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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

EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL

Glendora, CA · CCN 050597 · Rates published

13,116 distinct procedures filed
16 distinct payers
200,842 rate rows
2026-04-01 last MRF observed
Data quality

168,724 of 200,842 rate rows are consumer-grade (84.0%)

32,118 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 31,963
placeholder amount (≤ $0.02) — excluded from medians 155
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.emanatehealth.org/media/p/19401/952413054_emanate-health-foothill-presbyterian-hospital_standardcharges.csv
Found on page https://www.emanatehealth.org/patients-visitors/financial-resources-assistance/
Discovered viaDiscovered by HANK
Last fetch success · 2026-06-16
Content fingerprint 11797da01ca16ce7… · 43,966,597 bytes · first seen 2026-06-16

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,335,000.00 $4,955,500.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,570,000.00 $4,606,583.33 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,570,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,264,000.00 $4,656,313.47 $3,432,538.78 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,162,000.00 $4,560,817.78 $3,362,141.31 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,856,000.00 $4,135,818.96 $3,048,840.90 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,455,110.60 $4,454,593.21 $2,668,246.65 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,244,000.00 $4,231,219.30 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $741,540.00 $2,196,267.00 $809,151.00 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $787.00 $1,686,419.67 $612,436.62 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,612,726.49 $599,821.08 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $541,977.41 $1,603,233.83 $596,290.48 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $538,878.68 $1,588,356.11 $590,757.01 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $513,651.60 $1,519,705.99 $565,223.98 nat. median
$634,303
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $424,673.82 $984,783.75 $544,851.42 nat. median
$370,174
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $471,240.00 $1,394,518.13 $518,662.88 nat. median
$619,808
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $275,783.17 $639,085.04 $353,586.66 nat. median
$265,286
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $267,750.00 $793,012.50 $293,553.75 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 6 $255,000.00 $733,875.00 $270,375.00 nat. median
$265,000
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $210,237.06 $486,898.15 $269,386.20 nat. median
$206,474
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $209,006.36 $484,040.69 $267,805.24 nat. median
$202,976
1.3× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $267,750.00 $267,750.00 $267,750.00 nat. median
$459,112
0.6× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 6 $197,880.00 $586,074.00 $215,922.00 nat. median
$209,753
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $136,580.93 $315,881.18 $174,881.21 nat. median
$133,161
1.3× median
7
MS_DRG 		Lung Transplant 14 $127,729.34 $295,329.31 $163,524.74 nat. median
$122,708
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $118,572.30 $274,068.21 $151,776.38 nat. median
$117,357
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $109,076.30 $202,084.23 $145,344.68 nat. median
$87,428
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $111,833.43 $258,421.70 $143,130.48 nat. median
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $111,705.74 $258,125.23 $142,966.66 nat. median
$98,047
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $108,782.71 $251,338.47 $139,216.46 nat. median
$98,894
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $107,337.90 $247,983.85 $137,362.78 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $101,802.22 $235,130.95 $130,260.57 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 14 $98,330.15 $227,069.39 $125,805.95 nat. median
$99,019
1.3× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 $94,246.24 $174,608.76 $125,583.55 nat. median
$63,570
2.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $96,619.15 $223,096.75 $123,610.76 nat. median
$93,672
1.3× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 $87,262.03 $161,669.21 $116,277.06 nat. median
$54,196
outlier · 2.1×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $89,024.79 $205,463.93 $113,867.29 nat. median
$82,711
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $85,586.11 $197,479.90 $109,455.51 nat. median
$83,470
1.3× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 6 $81,637.98 $151,249.60 $108,782.98 nat. median
$65,393
1.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $77,819.85 $179,447.98 $107,245.84 nat. median
