Price Transparency 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

BAYHEALTH MEDICAL CENTER, KENT CAMPUS

Dover, DE · CCN 080004 · Rates published

12,090 distinct procedures filed
16 distinct payers
270,437 rate rows
2026-04-01 last MRF observed
Data quality

189,193 of 270,437 rate rows are consumer-grade (70.0%)

81,244 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 81,244
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.bayhealth.org/-/media/files/patients-and-visitors/billing-financial-aid/price-transparency/2026/510064318bayhealthhospitalsussexcampusstandardcharges.json
Found on page https://www.bayhealth.org/patients/billing/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint ed998e8b2967d457… · 28,878,658 bytes · first seen 2026-05-09

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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 $364,452.54 $1,241,016.98 $371,741.59 nat. median
$370,174
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $236,803.48 $672,568.76 $241,539.55 nat. median
$265,286
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $179,553.43 $2,416,341.90 $195,047.29 nat. median
$202,986
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $187,413.21 $190,505.51 $187,413.21 nat. median
$87,411
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $180,608.55 $708,747.95 $184,220.72 nat. median
$206,368
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $108,243.35 $506,308.27 $162,365.03 nat. median
$111,989
1.4× median
9363
OTHER 		Inj, Esmolol Hcl, 10mg 1 $132,880.21 $132,880.21 $132,880.21 nat. median
$0
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $128,966.83 $331,250.74 $130,030.80 nat. median
$65,381
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $106,383.37 $604,865.51 $128,870.96 nat. median
$133,176
1.0× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $121,072.25 $123,069.93 $121,072.25 nat. median
$62,270
1.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $53,171.15 $379,568.53 $115,068.32 nat. median
$66,526
1.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 $30,954.14 $357,685.36 $113,642.06 nat. median
$48,170
outlier · 2.4×
7
MS_DRG 		Lung Transplant 7 $109,871.86 $404,984.38 $112,069.30 nat. median
$122,708
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 7 $102,021.21 $316,239.15 $104,061.63 nat. median
$117,303
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $321,820.00 $103,202.56 nat. median
$70,825
1.5× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $99,677.29 $125,264.32 $100,499.62 nat. median
$48,483
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $92,389.57 $363,174.32 $100,359.97 nat. median
$102,358
1.0× median
9355
OTHER 		Inj. Teprotumumab-trbw 10 Mg 2 $99,963.65 $99,963.65 $99,963.65 nat. median
$369
outlier · 270.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $96,243.74 $446,895.59 $98,168.61 nat. median
$108,660
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $96,134.27 $106,516.45 $98,056.96 nat. median
$98,017
1.0× median
5232
OTHER 		Level 2 Icd And Similar Procedures 9 $33,304.84 $160,308.77 $97,754.55 nat. median
$32,531
outlier · 3.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $93,628.26 $103,739.69 $95,500.83 nat. median
$98,905
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 9 $84,666.92 $188,313.86 $91,970.75 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 $83,200.03 $228,640.33 $90,377.24 nat. median
$93,672
1.0× median
5231
OTHER 		Level 1 Icd And Similar Procedures 7 $23,612.04 $111,809.06 $90,100.78 nat. median
$23,015
outlier · 3.9×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 7 $87,643.65 $357,610.88 $89,396.52 nat. median
$100,136
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $394.08 $328,114.87 $86,754.83 nat. median
$15,912
outlier · 5.5×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $76,689.11 $84,970.44 $78,222.89 nat. median
$82,712
0.9× median
321
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 12 $23,732.80 $82,170.26 $77,989.63 nat. median
$28,170
outlier · 2.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $73,741.02 $81,703.83 $75,215.84 nat. median
$83,442
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 7 $71,807.62 $223,144.33 $73,243.77 nat. median
$79,312
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $71,584.47 $224,223.30 $73,016.16 nat. median
$81,118
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $48,155.50 $225,247.35 $72,233.25 nat. median
$50,598
1.4× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $71,615.07 $72,796.71 $71,615.07 nat. median
$39,075
1.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $41,475.71 $163,834.74 $70,823.42 nat. median
