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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

USA HEALTH HCA PROVIDENCE HOSPITAL, LLC

Mobile, AL · CCN 010090 · Rates published

10,556 distinct procedures filed
17 distinct payers
176,748 rate rows
2026-04-01 last MRF observed
Data quality

110,890 of 176,748 rate rows are consumer-grade (62.7%)

65,858 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 65,678
placeholder amount (≤ $0.02) — excluded from medians 180
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://marketingassetstorage.blob.core.windows.net/pdf/931394239_usa-health-providence-hospital_standardcharges.csv
Found on page https://www.usahealthsystem.com/price-index
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 8c4477550bf4f8b0… · 23,437,142 bytes · first seen 2026-05-08

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,821,300.00 $3,821,300.00 $3,821,300.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,691,450.00 $4,429,740.00 $3,821,300.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,321,376.38 $3,985,651.65 $3,493,760.00 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,245,381.39 $3,894,457.67 $3,384,580.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,938,320.00 $3,525,984.00 $3,057,040.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,535,208.03 $3,104,504.71 $2,535,208.03 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,798,400.00 $2,401,960.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $614,180.81 $737,016.97 $635,534.95 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $588,494.81 $706,193.77 $619,461.29 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $559,781.08 $671,737.30 $593,611.85 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,260.84 $674,713.00 $580,323.64 nat. median
$674,188
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $531,849.12 $638,218.94 $550,021.47 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,290.60 $587,148.72 $548,374.68 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 11 $3,887.00 $398,663.61 $280,343.16 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $1,400.00 $258,716.64 $182,505.15 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $6,511.00 $197,107.82 $139,433.94 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $6,511.00 $195,951.05 $138,625.23 nat. median
$202,986
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $3,887.00 $130,897.69 $91,033.52 nat. median
$133,176
0.7× median
7
MS_DRG 		Lung Transplant 11 $6,511.00 $119,556.25 $85,217.03 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $4,835.00 $110,949.25 $79,199.81 nat. median
$117,303
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 11 $10,851.00 $104,615.18 $74,771.61 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $10,851.00 $104,495.16 $74,687.71 nat. median
$98,017
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $10,851.00 $101,747.72 $72,766.95 nat. median
$98,905
0.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $10,851.00 $100,389.69 $71,817.54 nat. median
$102,358
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $74,643.30 $71,416.38 nat. median
$62,507
1.1× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $61,200.00 $77,138.76 $71,238.53 nat. median
$69,774
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 11 $6,511.00 $95,186.54 $68,179.98 nat. median
$100,136
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 4 $10,851.00 $101,538.32 $67,058.65 nat. median
$87,411
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $57,294.42 $66,234.05 $66,234.05 nat. median
$76,377
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 11 $2,450.00 $91,923.02 $65,898.43 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $6,511.00 $103,976.00 $64,774.12 nat. median
$93,672
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $53,426.66 $67,523.03 $62,400.81 nat. median
$66,682
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 $10,851.00 $83,176.63 $59,783.76 nat. median
$82,712
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $6,511.00 $79,944.50 $57,524.15 nat. median
$83,442
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $10,851.00 $320,478.00 $56,042.28 nat. median
$79,312
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $10,851.00 $89,236.00 $55,871.24 nat. median
$81,118
0.7× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 1 $53,040.00 $53,040.00 $53,040.00 nat. median
$775
outlier · 68.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 11 $6,511.00 $72,644.76 $52,420.85 nat. median
$77,576
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $10,851.00 $71,285.59 $51,191.33 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $6,511.00 $162,375.00 $50,977.70 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $6,511.00 $70,346.92 $50,814.41 nat. median
$72,138
0.7× median
J9226
HCPCS 		Supprelin La Implant 4 $41,173.43 $50,856.16 $50,132.14 nat. median
$60,368
0.8× median
90288
HCPCS 		Botulism Ig IV 1 $48,705.00 $48,705.00 $48,705.00 nat. median
$55,037
