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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

ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL

Ocoee, FL · CCN 100030 · Rates published

11,497 distinct procedures filed
45 distinct payers
580,264 rate rows
2026-04-01 last MRF observed
Data quality

428,414 of 580,264 rate rows are consumer-grade (73.8%)

151,850 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 142,010
template filing: same amount across many unrelated codes — excluded 9,732
placeholder amount (≤ $0.02) — excluded from medians 108
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=R*__*SxOuSCwCrcUCJQhmi*_*5A*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/financial-information-prior-to-care/pricing-transparency-guide
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 902c19aa93c923fe… · 69,500,918 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,432,920.00 $4,820,350.00 $4,685,200.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,626,302.40 $4,238,056.67 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,263,399.19 $3,813,931.98 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,196,470.58 $3,735,712.57 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,898,608.16 $4,868,633.01 $3,122,484.40 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,415,828.84 $4,738,363.47 $2,823,377.20 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,294,688.00 $4,500,760.00 $2,681,800.00 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 11 $758,290.08 $2,465,984.00 $1,271,523.00 nat. median
$824,563
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $582,258.58 $1,893,523.84 $954,235.56 nat. median
$754,974
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $556,815.04 $1,810,780.62 $913,075.07 nat. median
$675,122
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $553,537.57 $1,800,122.19 $893,698.84 nat. median
$674,188
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $548,400.85 $1,783,417.39 $893,079.74 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $524,698.49 $1,706,336.55 $879,576.19 nat. median
$634,511
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $481,475.73 $1,565,774.75 $808,038.00 nat. median
$620,080
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 27 $110,095.49 $1,305,761.51 $514,543.48 nat. median
$370,174
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 11 $273,798.00 $890,400.00 $446,118.75 nat. median
$324,450
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $214,079.69 $847,386.69 $350,298.75 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $163,588.17 $645,596.42 $266,881.25 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 $162,640.13 $641,807.60 $266,121.56 nat. median
$202,986
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 $92,720.50 $418,838.63 $173,142.50 nat. median
$133,176
1.3× median
7
MS_DRG 		Lung Transplant 27 $100,030.77 $391,588.15 $161,877.50 nat. median
$122,708
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 27 $92,976.91 $363,397.26 $150,223.75 nat. median
$117,303
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 27 $87,785.82 $615,011.66 $142,508.72 nat. median
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 27 $87,687.46 $343,910.42 $141,915.11 nat. median
$98,017
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $2,515.26 $333,259.05 $138,183.80 nat. median
$98,905
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 27 $22,611.06 $426,181.56 $137,167.63 nat. median
$99,019
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 27 $84,322.82 $328,811.04 $136,752.68 nat. median
$102,358
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $82,553.84 $130,327.56 $130,327.56 nat. median
$76,377
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 27 $80,058.57 $333,652.78 $129,664.85 nat. median
$100,136
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 $58,337.12 $295,812.31 $122,285.00 nat. median
$93,672
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $84,781.61 $149,749.00 $117,265.30 nat. median
$87,411
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 $70,215.85 $272,432.28 $113,304.73 nat. median
$82,712
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 27 $67,566.97 $279,894.37 $108,901.87 nat. median
$83,442
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 27 $10,852.53 $254,903.32 $105,373.75 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 $65,629.29 $254,102.01 $105,042.50 nat. median
$81,118
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 $61,584.47 $237,936.77 $98,826.98 nat. median
$77,576
1.3× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $84,781.61 $112,127.00 $98,454.30 nat. median
$62,270
1.6× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 11 $62,328.81 $202,695.30 $96,483.11 nat. median
$69,774
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 $60,143.12 $232,176.44 $95,978.75 nat. median
$74,915
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 $59,892.69 $231,175.56 $95,565.00 nat. median
$73,807
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 $59,701.27 $230,410.54 $95,248.75 nat. median
$72,138
1.3× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 11 $55,915.36 $181,838.56 $93,760.51 nat. median
$62,507
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 $10.75 $406,212.70 $90,232.50 nat. median
$68,090
1.3× median
10