$73,807
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $64,986.82 $193,135.50 $70,591.98 nat. median
$72,138
1.0× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 10 $5,032.64 $463,898.43 $70,101.67 nat. median
$44,810
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 $67,082.74 $257,502.76 $68,424.39 nat. median
$77,576
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $65,478.59 $160,968.73 $66,788.16 nat. median
$74,915
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 $60,864.87 $211,241.95 $66,114.25 nat. median
$68,887
1.0× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $42,745.35 $199,941.37 $64,118.02 nat. median
$49,027
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 $58,738.64 $222,056.76 $63,804.49 nat. median
$65,950
1.0× median
5166
OTHER 		Cochlear Implant Procedure 1 $63,703.34 $63,703.34 $63,703.34 nat. median
$33,509
1.9× median
5213
OTHER 		Level 3 Electrophysiologic Procedures 11 $25,358.66 $95,083.56 $62,707.32 nat. median
$26,257
outlier · 2.4×
10
MS_DRG 		Pancreas Transplant 7 $61,246.33 $147,683.92 $62,471.26 nat. median
$68,882
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 $61,221.07 $79,641.42 $62,445.49 nat. median
$64,027
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $60,900.24 $251,163.82 $62,118.24 nat. median
$71,240
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $26,908.33 $68,259.49 $61,607.58 nat. median
$68,090
0.9× median
64568
HCPCS 		Inc For Vagus N Elect Impl 4 $999.00 $229,762.29 $60,750.03 nat. median
$27,541
outlier · 2.2×
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 4 $934.39 $229,762.29 $60,750.03 nat. median
$43,787
1.4× median

Other procedures at this hospital

Browse this hospital's 12,090 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
             
0238T HCPCS Hc Atherectomy/Ivc Iliac Artery Each Vessel 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 15 4 — — $33,919.74 $163,735.62 $50,879.61 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 5 4 — — $24,806.09 $116,030.50 $37,209.14 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 5 4 — — $24,806.09 $116,030.50 $37,209.14 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 5 4 — — $24,806.09 $116,030.50 $37,209.14 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 15 4 — — $33,919.74 $163,735.62 $50,879.61 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 5 4 — — $24,806.09 $116,030.50 $37,209.14 2026-04-01
0632T HCPCS Perq Tcat US Abltj Nrv P-art 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
0645T HCPCS Tcat Impltj C Sins Rdctj Dev 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 5 4 — — $34,412.59 $160,964.87 $51,618.88 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 15 4 — — $20,964.34 $101,197.98 $31,446.51 2026-04-01
0738 OTHER Rasburicase 2 1 — — $34,499.27 $34,499.27 $34,499.27 2025-07-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 15 4 — — $20,964.34 $101,197.98 $31,446.51 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 15 4 — — $20,964.34 $101,197.98 $31,446.51 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 5 4 — — $21,480.69 $100,475.92 $32,221.03 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 5 4 — — $34,412.59 $160,964.87 $51,618.88 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 5 4 — — $34,412.59 $160,964.87 $51,618.88 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 15 4 — — $33,919.74 $163,735.62 $50,879.61 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 5 4 — — $24,806.09 $116,030.50 $37,209.14 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 5 4 — — $24,806.09 $116,030.50 $37,209.14 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 27 7 — — $236,803.48 $672,568.76 $241,539.55 2026-04-01
10 MS_DRG Pancreas Transplant 27 7 — — $61,246.33 $147,683.92 $62,471.26 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 15 4 — — $20,964.34 $101,197.98 $31,446.51 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 7 — — $46,749.20 $139,085.88 $47,684.18 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 7 — — $36,323.48 $113,426.65 $37,049.95 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 27 7 — — $102,021.21 $316,239.15 $104,061.63 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 27 7 — — $36,738.63 $132,274.89 $37,473.40 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 29 8 — — $27,497.23 $81,799.36 $33,018.21 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 27 7 — — $50,754.10 $106,177.32 $51,769.18 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 39 9 — — $38,281.78 $114,712.12 $41,886.03 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 41 11 — — $32,295.85 $267,694.55 $35,780.92 2026-04-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 44 11 — — $16,007.62 $70,753.59 $30,365.32 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 27 7 — — $46,565.62 $83,384.09 $47,496.93 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 47 11 — — $12,388.39 $37,324.39 $33,037.80 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 7 — — $364,452.54 $1,241,016.98 $371,741.59 2026-04-01
