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

PRINCETON BAPTIST MEDICAL CENTER

Birmingham, AL · CCN 010103 · Rates published

30,573 distinct procedures filed
37 distinct payers
1,105,607 rate rows
2026-04-01 last MRF observed
Data quality

384,746 of 1,105,607 rate rows are consumer-grade (34.8%)

720,861 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 702,600
per-diem day rate — not a per-procedure price 9,952
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,363
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 862
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 618
percent-of-charges filed in the dollar field — excluded from medians 226
exceeds 10× this hospital's gross charge — excluded from medians 198
placeholder amount (≤ $0.02) — excluded from medians 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=Z81AxPk5TY2LwGfXLtmX5w*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*
Found on page https://www.baptisthealthal.com/patient-financial-resources/pricing-info-estimates/hospital-pricing-information
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-10-12
Content fingerprint fe0a5f93d669cff1… · 28,167,114 bytes · first seen 2026-07-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 25 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,685,267
1.1× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 25 $2,705,294.50 $2,705,294.50 $2,705,294.50 nat. median
$2,455,111
1.1× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 25 $492,900.00 $492,900.00 $492,900.00 nat. median
$599,737
0.8× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 25 $466,069.91 $466,069.91 $466,069.91 nat. median
$621,313
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 25 $460,226.56 $460,226.56 $460,226.56 nat. median
$574,037
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 25 $454,489.31 $454,489.31 $454,489.31 nat. median
$579,571
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 25 $449,440.00 $449,440.00 $449,440.00 nat. median
$562,501
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 25 $449,440.00 $449,440.00 $449,440.00 nat. median
$513,770
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 $12.90 $748,012.46 $318,032.64 nat. median
$168,055
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $30.00 $485,430.00 $207,092.46 nat. median
$186,516
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $26.00 $369,833.36 $158,253.28 nat. median
$131,925
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $26.70 $367,662.91 $157,336.27 nat. median
$145,435
1.1× median
C1825
HCPCS 		Hcs Gen Neuro Carotid Sinus Baro 16 $18,395.00 $163,504.00 $109,343.50 nat. median
$35,000
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $26.00 $239,933.95 $103,371.22 nat. median
$97,418
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $80,594.61 $196,064.25 $99,583.54 nat. median
$2,110
outlier · 47.2×
7
MS_DRG 		Lung Transplant 10 $18.50 $224,323.36 $96,775.81 nat. median
$70,649
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $25.60 $208,174.06 $89,952.78 nat. median
$72,715
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $9.60 $196,289.44 $84,931.57 nat. median
$65,418
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $16,999.00 $146,022.73 $84,518.18 nat. median
$60,505
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $13,425.00 $190,909.23 $83,071.74 nat. median
$2,736
outlier · 30.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 10 $12.60 $188,361.16 $81,581.90 nat. median
$74,509
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $14.80 $178,598.48 $77,457.20 nat. median
$69,922
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 10 $5.00 $235,200.56 $74,870.12 nat. median
$73,023
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $65,132.02 $169,457.66 $73,963.21 nat. median
$69,822
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $13,425.00 $156,064.29 $68,276.26 nat. median
$2,596
outlier · 26.3×
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $8,055.00 $149,999.86 $66,028.12 nat. median
$2,633
outlier · 25.1×
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 25 $65,476.58 $65,476.58 $65,476.58 nat. median
$65,477
1.0× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $13,356.00 $145,563.69 $63,500.12 nat. median
$59,651
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $10.00 $136,303.35 $59,587.66 nat. median
$56,428
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $13,356.00 $134,250.00 $58,193.48 nat. median
$55,923
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $14,024.00 $132,430.15 $57,951.24 nat. median
$55,935
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $10.00 $131,991.91 $57,766.08 nat. median
$52,327
1.1× median
38240
HCPCS 		Transplt Allo Hct/donor 5 $2,741.00 $103,563.23 $56,959.78 nat. median
$28,331
outlier · 2.0×
93656
CPT 		Hc Tx Atrial Fib Pulm Vein Isol 11 $10,128.00 $90,020.00 $56,262.00 nat. median
$26,469
outlier · 2.1×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $13,425.00 $125,040.59 $55,377.47 nat. median
$9,905
outlier · 5.6×
10
