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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

MEMORIALCARE ORANGE COAST MEDICAL CENTER

Fountain Valley, CA · CCN 050678 · Rates published

15,465 distinct procedures filed
30 distinct payers
462,970 rate rows
2026-04-01 last MRF observed
Data quality

400,074 of 462,970 rate rows are consumer-grade (86.4%)

62,896 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 62,500
placeholder amount (≤ $0.02) — excluded from medians 396
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/330687414_memorialcare-orange-coast-medical-center_standardcharges.json
Found on page https://www.memorialcare.org/patients-visitors/patient-financial-tools-and-resources#MRF
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint eb1fe9ec6c36273f… · 97,167,379 bytes · first seen 2026-05-06

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 		Inj, Hemgenix, Per Tx Dose 9 $3,316,740.00 $4,975,110.00 $3,740,545.67 nat. median
$3,710,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $2,923,601.14 $4,804,797.10 $3,492,079.15 nat. median
$3,286,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $2,984,816.33 $4,905,401.29 $3,415,956.47 nat. median
$3,325,455
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,651,166.00 $4,742,641.40 $3,240,314.00 nat. median
$3,004,655
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,098,800.00 $4,990,480.00 $2,751,723.05 nat. median
$2,448,600
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,209,599.54 $4,492,852.41 $2,572,166.24 nat. median
$2,468,984
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $488,529.00 $1,545,202.31 $707,336.18 nat. median
$674,867
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $497,226.98 $1,536,107.10 $703,172.73 nat. median
$673,137
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $501,586.14 $1,521,852.30 $696,647.42 nat. median
$625,184
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $1,224.94 $1,615,809.99 $674,563.18 nat. median
$753,246
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $471,240.00 $1,456,076.53 $666,537.71 nat. median
$634,303
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $432,480.00 $1,336,130.24 $611,630.76 nat. median
$619,808
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 $401,128.19 $1,170,449.19 $504,339.72 nat. median
$370,174
1.4× median
5834
MS_DRG 		Description Not Available 2 $452,800.74 $452,800.74 $452,800.74 —
5884
MS_DRG 		Description Not Available 2 $371,419.09 $371,419.09 $371,419.09 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $260,454.86 $874,228.72 $367,176.17 nat. median
$265,286
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $198,526.26 $736,308.27 $313,390.05 nat. median
$206,474
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $14,512.00 $878,318.59 $277,095.92 nat. median
$202,976
1.4× median
6304
MS_DRG 		Description Not Available 2 $269,590.38 $269,590.38 $269,590.38 —
5833
MS_DRG 		Description Not Available 2 $249,046.29 $249,046.29 $249,046.29 —
5934
MS_DRG 		Description Not Available 2 $242,236.34 $242,236.34 $242,236.34 —
5914
MS_DRG 		Description Not Available 2 $233,919.75 $233,919.75 $233,919.75 —
6094
MS_DRG 		Description Not Available 2 $232,427.80 $232,427.80 $232,427.80 —
6314
MS_DRG 		Description Not Available 2 $223,138.42 $223,138.42 $223,138.42 —
1614
MS_DRG 		Description Not Available 2 $197,289.02 $197,289.02 $197,289.02 —
6034
MS_DRG 		Description Not Available 2 $194,717.51 $194,717.51 $194,717.51 —
5832
MS_DRG 		Description Not Available 2 $183,647.62 $183,647.62 $183,647.62 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $128,935.23 $438,539.01 $181,847.36 nat. median
$133,161
1.4× median
6024
MS_DRG 		Description Not Available 2 $173,635.36 $173,635.36 $173,635.36 —
7
MS_DRG 		Lung Transplant 20 $120,572.17 $405,601.48 $168,936.55 nat. median
$122,708
1.4× median
5883
MS_DRG 		Description Not Available 2 $166,168.54 $166,168.54 $166,168.54 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $111,920.50 $406,625.73 $163,534.18 nat. median
$117,357
1.4× median
5882
MS_DRG 		Description Not Available 2 $162,710.29 $162,710.29 $162,710.29 —
5831
MS_DRG 		Description Not Available 2 $158,704.84 $158,704.84 $158,704.84 —
1613