$77,570
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $83,330.98 $192,243.87 $106,562.20 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $83,070.69 $191,639.54 $106,228.26 nat. median
$81,118
1.3× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 $78,789.64 $145,972.52 $104,987.56 nat. median
$49,935
outlier · 2.1×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 6 $75,286.45 $139,482.22 $100,319.55 nat. median
$62,372
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $75,948.76 $175,103.63 $97,090.91 nat. median
$74,915
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $75,623.65 $174,348.79 $96,673.79 nat. median
$73,807
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $75,375.16 $173,771.82 $96,354.99 nat. median
$72,135
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $71,433.59 $164,620.17 $91,298.00 nat. median
$68,090
1.3× median
10
MS_DRG 		Pancreas Transplant 14 $71,012.23 $163,641.84 $90,757.40 nat. median
$68,884
1.3× median

Other procedures at this hospital

Browse this hospital's 13,116 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 5 — — $4,335,000.00 $4,955,500.00 $4,550,050.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 6 — — $3,570,000.00 $4,606,583.33 $3,758,972.00 2026-04-01
C9172 HCPCS Inj, Beqvez, Per Tx Dose 3 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 6 — — $3,264,000.00 $4,656,313.47 $3,432,538.78 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 6 — — $3,162,000.00 $4,560,817.78 $3,362,141.31 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 10 6 — — $2,856,000.00 $4,135,818.96 $3,048,840.90 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 7 — — $2,455,110.60 $4,454,593.21 $2,668,246.65 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 11 7 — — $2,244,000.00 $4,231,219.30 $2,448,600.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 11 6 — — $741,540.00 $2,196,267.00 $809,151.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 16 7 — — $787.00 $1,686,419.67 $612,436.62 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 7 — — $565,868.94 $1,612,726.49 $599,821.08 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 7 — — $541,977.41 $1,603,233.83 $596,290.48 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 7 — — $538,878.68 $1,588,356.11 $590,757.01 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 7 — — $513,651.60 $1,519,705.99 $565,223.98 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 14 — — $424,673.82 $984,783.75 $544,851.42 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 7 — — $471,240.00 $1,394,518.13 $518,662.88 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 14 — — $275,783.17 $639,085.04 $353,586.66 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 7 — — $267,750.00 $793,012.50 $293,553.75 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 11 6 — — $255,000.00 $733,875.00 $270,375.00 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 14 — — $210,237.06 $486,898.15 $269,386.20 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 14 — — $209,006.36 $484,040.69 $267,805.24 2026-04-01
C9301 HCPCS Obecabtagene Car Pos T 3 1 — — $267,750.00 $267,750.00 $267,750.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 6 — — $197,880.00 $586,074.00 $215,922.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 15 — — $136,580.93 $315,881.18 $174,881.21 2026-04-01
7 MS_DRG Lung Transplant 24 14 — — $127,729.34 $295,329.31 $163,524.74 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 14 — — $118,572.30 $274,068.21 $151,776.38 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 13 6 — — $109,076.30 $202,084.23 $145,344.68 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 14 — — $111,833.43 $258,421.70 $143,130.48 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 24 14 — — $111,705.74 $258,125.23 $142,966.66 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $108,782.71 $251,338.47 $139,216.46 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 14 — — $107,337.90 $247,983.85 $137,362.78 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 14 — — $101,802.22 $235,130.95 $130,260.57 2026-04-01
215 MS_DRG Other Heart Assist System Implant 24 14 — — $98,330.15 $227,069.39 $125,805.95 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 13 6 — — $94,246.24 $174,608.76 $125,583.55 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $96,619.15 $223,096.75 $123,610.76 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 13 6 — — $87,262.03 $161,669.21 $116,277.06 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 14 — — $89,024.79 $205,463.93 $113,867.29 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 14 — — $85,586.11 $197,479.90 $109,455.51 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 13 6 — — $81,637.98 $151,249.60 $108,782.98 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 14 — — $77,819.85 $179,447.98 $107,245.84 