MS_DRG 		Pancreas Transplant 10 $9.50 $124,297.48 $54,515.21 nat. median
$23,080
outlier · 2.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $12.60 $124,245.51 $54,493.26 nat. median
$37,013
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $13,356.00 $123,512.79 $54,454.61 nat. median
$51,518
1.1× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $11.60 $123,585.54 $54,214.42 nat. median
$45,605
1.2× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 25 $53,062.44 $53,062.44 $53,062.44 nat. median
$63,499
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $13,356.00 $119,138.98 $52,335.77 nat. median
$49,569
1.1× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $8.00 $116,596.11 $51,261.42 nat. median
$47,340
1.1× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $13,425.00 $115,738.68 $51,153.65 nat. median
$2,958
outlier · 17.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $13.50 $119,726.20 $51,006.35 nat. median
$48,611
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 $13,425.00 $115,823.55 $50,935.01 nat. median
$2,633
outlier · 19.3×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $13,356.00 $113,483.35 $50,196.01 nat. median
$43,299
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $13,356.00 $113,897.35 $50,121.20 nat. median
$47,458
1.1× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $13,356.00 $113,897.35 $50,121.20 nat. median
$45,446
1.1× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $13,356.00 $106,156.14 $46,850.56 nat. median
$44,036
1.1× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $13.00 $106,033.16 $46,798.60 nat. median
$41,943
1.1× median

Other procedures at this hospital

Browse this hospital's 30,573 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
C1825 HCPCS Hcs Gen Neuro Carotid Sinus Baro 24 16 $204,380.00 $153,285.00 25% off $18,395.00 $163,504.00 $109,343.50 2024-12-11
33264 CPT Hc Remove&replace Cvd Gen Mult Lead 27 12 $123,060.00 $92,295.00 25% off $1.00 $123,060.00 $45,287.00 2024-12-11
33340 CPT Hc Laa Closure W/implant 23 15 $117,759.00 $88,319.25 25% off $3,703.00 $94,208.00 $41,216.00 2024-12-11
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 15 11 $112,524.00 $84,393.00 25% off $10,128.00 $90,020.00 $56,262.00 2024-12-11
C1882 HCPCS Hcs (m)insync Maximo Bi-v/icd 7303 120 16 $95,841.00 $71,880.75 25% off $4,845.00 $142,408.00 $39,300.00 2024-12-11
33249 CPT Hc Nsert Pace-defib W/lead 31 12 $84,939.00 $63,704.25 25% off $275.00 $84,939.00 $26,181.00 2024-12-11
93653 CPT Hc Ep & Ablate Supravent Arrhyt 15 11 $81,472.00 $61,104.00 25% off $7,333.00 $65,178.00 $40,736.00 2024-12-11
33263 CPT Hc Remove&replace Cvd Gen Dual Lead 27 12 $74,941.00 $56,205.75 25% off $1.00 $74,941.00 $32,772.00 2024-12-11
33270 CPT Hc Ins/rep Subq Defibrillator 27 12 $74,941.00 $56,205.75 25% off $1.00 $74,941.00 $32,772.00 2024-12-11
37226 CPT Hc Fem/popl Revasc W/stent 25 12 $73,435.00 $55,076.25 25% off $1.00 $73,435.00 $27,025.00 2024-12-11
37221 CPT Hc Iliac Revasc W/stent 25 12 $67,860.00 $50,895.00 25% off $1.00 $67,860.00 $24,973.00 2024-12-11
C1762 HCPCS Hcs Avance Nerve Graft 4-5mm X 70mm 24 16 $67,844.00 $50,883.00 25% off $6,106.00 $54,276.00 $36,297.00 2024-12-11
33361 CPT Hc Replace Aortic Valve Perq 23 15 $66,808.00 $50,106.00 25% off $3,703.00 $53,447.00 $23,383.00 2024-12-11
36906 CPT Hc Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent 25 12 $64,061.00 $48,045.75 25% off $1.00 $64,061.00 $23,575.00 2024-12-11
36903 CPT Hc Intro Cath Dialysis Circuit W/trluml Balo Angiop 25 12 $62,935.00 $47,201.25 25% off $1.00 $62,935.00 $23,161.00 2024-12-11
33262 CPT Hc Remove&replace Cvd Gen Sing Lead 27 12 $62,854.00 $47,140.50 25% off $1.00 $62,854.00 $27,487.00 2024-12-11
C1722 HCPCS Hcs (p)current Vr Rf Single Icd 216 16 $61,851.00 $46,388.25 25% off $3,119.00 $114,826.00 $27,069.50 2024-12-11
C1721 HCPCS Hcs Confient He-e030-dual Icd 168 16 $60,137.00 $45,102.75 25% off $3,870.00 $103,709.00 $31,680.50 2024-12-11
93654 CPT Hc Ep & Ablate Ventric Tachy 15 11 $59,543.00 $44,657.25 25% off $5,359.00 $47,635.00 $29,772.00 2024-12-11
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 46 25 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2024-12-11
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 46 25 — — $2,705,294.50 $2,705,294.50 $2,705,294.50 2024-12-11
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 46 25 — — $492,900.00 $492,900.00 $492,900.00 2024-12-11
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 46 25 — — $466,069.91 $466,069.91 $466,069.91 2024-12-11
Q2055 HCPCS Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 46 25 — — $460,226.56 $460,226.56 $460,226.56 2024-12-11
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 46 25 — — $454,489.31 $454,489.31 $454,489.31 2024-12-11
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 46 25 — — $449,440.00 $449,440.00 $449,440.00 2024-12-11