MS_DRG 		Pancreas Transplant 27 $53,023.00 $216,978.82 $89,696.25 nat. median
$68,882
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 $55,997.66 $215,609.04 $89,671.91 nat. median
$68,887
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 27 $56,317.70 $216,888.10 $89,658.75 nat. median
$64,027
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 $56,029.44 $215,736.03 $89,182.50 nat. median
$71,240
1.3× median
0100T
HCPCS 		Prosth Retina Receive&Gen 1 $88,839.00 $89,169.00 $89,004.00 nat. median
$11,210
outlier · 7.9×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 11 $54,387.97 $176,871.44 $86,227.86 nat. median
$66,682
1.3× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 2 $84,781.61 $87,629.00 $86,205.30 nat. median
$48,483
1.8× median

Other procedures at this hospital

Browse this hospital's 11,497 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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 90 27 — — $22,523.79 $81,830.08 $35,250.65 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 102 27 — — $20,354.49 $83,094.02 $35,345.36 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 30 11 — — $19,934.99 $64,829.22 $35,453.48 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 30 11 — — $19,934.99 $64,829.22 $35,453.48 2026-04-01
63655 HCPCS Implant Neuroelectrodes 30 11 — — $19,934.99 $64,829.22 $35,453.48 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 30 11 — — $19,934.99 $64,829.22 $35,453.48 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 100 27 — — $19,601.80 $86,789.11 $35,877.50 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 108 28 — — $5,437.58 $96,202.38 $36,075.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 92 28 — — $23,894.76 $87,309.20 $36,092.50 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 100 27 — — $22,174.23 $91,355.57 $36,123.65 2026-04-01
37221 HCPCS Iliac Revasc W/stent 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
37225 HCPCS Fem/popl Revas W/ather 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
33822 HCPCS Revise Major Vessel 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
37226 HCPCS Fem/popl Revasc W/stent 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
56637 HCPCS Extensive Vulva Surgery 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
32655 HCPCS Thoracoscopy Resect Bullae 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
32652 HCPCS Thoracoscopy Rem Totl Cortex 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
56631 HCPCS Extensive Vulva Surgery 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
32650 HCPCS Thoracoscopy W/pleurodesis 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
37230 HCPCS Tib/per Revasc W/stent 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
37229 HCPCS Tib/per Revasc W/ather 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 4 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 92 27 — — $5,550.03 $86,193.42 $36,205.67 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 30 11 — — $31,708.46 $103,116.95 $36,234.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 90 27 — — $23,852.39 $117,230.59 $36,241.52 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 90 27 — — $18,638.96 $87,750.68 $36,275.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 90 27 — — $23,228.19 $101,655.75 $36,353.06 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 98 27 — — $17,931.23 $88,062.13 $36,403.75 2026-04-01
800 MS_DRG Splenic Procedures With Cc 90 27 — — $23,304.60 $102,977.45 $36,472.65 2026-04-01
69930 HCPCS Implant Cochlear Device 42 11 — — $3,249.00 $110,182.70 $36,498.02 2026-04-01
570 MS_DRG Skin Debridement With Mcc 90 27 — — $24,301.06 $88,932.98 $36,763.75 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 104 28 — — $22,195.79 $89,084.17 $36,938.20 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 90 27 — — $13,102.57 $91,321.78 $36,960.00 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 90 27 — — $24,323.75 $160,694.90 $37,025.00 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 26 10 — — $31,708.46 $103,116.95 $37,057.65 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 26 10 — — $31,708.46 $103,116.95 $37,057.65 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 26 10 — — $31,708.46 $103,116.95 $37,057.65 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 32 11 — — $23,840.77 $77,530.94 $37,235.81 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 100 28 — — $3,110.50 $92,573.64 $37,311.09 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 90 27 — — $23,991.60 $140,371.04 $37,547.83 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 90 27 — — $18,611.58 $91,222.00 $37,710.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 102 28 — — $1,967.73 $91,717.90 $37,915.00 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 30 11 — — $28,126.13 $114,481.32 $38,279.69 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 94 27 — — $21,789.56 $93,430.80 $38,450.13 2026-04-01