1823 OTHER Injection, Dalbavancin 1 1 — — $55,734.47 $55,734.47 $55,734.47 2026-04-01
189 MS_DRG Pulmonary Edema And Respiratory Failure 51 12 — — $2,096.55 $40,008.28 $29,455.39 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 7 — — $60,900.24 $251,163.82 $62,118.24 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 7 — — $96,243.74 $446,895.59 $98,168.61 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 7 — — $67,082.74 $257,502.76 $68,424.39 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 18 4 — — $1,920.35 $141,540.83 $37,423.93 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 42 9 — — $55,006.57 $192,090.25 $60,347.81 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 54 13 — — $4,876.46 $71,971.96 $37,949.74 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 21 7 — — $96,134.27 $106,516.45 $98,056.96 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 7 — — $45,399.35 $193,405.24 $46,307.34 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 8 — — $92,389.57 $363,174.32 $100,359.97 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 18 4 — — $2,658.32 $141,540.83 $37,423.93 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 21 7 — — $48,877.96 $54,154.55 $49,855.52 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 9 — — $84,666.92 $188,313.86 $91,970.75 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 9 — — $83,200.03 $228,640.33 $90,377.24 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 7 — — $56,190.52 $148,965.20 $57,314.33 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 8 — — $45,491.74 $134,601.42 $57,314.33 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 7 — — $65,478.59 $160,968.73 $66,788.16 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 11 — — $45,727.76 $124,924.41 $50,664.01 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 8 — — $43,263.85 $101,808.89 $46,994.02 2026-04-01
22558 HCPCS Lumbar Spine Fusion 18 4 — — $2,517.51 $141,540.83 $37,423.93 2026-04-01
22630 HCPCS Lumbar Spine Fusion 18 4 — — $2,590.96 $141,540.83 $37,423.93 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 18 4 — — $2,991.02 $141,540.83 $37,423.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 29 8 — — $42,482.41 $164,551.66 $46,145.13 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 9 — — $49,075.00 $144,919.06 $53,306.75 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 7 — — $71,807.62 $223,144.33 $73,243.77 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 29 8 — — $51,873.21 $155,911.06 $56,346.49 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 35 8 — — $41,475.71 $163,834.74 $70,823.42 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 9 — — $46,821.61 $169,462.07 $50,858.87 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 9 — — $50,239.59 $125,632.49 $54,571.86 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 37 9 — — $36,094.44 $97,983.90 $39,205.79 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 29 7 — — $18,767.96 $107,526.03 $43,111.32 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 7 — — $33,762.74 $102,569.52 $34,437.99 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 9 — — $27,707.39 $90,768.29 $30,094.82 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 7 — — $39,240.43 $161,541.93 $40,025.24 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 9 — — $23,909.54 $252,955.18 $54,038.61 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 33 9 — — $29,073.51 $101,153.37 $30,799.63 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 48 10 — — $14,789.99 $116,262.42 $50,906.17 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 32 8 — — $27,003.42 $73,235.04 $29,330.08 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 8 — — $17,279.64 $98,386.92 $31,446.83 2026-04-01