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $10,851.00 $66,642.12 $48,224.35 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 11 $4,835.00 $66,246.06 $47,947.47 nat. median
$68,882
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 11 $4,835.00 $66,218.37 $47,928.10 nat. median
$64,027
0.7× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 $4,835.00 $65,866.63 $47,682.20 nat. median
$71,240
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 $10,851.00 $100,540.00 $47,655.09 nat. median
$68,887
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 13 $3,887.00 $150,040.43 $46,244.21 nat. median
$66,526
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 11 $10,851.00 $63,496.77 $46,025.42 nat. median
$65,950
0.7× median

Other procedures at this hospital

Browse this hospital's 10,556 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 3 — — $3,691,450.00 $4,429,740.00 $3,821,300.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 1 — — $3,821,300.00 $3,821,300.00 $3,821,300.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 3 — — $3,321,376.38 $3,985,651.65 $3,493,760.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 3 — — $3,245,381.39 $3,894,457.67 $3,384,580.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 10 3 — — $2,938,320.00 $3,525,984.00 $3,057,040.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 3 — — $2,535,208.03 $3,104,504.71 $2,535,208.03 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 3 — — $2,332,000.00 $2,798,400.00 $2,401,960.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 3 — — $614,180.81 $737,016.97 $635,534.95 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 3 — — $588,494.81 $706,193.77 $619,461.29 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 10 3 — — $559,781.08 $671,737.30 $593,611.85 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 3 — — $562,260.84 $674,713.00 $580,323.64 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 3 — — $531,849.12 $638,218.94 $550,021.47 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 10 3 — — $489,290.60 $587,148.72 $548,374.68 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 50 11 — — $3,887.00 $398,663.61 $280,343.16 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 11 — — $1,400.00 $258,716.64 $182,505.15 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 11 — — $6,511.00 $197,107.82 $139,433.94 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 11 — — $6,511.00 $195,951.05 $138,625.23 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 12 — — $3,887.00 $130,897.69 $91,033.52 2026-04-01
7 MS_DRG Lung Transplant 50 11 — — $6,511.00 $119,556.25 $85,217.03 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 50 11 — — $4,835.00 $110,949.25 $79,199.81 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 11 — — $10,851.00 $104,615.18 $74,771.61 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 50 11 — — $10,851.00 $104,495.16 $74,687.71 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 11 — — $10,851.00 $101,747.72 $72,766.95 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 50 11 — — $10,851.00 $100,389.69 $71,817.54 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 4 — — $56,824.55 $74,643.30 $71,416.38 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 4 — — $61,200.00 $77,138.76 $71,238.53 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 11 — — $6,511.00 $95,186.54 $68,179.98 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 4 — — $10,851.00 $101,538.32 $67,058.65 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 2 — — $57,294.42 $66,234.05 $66,234.05 2026-04-01
215 MS_DRG Other Heart Assist System Implant 58 11 — — $2,450.00 $91,923.02 $65,898.43 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 60 11 — — $6,511.00 $103,976.00 $64,774.12 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 4 — — $53,426.66 $67,523.03 $62,400.81 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 50 11 — — $10,851.00 $83,176.63 $59,783.76 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 50 11 — — $6,511.00 $79,944.50 $57,524.15 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 11 — — $10,851.00 $320,478.00 $56,042.28 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 11 — — $10,851.00 $89,236.00 $55,871.24 2026-04-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 1 — — $53,040.00 $53,040.00 $53,040.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 11 — — $6,511.00 $72,644.76 $52,420.85 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 11 — — $10,851.00 $71,285.59 $51,191.33 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 70 12 — — $6,511.00 $162,375.00 $50,977.70 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 50 11 — — $6,511.00 $70,346.92 $50,814.41 2026-04-01
J9226 HCPCS Supprelin La Implant 12 4 — — $41,173.43 $50,856.16 $50,132.14 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $48,705.00 $48,705.00 $48,705.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 11 — — $10,851.00 $66,642.12 $48,224.35 2026-04-01