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 46 25 — — $449,440.00 $449,440.00 $449,440.00 2024-12-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 26 10 — — $12.90 $748,012.46 $318,032.64 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 10 — — $30.00 $485,430.00 $207,092.46 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 10 — — $26.00 $369,833.36 $158,253.28 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 10 — — $26.70 $367,662.91 $157,336.27 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 32 10 — — $26.00 $239,933.95 $103,371.22 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 14 9 — — $80,594.61 $196,064.25 $99,583.54 2026-04-01
7 MS_DRG Lung Transplant 26 10 — — $18.50 $224,323.36 $96,775.81 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 26 10 — — $25.60 $208,174.06 $89,952.78 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 10 — — $9.60 $196,289.44 $84,931.57 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 10 — — $16,999.00 $146,022.73 $84,518.18 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $13,425.00 $190,909.23 $83,071.74 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 26 10 — — $12.60 $188,361.16 $81,581.90 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 10 — — $14.80 $178,598.48 $77,457.20 2026-04-01
215 MS_DRG Other Heart Assist System Implant 30 10 — — $5.00 $235,200.56 $74,870.12 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 9 — — $65,132.02 $169,457.66 $73,963.21 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 9 — — $13,425.00 $156,064.29 $68,276.26 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 9 — — $8,055.00 $149,999.86 $66,028.12 2026-04-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 46 25 — — $65,476.58 $65,476.58 $65,476.58 2024-12-11
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 10 — — $13,356.00 $145,563.69 $63,500.12 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 10 — — $10.00 $136,303.35 $59,587.66 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 10 — — $13,356.00 $134,250.00 $58,193.48 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 10 — — $14,024.00 $132,430.15 $57,951.24 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 10 — — $10.00 $131,991.91 $57,766.08 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 7 5 — — $2,741.00 $103,563.23 $56,959.78 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 9 — — $13,425.00 $125,040.59 $55,377.47 2026-04-01
10 MS_DRG Pancreas Transplant 26 10 — — $9.50 $124,297.48 $54,515.21 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 10 — — $12.60 $124,245.51 $54,493.26 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 10 — — $13,356.00 $123,512.79 $54,454.61 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 10 — — $11.60 $123,585.54 $54,214.42 2026-04-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 46 25 — — $53,062.44 $53,062.44 $53,062.44 2024-12-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 10 — — $13,356.00 $119,138.98 $52,335.77 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 10 — — $8.00 $116,596.11 $51,261.42 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 9 — — $13,425.00 $115,738.68 $51,153.65 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 11 — — $13.50 $119,726.20 $51,006.35 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 9 — — $13,425.00 $115,823.55 $50,935.01 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $13,356.00 $113,483.35 $50,196.01 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 10 — — $13,356.00 $113,897.35 $50,121.20 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 10 — — $13,356.00 $113,897.35 $50,121.20 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 25 10 — — $13,356.00 $106,156.14 $46,850.56 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 10 — — $13.00 $106,033.16 $46,798.60 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 10 — — $14.80 $111,461.87 $46,637.61 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 10 — — $13,356.00 $105,016.36 $46,369.01 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 10 — — $10.00 $104,075.77 $45,971.61 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc 25 10 — — $13,356.00 $104,046.33 $45,959.17 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 10 — — $9,729.00 $103,292.82 $45,640.82 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 10 — — $17.90 $102,953.31 $45,497.38 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 26 10 — — $16.60 $102,714.26 $45,396.38 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 10 — — $13,356.00 $101,655.89 $44,949.22 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 10 — — $11.90 $101,590.07 $44,921.41 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 9 — — $13,425.00 $99,897.71 $44,648.46 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 10 — — $9,729.00 $145,839.42 $44,349.60 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 9 — — $41,577.53 $98,854.92 $44,203.48 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 30 11 — — $7.50 $99,260.26 $43,717.40 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 10 — — $11.00 $98,726.74 $43,493.11 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 9 — — $13,425.00 $97,384.28 $43,360.20 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 