265 MS_DRG Aicd Lead Procedures 27 7 — — $31,289.57 $116,022.92 $31,915.36 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 9 — — $52,427.30 $150,381.34 $56,948.40 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 9 — — $39,312.88 $137,265.12 $41,729.32 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 7 — — $58,738.64 $222,056.76 $63,804.49 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 37 9 — — $35,079.53 $96,736.34 $36,678.14 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 7 — — $45,251.99 $118,585.47 $46,157.03 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 37 9 — — $30,768.33 $96,904.93 $33,419.96 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 34 9 — — $27,296.53 $120,136.49 $38,626.75 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 41 9 — — $28,223.98 $86,890.74 $30,999.51 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 9 — — $60,864.87 $211,241.95 $66,114.25 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 8 — — $51,401.65 $174,186.10 $55,834.23 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 9 — — $39,712.83 $150,816.46 $43,136.50 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 18 4 — — $1,592.94 $141,540.83 $37,423.93 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 7 — — $47,693.16 $150,381.34 $48,647.02 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 27 7 — — $31,190.20 $107,930.65 $31,814.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 29 8 — — $35,460.45 $135,073.47 $52,444.29 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 29 8 — — $29,549.85 $80,703.52 $32,096.31 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 6 1 — — $38,212.39 $38,842.89 $38,212.39 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 8 — — $179,553.43 $2,416,341.90 $195,047.29 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 27 7 — — $38,550.77 $76,775.41 $39,321.79 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 7 — — $57,126.91 $63,294.72 $58,269.45 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 7 — — $38,402.56 $145,795.72 $39,170.61 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 48 12 — — $23,732.80 $82,170.26 $77,989.63 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 55 13 — — $15,667.42 $61,265.22 $45,117.92 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 7 — — $37,261.55 $139,591.65 $38,006.78 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 9 — — $42,819.24 $444,766.83 $46,511.03 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 53 10 — — $5,032.64 $463,898.43 $70,101.67 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 64 12 — — $16,195.36 $123,026.57 $57,805.08 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 53 11 — — $13,902.80 $100,538.50 $43,718.69 2026-04-01
332 MS_DRG Rectal Resection With Mcc 27 7 — — $31,310.62 $130,015.80 $31,936.83 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 18 4 — — $602.70 $116,030.50 $30,678.91 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 18 4 — — $645.70 $163,735.62 $43,292.32 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 18 4 — — $580.31 $116,030.50 $30,678.91 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 4 — — $1,465.79 $163,735.62 $43,292.32 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 18 4 — — $599.94 $116,030.50 $30,678.91 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 18 4 — — $623.87 $116,030.50 $30,678.91 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 18 4 — — $649.98 $163,735.62 $43,292.32 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 18 4 — — $901.67 $163,735.62 $43,292.32 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 18 4 — — $934.39 $229,762.29 $60,750.03 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 18 4 — — $628.70 $160,964.87 $42,559.73 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 18 4 — — $535.44 $149,622.71 $39,560.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 33 9 — — $30,891.27 $76,741.69 $33,553.51 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 47 12 — — $18,578.47 $73,617.04 $49,424.02 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 29 7 — — $33,415.80 $132,544.63 $34,084.12 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 38 9 — — $37,812.27 $94,376.09 $41,323.22 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 21 7 — — $29,777.21 $32,990.16 $30,372.75 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 45 11 — — $16,214.77 $44,810.94 $32,288.91 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 4 — — $394.08 $328,114.87 $86,754.83 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 11 — — $106,383.37 $604,865.51 $128,870.96 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 30 8 — — $30,970.09 $86,553.57 $34,002.53 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 7 — — $34,677.23 $38,419.59 $35,370.77 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 38 8 — — $46,887.30 $160,482.19 $50,930.22 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 27 7 — — $30,846.64 $113,595.23 $31,463.57 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 27 7 — — $30,821.38 $100,074.40 $31,437.81 