same amount across many unrelated codes — excluded 1,544
exceeds 10× this hospital's gross charge — excluded from medians 704
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 190
placeholder amount (≤ $0.02) — excluded from medians 33
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=8TD412ABjMMB7Z3bph2isQ*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint eaea55fa8e2b49f7… · 21,368,315 bytes · first seen 2026-05-05

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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $4,467,936.34 $4,910,221.21 $4,467,936.34 nat. median
$2,460,273
1.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $612,734.22 $3,564,325.44 $997,736.25 nat. median
$631,793
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $468,805.05 $2,727,077.60 $903,143.93 nat. median
$588,565
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $491,505.08 $2,859,125.57 $883,599.04 nat. median
$577,541
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 14 $503,455.00 $3,215,558.11 $760,853.86 nat. median
$610,161
1.2× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 14 $496,390.00 $3,145,038.12 $744,167.67 nat. median
$624,417
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $248,134.00 $1,979,545.00 $664,801.00 nat. median
$370,165
1.8× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 14 $421,729.00 $2,956,726.24 $575,798.00 nat. median
$691,418
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $185,705.00 $1,478,554.00 $496,551.00 nat. median
$261,939
1.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $156,628.00 $1,245,210.00 $418,186.00 nat. median
$205,166
outlier · 2.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $141,642.00 $1,124,945.00 $374,219.43 nat. median
$199,832
1.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $90,740.69 $351,468.56 $288,011.64 nat. median
$83,623
outlier · 3.4×
5834
APR_DRG 		Neonate With Ecmo 3 $267,255.00 $293,981.00 $277,945.50 nat. median
$311,018
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $259,986.00 $285,985.00 $270,385.50 nat. median
$175,480
1.5× median
0100T
OTHER 		Prosth Retina Receive&Gen 2 $59,420.00 $1,053,168.45 $245,068.30 nat. median
$5,118
outlier · 47.9×
215
MS_DRG 		Other Heart Assist System Implant 12 $70,761.00 $434,133.00 $235,874.66 nat. median
$98,002
outlier · 2.4×
5833
APR_DRG 		Neonate With Ecmo 3 $226,302.00 $248,932.00 $235,354.00 nat. median
$250,089
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $29,927.36 $741,684.00 $232,988.98 nat. median
$132,706
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $87,159.00 $687,713.00 $230,959.00 nat. median
$114,305
outlier · 2.0×
7
MS_DRG 		Lung Transplant 11 $86,943.00 $685,981.00 $230,377.00 nat. median
$122,690
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $217,696.00 $239,466.00 $226,404.00 nat. median
$243,231
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $64,589.00 $412,475.25 $215,606.00 nat. median
$92,900
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $72,718.00 $571,821.00 $213,379.00 nat. median
$100,978
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $56,858.00 $337,955.00 $212,400.96 nat. median
$80,459
outlier · 2.6×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $124,851.62 $1,231,360.00 $211,680.00 nat. median
$69,291
outlier · 3.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $60,175.46 $233,079.35 $194,744.64 nat. median
$57,648
outlier · 3.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $73,540.00 $578,424.00 $194,255.00 nat. median
$108,240
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $56,889.00 $350,937.00 $189,307.00 nat. median
$79,040
outlier · 2.4×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $71,118.00 $558,987.00 $187,728.00 nat. median
$99,646
1.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $86,109.33 $320,139.06 $187,492.53 nat. median
$58,534
outlier · 3.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $69,980.00 $549,854.00 $184,660.00 nat. median
$96,835
1.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $81,431.85 $302,749.04 $177,307.90 nat. median
$51,048
outlier · 3.5×
209
MS_DRG 		Complex Aortic Arch Procedures 1 $176,900.94 $176,900.94 $176,900.94 nat. median
$96,134
1.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $169,168.00 $186,085.00 $175,935.00 nat. median
$254,667
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $52,588.00 $331,483.00 $174,618.00 nat. median
$73,475
outlier · 2.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $52,072.00 $327,726.00 $172,856.00 nat. median
$74,472
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $54,189.00 $352,677.77 $172,798.00 nat. median
$77,385
outlier · 2.2×
1614
APR_DRG 		Implantable Heart Assist Systems 3 $164,274.00 $180,701.00 $170,845.00 nat. median
$209,486
0.8× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 11 $32,048.51 $305,129.00 $166,329.50 nat. median
$7,752
outlier · 21.5×
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $61,716.00 $483,533.00 $162,387.00 nat. median
$81,364
2.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $153,899.00 $169,289.00 $160,055.00 nat. median