10 MS_DRG Pancreas Transplant 50 11 — — $4,835.00 $66,246.06 $47,947.47 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 50 11 — — $4,835.00 $66,218.37 $47,928.10 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 50 11 — — $4,835.00 $65,866.63 $47,682.20 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 11 — — $10,851.00 $100,540.00 $47,655.09 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 74 13 — — $3,887.00 $150,040.43 $46,244.21 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 11 — — $10,851.00 $63,496.77 $46,025.42 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 50 11 — — $6,511.00 $62,141.52 $45,077.95 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 50 11 — — $10,851.00 $61,729.77 $44,790.09 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 50 11 — — $10,851.00 $61,684.53 $44,758.47 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 11 — — $6,511.00 $77,438.53 $44,072.39 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 11 — — $10,851.00 $60,703.17 $44,072.39 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 50 11 — — $3,887.00 $60,482.52 $43,918.13 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 70 13 — — $3,887.00 $59,405.15 $43,164.93 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 66 11 — — $295.00 $56,577.39 $41,188.02 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 50 11 — — $4,835.00 $56,511.84 $41,142.20 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 11 — — $249.72 $55,969.92 $40,763.34 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 50 11 — — $10,851.00 $55,468.63 $40,412.88 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 58 12 — — $10,851.00 $303,828.00 $40,401.91 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 11 — — $10,851.00 $55,051.34 $40,121.15 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 12 — — $2,894.00 $54,870.39 $39,994.65 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 50 11 — — $3,887.00 $54,742.99 $39,905.58 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 64 11 — — $6,511.00 $54,178.92 $39,511.23 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 52 11 — — $4,835.00 $54,143.83 $39,486.70 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 50 11 — — $10,851.00 $53,241.87 $38,856.13 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 11 — — $4,835.00 $52,902.13 $38,618.62 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 50 11 — — $10,851.00 $52,686.10 $38,467.59 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 11 — — $4,835.00 $52,617.78 $38,419.83 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 11 — — $10,851.00 $51,902.30 $37,919.63 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 11 — — $4,835.00 $51,741.67 $37,807.33 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 11 — — $6,511.00 $51,387.16 $37,559.49 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 20 5 — — $300.00 $60,324.00 $37,557.97 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 50 11 — — $6,511.00 $50,988.34 $37,280.67 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 52 11 — — $3,887.00 $50,682.76 $37,067.04 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 50 11 — — $4,835.00 $50,503.66 $36,941.83 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 64 12 — — $2,250.00 $50,431.65 $36,891.49 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 50 11 — — $3,887.00 $50,352.25 $36,835.98 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 50 11 — — $4,835.00 $50,150.99 $36,695.28 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 11 — — $10,851.00 $49,232.41 $36,053.09 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 50 11 — — $10,851.00 $49,202.87 $36,032.44 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 50 11 — — $6,511.00 $48,872.36 $35,801.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 70 12 — — $6,511.00 $48,710.80 $35,688.43 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 50 11 — — $10,851.00 $48,056.25 $35,230.83 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 52 11 — — $4,835.00 $47,973.16 $35,172.74 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 26 9 — — $10,851.00 $44,804.78 $34,384.38 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 11 — — $9,904.00 $46,531.13 $34,164.60 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 60 11 — — $6,511.00 $46,043.68 $33,823.82 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 11 — — $1,000.00 $54,255.00 $33,565.66 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 78 12 — — $4,835.00 $46,172.00 $33,508.86 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 62 11 — — $6,511.00 $78,429.00 $33,399.78 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 50 11 — — $4,835.00 $45,247.88 $33,267.47 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 66 12 — — $2,185.00 $110,294.00 $32,799.55 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 50 11 — — $4,835.00 $44,353.30 $32,642.06 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 11 — — $10,851.00 $43,951.71 $32,361.31 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 50 11 — — $4,835.00 $43,403.32 $31,977.93 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 76 12 — — $300.00 $43,797.68 $31,915.97 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 52 11 — — $2,450.00 $43,185.45 $31,825.61 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 28 8 — — $1,925.00 $70,378.00 $31,711.03 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 50 11 — — $6,511.00 $42,808.78 $31,562.28 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 56 11 — — $10,851.00 $42,637.99 $31,442.88 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 70 11 — — $300.00 $42,434.89 $31,300.89 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 11 — — $3,887.00 $42,326.87 $31,225.38 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 2 — — $28,339.78 $34,007.73 $31,173.76 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 2 — — $28,339.78 $34,007.73 $31,173.76 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 2 — — $28,339.78 $34,007.73 $31,173.76 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 4 2 — — $28,339.78 $34,007.73 $31,173.76 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 2 — — $28,339.78 $34,007.73 $31,173.76 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 4 2 — — $28,339.78 $34,007.73 $31,173.76 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 4 2 — — $28,339.78 $34,007.73 $31,173.76 2026-04-01
245 MS_DRG Aicd Generator Procedures 50 11 — — $10,851.00 $42,120.08 $31,080.80 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 64 12 — — $2,010.00 $41,993.60 $30,992.38 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 58 11 — — $4,835.00 $41,975.13 $30,979.47 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 50 11 — — $4,835.00 $41,810.80 $30,864.59 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 2 — — $27,860.21 $33,432.25 $30,646.23 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 72 12 — — $4,835.00 $68,954.45 $30,560.60 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 50 11 — — $10,851.00 $41,363.98 $30,552.21 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 11 — — $6,511.00 $41,201.49 $30,438.61 2026-04-01
J9266 HCPCS Pegaspargase Injection 12 4 — — $25,781.46 $34,108.87 $30,416.45 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 62 11 — — $6,511.00 $40,554.33 $29,986.18 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 11 — — $10,851.00 $39,950.56 $29,564.07 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 11 — — $3,887.00 $39,632.05 $29,341.41 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 50 11 — — $10,851.00 $39,377.25 $29,163.27 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 50 11 — — $10,851.00 $39,151.07 $29,005.14 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 66 12 — — $8,293.92 $38,988.58 $28,891.55 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 11 — — $3,887.00 $38,922.11 $28,845.08 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 28 9 — — $161.60 $35,311.52 $28,841.42 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 50 11 — — $6,511.00 $38,902.72 $28,831.53 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 64 12 — — $9,280.66 $110,538.22 $28,752.14 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 50 11 — — $3,887.00 $38,743.01 $28,719.87 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 78 12 — — $4,096.96 $38,671.00 $28,669.53 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 11 — — $10,851.00 $38,521.44 $28,564.97 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 54 12 — — $3,110.22 $38,493.75 $28,545.61 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 11 — — $3,602.00 $38,340.50 $28,438.47 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 60 11 — — $6,511.00 $187,023.00 $28,260.98 2026-04-01
791 MS_DRG Prematurity With Major Problems 54 12 — — $2,894.00 $37,472.69 $27,831.78 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 50 11 — — $10,851.00 $37,117.26 $27,583.29 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 10 4 — — $8,507.08 $73,600.00 $27,430.45 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 50 11 — — $3,887.00 $36,781.21 $27,348.36 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 11 — — $3,887.00 $36,114.66 $26,882.37 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 50 11 — — $10,851.00 $35,951.25 $26,768.13 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 50 11 — — $10,851.00 $35,734.30 $26,616.46 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 52 11 — — $850.00 $35,680.76 $26,579.02 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 50 11 — — $4,835.00 $35,646.60 $26,555.14 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 60 12 — — $6,511.00 $35,444.42 $26,413.80 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 8 2 — — $22,751.10 $26,205.72 $26,205.72 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 4 2 — — $23,598.85 $28,318.62 $25,958.74 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 4 2 — — $23,598.85 $28,318.62 $25,958.74 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 4 2 — — $23,598.85 $28,318.62 $25,958.74 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 56 11 — — $4,835.00 $34,740.02 $25,921.35 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 50 11 — — $10,851.00 $34,588.61 $25,815.50 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 68 11 — — $300.00 $46,294.00 $25,758.05 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 54 12 — — $6,511.00 $34,502.75 $25,755.47 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 36 11 — — $5,133.70 $32,888.38 $25,699.40 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 11 — — $4,835.00 $34,405.82 $25,687.70 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 50 11 — — $4,835.00 $34,211.95 $25,552.17 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 50 11 — — $4,835.00 $33,910.06 $25,341.12 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 11 — — $6,511.00 $33,896.21 $25,331.43 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 50 11 — — $3,887.00 $33,498.31 $25,053.26 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 50 11 — — $3,887.00 $33,472.46 $25,035.19 2026-04-01
332 MS_DRG Rectal Resection With Mcc 50 11 — — $3,887.00 $33,426.30 $25,002.92 2026-04-01
265 MS_DRG Aicd Lead Procedures 50 11 — — $10,851.00 $33,403.22 $24,986.78 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 11 — — $4,835.00 $33,344.14 $24,945.48 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 60 11 — — $295.00 $33,294.28 $24,910.62 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 50 11 — — $4,835.00 $33,076.41 $24,758.30 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 50 11 — — $3,887.00 $32,999.78 $24,704.74 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 52 11 — — $3,887.00 $32,966.55 $24,681.50 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 52 11 — — $29.65 $32,917.62 $24,647.29 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 52 11 — — $6,511.00 $32,889.92 $24,627.93 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 50 11 — — $3,887.00 $32,858.53 $24,605.99 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 72 12 — — $5,183.70 $45,277.00 $24,587.27 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 60 11 — — $10,851.00 $32,557.57 $24,395.58 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 52 11 — — $3,887.00 $32,491.10 $24,349.11 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 68 12 — — $4,835.00 $48,930.00 $24,148.39 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 52 11 — — $3,887.00 $32,195.68 $24,142.58 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 50 11 — — $3,887.00 $32,047.96 $24,039.31 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 56 12 — — $3,887.00 $31,892.87 $23,930.88 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 50 11 — — $10,851.00 $31,745.16 $23,827.61 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 11 — — $2,894.00 $31,650.99 $23,761.78 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 56 11 — — $10,851.00 $32,553.00 $23,653.35 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 50 11 — — $3,887.00 $31,454.35 $23,624.31 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 60 12 — — $6,511.00 $39,066.00 $23,195.11 2026-04-01
999 MS_DRG Ungroupable 14 5 — — $3,110.22 $75,457.00 $23,071.79 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 50 11 — — $3,887.00 $30,496.07 $22,954.37 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 56 11 — — $6,511.00 $30,392.67 $22,882.08 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 78 12 — — $986.74 $49,080.46 $22,879.50 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 52 11 — — $4,835.00 $30,029.85 $22,628.43 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 54 11 — — $4,835.00 $29,897.83 $22,536.14 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 54 11 — — $3,887.00 $29,864.60 $22,512.90 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 50 11 — — $10,851.00 $29,823.05 $22,483.86 2026-04-01
652 MS_DRG Kidney Transplant 50 11 — — $4,835.00 $29,814.74 $22,478.05 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 11 — — $3,887.00 $29,792.59 $22,462.56 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 50 11 — — $3,887.00 $29,734.43 $22,421.90 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 52 11 — — $10,851.00 $29,638.41 $22,354.77 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 70 11 — — $10,851.00 $30,453.00 $22,241.18 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 58 11 — — $3,887.00 $29,421.46 $22,203.10 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 54 11 — — $4,835.00 $29,392.84 $22,183.09 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 50 11 — — $6,511.00 $29,333.76 $22,141.79 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 4 2 — — $20,082.86 $24,099.43 $22,091.15 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 38 12 — — $1,119.67 $125,057.30 $22,068.54 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 50 11 — — $4,835.00 $29,217.43 $22,060.46 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 50 11 — — $4,835.00 $29,173.12 $22,029.48 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 60 11 — — $10,851.00 $29,436.46 $21,971.40 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 62 12 — — $10,851.00 $35,020.62 $21,961.72 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 50 11 — — $4,835.00 $29,007.87 $21,913.96 2026-04-01