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 24 14 — — $83,330.98 $192,243.87 $106,562.20 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — — $83,070.69 $191,639.54 $106,228.26 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 13 6 — — $78,789.64 $145,972.52 $104,987.56 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 13 6 — — $75,286.45 $139,482.22 $100,319.55 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $75,948.76 $175,103.63 $97,090.91 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 14 — — $75,623.65 $174,348.79 $96,673.79 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 14 — — $75,375.16 $173,771.82 $96,354.99 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $71,433.59 $164,620.17 $91,298.00 2026-04-01
10 MS_DRG Pancreas Transplant 24 14 — — $71,012.23 $163,641.84 $90,757.40 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 14 — — $70,982.76 $163,573.42 $90,719.59 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 14 — — $70,608.54 $162,704.55 $90,239.47 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 14 — — $70,567.29 $162,608.77 $90,186.55 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 13 6 — — $64,237.76 $119,012.45 $85,597.12 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 14 — — $17,452.69 $157,623.60 $85,525.25 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 14 — — $66,645.37 $153,502.74 $85,154.77 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 14 — — $68,087.24 $156,850.51 $84,885.08 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 14 — — $66,207.31 $152,485.63 $84,592.75 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 14 — — $66,159.18 $152,373.89 $84,530.99 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 14 8 — — $2,548.00 $230,568.83 $83,732.89 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $65,115.10 $149,949.72 $83,191.46 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 14 — — $65,115.10 $149,949.72 $83,191.46 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 13 6 — — $62,255.99 $115,340.85 $82,956.40 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 14 — — $64,880.36 $149,404.68 $82,890.29 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 13 6 — — $61,800.55 $114,497.06 $82,349.52 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 14 — — $29,108.67 $146,743.33 $79,436.68 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 14 — — $60,725.65 $139,758.16 $77,559.85 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 14 — — $60,655.91 $139,596.25 $77,470.38 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 14 — — $60,079.36 $138,257.59 $76,730.67 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 14 — — $59,546.03 $137,019.28 $76,046.41 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 14 — — $59,529.33 $136,980.51 $76,024.99 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 13 6 — — $56,691.02 $105,030.71 $75,541.05 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — — $59,102.08 $135,988.50 $75,476.83 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 7 — — $56,824.55 $161,949.96 $75,406.18 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 14 — — $58,909.56 $135,541.52 $75,229.83 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 14 — — $58,774.02 $135,226.81 $75,055.93 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 14 — — $58,173.90 $133,833.42 $74,285.99 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 14 — — $58,136.57 $133,746.76 $74,238.09 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 14 — — $57,176.96 $131,518.72 $73,006.92 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 14 — — $56,815.51 $130,679.49 $72,543.19 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 24 14 — — $56,585.68 $130,145.85 $72,248.32 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 14 — — $52,528.21 $120,725.11 $72,150.52 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 14 — — $55,751.79 $128,209.71 $71,178.45 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $71,167.10 $71,167.10 $71,167.10 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 14 — — $55,580.89 $127,812.90 $70,959.18 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 14 — — $55,203.72 $126,937.19 $70,475.29 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 14 — — $20,070.05 $129,977.10 $70,156.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 14 — — $54,779.41 $125,952.02 $69,930.90 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 14 — — $54,263.76 $124,754.75 $69,269.32 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 14 — — $54,187.15 $124,576.87 $69,171.04 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 14 — — $54,102.68 $124,380.75 $69,062.66 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 14 — — $53,888.56 $123,883.60 $68,787.95 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 8 — — $62,118.00 $180,525.50 $68,409.67 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 26 15 — — $45,068.92 $125,197.17 $67,821.95 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $52,911.27 $121,614.50 $67,534.10 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 14 — — $52,879.84 $121,541.53 $67,493.77 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 9 — — $55,272.32 $157,526.12 $66,147.