MS_DRG 		Description Not Available 2 $151,144.53 $151,144.53 $151,144.53 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 $105,553.55 $342,029.45 $150,197.01 nat. median
$108,660
1.4× median
8414
MS_DRG 		Description Not Available 2 $139,128.87 $139,128.87 $139,128.87 —
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $96,075.97 $330,511.25 $137,821.68 nat. median
$100,136
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $20,651.48 $338,100.04 $135,564.63 nat. median
$102,358
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 20 $92,795.52 $328,822.78 $135,319.72 nat. median
$99,019
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $5,328.79 $325,327.90 $133,881.48 nat. median
$98,894
1.4× median
6074
MS_DRG 		Description Not Available 2 $133,366.25 $133,366.25 $133,366.25 —
44
MS_DRG 		Acute Major Eye Infections 2 $123,631.63 $123,631.63 $123,631.63 nat. median
$17,483
outlier · 7.1×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $10,687.43 $164,565.06 $123,501.33 nat. median
$87,428
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $56,497.89 $299,529.12 $123,264.56 nat. median
$93,672
1.3× median
1612
MS_DRG 		Description Not Available 2 $121,355.07 $121,355.07 $121,355.07 —
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $80,754.83 $285,900.33 $116,206.39 nat. median
$83,470
1.4× median
1611
MS_DRG 		Description Not Available 2 $115,287.97 $115,287.97 $115,287.97 —
209
MS_DRG 		Complex Aortic Arch Procedures 18 $105,432.91 $274,125.56 $110,982.01 nat. median
$98,047
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $13,004.13 $262,997.39 $108,653.57 nat. median
$79,312
1.4× median

Other procedures at this hospital

Browse this hospital's 15,465 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 16 9 — — $3,316,740.00 $4,975,110.00 $3,740,545.67 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 9 — — $2,923,601.14 $4,804,797.10 $3,492,079.15 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 9 — — $2,984,816.33 $4,905,401.29 $3,415,956.47 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 13 10 — — $2,651,166.00 $4,742,641.40 $3,240,314.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 15 10 — — $2,098,800.00 $4,990,480.00 $2,751,723.05 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 19 10 — — $2,209,599.54 $4,492,852.41 $2,572,166.24 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 29 12 — — $488,529.00 $1,545,202.31 $707,336.18 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 29 12 — — $497,226.98 $1,536,107.10 $703,172.73 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 29 12 — — $501,586.14 $1,521,852.30 $696,647.42 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 34 12 — — $1,224.94 $1,615,809.99 $674,563.18 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 29 12 — — $471,240.00 $1,456,076.53 $666,537.71 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 29 12 — — $432,480.00 $1,336,130.24 $611,630.76 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 46 20 — — $401,128.19 $1,170,449.19 $504,339.72 2026-04-01
5834 MS_DRG Description Not Available 2 2 — — $452,800.74 $452,800.74 $452,800.74 2026-04-01
5884 MS_DRG Description Not Available 2 2 — — $371,419.09 $371,419.09 $371,419.09 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 46 20 — — $260,454.86 $874,228.72 $367,176.17 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 20 — — $198,526.26 $736,308.27 $313,390.05 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 52 20 — — $14,512.00 $878,318.59 $277,095.92 2026-04-01
6304 MS_DRG Description Not Available 2 2 — — $269,590.38 $269,590.38 $269,590.38 2026-04-01
5833 MS_DRG Description Not Available 2 2 — — $249,046.29 $249,046.29 $249,046.29 2026-04-01
5934 MS_DRG Description Not Available 2 2 — — $242,236.34 $242,236.34 $242,236.34 2026-04-01
5914 MS_DRG Description Not Available 2 2 — — $233,919.75 $233,919.75 $233,919.75 2026-04-01
6094 MS_DRG Description Not Available 2 2 — — $232,427.80 $232,427.80 $232,427.80 2026-04-01
6314 MS_DRG Description Not Available 2 2 — — $223,138.42 $223,138.42 $223,138.42 2026-04-01
1614 MS_DRG Description Not Available 2 2 — — $197,289.02 $197,289.02 $197,289.02 2026-04-01
6034 MS_DRG Description Not Available 2 2 — — $194,717.51 $194,717.51 $194,717.51 2026-04-01