$165,599
1.0× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $71,098.95 $264,333.16 $154,809.27 nat. median
$46,826
outlier · 3.3×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $66,500.05 $353,441.42 $153,822.51 nat. median
$62,767
outlier · 2.5×
5232
OTHER 		Level 2 Icd And Similar Procedures 1 $150,631.06 $150,631.06 $150,631.06 nat. median
$32,779
outlier · 4.6×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $47,220.12 $182,899.07 $149,787.28 nat. median
$46,399
outlier · 3.2×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 $45,074.00 $291,324.75 $148,954.00 nat. median
$65,792
outlier · 2.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $56,017.00 $437,798.00 $147,028.00 nat. median
$81,124
1.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $43,703.00 $270,525.25 $144,269.00 nat. median
$63,840
outlier · 2.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $39,003.00 $248,487.66 $143,939.86 nat. median
$57,394
outlier · 2.5×
10
MS_DRG 		Pancreas Transplant 11 $53,613.00 $418,503.00 $140,548.00 nat. median
$67,750
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 27,377 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $4,467,936.34 $4,910,221.21 $4,467,936.34 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 3 — — $612,734.22 $3,564,325.44 $997,736.25 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 3 — — $468,805.05 $2,727,077.60 $903,143.93 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 3 — — $491,505.08 $2,859,125.57 $883,599.04 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 25 14 $1,624,811.86 $812,405.93 50% off $503,455.00 $3,215,558.11 $760,853.86 2026-04-01
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 25 14 $1,589,189.84 $794,594.92 50% off $496,390.00 $3,145,038.12 $744,167.67 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 12 $0.01 — $248,134.00 $1,979,545.00 $664,801.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 25 14 $1,392,190.32 $696,095.16 50% off $421,729.00 $2,956,726.24 $575,798.00 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 11 $0.01 — $185,705.00 $1,478,554.00 $496,551.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 11 $0.01 — $156,628.00 $1,245,210.00 $418,186.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 12 $0.01 — $141,642.00 $1,124,945.00 $374,219.43 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 2 — — $90,740.69 $351,468.56 $288,011.64 2026-04-01
5834 APR_DRG Neonate With Ecmo 4 3 $0.01 — $267,255.00 $293,981.00 $277,945.50 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $259,986.00 $285,985.00 $270,385.50 2024-12-15
0100T OTHER Prosth Retina Receive&Gen 6 2 — — $59,420.00 $1,053,168.45 $245,068.30 2026-04-01
215 MS_DRG Other Heart Assist System Implant 27 12 $0.01 — $70,761.00 $434,133.00 $235,874.66 2026-04-01
5833 APR_DRG Neonate With Ecmo 4 3 $0.01 — $226,302.00 $248,932.00 $235,354.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 12 $0.01 — $29,927.36 $741,684.00 $232,988.98 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 21 11 $0.01 — $87,159.00 $687,713.00 $230,959.00 2026-04-01
7 MS_DRG Lung Transplant 21 11 $0.01 — $86,943.00 $685,981.00 $230,377.00 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 4 3 $0.01 — $217,696.00 $239,466.00 $226,404.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 $0.01 — $64,589.00 $412,475.25 $215,606.00 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 11 $0.01 — $72,718.00 $571,821.00 $213,379.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 $0.01 — $56,858.00 $337,955.00 $212,400.96 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 3 — — $124,851.62 $1,231,360.00 $211,680.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 — — $60,175.46 $233,079.35 $194,744.64 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 11 $0.01 — $73,540.00 $578,424.00 $194,255.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 12 $0.01 — $56,889.00 $350,937.00 $189,307.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 11 $0.01 — $71,118.00 $558,987.00 $187,728.00 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $86,109.33 $320,139.06 $187,492.53 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 $0.01 — $69,980.00 $549,854.00 $184,660.00 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $81,431.85 $302,749.04 $177,307.90 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 1 1 — — $176,900.94 $176,900.94 $176,900.94 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $169,168.00 $186,085.00 $175,935.00 2024-12-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 12 $0.01 — $52,588.00 $331,483.00 $174,618.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 $0.01 — $52,072.00 $327,726.00 $172,856.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 12 $0.01 — $54,189.00 $352,677.77 $172,798.00 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $164,274.00 $180,701.00 $170,845.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 54 11 $302,750.00 $151,375.00 50% off $32,048.51 $305,129.00 $166,329.50 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 21 11 $0.01 — $61,716.00 $483,533.00 $162,387.00 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $153,899.00 $169,289.00 $160,055.00 2024-12-15
