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

ORLANDO HEALTH BAYFRONT HOSPITAL

Saint Petersburg, FL · CCN 100032 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $999 across 9 payers · range $561-$1,826

Source: https://hospitalpricedisclosure.com/download.aspx?pi=yWCmVQXnWM9SznNXQMvjCg*-*&f=p22CpYLrWLxCnt4HoK7iZA*-* · 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.

13,105 distinct procedures filed
36 distinct payers
289,001 rate rows
2026-04-01 last MRF observed
Data quality

221,686 of 289,001 rate rows are consumer-grade (76.7%)

67,315 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 49,647
template filing: same amount across many unrelated codes — excluded 14,039
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,556
placeholder amount (≤ $0.02) — excluded from medians 52
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=yWCmVQXnWM9SznNXQMvjCg*-*
Found on page https://hospitalpricedisclosure.com/default.aspx?pi=yWCmVQXnWM9SznNXQMvjCg*-*
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 388110878e383f37… · 68,469,192 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,432,920.00 $4,775,300.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,294,688.00 $4,850,560.00 $3,847,800.00 nat. median
$2,401,960
1.6× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,626,302.40 $4,238,056.67 $3,832,677.33 nat. median
$3,703,693
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,263,399.19 $3,813,931.98 $3,449,121.10 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,415,828.84 $4,910,221.21 $3,434,683.97 nat. median
$2,466,282
1.4× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,196,470.58 $3,735,712.57 $3,378,383.54 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,898,608.16 $4,868,633.01 $3,107,755.70 nat. median
$2,994,107
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $758,290.08 $2,465,984.00 $1,271,523.00 nat. median
$809,217
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $582,258.58 $1,893,523.84 $954,235.56 nat. median
$738,272
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $556,815.04 $1,810,780.62 $913,075.07 nat. median
$646,415
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $553,537.57 $1,800,122.19 $893,698.84 nat. median
$640,950
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $548,400.85 $1,783,417.39 $893,079.74 nat. median
$622,245
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $524,698.49 $1,706,336.55 $879,576.19 nat. median
$608,101
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $481,475.73 $1,565,774.75 $808,038.00 nat. median
$591,650
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 $110,095.49 $1,305,761.51 $501,136.39 nat. median
$359,358
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $273,798.00 $890,400.00 $446,118.75 nat. median
$319,951
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $191,263.12 $847,386.69 $350,298.75 nat. median
$249,124
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $145,717.16 $645,596.42 $266,881.25 nat. median
$198,433
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 $144,861.99 $1,016,372.66 $265,315.00 nat. median
$190,557
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 $54,364.43 $478,908.00 $173,142.50 nat. median
$126,722
1.4× median
7
MS_DRG 		Lung Transplant 26 $88,385.12 $391,588.15 $161,877.50 nat. median
$117,894
1.4× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 $77,339.54 $615,011.66 $151,883.55 nat. median
$103,967
1.5× median
209
MS_DRG 		Complex Aortic Arch Procedures 26 $77,250.81 $343,910.42 $151,714.75 nat. median
$92,655
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 26 $82,022.17 $363,397.26 $150,223.75 nat. median
$110,192
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 26 $74,215.73 $328,811.04 $141,346.67 nat. median
$97,414
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 $3,082.99 $333,259.05 $140,989.70 nat. median
$93,270
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 26 $70,369.16 $333,652.78 $138,622.73 nat. median
$94,964
1.5× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $82,553.84 $130,327.56 $130,327.56 nat. median
$75,037
1.7× median
215
MS_DRG 		Other Heart Assist System Implant 26 $53,115.17 $353,909.79 $125,219.23 nat. median
$93,917
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 $66,767.61 $623,876.34 $123,028.49 nat. median
$90,581
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 26 $59,101.09 $279,894.37 $116,903.25 nat. median
$78,262
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 $61,490.52 $272,432.28 $114,157.79 nat. median
$78,037
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 26 $12,115.45 $254,903.32 $105,373.75 nat. median
$77,043
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 $57,353.21 $254,102.01 $105,042.50 nat. median
$77,696
1.4× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 11 $62,328.81 $202,695.30 $104,661.23 nat. median
$68,423
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 $2,753.99 $485,676.63 $98,826.98 nat. median
$74,460
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 $49,266.95 $218,276.03 $97,332.88 nat. median
$63,648
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 11 $55,915.36 $181,838.56 $96,601.74 nat. median
$63,643
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 $52,404.40 $275,598.56 $96,562.30 nat. median
$72,473
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 $48,664.98 $218,820.09 $96,279.70 nat. median
$66,649
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 $52,178.49 $231,175.56 $96,146.04 nat. median
$71,758
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 $33,250.00 $559,473.25 $95,538.30 nat. median
$68,004
1.4× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 11 $54,387.97 $176,871.44 $92,310.85 nat. median
$65,720
1.4× median
10
MS_DRG 		Pancreas Transplant 26 $48,974.15 $216,978.82 $90,241.60 nat. median
$64,903
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 $48,693.65 $215,736.03 $89,724.73 nat. median
$66,660
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 26 $48,953.68 $216,888.10 $89,658.75 nat. median
$61,329
1.5× median
0100T
OTHER 		Prosth Retina Receive&Gen 1 $39,383.00 $89,169.00 $88,839.00 nat. median
$5,128
outlier · 17.3×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 $44,876.42 $238,243.98 $88,766.55 nat. median
$59,558
1.5× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 $46,941.67 $207,973.94 $85,973.75 nat. median
$63,896
1.3× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 $44,876.42 $238,243.98 $85,728.76 nat. median
$62,038
1.4× median