5832 MS_DRG Description Not Available 2 2 — — $183,647.62 $183,647.62 $183,647.62 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 48 20 — — $128,935.23 $438,539.01 $181,847.36 2026-04-01
6024 MS_DRG Description Not Available 2 2 — — $173,635.36 $173,635.36 $173,635.36 2026-04-01
7 MS_DRG Lung Transplant 46 20 — — $120,572.17 $405,601.48 $168,936.55 2026-04-01
5883 MS_DRG Description Not Available 2 2 — — $166,168.54 $166,168.54 $166,168.54 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 48 21 — — $111,920.50 $406,625.73 $163,534.18 2026-04-01
5882 MS_DRG Description Not Available 2 2 — — $162,710.29 $162,710.29 $162,710.29 2026-04-01
5831 MS_DRG Description Not Available 2 2 — — $158,704.84 $158,704.84 $158,704.84 2026-04-01
1613 MS_DRG Description Not Available 2 2 — — $151,144.53 $151,144.53 $151,144.53 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 20 — — $105,553.55 $342,029.45 $150,197.01 2026-04-01
8414 MS_DRG Description Not Available 2 2 — — $139,128.87 $139,128.87 $139,128.87 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 46 20 — — $96,075.97 $330,511.25 $137,821.68 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 21 — — $20,651.48 $338,100.04 $135,564.63 2026-04-01
215 MS_DRG Other Heart Assist System Implant 49 20 — — $92,795.52 $328,822.78 $135,319.72 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 22 — — $5,328.79 $325,327.90 $133,881.48 2026-04-01
6074 MS_DRG Description Not Available 2 2 — — $133,366.25 $133,366.25 $133,366.25 2026-04-01
44 MS_DRG Acute Major Eye Infections 2 2 — — $123,631.63 $123,631.63 $123,631.63 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 3 — — $10,687.43 $164,565.06 $123,501.33 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 20 — — $56,497.89 $299,529.12 $123,264.56 2026-04-01
1612 MS_DRG Description Not Available 2 2 — — $121,355.07 $121,355.07 $121,355.07 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 42 20 — — $80,754.83 $285,900.33 $116,206.39 2026-04-01
1611 MS_DRG Description Not Available 2 2 — — $115,287.97 $115,287.97 $115,287.97 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 23 18 — — $105,432.91 $274,125.56 $110,982.01 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 50 21 — — $13,004.13 $262,997.39 $108,653.57 2026-04-01
5933 MS_DRG Description Not Available 2 2 — — $108,176.39 $108,176.39 $108,176.39 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 50 20 — — $41,035.49 $262,848.41 $108,169.43 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 20 — — $73,417.20 $250,181.80 $107,169.70 2026-04-01
5881 MS_DRG Description Not Available 2 2 — — $107,102.98 $107,102.98 $107,102.98 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 41 20 — — $84,003.72 $258,856.92 $106,526.82 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 46 20 — — $66,603.88 $246,028.91 $104,344.18 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 28 11 — — $61,921.54 $189,157.49 $102,460.59 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 1 — — $89,144.74 $123,168.44 $101,878.76 2026-04-01
6114 MS_DRG Description Not Available 2 2 — — $101,348.20 $101,348.20 $101,348.20 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 20 — — $47,210.64 $240,141.01 $100,321.11 2026-04-01
8634 MS_DRG Description Not Available 2 2 — — $99,358.94 $99,358.94 $99,358.94 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 20 — — $71,107.42 $231,658.32 $99,005.69 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 71 21 — — $8,727.80 $242,586.80 $96,961.41 2026-04-01
6124 MS_DRG Description Not Available 2 2 — — $96,914.36 $96,914.36 $96,914.36 2026-04-01
5913 MS_DRG Description Not Available 2 2 — — $95,167.13 $95,167.13 $95,167.13 2026-04-01
6134 MS_DRG Description Not Available 2 2 — — $95,084.71 $95,084.71 $95,084.71 2026-04-01
6023 MS_DRG Description Not Available 2 2 — — $95,080.79 $95,080.79 $95,080.79 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 20 — — $66,564.90 $219,330.03 $94,580.21 2026-04-01
10 MS_DRG Pancreas Transplant 46 20 — — $64,699.60 $247,453.56 $92,291.49 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 46 20 — — $66,957.44 $207,287.28 $92,077.93 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 49 21 — — $4,935.70 $241,133.72 $90,671.70 2026-04-01