665 MS_DRG Prostatectomy With Mcc 92 27 — — $16,162.27 $94,378.85 $39,015.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 90 27 — — $19,625.79 $95,010.82 $39,276.25 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 94 27 — — $25,957.27 $95,552.08 $39,500.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 94 27 — — $21,765.07 $95,697.22 $39,560.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 94 28 — — $6,550.63 $168,099.48 $39,608.11 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 92 27 — — $26,137.35 $96,271.74 $39,797.50 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 94 27 — — $22,177.36 $96,365.48 $39,836.25 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 90 27 — — $25,572.92 $102,922.76 $40,022.66 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 104 27 — — $24,565.60 $130,145.64 $40,072.30 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 92 27 — — $20,925.93 $97,076.08 $40,130.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 96 28 — — $3,130.49 $113,289.69 $40,130.15 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 94 28 — — $4,377.85 $96,543.89 $40,152.65 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 90 27 — — $25,434.55 $97,390.55 $40,260.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 98 27 — — $24,156.18 $97,816.91 $40,436.25 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 90 27 — — $24,268.42 $97,925.76 $40,481.25 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 90 27 — — $26,464.96 $97,581.05 $40,584.01 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 30 11 — — $22,856.84 $89,169.00 $40,649.87 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 96 27 — — $14,906.81 $98,358.17 $40,660.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 90 27 — — $26,088.92 $219,387.67 $40,830.22 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 90 27 — — $23,080.39 $99,534.42 $41,146.25 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 92 27 — — $22,827.18 $99,546.52 $41,151.25 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 102 28 — — $17,924.90 $289,720.61 $41,262.57 2026-04-01
652 MS_DRG Kidney Transplant 90 27 — — $26,483.12 $101,111.88 $41,447.16 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 104 27 — — $24,095.44 $101,013.06 $41,757.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 90 27 — — $27,041.49 $99,885.19 $42,242.19 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 112 27 — — $23,746.12 $121,643.24 $42,422.04 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 104 29 — — $104.13 $103,023.89 $42,588.75 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 104 27 — — $26,782.72 $103,667.96 $42,855.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 94 27 — — $24,852.25 $103,159.96 $42,904.28 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 94 27 — — $23,021.68 $104,460.19 $43,182.50 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 90 27 — — $28,154.16 $104,968.19 $43,392.50 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 98 27 — — $25,360.47 $105,452.00 $43,592.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 106 29 — — $2,569.18 $105,479.22 $43,603.75 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 90 27 — — $28,065.19 $104,478.42 $43,923.16 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 90 27 — — $28,676.53 $106,419.62 $43,992.50 2026-04-01
J9266 HCPCS Pegaspargase Injection 32 11 — — $27,969.27 $90,956.99 $44,057.29 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 96 27 — — $24,501.81 $106,637.33 $44,082.50 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 92 27 — — $26,784.09 $107,623.09 $44,490.00 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 92 27 — — $28,563.19 $107,725.90 $44,532.50 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 108 27 — — $272.38 $126,324.52 $44,588.89 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 98 27 — — $27,765.91 $107,976.87 $44,636.25 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 90 27 — — $29,093.42 $108,085.73 $44,681.25 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 90 27 — — $20,964.38 $108,336.71 $44,785.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 98 28 — — $2,553.76 $128,974.14 $44,785.65 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 10 4 — — $16,086.71 $87,824.44 $44,787.03 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 96 27 — — $16,183.61 $111,021.84 $45,139.00 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 94 27 — — $29,375.64 $209,425.93 $45,147.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 94 27 — — $24,952.77 $120,471.22 $45,160.01 2026-04-01
0763 OTHER Inj, Bupivacaine Liposome 8 4 — — $11,515.39 $80,833.98 $45,170.96 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 92 27 — — $24,889.81 $109,633.92 $45,183.65 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 92 27 — — $29,334.77 $109,050.32 $45,217.04 2026-04-01
265 MS_DRG Aicd Lead Procedures 90 27 — — $29,424.06 $109,407.13 $45,227.50 2026-04-01
332 MS_DRG Rectal Resection With Mcc 90 27 — — $29,442.97 $109,482.73 $45,258.75 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 90 27 — — $16,373.76 $109,718.58 $45,356.25 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 90 27 — — $29,026.08 $107,816.61 $45,427.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 90 27 — — $20,522.29 $117,752.82 $45,557.77 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 90 27 — — $26,459.71 $111,067.20 $45,913.75 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 94 27 — — $30,214.28 $112,690.98 $46,585.00 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 90 27 — — $30,086.84 $112,055.98 $46,604.14 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 98 28 — — $25,000.00 $113,008.48 $46,716.25 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 96 27 — — $10,324.70 $113,020.57 $46,721.25 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 92 27 — — $30,519.63 $113,785.59 $47,180.49 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 30 11 — — $26,858.49 $87,344.69 $47,766.63 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 30 11 — — $26,858.49 $87,344.69 $47,766.63 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 30 11 — — $26,858.49 $87,344.69 $47,766.63 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 96 27 — — $19,540.59 $116,092.75 $47,991.25 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 — — $34,080.78 $55,082.00 $48,000.