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 14 — — $51,659.95 $118,709.15 $65,928.67 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 14 — — $51,571.55 $118,503.90 $65,815.26 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 26 14 — — $52,356.33 $120,326.02 $65,196.09 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $50,037.35 $114,941.76 $63,846.90 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 14 — — $49,125.87 $112,825.46 $62,677.48 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 14 — — $48,672.10 $111,771.87 $62,095.29 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 14 — — $25,770.00 $113,737.66 $61,644.54 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 14 — — $47,960.00 $110,118.50 $61,181.68 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 14 — — $14,190.00 $112,239.37 $61,091.81 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 15 — — $6,376.73 $112,624.77 $60,914.90 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 14 — — $47,720.35 $109,562.06 $60,874.21 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 14 — — $47,293.09 $108,570.04 $60,326.04 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 13 6 — — $45,025.64 $83,418.41 $59,996.88 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 14 — — $46,709.66 $107,215.43 $59,577.51 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 14 — — $46,615.37 $106,996.50 $59,456.54 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 14 — — $46,477.86 $106,677.23 $59,280.11 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 14 — — $46,077.13 $105,746.79 $58,765.98 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 14 8 — — $3,410.00 $161,455.72 $58,633.92 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 14 8 — — $787.00 $161,455.72 $58,633.92 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 14 8 — — $787.00 $161,455.72 $58,633.92 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 25 14 — — $45,015.37 $103,281.56 $58,538.30 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 14 — — $45,895.42 $105,324.89 $58,532.85 2026-04-01
245 MS_DRG Aicd Generator Procedures 24 14 — — $45,344.41 $104,045.53 $57,825.90 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 14 — — $45,209.84 $103,733.10 $57,653.26 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 30 14 — — $22,533.49 $104,823.18 $56,839.10 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 25 14 — — $43,678.59 $100,177.80 $56,779.14 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 14 — — $45,564.42 $104,556.36 $56,695.25 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 14 — — $44,367.12 $101,776.43 $56,572.06 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 14 — — $45,190.20 $103,687.49 $56,226.88 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 25 15 — — $44,552.75 $102,207.45 $56,092.13 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 14 — — $44,539.98 $102,177.80 $55,413.07 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 24 14 — — $43,036.24 $98,686.36 $54,864.56 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 14 — — $42,697.38 $97,899.58 $54,429.80 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 14 — — $42,426.29 $97,270.17 $54,082.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 14 — — $42,185.65 $96,711.44 $53,773.26 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 14 — — $41,323.28 $94,709.17 $53,679.60 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 14 — — $41,942.07 $96,145.88 $53,460.75 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 14 — — $41,921.44 $96,097.99 $53,434.28 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 14 — — $41,751.52 $95,703.46 $53,216.28 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 14 — — $41,674.91 $95,525.58 $53,117.99 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 14 — — $41,515.79 $95,156.14 $52,913.84 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 24 14 — — $41,486.33 $95,087.73 $52,876.04 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 14 — — $41,053.17 $94,082.03 $52,320.31 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 14 — — $42,012.78 $96,310.08 $52,249.99 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 29 14 — — $14,190.00 $95,817.49 $51,718.12 2026-04-01
791 MS_DRG Prematurity With Major Problems 24 14 — — $40,400.01 $92,565.50 $51,482.31 2026-04-01