6303 MS_DRG Description Not Available 2 2 — — $90,458.13 $90,458.13 $90,458.13 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 57 21 — — $21,815.88 $215,915.85 $88,855.37 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 20 — — $62,859.43 $211,924.36 $87,212.77 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 20 — — $61,413.62 $200,424.78 $86,413.99 2026-04-01
5932 MS_DRG Description Not Available 2 2 — — $85,739.79 $85,739.79 $85,739.79 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 21 — — $17,924.12 $208,084.96 $85,632.75 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 3 — — $16,065.68 $113,585.81 $85,242.87 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 52 20 — — $29,747.43 $206,936.55 $85,160.15 2026-04-01
43 MS_DRG Hyphema 2 2 — — $84,604.31 $84,604.31 $84,604.31 2026-04-01
6084 MS_DRG Description Not Available 2 2 — — $84,442.83 $84,442.83 $84,442.83 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 46 20 — — $57,200.54 $196,281.21 $83,796.78 2026-04-01
1604 MS_DRG Description Not Available 2 2 — — $83,481.43 $83,481.43 $83,481.43 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 37 15 — — $2,902.00 $220,915.01 $83,328.39 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 21 — — $7,197.72 $200,744.47 $82,611.93 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 50 20 — — $55,550.57 $287,206.80 $82,323.68 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 48 21 — — $9,686.83 $191,125.80 $81,115.53 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 46 20 — — $55,422.51 $187,329.85 $80,565.40 2026-04-01
6093 MS_DRG Description Not Available 2 2 — — $80,413.58 $80,413.58 $80,413.58 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 46 20 — — $50,806.67 $187,329.85 $79,731.97 2026-04-01
6214 MS_DRG Description Not Available 2 2 — — $79,510.00 $79,510.00 $79,510.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 52 20 — — $44,237.79 $192,716.89 $79,444.18 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 42 21 — — $13,535.93 $192,001.07 $79,013.78 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 48 21 — — $17,827.94 $189,589.42 $78,988.23 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 20 — — $55,732.45 $178,127.08 $78,762.31 2026-04-01
1624 MS_DRG Description Not Available 2 2 — — $78,680.02 $78,680.02 $78,680.02 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 28 11 — — $51,142.09 $155,169.19 $78,656.54 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 48 21 — — $5,297.98 $190,470.89 $78,384.07 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 39 13 — — $57,008.05 $172,966.98 $78,377.60 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 20 — — $61,413.62 $184,648.17 $77,982.12 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 49 20 — — $25,604.09 $188,683.11 $77,648.34 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 57 20 — — $43,317.56 $185,930.04 $76,515.38 2026-04-01
6144 MS_DRG Description Not Available 2 2 — — $76,411.86 $76,411.86 $76,411.86 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 50 21 — — $23,516.15 $177,062.48 $76,161.54 2026-04-01
3034 MS_DRG Description Not Available 2 2 — — $75,220.84 $75,220.84 $75,220.84 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 61 20 — — $36,352.24 $182,621.38 $75,153.78 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 48 21 — — $49,521.41 $171,556.34 $74,900.68 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 49 20 — — $21,349.82 $180,700.13 $74,363.13 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 47 20 — — $19,835.87 $171,543.92 $72,958.55 2026-04-01
6022 MS_DRG Description Not Available 2 2 — — $72,548.52 $72,548.52 $72,548.52 2026-04-01
6334 MS_DRG Description Not Available 2 2 — — $72,267.00 $72,267.00 $72,267.00 2026-04-01
6073 MS_DRG Description Not Available 2 2 — — $72,050.31 $72,050.31 $72,050.31 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 46 20 — — $52,405.60 $168,871.55 $72,027.41 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 46 20 — — $48,617.54 $173,012.02 $71,981.73 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 36 12 — — $49,745.09 $150,930.57 $71,854.02 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 28 11 — — $43,339.95 $132,394.56 $71,713.92 2026-04-01
4404 MS_DRG Description Not Available 2 2 — — $71,509.64 $71,509.64 $71,509.64 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 60 20 — — $26,035.86 $168,486.68 $70,906.35 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 1 — — $61,903.87 $85,530.60 $70,746.62 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 21 — — $15,525.21 $164,386.56 $70,492.67 2026-04-01