26 10 — — $8.70 $97,082.88 $43,017.14 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 10 — — $6.00 $96,417.72 $42,736.11 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 10 — — $7.00 $95,669.41 $42,419.95 2026-04-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 26 10 — — $9.90 $95,096.05 $42,177.71 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 10 — — $9,729.00 $94,760.00 $42,035.73 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 11 — — $9,729.00 $94,624.89 $41,978.65 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 10 — — $11.50 $94,475.92 $41,915.71 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 26 10 — — $16.60 $94,098.30 $41,756.17 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 9 — — $13,425.00 $92,319.33 $41,414.61 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 10 — — $9,729.00 $92,374.76 $41,233.12 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 10 — — $6.00 $91,699.20 $40,742.56 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 10 — — $9,729.00 $91,396.07 $40,614.48 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 10 — — $7.00 $90,167.94 $40,095.60 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 22 10 — — $9,729.00 $90,012.04 $40,029.74 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 7 5 — — $3,335.00 $72,520.11 $39,886.06 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 7 5 — — $6,813.00 $72,520.11 $39,886.06 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 7 5 — — $6,813.00 $72,520.11 $39,886.06 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 7 5 — — $8,392.00 $72,520.11 $39,886.06 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 10 — — $9,729.00 $87,306.34 $38,886.59 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 10 — — $6.50 $253,575.00 $38,207.43 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 38 11 — — $9.90 $119,290.00 $38,143.03 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 10 — — $9.00 $84,898.59 $37,869.32 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 10 — — $11.00 $85,253.69 $37,639.16 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 22 10 — — $9,729.00 $83,642.74 $37,338.73 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 10 — — $10.90 $83,220.08 $37,160.16 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 25 10 — — $9,729.00 $82,466.58 $36,841.80 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 26 10 — — $6.00 $81,437.65 $36,407.09 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 10 — — $8.70 $81,028.85 $36,234.37 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 11 — — $9.00 $296,844.00 $35,973.46 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 26 10 — — $7.80 $80,322.11 $35,935.78 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 10 — — $9,729.00 $80,001.66 $35,800.38 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 10 — — $9,729.00 $79,620.57 $35,639.38 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 10 — — $10.50 $79,417.91 $35,553.75 2026-04-01
245 MS_DRG Aicd Generator Procedures 26 10 — — $4.00 $79,029.89 $35,389.82 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 10 — — $9.00 $78,792.58 $35,289.55 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 10 — — $6.60 $313,416.93 $35,274.92 2026-04-01
799 MS_DRG Splenectomy With Mcc 21 10 — — $9,729.00 $78,449.61 $35,144.65 2026-04-01
0333 RC Radiology Therapeutic And/of Chemotherapy Administration Radiation Therapy 3 1 — — $25,200.00 $44,066.00 $34,910.00 2024-12-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 10 — — $7.00 $77,611.22 $34,790.43 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 26 10 — — $7.80 $77,306.35 $34,661.63 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 10 — — $7.50 $77,877.49 $34,625.95 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 30 10 — — $8.00 $88,255.00 $34,148.60 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 30 10 — — $4.60 $74,959.22 $33,501.62 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 10 — — $10.00 $74,361.61 $33,417.48 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 9 — — $13,425.00 $73,459.14 $33,366.55 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 26 10 — — $7.00 $73,883.53 $33,215.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 10 — — $9,729.00 $78,176.37 $32,907.39 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 10 — — $8.50 $73,029.55 $32,854.69 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 10 — — $6.70 $72,993.18 $32,839.32 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 30 10 — — $8.80 $85,863.86 $32,749.31 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 31 10 — — $8,055.00 $72,558.39 $32,655.63 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 28 10 — — $9.00 $72,693.51 $32,549.15 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $9,729.00 $72,277.78 $32,537.07 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 26 10 — — $4.70 $72,225.81 $32,515.12 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 10 — — $9,729.00 $71,938.27 $32,393.63 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 30 10 — — $2,298.64 $71,461.91 $32,192.37 2026-04-01