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 92 27 — — $14,634.90 $116,754.97 $48,265.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 90 27 — — $31,290.61 $116,866.85 $48,311.25 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 92 27 — — $24,423.08 $117,042.23 $48,383.75 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 30 11 — — $27,659.61 $89,949.96 $49,191.38 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 30 11 — — $36,100.00 $147,189.80 $49,216.59 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 104 27 — — $25,661.74 $127,047.98 $49,443.49 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 90 27 — — $31,646.22 $135,448.83 $49,527.62 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 30 11 — — $27,882.12 $90,673.57 $49,587.11 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 30 11 — — $27,882.12 $90,673.57 $49,587.11 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 30 11 — — $27,882.12 $90,673.57 $49,587.11 2026-04-01
791 MS_DRG Prematurity With Major Problems 90 27 — — $32,759.19 $122,736.04 $50,737.50 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 90 27 — — $6,995.43 $126,080.36 $51,040.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 90 27 — — $33,262.33 $124,746.87 $51,568.75 2026-04-01
33824 HCPCS Revise Major Vessel 4 1 — — $51,860.00 $52,053.00 $51,956.50 2026-04-01
33820 HCPCS Revise Major Vessel 4 1 — — $51,860.00 $52,053.00 $51,956.50 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 4 1 — — $51,860.00 $52,053.00 $51,956.50 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 90 27 — — $33,470.40 $125,578.41 $52,228.13 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 30 11 — — $29,474.17 $95,850.96 $52,418.49 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 90 27 — — $28,477.17 $126,896.79 $52,457.50 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 27 — — $33,618.69 $154,165.38 $52,614.62 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 90 27 — — $33,741.26 $126,660.93 $52,678.35 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 100 27 — — $26,603.42 $129,808.71 $52,717.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 90 27 — — $31,295.33 $127,701.12 $52,790.00 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 90 27 — — $33,947.07 $127,483.41 $52,808.55 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 90 27 — — $33,931.17 $160,694.90 $53,103.67 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 118 27 — — $29,556.71 $121,571.88 $54,250.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 106 27 — — $32,233.51 $130,851.92 $54,421.38 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 94 27 — — $20,842.53 $132,829.49 $54,910.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 92 27 — — $22,987.32 $148,202.49 $55,552.30 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 90 27 — — $35,815.13 $134,949.17 $55,786.25 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 90 27 — — $30,835.44 $135,481.36 $56,006.25 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 106 27 — — $33,611.56 $135,520.67 $56,022.50 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 30 11 — — $31,708.46 $103,116.95 $56,392.08 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 30 11 — — $31,708.46 $103,116.95 $56,392.08 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 30 11 — — $31,708.46 $103,116.95 $56,392.08 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $56,497.80 $56,497.80 $56,497.80 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 90 27 — — $36,314.49 $136,944.88 $56,611.25 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 90 27 — — $36,449.17 $137,483.11 $56,833.75 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 96 27 — — $29,257.14 $137,543.59 $56,963.43 2026-04-01
245 MS_DRG Aicd Generator Procedures 90 27 — — $36,567.96 $137,957.85 $57,030.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 96 27 — — $22,959.86 $138,635.18 $57,310.00 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 30 11 — — $32,254.27 $104,891.94 $57,362.78 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 30 11 — — $32,254.27 $104,891.94 $57,362.78 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 30 11 — — $32,254.27 $104,891.94 $57,362.78 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 30 11 — — $32,254.27 $104,891.94 $57,362.78 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 30 11 — — $32,254.27 $104,891.94 $57,362.78 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 30 11 — — $32,254.27 $104,891.94 $57,362.78 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 30 11 — — $32,254.27 $104,891.94 $57,362.78 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 104 27 — — $30,966.95 $128,565.00 $57,399.13 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 114 27 — — $33,935.33 $138,988.97 $57,634.12 