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 1 — — $71,098.95 $264,333.16 $154,809.27 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $66,500.05 $353,441.42 $153,822.51 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $150,631.06 $150,631.06 $150,631.06 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 2 — — $47,220.12 $182,899.07 $149,787.28 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 12 $0.01 — $45,074.00 $291,324.75 $148,954.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 11 $0.01 — $56,017.00 $437,798.00 $147,028.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 $0.01 — $43,703.00 $270,525.25 $144,269.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 $0.01 — $39,003.00 $248,487.66 $143,939.86 2026-04-01
10 MS_DRG Pancreas Transplant 21 11 $0.01 — $53,613.00 $418,503.00 $140,548.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 11 $0.01 — $53,314.00 $416,104.00 $139,742.00 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 11 $0.01 — $47,687.00 $370,947.00 $138,421.00 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $62,798.84 $233,474.83 $136,736.79 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 12 $0.01 — $41,602.00 $369,393.00 $133,903.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 12 $0.01 — $40,648.00 $283,776.65 $133,834.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 12 $0.01 — $41,419.00 $252,815.50 $133,292.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 12 $0.01 — $40,376.00 $245,984.86 $132,907.00 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $60,840.77 $226,195.10 $132,473.34 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 12 $0.01 — $50,285.00 $391,796.00 $131,579.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 12 $0.01 — $39,950.00 $249,925.50 $131,453.00 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 $0.01 — $125,872.00 $138,460.00 $130,907.00 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 $0.01 — $124,757.00 $137,233.00 $129,747.00 2024-12-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 12 $0.01 — $46,964.00 $365,147.00 $126,120.69 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 $0.01 — $47,920.00 $372,821.00 $125,206.00 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 1 — — $56,447.04 $209,859.99 $122,906.53 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 12 $0.01 — $33,234.00 $193,826.00 $121,818.42 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 11 $0.01 — $41,979.00 $325,144.00 $121,330.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $38,819.59 $150,361.07 $121,134.01 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 12 $0.01 — $46,126.00 $358,417.00 $120,369.00 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $119,874.56 $119,874.56 $119,874.56 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 12 $0.01 — $36,261.00 $220,910.75 $118,853.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 12 $0.01 — $37,616.00 $257,369.13 $118,483.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 $0.01 — $36,108.00 $222,895.50 $118,328.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 11 $0.01 — $45,317.00 $351,930.00 $118,190.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 12 $0.01 — $36,790.00 $325,108.00 $117,850.00 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 11 $0.01 — $45,148.00 $350,575.00 $117,736.00 2026-04-01
5832 APR_DRG Neonate With Ecmo 4 3 $0.01 — $112,761.00 $124,037.00 $117,271.50 2024-12-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 12 $0.01 — $35,037.00 $214,918.25 $114,671.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 12 $0.01 — $41,228.00 $319,113.00 $114,057.06 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 12 $0.01 — $43,764.00 $339,463.00 $114,004.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 3 — — $72,150.22 $419,703.75 $113,649.10 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 12 $0.01 — $42,829.00 $331,963.00 $111,485.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 12 $0.01 — $39,546.00 $305,613.00 $111,483.33 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 $0.01 — $107,074.00 $117,781.00 $111,357.00 2024-12-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 12 $0.01 — $34,058.00 $214,619.20 $111,327.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 27 12 $0.01 — $34,786.00 $321,779.07 $111,164.00 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 3 — — $80,555.08 $468,595.51 $110,544.65 2026-04-01