791 MS_DRG Prematurity With Major Problems 26 10 — — $13.00 $70,310.00 $31,705.69 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 9 — — $612.00 $69,643.10 $31,581.05 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 26 10 — — $7.70 $69,012.58 $31,157.54 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 7 5 — — $11,250.45 $56,404.71 $31,022.59 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 9 — — $25,807.04 $59,563.43 $30,956.18 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 10 — — $4.00 $67,761.93 $30,629.14 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 10 — — $2.50 $67,455.33 $30,499.60 2026-04-01
69930 HCPCS Implant Cochlear Device 7 5 — — $22,890.00 $54,286.79 $30,460.92 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 10 — — $4.90 $215,478.00 $30,327.62 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 26 10 — — $7.00 $66,947.80 $30,285.17 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 10 — — $7.00 $66,883.71 $30,258.09 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 10 — — $6.90 $72,303.57 $29,947.33 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 26 10 — — $6.00 $65,182.69 $29,539.42 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 10 — — $9,729.00 $64,898.61 $29,419.40 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 27 10 — — $9,729.00 $83,396.00 $29,354.26 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 10 — — $8,055.00 $64,737.51 $29,351.33 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 30 10 — — $8.00 $168,464.59 $29,274.49 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 26 10 — — $5.00 $64,191.87 $29,120.80 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 7 5 — — $26,980.00 $51,680.04 $28,998.25 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 7 5 — — $26,980.00 $51,680.04 $28,998.25 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 7 5 — — $26,980.00 $51,680.04 $28,998.25 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 7 5 — — $26,980.00 $51,680.04 $28,998.25 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 26 10 — — $6.90 $63,625.44 $28,881.49 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 23 10 — — $8,055.00 $63,599.46 $28,870.51 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 26 10 — — $6.00 $62,852.88 $28,555.08 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 10 — — $9,729.00 $62,804.38 $28,534.59 2026-04-01
332 MS_DRG Rectal Resection With Mcc 26 10 — — $6.70 $62,717.77 $28,498.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 26 10 — — $4.00 $62,674.46 $28,479.70 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 7 5 — — $6,813.00 $51,680.04 $28,424.02 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 7 5 — — $6,813.00 $51,680.04 $28,424.02 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 7 5 — — $6,813.00 $51,680.04 $28,424.02 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 10 — — $3.00 $62,470.06 $28,393.34 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 7 6 — — $27,213.00 $54,575.29 $28,361.75 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 10 — — $9.00 $62,563.60 $28,290.69 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 26 10 — — $6.00 $62,061.26 $28,220.63 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 26 10 — — $7.90 $61,917.49 $28,159.89 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 30 10 — — $8.90 $61,855.13 $28,133.54 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 10 — — $8.00 $61,763.32 $28,094.75 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 22 10 — — $8,055.00 $61,711.36 $28,072.80 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 26 10 — — $9.00 $61,652.46 $28,047.91 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 10 — — $2,024.76 $61,602.23 $28,026.69 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 7 5 — — $5,111.00 $50,805.51 $27,943.03 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 7 5 — — $8,392.00 $50,805.51 $27,943.03 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 7 5 — — $5,111.00 $50,805.51 $27,943.03 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 7 5 — — $3,816.00 $50,805.51 $27,943.03 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 7 5 — — $9,869.00 $50,805.51 $27,943.03 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 7 5 — — $5,111.00 $50,805.51 $27,943.03 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 7 5 — — $5,111.00 $50,805.51 $27,943.03 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 7 5 — — $3,816.00 $50,805.51 $27,943.03 2026-04-01