8424 MS_DRG Description Not Available 2 2 — — $70,312.09 $70,312.09 $70,312.09 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 41 20 — — $53,913.59 $169,780.96 $69,869.59 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 48 21 — — $51,008.98 $167,468.63 $69,111.92 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 51 21 — — $5,268.70 $167,626.93 $68,983.14 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 47 20 — — $36,920.51 $167,446.91 $68,909.06 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 20 — — $51,245.04 $170,870.40 $68,512.21 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 49 21 — — $7,500.22 $165,119.06 $67,951.08 2026-04-01
1634 MS_DRG Description Not Available 2 2 — — $66,951.85 $66,951.85 $66,951.85 2026-04-01
1784 MS_DRG Description Not Available 2 2 — — $66,505.68 $66,505.68 $66,505.68 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 28 11 — — $39,921.16 $121,950.90 $66,056.92 2026-04-01
6033 MS_DRG Description Not Available 2 2 — — $65,802.37 $65,802.37 $65,802.37 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 20 — — $49,853.62 $159,836.39 $65,777.12 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 59 20 — — $23,406.43 $159,311.85 $65,561.25 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 53 21 — — $10,145.36 $158,116.88 $65,069.49 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 49 20 — — $26,636.61 $156,322.89 $64,608.20 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 32 13 — — $1,224.94 $154,695.64 $64,581.84 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 46 20 — — $44,978.89 $155,401.06 $64,530.03 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 48 20 — — $29,623.81 $155,280.01 $63,902.04 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 75 21 — — $16,134.67 $157,659.06 $63,884.16 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 46 20 — — $44,575.21 $146,015.17 $63,774.68 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 21 — — $17,159.18 $154,659.25 $63,646.58 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 46 20 — — $43,426.35 $150,500.16 $63,473.88 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 46 20 — — $42,423.20 $147,570.17 $62,809.32 2026-04-01
6224 MS_DRG Description Not Available 2 2 — — $62,757.52 $62,757.52 $62,757.52 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 20 — — $43,254.68 $144,394.98 $62,480.20 2026-04-01
245 MS_DRG Aicd Generator Procedures 47 21 — — $7,760.73 $151,667.19 $62,415.26 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 37 15 — — $1,781.00 $154,695.64 $62,316.24 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 61 21 — — $5,400.65 $150,751.57 $62,038.46 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 20 — — $44,023.99 $142,992.07 $61,505.65 2026-04-01
1654 MS_DRG Description Not Available 2 2 — — $61,226.37 $61,226.37 $61,226.37 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 53 20 — — $15,425.51 $148,212.66 $60,993.63 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 55 21 — — $6,895.96 $147,563.96 $60,726.67 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 21 — — $11,060.79 $142,535.81 $60,569.64 2026-04-01
1674 MS_DRG Description Not Available 2 2 — — $60,223.90 $60,223.90 $60,223.90 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 21 — — $7,997.37 $145,233.01 $59,767.42 2026-04-01
6313 MS_DRG Description Not Available 2 2 — — $59,507.75 $59,507.75 $59,507.75 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 28 11 — — $35,944.29 $109,802.39 $59,476.46 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 24 12 — — $36,334.19 $110,240.83 $58,664.74 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 47 20 — — $41,741.48 $136,334.42 $58,628.30 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 35 14 — — $1,224.94 $154,695.64 $58,350.66 2026-04-01
3044 MS_DRG Description Not Available 2 2 — — $57,735.46 $57,735.46 $57,735.46 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 53 21 — — $20,844.85 $140,021.73 $57,622.83 2026-04-01
6234 MS_DRG Description Not Available 2 2 — — $57,596.19 $57,596.19 $57,596.19 2026-04-01