665 MS_DRG Prostatectomy With Mcc 50 11 — — $2,894.00 $28,814.92 $21,779.06 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 66 12 — — $5,183.70 $45,227.00 $21,737.11 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 11 — — $350.00 $28,704.13 $21,701.61 2026-04-01
2051 OTHER Cath Renal Denerv Radiofreq 2 1 — — $21,676.56 $21,676.56 $21,676.56 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 52 11 — — $3,887.00 $28,263.77 $21,393.75 2026-04-01
263 MS_DRG Vein Ligation And Stripping 50 11 — — $4,835.00 $28,225.92 $21,367.29 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 54 11 — — $295.00 $28,002.50 $21,211.10 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 54 11 — — $4,835.00 $27,885.26 $21,129.13 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 50 11 — — $4,835.00 $27,881.56 $21,126.55 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 50 11 — — $3,887.00 $27,851.10 $21,105.25 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 56 11 — — $4,835.00 $89,674.42 $20,844.50 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 76 12 — — $4,675.00 $29,339.00 $20,648.94 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 50 11 — — $4,835.00 $27,179.93 $20,636.03 2026-04-01
570 MS_DRG Skin Debridement With Mcc 58 12 — — $2,894.00 $31,638.99 $20,616.67 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
53444 HCPCS Insert Tandem Cuff 4 2 — — $18,712.81 $22,455.37 $20,584.09 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 54 11 — — $3,887.00 $26,957.44 $20,480.49 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 70 12 — — $6,511.00 $26,886.35 $20,430.79 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 56 11 — — $2,360.00 $26,791.26 $20,364.31 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 50 11 — — $4,835.00 $26,774.65 $20,352.69 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 8 2 — — $16,960.00 $20,352.00 $20,352.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 50 11 — — $6,511.00 $26,656.48 $20,270.08 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 58 12 — — $2,894.00 $26,643.55 $20,261.04 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 50 11 — — $2,894.00 $26,604.78 $20,233.94 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 6 3 — — $20,186.45 $20,193.46 $20,191.65 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 68 11 — — $2,670.00 $26,497.69 $20,159.07 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 58 12 — — $3,887.00 $26,315.82 $20,031.92 2026-04-01
800 MS_DRG Splenic Procedures With Cc 50 11 — — $4,835.00 $25,936.38 $19,766.66 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 56 12 — — $6,220.44 $25,843.14 $19,701.47 2026-04-01
503 MS_DRG Foot Procedures With Mcc 50 11 — — $2,894.00 $25,767.44 $19,648.54 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 60 12 — — $2,023.48 $25,590.18 $19,524.62 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 52 11 — — $4,835.00 $25,453.55 $19,429.10 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 76 12 — — $3,110.22 $43,827.00 $19,374.89 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 54 11 — — $10,851.00 $25,369.54 $19,370.37 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 54 11 — — $3,887.00 $25,238.44 $19,278.72 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 4 2 — — $17,515.60 $21,018.73 $19,267.17 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 4 2 — — $17,515.60 $21,018.73 $19,267.17 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 4 2 — — $17,515.60 $21,018.73 $19,267.17 2026-04-01
63655 HCPCS Implant Neuroelectrodes 4 2 — — $17,515.60 $21,018.73 $19,267.17 2026-04-01
64580 HCPCS Implant Neuroelectrodes 4 2 — — $17,515.60 $21,018.73 $19,267.17 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 4 2 — — $17,515.60 $21,018.73 $19,267.17 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 74 12 — — $2,073.48 $48,307.32 $19,194.82 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 4 2 — — $17,390.63 $20,868.75 $19,129.69 2026-04-01
849 MS_DRG Radiotherapy 50 11 — — $2,894.00 $25,014.10 $19,121.88 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 50 11 — — $2,894.00 $24,983.64 $19,100.59 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 52 12 — — $3,887.00 $24,902.40 $19,043.79 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 50 11 — — $10,851.00 $24,557.12 $18,802.40 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 50 11 — — $4,835.00 $24,471.26 $18,742.38 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 50 11 — — $3,887.00 $24,348.48 $18,656.54 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 4 2 — — $15,894.81 $21,201.83 $18,548.32 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 76 12 — — $295.00 $23,962.58 $18,386.76 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 50 11 — — $3,887.00 $23,933.96 $18,366.75 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 52 11 — — $3,887.00 $23,844.41 $18,304.14 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 54 11 — — $3,887.00 $25,214.00 $18,280.91 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 50 11 — — $3,887.00 $23,811.17 $18,280.91 2026-04-01
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