61886 HCPCS Implant Neurostim Arrays 7 5 — — $8,392.00 $50,805.51 $27,943.03 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 7 5 — — $3,335.00 $50,805.51 $27,943.03 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 29 10 — — $3.00 $61,087.77 $27,809.33 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 26 10 — — $8.60 $60,963.05 $27,756.64 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 26 10 — — $2,164.13 $60,424.33 $27,529.03 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 10 — — $10.00 $60,408.74 $27,522.45 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 10 — — $9,729.00 $60,131.59 $27,405.35 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 28 11 — — $8.80 $107,554.10 $27,282.40 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 10 — — $8.00 $59,386.74 $27,090.65 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 7 5 — — $20,142.55 $46,650.00 $26,980.00 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 7 5 — — $20,142.55 $46,650.00 $26,980.00 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 7 5 — — $20,142.55 $46,650.00 $26,980.00 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 7 5 — — $20,142.55 $46,650.00 $26,980.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 26 10 — — $7.00 $59,017.79 $26,934.77 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 28 10 — — $4.90 $59,095.74 $26,832.86 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 33 10 — — $6.90 $144,990.00 $26,183.61 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 22 10 — — $9,729.00 $57,219.76 $26,175.11 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 26 10 — — $5.00 $57,025.76 $26,093.14 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 7 5 — — $6,813.00 $47,225.57 $25,974.06 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 30 10 — — $9,729.00 $98,434.08 $25,959.77 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 27 10 — — $5.70 $56,345.00 $25,805.53 2026-04-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 46 25 — — $25,762.46 $25,762.46 $25,762.46 2024-12-11
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 10 — — $5,982.00 $56,097.30 $25,700.87 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 9 — — $13,425.00 $55,956.99 $25,641.59 2026-04-01
652 MS_DRG Kidney Transplant 26 10 — — $4.00 $55,941.40 $25,635.01 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 26 10 — — $8.00 $55,899.83 $25,617.44 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93631 HCPCS Heart Pacing Mapping 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93623 HCPCS Stimulation Pacing Heart 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93613 HCPCS Electrophys Map 3d Add-on 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93621 HCPCS Electrophysiology Evaluation 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93622 HCPCS Electrophysiology Evaluation 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
93609 HCPCS Map Tachycardia Add-on 3 1 — — $18,676.00 $32,291.00 $25,582.00 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 26 10 — — $6.00 $55,790.70 $25,571.34 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 10 — — $6.80 $56,034.94 $25,546.15 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 10 — — $2.60 $55,610.55 $25,495.22 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 30 10 — — $9,729.00 $55,305.68 $25,366.42 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 10 — — $9,729.00 $55,203.48 $25,323.24 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 10 — — $5,982.00 $55,149.78 $25,300.55 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 10 — — $2.50 $55,038.92 $25,253.71 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 10 — — $5,982.00 $64,041.49 $25,161.50 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 28 10 — — $6.00 $54,737.52 $25,126.37 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 27 10 — — $2.00 $134,000.00 $25,060.51 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 30 10 — — $2.60 $54,555.64 $25,049.53 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 27 10 — — $4.70 $54,427.46 $24,995.37 2026-04-01
665 MS_DRG Prostatectomy With Mcc 27 10 — — $7.90 $54,065.43 $24,842.42 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 10 — — $5.60 $53,952.83 $24,794.85 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 10 — — $3.00 $118,765.98 $24,754.59 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 7 5 — — $3,167.00 $44,674.68 $24,571.07 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 7 5 — — $2,650.00 $44,674.68 $24,571.07 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 7 5 — — $3,508.00 $44,674.68 $24,571.07 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 7 5 — — $2,741.00 $44,674.68 $24,571.07 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 7 5 — — $5,111.00 $44,674.68 $24,571.07 2026-04-01
22630 HCPCS Lumbar Spine Fusion 7 5 — — $3,335.00 $44,674.68 $24,571.07 2026-04-01
22558 HCPCS Lumbar Spine Fusion 7 5 — — $3,335.00 $44,674.68 $24,571.07 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 7 5 — — $5,111.00 $44,674.68 $24,571.07 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 21 10 — — $9,729.00 $53,031.30 $24,405.50 2026-04-01