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 29 8 — — $29,511.95 $110,594.35 $32,055.14 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 7 — — $34,821.28 $189,654.74 $38,878.31 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 7 — — $93,628.26 $103,739.69 $95,500.83 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 7 — — $26,908.33 $68,259.49 $61,607.58 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 7 — — $48,163.04 $53,362.39 $49,126.30 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 7 — — $76,689.11 $84,970.44 $78,222.89 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 7 — — $49,384.88 $54,716.25 $50,372.58 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 43 11 — — $17,395.36 $48,991.95 $33,532.95 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 7 — — $57,085.65 $63,249.01 $58,227.36 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 7 — — $36,532.32 $231,574.60 $37,262.97 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 7 — — $45,700.81 $50,634.16 $46,614.83 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 1 — — $187,413.21 $190,505.51 $187,413.21 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 1 — — $121,072.25 $123,069.93 $121,072.25 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 8 2 — — $99,677.29 $125,264.32 $100,499.62 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 7 — — $71,584.47 $224,223.30 $73,016.16 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 7 — — $51,035.35 $166,194.99 $52,056.06 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 7 — — $35,958.02 $145,391.11 $36,677.18 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 2 — — $128,966.83 $331,250.74 $130,030.80 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 1 — — $71,615.07 $72,796.71 $71,615.07 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 7 — — $47,329.38 $218,187.82 $48,275.97 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 8 — — $46,138.92 $120,608.53 $49,791.95 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 29 8 — — $44,654.96 $101,187.09 $48,505.20 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 35 10 — — $30,518.23 $71,380.56 $33,148.28 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 7 — — $41,482.87 $101,760.29 $42,312.53 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 27 7 — — $36,971.04 $99,197.74 $37,710.46 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 35 9 — — $29,911.94 $84,260.76 $32,489.65 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 29 8 — — $27,996.22 $111,336.14 $30,408.58 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 9 — — $30,263.65 $77,955.53 $32,374.02 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 29 8 — — $30,084.87 $121,215.46 $31,979.78 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 27 7 — — $87,643.65 $357,610.88 $89,396.52 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 33 8 — — $13,069.17 $133,043.71 $29,838.69 2026-04-01
509 MS_DRG Arthroscopy 6 1 — — $48,959.63 $49,767.46 $48,959.63 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 14 5 — — $55,020.61 $107,686.64 $55,020.61 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 71 15 — — $367.02 $72,981.97 $38,927.21 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 43 11 — — $164.91 $91,371.01 $58,906.30 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 31 8 — — $27,657.71 $91,974.03 $30,040.85 2026-04-01
5166 OTHER Cochlear Implant Procedure 2 1 — — $63,703.34 $63,703.34 $63,703.34 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 7 — — $32,292.48 $70,133.00 $32,938.33 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 20 9 — — $17,632.66 $92,834.57 $42,514.90 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 40 11 — — $25,358.66 $95,083.56 $62,707.32 2026-04-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 33 8 — — $10,803.83 $57,080.93 $30,346.92 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 17 7 — — $23,612.04 $111,809.06 $90,100.78 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 39 9 — — $33,304.84 $160,308.77 $97,754.55 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 27 8 — — $6,827.92 $58,598.36 $29,454.09 2026-04-01
5376 OTHER Level 6 Urology And Related Services 1 1 — — $31,073.05 $31,073.05 $31,073.05 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 5 4 — — $23,113.83 $108,114.92 $34,670.74 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 5 4 — — $23,113.83 $108,114.92 $34,670.74 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 5 4 — — $23,113.83 $108,114.92 $34,670.74 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 5 4 — — $23,113.83 $108,114.92 $34,670.74 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 5 4 — — $23,113.83 $108,114.92 $34,670.74 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 5 4 — — $23,113.83 $108,114.92 $34,670.74 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $122.46 $74,416.56 $37,269.51 2026-04-01