6302 MS_DRG Description Not Available 2 2 — — $57,392.43 $57,392.43 $57,392.43 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 2 — — $57,294.42 $61,449.52 $57,294.42 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 50 21 — — $12,594.37 $139,186.81 $57,279.24 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 20 — — $39,116.76 $134,012.77 $57,257.48 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 60 20 — — $22,447.45 $138,801.94 $57,120.86 2026-04-01
3033 MS_DRG Description Not Available 2 2 — — $56,954.20 $56,954.20 $56,954.20 2026-04-01
1834 MS_DRG Description Not Available 2 2 — — $56,751.65 $56,751.65 $56,751.65 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 47 20 — — $16,082.00 $137,504.55 $56,586.94 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 1 — — $49,165.83 $67,930.86 $56,189.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 25 19 — — $30,896.47 $138,722.86 $56,163.10 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 46 20 — — $39,586.33 $129,130.50 $56,075.00 2026-04-01
J9226 HCPCS Supprelin La Implant 39 13 — — $40,518.58 $122,936.61 $55,952.64 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 48 21 — — $39,519.52 $127,361.33 $55,909.74 2026-04-01
6083 MS_DRG Description Not Available 2 2 — — $55,848.82 $55,848.82 $55,848.82 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 63 22 — — $69.44 $143,051.04 $55,846.04 2026-04-01
6072 MS_DRG Description Not Available 2 2 — — $55,790.48 $55,790.48 $55,790.48 2026-04-01
791 MS_DRG Prematurity With Major Problems 53 20 — — $11,373.66 $186,480.00 $55,412.24 2026-04-01
6344 MS_DRG Description Not Available 2 2 — — $55,386.84 $55,386.84 $55,386.84 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 46 20 — — $39,500.02 $127,550.66 $55,226.31 2026-04-01
1664 MS_DRG Description Not Available 2 2 — — $55,190.08 $55,190.08 $55,190.08 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 20 — — $39,267.10 $127,622.05 $55,059.19 2026-04-01
9104 MS_DRG Description Not Available 2 2 — — $54,521.76 $54,521.76 $54,521.76 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 55 20 — — $13,069.12 $132,389.49 $54,481.95 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 48 20 — — $15,031.47 $130,058.53 $54,426.96 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 58 21 — — $5,165.64 $132,197.05 $54,402.76 2026-04-01
1794 MS_DRG Description Not Available 2 2 — — $54,182.94 $54,182.94 $54,182.94 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 47 21 — — $8,822.94 $131,259.70 $54,017.02 2026-04-01
6804 MS_DRG Description Not Available 2 2 — — $53,958.92 $53,958.92 $53,958.92 2026-04-01
1623 MS_DRG Description Not Available 2 2 — — $53,889.85 $53,889.85 $53,889.85 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 21 11 — — $35,719.34 $108,375.33 $53,579.01 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 53 20 — — $15,053.17 $130,049.22 $53,518.87 2026-04-01
6254 MS_DRG Description Not Available 2 2 — — $53,059.87 $53,059.87 $53,059.87 2026-04-01
5471 OTHER Implantation Of Drug Infusion Device 3 2 — — $22,254.27 $54,364.82 $52,364.56 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 52 21 — — $55.83 $126,234.65 $52,257.74 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 46 20 — — $36,533.24 $134,292.11 $52,171.14 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 20 — — $34,979.78 $122,485.26 $52,132.60 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 28 11 — — $31,473.12 $96,143.86 $52,078.06 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 48 21 — — $36,697.49 $190,390.27 $52,015.29 2026-04-01
1694 MS_DRG Description Not Available 2 2 — — $51,655.29 $51,655.29 $51,655.29 2026-04-01
9114 MS_DRG Description Not Available 2 2 — — $51,508.75 $51,508.75 $51,508.75 2026-04-01
3124 MS_DRG Description Not Available 2 2 — — $51,284.73 $51,284.73 $51,284.73 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 68 21 — — $10,480.36 $157,632.69 $51,100.17 2026-04-01
8413 MS_DRG Description Not Available 2 2 — — $51,058.85 $51,058.85 $51,058.85 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 53 20 — — $19,317.64 $123,639.87 $50,881.25 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 46 20 — — $36,261.33 $121,960.72 $50,859.75 2026-04-01