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 90 27 — — $36,992.41 $151,631.35 $58,082.26 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 90 27 — — $37,132.38 $333,652.78 $58,314.91 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 90 27 — — $37,441.08 $141,447.32 $58,472.50 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 112 27 — — $27,929.60 $143,086.01 $58,647.50 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 90 27 — — $37,619.64 $142,160.93 $58,767.50 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 18 4 — — $18,613.94 $149,756.23 $59,456.79 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 90 27 — — $38,069.06 $205,143.65 $59,871.82 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 98 28 — — $27,322.53 $146,010.23 $60,358.75 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 90 27 — — $38,398.19 $148,535.22 $60,418.88 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 98 27 — — $36,563.45 $454,104.00 $61,521.25 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 142 29 — — $6,070.85 $149,333.39 $61,732.50 2026-04-01
33968 HCPCS Remove Aortic Assist Device 4 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 4 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 4 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 4 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 4 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 98 28 — — $38,385.34 $150,809.00 $62,721.54 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 96 28 — — $2,627.41 $157,400.89 $63,171.60 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 27 — — $40,183.03 $172,568.97 $63,385.56 2026-04-01
J9226 HCPCS Supprelin La Implant 32 11 — — $44,300.32 $144,066.08 $63,699.29 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 90 27 — — $41,364.85 $157,128.74 $64,955.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 92 27 — — $39,480.89 $168,099.48 $65,186.94 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 104 27 — — $13,128.89 $159,544.76 $65,953.75 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 90 27 — — $42,101.79 $219,387.67 $66,574.83 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 90 27 — — $42,372.65 $161,156.44 $67,025.05 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 27 — — $42,396.87 $172,568.97 $67,065.29 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 90 27 — — $43,149.69 $244,402.82 $67,903.75 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 90 27 — — $43,314.64 $164,921.08 $68,176.25 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 96 28 — — $3,763.46 $165,181.12 $68,283.75 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 90 27 — — $43,438.72 $165,416.98 $68,381.25 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 92 27 — — $21,074.55 $166,003.60 $68,623.75 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 90 27 — — $28,154.16 $198,101.23 $68,789.70 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 90 27 — — $41,152.70 $167,004.47 $69,037.50 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 90 27 — — $44,162.80 $168,310.76 $69,577.50 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 30 11 — — $16,620.00 $210,196.21 $70,284.36 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 90 27 — — $44,453.33 $177,442.56 $70,483.45 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 96 27 — — $44,036.23 $169,998.04 $70,488.64 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 102 28 — — $2,516.02 $172,341.48 $70,694.99 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 88 27 — — $45,227.34 $173,398.45 $71,553.11 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 90 27 — — $45,404.39 $173,272.81 $71,628.75 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 92 27 — — $41,175.83 $174,385.57 $72,307.90 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 90 27 — — $46,325.02 $177,339.82 $73,310.00 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 90 27 — — $46,450.77 $177,454.73 $73,357.50 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 90 27 — — $47,017.48 $179,719.55 $74,293.75 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 90 27 — — $46,913.07 $244,402.82 $74,571.91 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 4 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 27 — — $42,754.87 $180,312.22 $74,765.35 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 92 27 — — $47,494.90 $181,627.57 $75,082.50 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 92 27 — — $41,816.52 $181,678.98 $75,103.75 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 90 27 — — $47,918.60 $226,044.81 $76,243.26 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 92 27 — — $28,136.81 $185,095.87 $76,516.25 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 90 27 — — $48,416.44 $273,212.93 $77,070.76 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 114 28 — — $9,742.60 $208,999.01 $79,176.29 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 106 28 — — $2,978.20 $211,142.85 $79,400.68 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 30 11 — — $45,260.86 $147,189.80 $80,494.42 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 30 11 — — $45,260.86 $147,189.80 $80,494.42 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 27 — — $51,797.73 $238,243.98 $82,191.25 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 27 — — $51,797.73 $238,243.98 $82,690.97 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 92 27 — — $51,742.48 $203,715.60 $83,773.90 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 90 27 — — $52,639.08 $202,186.39 $84,089.42 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 90 27 — — $52,976.52 $203,535.00 $84,138.75 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 — — $47,842.75 $90,480.00 $85,000.