5623 OTHER Level 3 Radiation Therapy 61 13 — — $6,391.32 $71,263.20 $33,716.14 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 7 — — $55,989.27 $194,045.88 $57,109.06 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 31 8 — — $30,053.41 $107,391.16 $32,643.33 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 7 — — $42,093.37 $185,414.13 $42,935.24 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 27 7 — — $39,868.61 $161,980.26 $40,665.98 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 9 — — $30,188.14 $77,078.87 $32,789.69 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 49 11 — — $14,556.51 $128,579.77 $31,133.56 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 18 4 — — $884.51 $160,964.87 $42,559.73 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 4 — — $1,474.71 $160,964.87 $42,559.73 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 18 4 — — $978.15 $160,964.87 $42,559.73 2026-04-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 44 11 — — $13,523.51 $43,930.17 $29,580.75 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 9 — — $14,580.93 $63,794.06 $33,446.49 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 56 12 — — $17,355.21 $208,891.50 $35,679.21 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 65 11 — — $82.00 $76,093.44 $32,302.93 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 18 4 — — $559.82 $160,964.87 $42,559.73 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 43 11 — — $17,755.77 $47,474.65 $30,276.97 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 18 4 — — $999.00 $229,762.29 $60,750.03 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 18 4 — — $1,375.91 $160,964.87 $42,559.73 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 4 — — $34,412.59 $160,964.87 $51,618.88 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 27 7 — — $40,410.91 $153,078.77 $41,219.13 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 27 7 — — $32,027.23 $119,360.98 $32,667.77 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 29 8 — — $44,579.17 $183,627.08 $48,422.87 2026-04-01
665 MS_DRG Prostatectomy With Mcc 29 7 — — $27,104.46 $103,547.33 $29,365.87 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 34 7 — — $20,219.47 $133,056.44 $38,124.57 2026-04-01
69930 HCPCS Implant Cochlear Device 18 4 — — $1,983.28 $171,994.46 $45,476.00 2026-04-01
7 MS_DRG Lung Transplant 27 7 — — $109,871.86 $404,984.38 $112,069.30 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 7 — — $30,921.58 $136,961.66 $31,540.01 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 7 — — $30,991.48 $125,733.64 $31,611.31 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 8 2 — — $50,784.00 $65,488.53 $51,202.97 2026-04-01
78 MS_DRG Hypertensive Encephalopathy With Cc 6 1 — — $33,037.80 $33,582.92 $33,037.80 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 43 12 — — $15,997.52 $37,629.05 $29,828.29 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 49 12 — — $3,506.09 $210,230.42 $55,257.01 2026-04-01
791 MS_DRG Prematurity With Major Problems 42 11 — — $5,567.67 $76,329.22 $36,732.90 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 40 9 — — $3,235.43 $68,464.12 $35,932.76 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 31 8 — — $38,958.33 $120,559.64 $42,316.88 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 27 7 — — $48,016.52 $181,705.17 $48,976.85 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 9 — — $34,370.72 $190,896.11 $37,706.61 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 30 8 — — $50,207.59 $234,841.45 $54,537.10 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 8 — — $14,961.92 $134,018.49 $42,828.22 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 7 — — $20,706.16 $163,497.56 $43,678.95 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 32 8 — — $12,240.47 $237,373.24 $47,991.67 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 7 — — $41,277.40 $103,850.79 $42,102.95 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 21 7 — — $73,741.02 $81,703.83 $75,215.84 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 97 15 — — $30,954.14 $357,685.36 $113,642.06 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 92 13 — — $16,589.47 $236,904.45 $47,002.57 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 8 — — $39,125.06 $93,735.46 $42,498.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 78 14 — — $53,171.15 $379,568.53 $115,068.32 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 107 15 — — $11,161.25 $162,475.43 $37,030.57 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 51 8 — — $11,056.97 $117,911.11 $33,366.96 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 27 7 — — $36,160.12 $112,212.81 $36,883.32 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 27 7 — — $31,751.87 $100,108.12 $32,386.91 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 9 — — $33,151.39 $92,420.46 $36,008.72 2026-04-01