263 MS_DRG Vein Ligation And Stripping 26 10 — — $4.60 $52,960.28 $24,375.50 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 10 — — $9,729.00 $52,541.09 $24,198.39 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 7 5 — — $18,676.00 $43,034.55 $24,147.16 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 7 5 — — $18,676.00 $43,034.55 $24,147.16 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 7 5 — — $18,676.00 $43,034.55 $24,147.16 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 10 — — $5,982.00 $52,321.10 $24,105.44 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 10 — — $5,982.00 $52,314.17 $24,102.52 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 10 — — $5.90 $52,257.01 $24,078.37 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 13 9 — — $21,241.05 $75,665.20 $23,807.34 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 32 10 — — $4.00 $51,557.20 $23,663.78 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 29 10 — — $9,729.00 $51,032.34 $23,560.95 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 26 10 — — $4.00 $50,997.70 $23,546.31 2026-04-01
570 MS_DRG Skin Debridement With Mcc 28 10 — — $7.90 $50,945.73 $23,524.36 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 23 10 — — $9,729.00 $50,580.24 $23,369.94 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 27 10 — — $8,055.00 $50,446.86 $23,313.58 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 22 10 — — $4,810.00 $50,268.44 $23,238.20 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 23 10 — — $5,982.00 $50,237.26 $23,225.03 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 10 — — $8,055.00 $50,015.54 $23,131.35 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 30 10 — — $7.00 $145,509.64 $23,121.11 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 26 10 — — $6.00 $49,918.54 $23,090.37 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 10 — — $9,729.00 $80,494.30 $23,005.48 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 34 10 — — $7.00 $49,376.36 $22,861.30 2026-04-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 53 28 — — $16,600.12 $33,570.00 $22,752.50 2026-04-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 52 26 — — $18,839.00 $33,570.00 $22,752.50 2026-04-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 49 26 — — $18,839.00 $33,570.00 $22,752.50 2026-04-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 53 28 — — $10,453.78 $33,570.00 $22,752.50 2026-04-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 49 26 — — $18,839.00 $33,570.00 $22,752.50 2026-04-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 49 26 — — $18,839.00 $33,570.00 $22,752.50 2026-04-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 53 28 — — $16,600.12 $33,570.00 $22,752.50 2026-04-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 49 26 — — $18,839.00 $33,570.00 $22,752.50 2026-04-01
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 53 28 — — $6,740.00 $59,910.00 $22,752.50 2026-04-01
800 MS_DRG Splenectomy With Cc 22 10 — — $5,982.00 $48,664.43 $22,560.51 2026-04-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 46 25 — — $22,490.02 $22,490.02 $22,490.02 2024-12-11
654 MS_DRG Major Bladder Procedures With Cc 28 10 — — $8,055.00 $48,489.47 $22,486.60 2026-04-01
503 MS_DRG Foot Procedures With Mcc 21 10 — — $9,729.00 $48,347.43 $22,426.58 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 29 10 — — $9,729.00 $51,232.06 $22,286.07 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 14 9 — — $18,740.45 $41,957.35 $22,104.52 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 14 9 — — $18,685.53 $41,820.50 $22,035.72 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 27 10 — — $5.60 $47,354.88 $22,007.23 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 30 10 — — $1.60 $47,600.86 $22,000.60 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 29 10 — — $5.00 $47,758.49 $21,955.98 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 33 11 — — $9,729.00 $66,725.00 $21,912.09 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 35 10 — — $5.00 $47,612.98 $21,895.12 2026-04-01
849 MS_DRG Radiotherapy 26 10 — — $6.90 $46,933.96 $21,829.40 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 27 10 — — $7.70 $46,876.80 $21,805.24 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 26 10 — — $7.00 $46,724.36 $21,740.84 2026-04-01
0D16079 OTHER Bypass Stomach To Duodenum With Autologous Tissue Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D1607A OTHER Bypass Stomach To Jejunum With Autologous Tissue Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D160KA OTHER Bypass Stomach To Jejunum With Nonautologous Tissue Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D1607B OTHER Bypass Stomach To Ileum With Autologous Tissue Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D160J9 OTHER Bypass Stomach To Duodenum With Synthetic Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D160JB OTHER Bypass Stomach To Ileum With Synthetic Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D1607L OTHER Bypass Stomach To Transverse Colon With Autologous Tissue Substitute, Open Appro… 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D160JA OTHER Bypass Stomach To Jejunum With Synthetic Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
0D160JL OTHER Bypass Stomach To Transverse Colon With Synthetic Substitute, Open Approach 2 1 — — $21,198.00 $22,259.00 $21,728.50 2024-12-11
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