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 27 11 $196,560.00 $98,280.00 50% off $28,010.01 $170,872.00 $109,975.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 12 $0.01 — $34,408.00 $206,392.00 $109,905.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 11 $0.01 — $41,927.00 $324,724.00 $109,420.88 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 12 $0.01 — $33,427.00 $218,142.30 $109,171.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 12 $0.01 — $41,743.00 $323,244.00 $108,557.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 12 $0.01 — $29,706.00 $191,555.72 $108,292.23 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 12 $0.01 — $37,616.00 $317,679.98 $108,263.00 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 27 12 $0.01 — $37,925.00 $292,611.00 $106,929.35 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 21 11 $0.01 — $40,943.00 $316,824.00 $106,401.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 21 11 $0.01 — $40,943.00 $316,824.00 $106,401.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 12 $0.01 — $36,971.00 $301,166.62 $106,332.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 12 $0.01 — $32,236.00 $225,397.87 $105,103.00 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 36 11 $184,785.62 $92,392.81 50% off $25,269.01 $158,667.00 $104,617.00 2024-12-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 4 3 $0.01 — $99,501.00 $109,451.00 $103,481.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 4 3 $0.01 — $99,288.00 $109,217.00 $103,259.50 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 12 $0.01 — $31,502.00 $197,565.50 $102,314.97 2026-04-01
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 27 11 $224,900.00 $112,450.00 50% off $32,048.51 $158,667.00 $102,120.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 12 $0.01 — $38,779.00 $299,461.00 $100,570.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 12 $0.01 — $34,214.00 $299,156.26 $100,467.26 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 12 $0.01 — $36,753.00 $283,199.00 $99,182.69 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 12 $0.01 — $36,757.00 $283,231.00 $98,354.16 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 10 $0.01 — $40,347.00 $312,043.00 $98,202.26 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 11 $0.01 — $34,189.00 $262,623.00 $98,000.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 12 $0.01 — $30,797.00 $269,952.00 $97,852.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 11 $0.01 — $37,464.00 $288,910.00 $97,026.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 12 $0.01 — $34,684.00 $279,052.59 $96,598.87 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 11 $0.01 — $37,244.00 $287,147.00 $96,434.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 11 $0.01 — $37,052.00 $285,603.00 $95,916.00 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $91,739.00 $100,913.00 $95,408.50 2024-12-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $95,150.76 $95,150.76 $95,150.76 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $90,770.00 $99,847.00 $94,401.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $90,355.00 $99,391.00 $93,969.50 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 $0.01 — $90,122.00 $99,134.00 $93,726.50 2024-12-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 12 $0.01 — $32,699.00 $264,785.81 $93,538.00 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 $0.01 — $89,734.00 $98,708.00 $93,323.50 2024-12-15
799 MS_DRG Splenic Procedures With Mcc 27 12 $0.01 — $32,563.00 $270,187.03 $93,132.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 12 $0.01 — $28,677.00 $176,740.50 $92,950.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 12 $0.01 — $34,176.00 $262,518.00 $92,733.65 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 3 $0.01 — $88,838.00 $97,722.00 $92,391.50 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 12 $0.01 — $28,360.00 $171,751.00 $91,526.98 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 11 $0.01 — $31,890.00 $244,178.00 $91,117.00 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $90,971.17 $90,971.17 $90,971.17 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 11 $0.01 — $35,149.00 $270,329.00 $90,786.00 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 27 12 $0.01 — $31,611.00 $262,806.93 $90,280.00 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 3 $0.01 — $86,498.00 $95,147.00 $89,957.50 2024-12-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 12 $0.01 — $24,905.00 $143,016.00 $89,885.29 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 $0.01 — $85,723.00 $94,295.00 $89,152.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $85,622.00 $94,184.00 $89,047.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $85,169.00 $93,686.00 $88,576.00 2024-12-15
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 3 — — $47,520.53 $310,773.45 $88,494.38 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 12 $0.01 — $32,071.00 $245,627.00 $88,176.76 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 12 $0.01 — $31,498.00 $256,476.64 $88,037.96 2026-04-01
J9226 HCPCS Supprelin La Implant 7 3 — — $48,618.95 $282,820.46 $87,641.82 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 12 $0.01 — $27,040.00 $165,622.50 $85,488.48 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 21 11 $0.01 — $33,181.00 $254,535.00 $85,482.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 12 $0.01 — $30,973.00 $244,808.11 $85,292.11 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 12 $0.01 — $30,196.00 $230,578.00 $84,574.71 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 12 $0.01 — $30,442.00 $232,557.00 $83,611.03 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 11 $0.01 — $29,323.00 $223,576.00 $83,429.00 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 $0.01 — $15,494.91 $249,532.00 $82,573.21 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 1 1 — — $82,170.89 $82,170.89 $82,170.89 2026-04-01
