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

MEMORIALCARE ORANGE COAST MEDICAL CENTER

Fountain Valley, CA · CCN 050678 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $8,745 across 20 payers · range $6,652-$19,777

Source: https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/330687414_memorialcare-orange-coast-medical-center_standardcharges.json · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

15,431 distinct procedures filed
30 distinct payers
462,970 rate rows
2026-04-01 last MRF observed
Data quality

400,046 of 462,970 rate rows are consumer-grade (86.4%)

62,924 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
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 Latest re-check couldn't be parsed — showing last good data · 2026-08-06
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
$3,324,572
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,651,166.00 $4,742,641.40 $3,240,314.00 nat. median
$2,997,086
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,098,800.00 $4,990,480.00 $2,751,723.05 nat. median
$2,405,851
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
$2,460,273
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $488,529.00 $1,545,202.31 $707,336.18 nat. median
$631,793
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $497,226.98 $1,536,107.10 $703,172.73 nat. median
$624,417
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $501,586.14 $1,521,852.30 $696,647.42 nat. median
$610,161
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $1,224.94 $1,615,809.99 $674,563.18 nat. median
$691,418
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $471,240.00 $1,456,076.53 $666,537.71 nat. median
$588,565
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $432,480.00 $1,336,130.24 $611,630.76 nat. median
$577,541
1.1× 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
$370,165
1.4× median
5834
OTHER 		Description Not Available 2 $452,800.74 $452,800.74 $452,800.74 nat. median
$376,382
1.2× median
5884
OTHER 		Description Not Available 2 $371,419.09 $371,419.09 $371,419.09 nat. median
$247,377
1.5× median
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
$261,939
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
$205,166
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
$199,832
1.4× median
6304
OTHER 		Description Not Available 2 $269,590.38 $269,590.38 $269,590.38 nat. median
$177,388
1.5× median
5833
OTHER 		Description Not Available 2 $249,046.29 $249,046.29 $249,046.29 nat. median
$246,994
1.0× median
5934
OTHER 		Description Not Available 2 $242,236.34 $242,236.34 $242,236.34 nat. median
$151,842
1.6× median
5914
OTHER 		Description Not Available 2 $233,919.75 $233,919.75 $233,919.75 nat. median
$167,487
1.4× median
6094
OTHER 		Description Not Available 2 $232,427.80 $232,427.80 $232,427.80 nat. median
$167,902
1.4× median
6314
OTHER 		Description Not Available 2 $223,138.42 $223,138.42 $223,138.42 nat. median
$159,704
1.4× median
1614
OTHER 		Description Not Available 2 $197,289.02 $197,289.02 $197,289.02 nat. median
$189,554
1.0× median
6034
OTHER 		Description Not Available 2 $194,717.51 $194,717.51 $194,717.51 nat. median
$102,445
1.9× median
5832
OTHER 		Description Not Available 2 $183,647.62 $183,647.62 $183,647.62 nat. median
$184,745
1.0× median
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
$132,706
1.4× median
6024
OTHER 		Description Not Available 2 $173,635.36 $173,635.36 $173,635.36 nat. median
$113,815
1.5× median
7
MS_DRG 		Lung Transplant 20 $120,572.17 $405,601.48 $168,936.55 nat. median
$122,690
1.4× median
5883
OTHER 		Description Not Available 2 $166,168.54 $166,168.54 $166,168.54 nat. median
$168,056
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $111,920.50 $406,625.73 $163,534.18 nat. median
$114,305
1.4× median
5882
OTHER 		Description Not Available 2 $162,710.29 $162,710.29 $162,710.29 nat. median
$139,074
1.2× median
5831
OTHER 		Description Not Available 2 $158,704.84 $158,704.84 $158,704.84 nat. median
$150,754
1.1× median
1613
OTHER 		Description Not Available 2 $151,144.53 $151,144.53 $151,144.53 nat. median
$78
outlier · 1939.2×
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
$108,240
1.4× median
8414
OTHER 		Description Not Available 2 $139,128.87 $139,128.87 $139,128.87 nat. median
$140,709
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 20 $96,075.97 $330,511.25 $137,821.68 nat. median
$99,646
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 21 $20,651.48 $338,100.04 $135,564.63 nat. median
$100,978
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 20 $92,795.52 $328,822.78 $135,319.72 nat. median
$98,002
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
$96,835
1.4× median
6074
OTHER 		Description Not Available 2 $133,366.25 $133,366.25 $133,366.25 nat. median
$85,820
1.6× median
44
MS_DRG 		Acute Major Eye Infections 2 $123,631.63 $123,631.63 $123,631.63 nat. median
$16,220
outlier · 7.6×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $10,687.43 $164,565.06 $123,501.33 nat. median
$83,623
1.5× 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
$92,900
1.3× median
1612
OTHER 		Description Not Available 2 $121,355.07 $121,355.07 $121,355.07 nat. median
$99,145
1.2× median
850
MS_DRG 		Acute Leukemia With Other Procedures 20 $80,754.83 $285,900.33 $116,206.39 nat. median
$81,364
1.4× median
1611
OTHER 		Description Not Available 2 $115,287.97 $115,287.97 $115,287.97 nat. median
$80,527
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 18 $105,432.91 $274,125.56 $110,982.01 nat. median
$96,134
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $13,004.13 $262,997.39 $108,653.57 nat. median
$79,040
1.4× median

Other procedures at this hospital

Browse this hospital's 15,431 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
             