5912 MS_DRG Description Not Available 2 2 — — $50,640.45 $50,640.45 $50,640.45 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 57 21 — — $6,532.00 $129,447.08 $50,535.16 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 49 20 — — $15,623.52 $123,552.97 $50,400.37 2026-04-01
5891 MS_DRG Description Not Available 2 2 — — $50,393.10 $50,393.10 $50,393.10 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 49 20 — — $33,566.44 $122,205.92 $50,291.13 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 47 20 — — $35,315.71 $118,633.44 $50,185.48 2026-04-01
9124 MS_DRG Description Not Available 2 2 — — $50,045.17 $50,045.17 $50,045.17 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 51 21 — — $10,221.66 $121,954.51 $49,970.53 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 59 21 — — $25,770.24 $121,358.58 $49,942.43 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 77 21 — — $4,476.82 $142,517.18 $49,847.97 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 55 20 — — $37,956.61 $126,734.36 $49,821.63 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 48 21 — — $29,881.39 $109,576.56 $49,411.99 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 55 20 — — $9,590.34 $119,958.77 $49,366.37 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 48 20 — — $34,481.45 $119,834.61 $49,315.28 2026-04-01
1783 MS_DRG Description Not Available 2 2 — — $49,200.45 $49,200.45 $49,200.45 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 21 — — $22,140.18 $119,527.34 $49,188.82 2026-04-01
8504 MS_DRG Description Not Available 2 2 — — $48,999.77 $48,999.77 $48,999.77 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 24 12 — — $2,405.00 $108,375.33 $48,617.99 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 24 12 — — $2,405.00 $108,375.33 $48,617.99 2026-04-01
69930 HCPCS Implant Cochlear Device 38 16 — — $3,329.00 $115,801.39 $48,344.39 2026-04-01
214 MS_DRG No Longer Valid 2 2 — — $48,204.51 $48,204.51 $48,204.51 2026-04-01
4414 MS_DRG Description Not Available 2 2 — — $48,196.11 $48,196.11 $48,196.11 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 49 20 — — $24,232.48 $111,265.02 $48,191.57 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 49 20 — — $16,419.66 $117,069.13 $48,177.20 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 47 20 — — $12,965.76 $109,263.07 $48,045.05 2026-04-01
265 MS_DRG Aicd Lead Procedures 46 20 — — $33,971.98 $110,709.44 $47,888.90 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 52 21 — — $29,046.25 $121,038.65 $47,832.88 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 20 — — $17,858.87 $116,206.27 $47,822.11 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 37 15 — — $2,257.00 $110,240.83 $47,637.52 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 37 15 — — $2,257.00 $110,240.83 $47,637.52 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 37 15 — — $3,548.00 $110,240.83 $47,637.52 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 37 15 — — $2,257.00 $110,240.83 $47,637.52 2026-04-01
2604 MS_DRG Description Not Available 2 2 — — $47,591.27 $47,591.27 $47,591.27 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 56 20 — — $7,755.65 $120,691.26 $47,393.36 2026-04-01
332 MS_DRG Rectal Resection With Mcc 47 20 — — $33,995.18 $107,655.30 $47,338.09 2026-04-01
6123 MS_DRG Description Not Available 2 2 — — $47,331.55 $47,331.55 $47,331.55 2026-04-01
4403 MS_DRG Description Not Available 2 2 — — $47,136.70 $47,136.70 $47,136.70 2026-04-01
7404 MS_DRG Description Not Available 2 2 — — $46,982.69 $46,982.69 $46,982.69 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 46 20 — — $34,784.90 $107,770.14 $46,936.47 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 46 20 — — $33,121.94 $106,302.05 $46,801.20 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 27 13 — — $4,204.00 $94,536.89 $46,737.51 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 56 20 — — $14,295.15 $112,478.61 $46,288.07 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 47 20 — — $17,079.70 $111,258.81 $46,113.38 2026-04-01
6814 MS_DRG Description Not Available 2 2 — — $46,011.02 $46,011.02 $46,011.02 2026-04-01
6364 MS_DRG Description Not Available 2 2 — — $45,852.15 $45,852.15 $45,852.15 2026-04-01
6113 MS_DRG Description Not Available 2 2 — — $45,841.61 $45,841.61 $45,841.61 2026-04-01