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 243 11 $142,725.00 $71,362.50 50% off $20,338.51 $238,885.00 $81,334.00 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 11 $0.01 — $31,599.00 $241,837.00 $81,217.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 27 12 $0.01 — $26,898.00 $135,724.82 $81,103.00 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 $0.01 — $77,982.00 $85,781.00 $81,101.50 2024-12-15
38240 HCPCS Transplt Allo Hct/donor 7 3 — — $13,172.00 $258,532.19 $80,786.63 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 $0.01 — $77,670.00 $85,437.00 $80,777.00 2024-12-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 12 $0.01 — $7,381.07 $226,116.42 $79,779.94 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 12 $0.01 — $28,067.00 $219,717.89 $79,668.00 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 3 $0.01 — $76,290.00 $83,919.00 $79,341.50 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 $0.01 — $76,247.00 $83,872.00 $79,297.00 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 12 $0.01 — $30,716.00 $236,068.53 $79,280.17 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 12 $0.01 — $26,136.00 $131,859.25 $78,671.00 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $75,610.00 $83,171.00 $78,634.50 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 27 12 $0.01 — $29,125.00 $221,991.00 $77,915.13 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 12 $0.01 — $24,795.00 $150,199.25 $77,836.00 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 27 12 $0.01 — $24,691.00 $213,761.00 $77,487.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 25 12 $0.01 — $28,873.00 $229,470.53 $77,285.44 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 12 $0.01 — $27,218.00 $223,644.14 $77,126.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 11 $0.01 — $27,166.00 $206,265.00 $76,969.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 12 $0.01 — $23,992.00 $146,888.50 $76,948.00 2026-04-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 4 3 $0.01 — $73,939.00 $81,333.00 $76,896.50 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 12 $0.01 — $24,491.00 $219,220.53 $76,819.00 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 $0.01 — $73,557.00 $80,913.00 $76,499.50 2024-12-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 11 $0.01 — $29,764.00 $227,119.00 $76,275.00 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 12 $0.01 — $24,324.00 $143,215.00 $76,260.86 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 12 $0.01 — $23,742.00 $143,633.77 $76,095.00 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 27 12 $0.01 — $26,743.00 $208,185.84 $75,704.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 12 $0.01 — $24,555.00 $165,226.65 $75,678.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 12 $0.01 — $28,305.00 $215,403.00 $75,073.05 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 12 $0.01 — $23,957.00 $207,007.00 $75,039.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 12 $0.01 — $27,501.00 $208,957.00 $74,900.69 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 28 12 $0.01 — $23,650.00 $150,088.09 $74,895.22 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 12 $0.01 — $23,901.00 $142,536.50 $74,848.98 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 27 12 $0.01 — $23,867.00 $215,344.04 $74,738.00 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 4 1 — — $34,246.63 $127,322.82 $74,567.84 2026-04-01
64 APR_DRG Pancreas Transplant 4 3 $0.01 — $71,385.00 $78,524.00 $74,240.50 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $71,380.00 $78,517.00 $74,235.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 12 $0.01 — $28,344.00 $220,757.19 $74,138.08 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 $0.01 — $71,166.00 $78,283.00 $74,012.50 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 12 $0.01 — $28,866.00 $219,912.00 $73,854.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 11 $0.01 — $28,172.00 $214,343.00 $73,793.66 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 12 $0.01 — $27,520.00 $209,104.00 $73,779.20 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 1 — — $33,836.17 $125,796.82 $73,674.11 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $50,510.82 $293,825.58 $73,380.04 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 12 $0.01 — $24,151.00 $218,437.14 $73,358.92 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 12 $0.01 — $22,520.00 $205,237.46 $73,124.98 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 27 12 $0.01 — $26,718.00 $202,669.00 $73,000.75 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 12 $0.01 — $26,647.00 $202,102.00 $72,932.19 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 12 $0.01 — $20,413.00 $116,813.19 $72,662.33 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 27 12 $0.01 — $27,271.00 $207,110.00 $72,068.41 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 12 $0.01 — $22,843.00 $196,756.00 $72,044.26 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $69,181.00 $76,099.00 $71,948.50 2024-12-15