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 92 27 — — $52,134.55 $207,973.94 $85,973.75 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 4 2 — — $84,781.61 $87,629.00 $86,205.30 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 32 11 — — $54,387.97 $176,871.44 $86,227.86 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 4 1 — — $88,839.00 $89,169.00 $89,004.00 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 90 27 — — $56,029.44 $215,736.03 $89,182.50 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 90 27 — — $56,317.70 $216,888.10 $89,658.75 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 90 27 — — $55,997.66 $215,609.04 $89,671.91 2026-04-01
10 MS_DRG Pancreas Transplant 90 27 — — $53,023.00 $216,978.82 $89,696.25 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 104 27 — — $10.75 $406,212.70 $90,232.50 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 32 11 — — $55,915.36 $181,838.56 $93,760.51 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 90 27 — — $59,701.27 $230,410.54 $95,248.75 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 90 27 — — $59,892.69 $231,175.56 $95,565.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 27 — — $60,143.12 $232,176.44 $95,978.75 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 32 11 — — $62,328.81 $202,695.30 $96,483.11 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $84,781.61 $112,127.00 $98,454.30 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 90 27 — — $61,584.47 $237,936.77 $98,826.98 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 92 27 — — $65,629.29 $254,102.01 $105,042.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 92 27 — — $10,852.53 $254,903.32 $105,373.75 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 90 27 — — $67,566.97 $279,894.37 $108,901.87 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 90 27 — — $70,215.85 $272,432.28 $113,304.73 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $84,781.61 $149,749.00 $117,265.30 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 92 27 — — $58,337.12 $295,812.31 $122,285.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 90 27 — — $80,058.57 $333,652.78 $129,664.85 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 2 — — $82,553.84 $130,327.56 $130,327.56 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 90 27 — — $84,322.82 $328,811.04 $136,752.68 2026-04-01
215 MS_DRG Other Heart Assist System Implant 106 27 — — $22,611.06 $426,181.56 $137,167.63 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 92 27 — — $2,515.26 $333,259.05 $138,183.80 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 88 27 — — $87,687.46 $343,910.42 $141,915.11 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 90 27 — — $87,785.82 $615,011.66 $142,508.72 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 90 27 — — $92,976.91 $363,397.26 $150,223.75 2026-04-01
7 MS_DRG Lung Transplant 90 27 — — $100,030.77 $391,588.15 $161,877.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 108 28 — — $92,720.50 $418,838.63 $173,142.50 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 92 27 — — $162,640.13 $641,807.60 $266,121.56 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 90 27 — — $163,588.17 $645,596.42 $266,881.25 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 90 27 — — $214,079.69 $847,386.69 $350,298.75 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 30 11 — — $273,798.00 $890,400.00 $446,118.75 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 90 27 — — $110,095.49 $1,305,761.51 $514,543.48 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 30 11 — — $481,475.73 $1,565,774.75 $808,038.00 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 30 11 — — $524,698.49 $1,706,336.55 $879,576.19 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 30 11 — — $548,400.85 $1,783,417.39 $893,079.74 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 11 — — $553,537.57 $1,800,122.19 $893,698.84 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 30 11 — — $556,815.04 $1,810,780.62 $913,075.07 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 11 — — $582,258.58 $1,893,523.84 $954,235.56 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 30 11 — — $758,290.08 $2,465,984.00 $1,271,523.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 26 10 — — $2,294,688.00 $4,500,760.00 $2,681,800.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 26 10 — — $2,415,828.84 $4,738,363.47 $2,823,377.20 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 18 7 — — $2,898,608.16 $4,868,633.01 $3,122,484.40 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 6 — — $3,196,470.58 $3,735,712.57 $3,410,868.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 6 — — $3,263,399.19 $3,813,931.98 $3,482,285.72 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 6 — — $3,626,302.40 $4,238,056.67 $3,869,530.00 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 6 — — $4,432,920.00 $4,820,350.00 $4,685,200.00 2026-04-01
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