1782 MS_DRG Description Not Available 2 2 — — $45,839.27 $45,839.27 $45,839.27 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 20 — — $32,054.75 $104,179.05 $45,680.50 2026-04-01
2204 MS_DRG Description Not Available 2 2 — — $45,660.06 $45,660.06 $45,660.06 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 35 14 — — $1,224.94 $120,319.21 $45,383.99 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 59 21 — — $15,289.09 $110,215.94 $45,356.92 2026-04-01
61886 HCPCS Implant Neurostim Arrays 38 16 — — $1,669.00 $108,375.33 $45,244.18 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 32 13 — — $1,224.94 $108,375.33 $45,244.18 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 32 13 — — $1,224.94 $108,375.33 $45,244.18 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 21 — — $13,624.84 $106,907.29 $45,225.05 2026-04-01
1653 MS_DRG Description Not Available 2 2 — — $45,219.50 $45,219.50 $45,219.50 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 47 21 — — $4,873.38 $109,539.31 $45,078.47 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 48 21 — — $16,009.68 $107,537.36 $45,015.99 2026-04-01
9504 MS_DRG Description Not Available 2 2 — — $44,904.01 $44,904.01 $44,904.01 2026-04-01
1603 MS_DRG Description Not Available 2 2 — — $44,813.47 $44,813.47 $44,813.47 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 52 21 — — $12,751.18 $108,744.74 $44,751.48 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 20 — — $32,210.65 $108,726.11 $44,743.82 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 51 20 — — $14,936.04 $108,667.14 $44,719.55 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 50 21 — — $16,141.34 $108,474.71 $44,627.78 2026-04-01
1633 MS_DRG Description Not Available 2 2 — — $44,571.72 $44,571.72 $44,571.72 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 35 14 — — $3,966.47 $110,240.83 $44,408.46 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 35 14 — — $1,224.94 $110,240.83 $44,408.46 2026-04-01
8633 MS_DRG Description Not Available 2 2 — — $44,272.33 $44,272.33 $44,272.33 2026-04-01
1204 MS_DRG Description Not Available 2 2 — — $44,267.43 $44,267.43 $44,267.43 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 24 12 — — $25,748.06 $89,843.00 $44,188.06 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 24 12 — — $25,748.06 $89,843.00 $44,188.06 2026-04-01
6904 MS_DRG Description Not Available 2 2 — — $44,042.48 $44,042.48 $44,042.48 2026-04-01
7594 MS_DRG Description Not Available 2 2 — — $43,963.14 $43,963.14 $43,963.14 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 51 20 — — $21,887.70 $106,733.47 $43,923.79 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 53 21 — — $17,460.65 $106,466.55 $43,813.94 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 56 21 — — $49.60 $111,233.98 $43,631.42 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 37 15 — — $4,204.00 $100,738.81 $43,531.49 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 49 21 — — $14,312.73 $105,740.26 $43,515.06 2026-04-01
665 MS_DRG Prostatectomy With Mcc 50 20 — — $29,359.85 $106,565.87 $43,453.81 2026-04-01
3614 MS_DRG Description Not Available 2 2 — — $43,431.10 $43,431.10 $43,431.10 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 47 20 — — $30,342.60 $100,054.10 $43,350.59 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 47 20 — — $20,207.73 $98,508.40 $43,216.85 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 48 20 — — $15,177.60 $103,067.89 $43,195.45 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 46 20 — — $30,284.14 $98,707.05 $43,127.44 2026-04-01
6133 MS_DRG Description Not Available 2 2 — — $43,057.74 $43,057.74 $43,057.74 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 47 21 — — $11,527.26 $99,451.96 $43,019.26 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 21 — — $10,840.51 $105,280.90 $42,996.07 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 28 11 — — $25,966.11 $79,321.08 $42,965.70 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 28 11 — — $25,843.50 $78,946.54 $42,762.83 2026-04-01
1622 MS_DRG Description Not Available 2 2 — — $42,709.58 $42,709.58 $42,709.58 2026-04-01
1814 MS_DRG Description Not Available 2 2 — — $42,709.58 $42,709.58 $42,709.58 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 38 16 — — $1,459.00 $108,375.33 $42,664.76 2026-04-01
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