69930 HCPCS Implant Cochlear Device 7 3 — — $34,962.39 $228,646.06 $71,447.75 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 27 12 $0.01 — $25,329.00 $191,520.00 $71,255.55 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 27 12 $0.01 — $25,163.00 $205,419.62 $70,972.00 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 27 12 $0.01 — $25,939.00 $196,418.00 $70,805.05 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 18 10 $0.01 — $28,741.00 $218,910.00 $70,685.59 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 11 $0.01 — $27,052.00 $205,351.00 $70,584.48 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 27 12 $0.01 — $24,911.00 $194,827.13 $70,215.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 27 12 $0.01 — $24,909.00 $197,383.40 $70,212.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 3 — — $30,749.39 $201,094.02 $69,826.74 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 27 12 $0.01 — $21,877.00 $137,734.00 $69,723.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 3 — — $34,090.47 $222,943.91 $69,665.94 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 3 — — $34,090.47 $222,943.91 $69,665.94 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 3 — — $34,090.47 $222,943.91 $69,665.94 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 3 — — $34,090.47 $222,943.91 $69,665.94 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 3 — — $34,090.47 $222,943.91 $69,665.94 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 12 $0.01 — $26,329.00 $206,758.11 $69,436.69 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 12 $0.01 — $21,781.00 $138,556.48 $69,395.00 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 $0.01 — $66,513.00 $73,164.00 $69,173.50 2024-12-15
500 MS_DRG Soft Tissue Procedures With Mcc 27 12 $0.01 — $22,189.00 $191,988.76 $69,141.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 18 10 $0.01 — $28,018.00 $213,104.00 $68,971.05 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 27 12 $0.01 — $24,549.00 $185,263.00 $68,877.69 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 12 $0.01 — $24,381.00 $190,449.47 $68,629.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 12 $0.01 — $24,364.00 $196,989.72 $68,580.00 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 27 12 $0.01 — $23,184.00 $113,302.00 $68,357.63 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 $0.01 — $65,422.00 $71,964.00 $68,038.50 2024-12-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 12 $0.01 — $26,465.00 $202,086.50 $67,867.80 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $64,891.00 $71,380.00 $67,486.50 2024-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 12 $0.01 — $21,690.00 $189,045.28 $67,476.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 12 $0.01 — $19,813.00 $127,560.38 $67,385.50 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $66,854.17 $66,854.17 $66,854.17 2026-04-01
C2616 HCPCS Microsphere Gl Therasphere Y-90 3 Gbq 32 13 $128,781.90 $64,390.95 50% off $16,749.74 $99,848.95 $66,328.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 11 $0.01 — $24,176.00 $182,272.00 $66,000.16 2026-04-01
C1882 HCPCS System Defib Crdc Viva Quad Xt Crt-d 549 11 $112,811.40 $56,405.70 50% off $4.50 $161,411.00 $64,681.00 2024-12-15
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 27 12 $0.01 — $23,060.00 $173,317.00 $64,674.00 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 3 $0.01 — $62,125.00 $68,338.00 $64,610.00 2024-12-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 27 12 $0.01 — $23,419.00 $176,193.00 $64,574.42 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 11 $0.01 — $22,422.00 $168,199.00 $64,552.16 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 12 $0.01 — $20,749.00 $179,131.32 $64,336.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 12 $0.01 — $20,700.00 $182,135.01 $64,173.00 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $61,638.00 $67,802.00 $64,104.00 2024-12-15
1612 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $61,549.00 $67,704.00 $64,011.00 2024-12-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 27 12 $0.01 — $22,773.00 $172,429.65 $63,814.00 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 27 12 $0.01 — $24,126.00 $181,873.00 $63,589.20 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 12 $0.01 — $20,511.00 $119,391.00 $63,541.92 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 $0.01 — $60,845.00 $66,929.00 $63,279.00 2024-12-15
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 1 1 — — $63,063.80 $63,063.80 $63,063.80 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 3 — — $30,749.39 $201,094.02 $62,838.24 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 11 $0.01 — $22,362.00 $167,711.00 $62,582.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 27 12 $0.01 — $20,195.00 $189,093.43 $62,488.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 27 12 $0.01 — $22,322.00 $169,044.05 $62,463.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 12 $0.01 — $20,157.00 $172,040.00 $62,364.00 2026-04-01