Other procedures at this hospital

Browse this hospital's 13,105 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,432,920.00 $4,775,300.00 $4,640,150.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 13 9 — — $2,294,688.00 $4,850,560.00 $3,847,800.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 5 — — $3,626,302.40 $4,238,056.67 $3,832,677.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 5 — — $3,263,399.19 $3,813,931.98 $3,449,121.10 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 8 — — $2,415,828.84 $4,910,221.21 $3,434,683.97 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 5 — — $3,196,470.58 $3,735,712.57 $3,378,383.54 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 6 — — $2,898,608.16 $4,868,633.01 $3,107,755.70 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 15 10 — — $758,290.08 $2,465,984.00 $1,271,523.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 10 — — $582,258.58 $1,893,523.84 $954,235.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 15 10 — — $556,815.04 $1,810,780.62 $913,075.07 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 15 10 — — $553,537.57 $1,800,122.19 $893,698.84 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 15 10 — — $548,400.85 $1,783,417.39 $893,079.74 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 10 — — $524,698.49 $1,706,336.55 $879,576.19 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 15 10 — — $481,475.73 $1,565,774.75 $808,038.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 41 26 — — $110,095.49 $1,305,761.51 $501,136.39 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 10 — — $273,798.00 $890,400.00 $446,118.75 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 41 26 — — $191,263.12 $847,386.69 $350,298.75 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 26 — — $145,717.16 $645,596.42 $266,881.25 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 49 26 — — $144,861.99 $1,016,372.66 $265,315.00 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 50 26 — — $54,364.43 $478,908.00 $173,142.50 2026-04-01
7 MS_DRG Lung Transplant 41 26 — — $88,385.12 $391,588.15 $161,877.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 26 — — $77,339.54 $615,011.66 $151,883.55 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 41 26 — — $77,250.81 $343,910.42 $151,714.75 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 41 26 — — $82,022.17 $363,397.26 $150,223.75 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 26 — — $74,215.73 $328,811.04 $141,346.67 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 26 — — $3,082.99 $333,259.05 $140,989.70 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 41 26 — — $70,369.16 $333,652.78 $138,622.73 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $82,553.84 $130,327.56 $130,327.56 2026-04-01
215 MS_DRG Other Heart Assist System Implant 45 26 — — $53,115.17 $353,909.79 $125,219.23 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 26 — — $66,767.61 $623,876.34 $123,028.49 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 41 26 — — $59,101.09 $279,894.37 $116,903.25 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 41 26 — — $61,490.52 $272,432.28 $114,157.79 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 26 — — $12,115.45 $254,903.32 $105,373.75 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 26 — — $57,353.21 $254,102.01 $105,042.50 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 16 11 — — $62,328.81 $202,695.30 $104,661.23 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 45 26 — — $2,753.99 $485,676.63 $98,826.98 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 26 — — $49,266.95 $218,276.03 $97,332.88 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 16 11 — — $55,915.36 $181,838.56 $96,601.74 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 26 — — $52,404.40 $275,598.56 $96,562.30 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 26 — — $48,664.98 $218,820.09 $96,279.70 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 45 26 — — $52,178.49 $231,175.56 $96,146.04 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 56 28 — — $33,250.00 $559,473.25 $95,538.30 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 11 — — $54,387.97 $176,871.44 $92,310.85 2026-04-01