J9226 HCPCS Supprelin La Implant 16 9 — — $45,020.65 $128,308.85 $51,185.25 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 14 — — $40,021.87 $91,687.50 $50,997.15 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 14 — — $39,664.34 $90,857.40 $50,538.45 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 14 — — $38,955.20 $89,210.88 $49,628.63 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 14 — — $38,781.35 $88,807.23 $49,405.59 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 13 6 — — $37,048.08 $68,638.49 $49,366.74 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 13 6 — — $36,870.83 $68,310.10 $49,130.55 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 14 — — $38,550.53 $88,271.31 $49,109.45 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 24 14 — — $38,493.56 $88,139.04 $49,036.35 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 26 14 — — $35,605.90 $81,434.37 $48,668.69 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 14 — — $28,098.00 $87,555.24 $47,802.65 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 26 14 — — $38,457.22 $88,054.67 $47,799.80 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 14 8 — — $787.00 $125,577.07 $47,587.10 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 14 — — $37,331.62 $85,441.21 $47,545.60 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 14 — — $37,244.20 $85,238.25 $47,433.44 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 14 — — $37,240.28 $85,229.13 $47,428.41 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 26 14 — — $30,718.18 $84,989.67 $47,296.10 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 14 — — $36,930.88 $84,510.77 $47,031.46 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 25 14 — — $36,672.71 $85,815.22 $46,865.88 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 14 — — $36,609.70 $83,765.05 $46,619.39 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 14 — — $36,594.97 $83,730.84 $46,600.49 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 14 — — $36,171.64 $82,747.94 $46,057.37 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 14 — — $36,144.14 $82,684.09 $46,022.08 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 14 — — $36,095.03 $82,570.06 $45,959.07 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 14 — — $36,070.48 $82,513.05 $45,927.57 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 24 14 — — $36,007.62 $82,367.10 $45,846.92 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 14 — — $35,954.58 $82,243.95 $45,778.88 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 14 — — $35,100.06 $80,259.92 $45,490.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 14 — — $35,722.78 $81,705.75 $45,481.48 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 14 — — $35,641.26 $81,516.47 $45,376.89 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 14 — — $35,553.84 $81,313.51 $45,264.73 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 14 — — $35,524.37 $81,245.09 $45,226.93 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 14 — — $34,785.76 $79,530.16 $45,076.39 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 14 — — $23,165.00 $81,167.56 $44,363.73 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 14 — — $34,628.61 $79,165.28 $44,077.67 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 26 14 — — $35,462.49 $81,101.42 $44,051.57 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 14 — — $32,835.99 $80,424.11 $43,963.48 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 24 14 — — $34,306.45 $78,417.27 $43,664.34 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 13 6 — — $32,699.26 $60,581.48 $43,571.91 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 25 14 — — $32,892.18 $79,550.68 $43,493.25 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 14 — — $34,041.25 $77,801.54 $43,324.10 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 26 14 — — $31,740.94 $72,460.61 $43,305.57 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 14 — — $33,997.05 $77,698.92 $43,267.39 2026-04-01
69930 HCPCS Implant Cochlear Device 16 9 — — $7,607.00 $120,861.82 $42,831.74 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 27 14 — — $31,490.73 $78,782.15 $42,523.19 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 14 — — $25,903.69 $78,184.66 $42,479.26 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 14 — — $32,977.53 $75,331.76 $41,959.36 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 14 — — $32,863.59 $75,067.22 $41,813.18 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 14 8 — — $10,989.00 $115,058.27 $41,784.32 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 14 8 — — $10,237.00 $115,058.27 $41,784.32 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 14 8 — — $2,548.00 $115,058.27 $41,784.32 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 14 8 — — $787.00 $115,058.27 $41,784.32 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 14 8 — — $3,410.00 $115,058.27 $41,784.32 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 14 8 — — $787.00 $115,058.27 $41,784.32 