9132 OTHER Prothrombin Complex Kcentra 1 1 — — $44,899.10 $44,899.10 $44,899.10 2026-04-01
9247 OTHER Inj, Amisulpride, 1 Mg 6 2 — — $32,188.62 $32,188.62 $32,188.62 2025-07-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 7 — — $180,608.55 $708,747.95 $184,220.72 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 7 — — $61,221.07 $79,641.42 $62,445.49 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 2 1 — — $49,144.79 $49,144.79 $49,144.79 2025-07-01
9290 OTHER Inj, Bupivacaine, Nos, 0.5mg 1 1 — — $60,031.98 $60,031.98 $60,031.98 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 27 7 — — $33,613.69 $97,478.13 $34,285.96 2026-04-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 2 1 — — $40,463.14 $40,463.14 $40,463.14 2026-04-01
9355 OTHER Inj. Teprotumumab-trbw 10 Mg 4 2 — — $99,963.65 $99,963.65 $99,963.65 2025-07-01
9363 OTHER Inj, Esmolol Hcl, 10mg 1 1 — — $132,880.21 $132,880.21 $132,880.21 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 18 4 — — $1,332.42 $136,344.48 $36,050.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 18 4 — — $1,605.87 $136,344.48 $36,050.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 18 4 — — $1,510.06 $136,344.48 $36,050.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 35 8 — — $10,224.86 $140,130.49 $33,317.70 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 35 9 — — $30,457.60 $144,504.83 $33,082.41 2026-04-01
9513 OTHER Plasma, Frz Between 8-24hour 1 1 — — $36,400.52 $36,400.52 $36,400.52 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 7 — — $57,502.47 $193,101.78 $58,652.52 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 29 8 — — $21,027.57 $159,788.61 $33,159.07 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 8 — — $64,986.82 $193,135.50 $70,591.98 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 29 8 — — $20,372.91 $111,943.06 $37,031.92 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 8 — — $26,783.97 $225,942.91 $56,883.45 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 8 — — $31,235.68 $180,558.99 $33,927.65 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 81 13 — — $17,281.59 $133,050.40 $44,683.15 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 51 11 — — $13,069.17 $86,250.11 $30,285.14 2026-04-01
C9602 HCPCS Hc Perc D-e Cor Stent Ather S 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
C9607 HCPCS Hc Perc D-e Cor Revasc Chro Sin 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
C9773 HCPCS Hc Revasc Lithotr-stent Tib/Per 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
C9774 HCPCS Hc Revasc Lithotr-ather Tib/Per 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
C9775 HCPCS Hc Revasc Lith-sten-ath Tib/Per 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 5 4 — — $20,443.49 $95,624.42 $30,665.23 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 15 4 — — $28,851.23 $134,951.63 $43,276.84 2026-04-01
L5858 HCPCS Stance Phase Only 15 4 — — $22,336.47 $104,478.84 $33,504.70 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 15 4 — — $21,041.00 $98,419.28 $31,561.50 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 15 4 — — $29,510.19 $138,033.91 $44,265.28 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 15 4 — — $28,715.00 $134,314.41 $43,072.50 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 15 4 — — $19,607.53 $91,714.22 $29,411.30 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 15 4 — — $21,646.96 $101,253.66 $32,470.44 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 15 4 — — $42,745.35 $199,941.37 $64,118.02 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 15 4 — — $48,155.50 $225,247.35 $72,233.25 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 15 4 — — $34,970.13 $163,572.78 $52,455.19 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 15 4 — — $68,801.71 $321,820.00 $103,202.56 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 4 — — $108,243.35 $506,308.27 $162,365.03 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 15 4 — — $22,533.92 $105,402.41 $33,800.88 2026-04-01
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