10 MS_DRG Pancreas Transplant 41 26 — — $48,974.15 $216,978.82 $90,241.60 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 41 26 — — $48,693.65 $215,736.03 $89,724.73 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 41 26 — — $48,953.68 $216,888.10 $89,658.75 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 3 1 — — $39,383.00 $89,169.00 $88,839.00 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 26 — — $44,876.42 $238,243.98 $88,766.55 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 26 — — $46,941.67 $207,973.94 $85,973.75 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 42 26 — — $44,876.42 $238,243.98 $85,728.76 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 45 26 — — $45,939.76 $230,359.80 $84,650.31 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 47 26 — — $40,829.44 $246,799.21 $84,027.80 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 16 10 — — $39,383.00 $147,189.80 $83,944.18 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 16 10 — — $39,383.00 $147,189.80 $83,944.18 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 55 26 — — $1,000.00 $246,915.23 $83,581.25 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 26 — — $41,377.25 $226,044.81 $81,845.10 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 13 9 — — $45,260.86 $147,189.80 $80,494.42 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 41 26 — — $40,470.20 $244,402.82 $80,050.95 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 26 — — $41,777.87 $414,530.18 $79,809.51 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 26 — — $28,154.16 $198,101.23 $78,960.75 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 41 26 — — $38,949.59 $173,398.45 $77,043.15 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 26 — — $41,826.33 $273,212.93 $76,837.88 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 26 — — $40,564.39 $179,719.55 $76,016.23 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 41 26 — — $38,251.40 $177,442.56 $75,662.10 2026-04-01
J9226 HCPCS Supprelin La Implant 16 11 — — $44,300.32 $144,066.08 $75,174.64 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 44 26 — — $41,006.65 $181,678.98 $75,103.75 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 26 — — $2,407.61 $181,627.57 $75,082.50 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 26 — — $40,698.16 $180,312.22 $74,991.95 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 26 — — $40,053.20 $177,454.73 $73,357.50 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 41 26 — — $37,075.45 $244,402.82 $73,336.05 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 26 — — $40,027.26 $177,339.82 $73,310.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 26 — — $39,109.30 $173,272.81 $72,570.15 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 26 — — $39,360.46 $174,385.57 $72,527.05 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 44 26 — — $3,654.61 $168,470.92 $71,242.21 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 42 26 — — $36,374.52 $161,156.44 $71,219.51 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 26 — — $38,370.15 $169,998.04 $70,488.64 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 48 26 — — $2,615.06 $172,341.48 $70,052.86 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 26 — — $37,989.32 $168,310.76 $70,000.53 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 50 26 — — $4,661.76 $199,902.95 $69,675.20 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 48 26 — — $6,544.14 $329,412.04 $69,529.04 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 41 26 — — $37,694.48 $167,004.47 $69,037.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 26 — — $17,577.97 $289,955.36 $69,020.57 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 41 26 — — $37,468.57 $166,003.60 $68,623.75 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 26 — — $37,282.93 $165,181.12 $68,283.75 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 44 26 — — $37,224.23 $164,921.08 $68,176.25 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 26 — — $34,399.37 $247,940.12 $68,042.70 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 22 10 — — $12,323.00 $210,196.21 $66,671.60 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 48 26 — — $1,846.64 $159,544.76 $65,953.75 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 45 26 — — $25,209.12 $223,271.05 $64,955.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 41 26 — — $32,789.35 $148,535.22 $64,858.05 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 52 26 — — $11,635.66 $208,999.01 $64,733.94 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 47 26 — — $31,521.26 $361,305.73 $63,624.46 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 41 26 — — $31,647.53 $333,652.78 $62,599.50 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 47 26 — — $15,962.50 $150,809.00 $62,342.50 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 3 1 — — $31,652.00 $62,139.00 $61,909.