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 14 8 — — $10,989.00 $115,058.27 $41,784.32 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 26 14 — — $32,481.00 $76,182.38 $41,399.90 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 14 — — $32,481.52 $74,180.10 $41,322.99 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 24 14 — — $32,341.06 $73,853.99 $41,142.78 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 14 8 — — $2,548.00 $113,111.25 $41,077.24 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 14 8 — — $787.00 $113,111.25 $41,077.24 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 14 8 — — $787.00 $113,111.25 $41,077.24 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 14 8 — — $787.00 $113,111.25 $41,077.24 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 14 8 — — $787.00 $113,111.25 $41,077.24 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 14 8 — — $787.00 $113,111.25 $41,077.24 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 14 — — $32,261.51 $73,669.27 $41,040.71 2026-04-01
652 MS_DRG Kidney Transplant 24 14 — — $32,252.67 $73,648.75 $41,029.37 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 14 — — $32,229.09 $73,594.02 $40,999.12 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 24 14 — — $32,167.22 $73,450.34 $40,919.74 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 26 14 — — $32,867.52 $75,076.34 $40,803.68 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 24 14 — — $32,065.07 $73,213.17 $40,788.68 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 14 — — $31,892.20 $72,811.80 $40,566.90 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 24 14 — — $31,803.80 $72,606.56 $40,453.48 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 24 14 — — $31,617.18 $72,173.26 $40,214.05 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 14 — — $31,570.04 $72,063.80 $40,153.57 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 26 15 — — $31,599.29 $73,771.89 $40,100.51 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 16 9 — — $3,410.00 $113,111.25 $40,085.04 2026-04-01
61886 HCPCS Implant Neurostim Arrays 16 9 — — $3,897.00 $113,111.25 $40,085.04 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 16 9 — — $3,410.00 $113,111.25 $40,085.04 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 14 — — $31,481.64 $71,858.56 $40,040.15 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 14 — — $31,466.91 $71,824.35 $40,021.25 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 14 — — $31,394.22 $71,655.59 $39,927.99 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 14 — — $31,188.94 $71,178.97 $39,664.62 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 14 — — $31,125.10 $71,030.73 $39,582.71 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 26 14 — — $31,834.25 $72,677.25 $39,510.42 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 14 — — $30,602.57 $69,817.51 $38,912.32 2026-04-01
263 MS_DRG Vein Ligation And Stripping 24 14 — — $30,562.30 $69,724.01 $38,860.65 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 26 14 — — $31,071.08 $70,905.31 $38,555.23 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 24 14 — — $30,199.87 $68,882.50 $38,395.65 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 24 14 — — $30,195.94 $68,873.38 $38,390.61 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 24 14 — — $30,163.53 $68,798.12 $38,349.03 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 8 — — $4,819.00 $105,141.02 $38,182.79 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 14 — — $30,324.61 $69,172.13 $37,905.76 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 24 14 — — $29,766.72 $67,876.80 $37,839.93 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 24 14 — — $29,469.11 $67,185.81 $37,458.10 2026-04-01
570 MS_DRG Skin Debridement With Mcc 24 14 — — $29,420.00 $67,071.79 $37,395.10 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 24 14 — — $29,212.76 $66,590.60 $37,129.21 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 13 6 — — $27,806.37 $51,516.50 $37,052.12 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 11 7 — — $19,204.00 $99,461.82 $36,992.82 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 11 7 — — $19,204.00 $99,461.82 $36,992.82 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 24 14 — — $29,018.28 $66,139.06 $36,879.69 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 25 14 — — $25,438.31 $67,140.20 $36,811.84 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 24 14 — — $28,892.56 $65,847.16 $36,718.39 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 14 — — $28,878.81 $65,815.23 $36,700.75 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 7 — — $23,649.00 $98,668.08 $36,697.60 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 24 14 — — $28,837.56 $65,719.45 $36,647.83 2026-04-01