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 OTHER Description Not Available 2 2 — — $452,800.74 $452,800.74 $452,800.74 2026-04-01
5884 OTHER 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 OTHER Description Not Available 2 2 — — $269,590.38 $269,590.38 $269,590.38 2026-04-01
5833 OTHER Description Not Available 2 2 — — $249,046.29 $249,046.29 $249,046.29 2026-04-01
5934 OTHER Description Not Available 2 2 — — $242,236.34 $242,236.34 $242,236.34 2026-04-01
5914 OTHER Description Not Available 2 2 — — $233,919.75 $233,919.75 $233,919.75 2026-04-01
6094 OTHER Description Not Available 2 2 — — $232,427.80 $232,427.80 $232,427.80 2026-04-01
6314 OTHER Description Not Available 2 2 — — $223,138.42 $223,138.42 $223,138.42 2026-04-01
1614 OTHER Description Not Available 2 2 — — $197,289.02 $197,289.02 $197,289.02 2026-04-01
6034 OTHER Description Not Available 2 2 — — $194,717.51 $194,717.51 $194,717.51 2026-04-01
5832 OTHER 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 OTHER 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 OTHER 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 OTHER Description Not Available 2 2 — — $162,710.29 $162,710.29 $162,710.29 2026-04-01
5831 OTHER Description Not Available 2 2 — — $158,704.84 $158,704.84 $158,704.84 2026-04-01
1613 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER Description Not Available 2 2 — — $96,914.36 $96,914.36 $96,914.36 2026-04-01
5913 OTHER Description Not Available 2 2 — — $95,167.13 $95,167.13 $95,167.13 2026-04-01
6134 OTHER Description Not Available 2 2 — — $95,084.71 $95,084.71 $95,084.71 2026-04-01
6023 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER Description Not Available 2 2 — — $72,548.52 $72,548.52 $72,548.52 2026-04-01
6334 OTHER Description Not Available 2 2 — — $72,267.00 $72,267.00 $72,267.00 2026-04-01
6073 OTHER 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 OTHER 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 OTHER 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 OTHER Description Not Available 2 2 — — $66,951.85 $66,951.85 $66,951.85 2026-04-01
1784 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 CPT 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 CPT Evasc Ven Artlz Tibl/prnl Vn 35 14 — — $1,224.94 $154,695.64 $58,350.66 2026-04-01
3044 OTHER 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 OTHER Description Not Available 2 2 — — $57,596.19 $57,596.19 $57,596.19 2026-04-01
6302 OTHER 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 OTHER Description Not Available 2 2 — — $56,954.20 $56,954.20 $56,954.20 2026-04-01
1834 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER Description Not Available 2 2 — — $53,958.92 $53,958.92 $53,958.92 2026-04-01
1623 OTHER 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 OTHER Description Not Available 2 2 — — $53,059.87 $53,059.87 $53,059.87 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 OTHER Description Not Available 2 2 — — $51,655.29 $51,655.29 $51,655.29 2026-04-01
9114 OTHER Description Not Available 2 2 — — $51,508.75 $51,508.75 $51,508.75 2026-04-01
3124 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER 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 OTHER Description Not Available 2 2 — — $48,999.77 $48,999.77 $48,999.77 2026-04-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 24 12 — — $2,405.00 $108,375.33 $48,617.99 2026-04-01
0908T CPT Opn Imp Int Nstm 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 OTHER 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
33231 HCPCS Insrt Pulse Gen W/mult Leads 37 15 — — $2,257.00 $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
33249 HCPCS Insj/rplcmt Defib W/lead(s) 37 15 — — $3,548.00 $110,240.83 $47,637.52 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
2604 OTHER 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 OTHER Description Not Available 2 2 — — $47,331.55 $47,331.55 $47,331.55 2026-04-01
4403 OTHER Description Not Available 2 2 — — $47,136.70 $47,136.70 $47,136.70 2026-04-01
7404 OTHER 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 OTHER Description Not Available 2 2 — — $46,011.02 $46,011.02 $46,011.02 2026-04-01
6364 OTHER Description Not Available 2 2 — — $45,852.15 $45,852.15 $45,852.15 2026-04-01
6113 OTHER Description Not Available 2 2 — — $45,841.61 $45,841.61 $45,841.61 2026-04-01
1782 OTHER 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 OTHER Description Not Available 2 2 — — $45,660.06 $45,660.06 $45,660.06 2026-04-01
0686T CPT 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
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 32 13 — — $1,224.94 $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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 48 21 — — $13,624.84 $106,907.29 $45,225.05 2026-04-01
1653 OTHER 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 OTHER Description Not Available 2 2 — — $44,904.01 $44,904.01 $44,904.01 2026-04-01
1603 OTHER 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 OTHER Description Not Available 2 2 — — $44,571.72 $44,571.72 $44,571.72 2026-04-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 35 14 — — $1,224.94 $110,240.83 $44,408.46 2026-04-01
0408T CPT Insj/rplc Cardiac Modulj Sys 35 14 — — $3,966.47 $110,240.83 $44,408.46 2026-04-01
8633 OTHER Description Not Available 2 2 — — $44,272.33 $44,272.33 $44,272.33 2026-04-01
1204 OTHER Description Not Available 2 2 — — $44,267.43 $44,267.43 $44,267.43 2026-04-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 24 12 — — $25,748.06 $89,843.00 $44,188.06 2026-04-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 24 12 — — $25,748.06 $89,843.00 $44,188.06 2026-04-01
6904 OTHER Description Not Available 2 2 — — $44,042.48 $44,042.48 $44,042.48 2026-04-01
7594 OTHER 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 OTHER 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 OTHER 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
1814 OTHER Description Not Available 2 2 — — $42,709.58 $42,709.58 $42,709.58 2026-04-01
1622 OTHER 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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 48 21 — — $30,942.09 $96,863.39 $42,540.99 2026-04-01
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