8634 APR_DRG Neonatal Aftercare 4 3 $0.01 — $59,901.00 $65,891.00 $62,297.00 2024-12-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 12 $0.01 — $22,224.00 $177,132.75 $62,169.00 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 25 12 $0.01 — $20,083.00 $149,429.00 $62,114.99 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 1 1 — — $62,107.78 $62,107.78 $62,107.78 2026-04-01
C1820 HCPCS Stimulator Neurostim Gastric Enterra Ii 171 11 $107,581.50 $53,790.75 50% off $2,330.00 $155,951.00 $62,030.00 2024-12-15
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 3 — — $10,179.00 $204,322.92 $61,996.63 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 3 — — $10,179.00 $201,094.02 $61,996.63 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 3 — — $10,179.00 $207,618.39 $61,996.63 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 12 $0.01 — $24,374.00 $183,857.00 $61,959.18 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 $0.01 — $59,326.00 $65,259.00 $61,699.00 2024-12-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 27 12 $0.01 — $22,782.00 $171,086.00 $61,599.16 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 3 — — $30,118.74 $196,969.69 $61,549.46 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 11 $0.01 — $21,534.00 $130,687.50 $61,163.62 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $58,373.00 $64,211.00 $60,708.00 2024-12-15
4404 APR_DRG Kidney Transplant 4 3 $0.01 — $58,229.00 $64,052.00 $60,558.00 2024-12-15
665 MS_DRG Prostatectomy With Mcc 27 12 $0.01 — $23,922.00 $180,230.00 $60,528.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 27 12 $0.01 — $21,634.00 $168,408.92 $60,402.00 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 $0.01 — $57,963.00 $63,759.00 $60,281.50 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 $0.01 — $57,943.00 $63,738.00 $60,261.00 2024-12-15
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 27 12 $0.01 — $19,361.00 $197,021.22 $59,708.00 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 3 — — $23,984.81 $156,855.22 $59,420.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 27 12 $0.01 — $16,948.00 $97,124.37 $59,371.74 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 11 $0.01 — $21,648.00 $161,984.00 $59,074.86 2026-04-01
652 MS_DRG Kidney Transplant 21 11 $0.01 — $21,553.00 $161,218.00 $59,061.74 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 21 11 $0.01 — $22,265.00 $166,939.00 $58,935.02 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 11 $0.01 — $20,184.00 $150,232.00 $58,783.52 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 $0.01 — $56,448.00 $62,093.00 $58,706.00 2024-12-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 3 $0.01 — $56,448.00 $62,093.00 $58,706.00 2024-12-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 3 $0.01 — $56,288.00 $61,917.00 $58,539.50 2024-12-15
263 MS_DRG Vein Ligation And Stripping 27 12 $0.01 — $19,006.00 $120,071.00 $58,519.06 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 27 12 $0.01 — $18,577.00 $116,764.50 $58,453.00 2026-04-01
503 MS_DRG Foot Procedures With Mcc 27 12 $0.01 — $18,774.00 $159,309.00 $57,749.00 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 27 12 $0.01 — $21,868.00 $163,748.00 $57,532.90 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 12 $0.01 — $20,647.00 $158,777.00 $57,449.00 2026-04-01
4414 APR_DRG Major Bladder Procedures 4 3 $0.01 — $55,106.00 $60,616.00 $57,310.00 2024-12-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 25 12 $0.01 — $21,469.00 $160,724.38 $57,309.30 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 28 12 $0.01 — $18,622.00 $168,687.67 $57,239.11 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 12 $0.01 — $20,528.00 $160,944.84 $57,090.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 27 12 $0.01 — $20,522.00 $155,050.21 $57,073.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 27 12 $0.01 — $18,162.00 $108,421.75 $57,034.00 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 3 3 — — $33,146.71 $63,329.75 $56,017.78 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 27 12 $0.01 — $20,216.00 $150,494.00 $56,011.36 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 12 $0.01 — $17,978.00 $155,523.24 $55,963.28 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 28 12 $0.01 — $18,130.00 $153,386.00 $55,928.40 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 27 12 $0.01 — $17,830.00 $108,241.71 $55,899.00 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 27 12 $0.01 — $16,019.00 $90,154.67 $55,810.24 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 4 3 $0.01 — $53,618.00 $58,980.00 $55,763.00 2024-12-15
570 MS_DRG Skin Debridement With Mcc 27 12 $0.01 — $21,152.00 $158,005.00 $55,660.38 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 27 12 $0.01 — $19,922.00 $152,367.97 $55,276.00 2026-04-01
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