S3865 HCPCS Comp Genet Test Hyp Cardiomy 2 1 — — $36,613.43 $36,613.43 $36,613.43 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 15 — — $29,035.96 $66,180.11 $36,294.95 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 24 14 — — $28,530.13 $65,005.65 $36,253.40 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 14 8 — — $6,295.00 $99,461.82 $36,120.35 2026-04-01
22630 HCPCS Lumbar Spine Fusion 14 8 — — $3,897.00 $99,461.82 $36,120.35 2026-04-01
22558 HCPCS Lumbar Spine Fusion 14 8 — — $3,897.00 $99,461.82 $36,120.35 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 14 8 — — $3,410.00 $99,461.82 $36,120.35 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 25 14 — — $28,066.01 $65,454.91 $35,904.52 2026-04-01
800 MS_DRG Splenic Procedures With Cc 24 14 — — $28,126.45 $64,068.37 $35,735.48 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 24 14 — — $28,027.24 $63,838.04 $35,608.20 2026-04-01
503 MS_DRG Foot Procedures With Mcc 24 14 — — $27,946.70 $63,651.04 $35,504.87 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 24 14 — — $27,758.12 $63,213.18 $35,262.92 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 16 9 — — $5,478.00 $99,461.82 $35,247.88 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 16 9 — — $3,897.00 $99,461.82 $35,247.88 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 14 8 — — $16,377.00 $95,810.31 $35,063.27 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 14 8 — — $16,377.00 $95,810.31 $35,063.27 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 14 8 — — $16,377.00 $95,810.31 $35,063.27 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 14 — — $27,523.38 $62,668.14 $34,961.74 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 24 14 — — $27,256.22 $62,047.84 $34,618.99 2026-04-01
849 MS_DRG Radiotherapy 24 14 — — $27,145.23 $61,790.15 $34,476.59 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 24 14 — — $27,026.38 $61,514.21 $34,324.11 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 25 14 — — $26,785.27 $62,344.31 $34,229.88 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 14 — — $27,612.76 $62,875.67 $34,226.75 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 25 14 — — $10,876.09 $61,714.89 $33,891.02 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 24 14 — — $26,659.04 $60,661.30 $33,852.82 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 24 14 — — $26,567.70 $60,449.21 $33,735.62 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 24 14 — — $26,437.06 $60,145.91 $33,568.02 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 25 14 — — $25,751.49 $58,554.12 $33,187.51 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 24 14 — — $26,026.50 $59,192.66 $33,041.28 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 14 — — $25,996.05 $59,121.96 $33,002.21 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 24 14 — — $25,900.78 $58,900.75 $32,879.98 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 24 14 — — $25,865.42 $58,818.66 $32,834.61 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 24 14 — — $25,865.42 $58,818.66 $32,834.61 2026-04-01
J9266 HCPCS Pegaspargase Injection 16 9 — — $27,351.45 $81,008.57 $32,392.70 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 24 14 — — $25,489.24 $57,945.22 $32,351.97 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 30 14 — — $15,089.57 $57,835.76 $32,291.49 2026-04-01
5378 OTHER Level 8 Urology And Related Services 6 6 — — $5,935.68 $45,214.73 $32,246.35 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 24 14 — — $25,323.25 $57,559.82 $32,139.01 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 24 14 — — $25,007.96 $56,827.78 $31,734.50 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 26 14 — — $25,608.09 $58,221.17 $31,717.68 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 24 14 — — $24,907.78 $56,595.17 $31,605.97 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 26 14 — — $25,312.44 $57,534.73 $31,347.65 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 13 6 — — $23,504.32 $43,546.15 $31,319.62 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 24 14 — — $24,679.91 $56,066.09 $31,313.61 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 24 14 — — $24,646.51 $55,988.56 $31,270.77 2026-04-01
792 MS_DRG Prematurity Without Major Problems 24 14 — — $24,588.56 $55,854.01 $31,196.42 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 24 14 — — $24,510.97 $55,673.85 $31,096.86 2026-04-01
93655 HCPCS Ablate Arrhythmia Add On 5 2 — — $448.00 $34,828.00 $31,031.00 2026-04-01
93657 HCPCS Tx L/r Atrial Fib Addl 5 2 — — $448.00 $34,828.00 $31,031.00 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 24 14 — — $24,323.37 $55,238.27 $30,856.18 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 24 14 — — $24,245.78 $55,058.11 $30,756.62 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 25 14 — — $23,388.26 $55,739.98 $30,674.31 2026-04-01
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