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 3 1 — — $31,652.00 $62,139.00 $61,909.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 26 — — $5,235.46 $168,099.48 $61,842.50 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 59 28 — — $5,267.15 $149,333.39 $61,732.50 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 26 — — $33,590.60 $148,822.36 $61,521.25 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 26 — — $4,350.10 $157,400.89 $60,408.67 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 16 10 — — $32,254.27 $104,891.94 $59,821.18 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 16 10 — — $32,254.27 $104,891.94 $59,821.18 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 16 10 — — $32,254.27 $104,891.94 $59,821.18 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 46 26 — — $32,492.46 $205,143.65 $59,690.91 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 51 27 — — $32,021.54 $330,320.89 $59,004.08 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 16 10 — — $31,652.00 $103,116.95 $58,808.89 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 42 26 — — $11,549.01 $142,160.93 $58,767.50 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 41 26 — — $31,925.99 $141,447.32 $58,472.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 55 28 — — $7,000.00 $138,988.97 $57,456.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 45 26 — — $17,479.29 $138,635.18 $57,310.00 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 47 26 — — $30,855.68 $137,543.59 $57,204.45 2026-04-01
245 MS_DRG Aicd Generator Procedures 42 26 — — $3,289.47 $137,957.85 $57,030.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 27 — — $8,080.27 $214,438.00 $56,833.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 48 26 — — $23,936.29 $187,900.77 $56,813.58 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 42 26 — — $30,909.74 $136,944.88 $56,611.25 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $56,497.80 $56,497.80 $56,497.80 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 41 26 — — $28,478.00 $154,165.38 $56,330.10 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 52 26 — — $4,256.58 $135,520.67 $56,022.50 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 26 — — $30,579.41 $135,481.36 $55,906.42 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 41 26 — — $30,459.29 $134,949.17 $55,786.25 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 26 — — $11,885.06 $344,427.27 $55,542.78 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 27 — — $7,000.00 $286,267.47 $54,940.83 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 45 26 — — $29,980.86 $179,018.24 $54,910.00 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 42 26 — — $28,344.23 $871,270.52 $54,146.82 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 45 26 — — $28,943.46 $155,231.02 $53,332.30 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 41 26 — — $28,774.20 $127,483.41 $53,020.42 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 41 26 — — $28,823.34 $127,701.12 $52,790.00 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 47 26 — — $28,675.92 $127,047.98 $52,520.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 49 26 — — $28,588.56 $126,660.93 $52,360.00 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 17 9 — — $12,809.13 $64,758.48 $52,105.17 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 26 — — $28,477.17 $126,896.79 $51,998.02 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 3 1 — — $21,325.00 $52,053.00 $51,860.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 42 26 — — $26,603.42 $129,808.71 $51,740.18 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 16 10 — — $27,882.12 $90,673.57 $51,712.27 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 16 10 — — $27,882.12 $90,673.57 $51,712.27 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 50 27 — — $28,156.54 $139,730.92 $51,568.75 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 16 10 — — $27,659.61 $89,949.96 $51,299.58 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 26 — — $2,088.49 $148,202.49 $51,029.93 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 16 10 — — $18,424.00 $147,189.80 $50,826.48 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 26 — — $591.00 $121,571.88 $50,561.81 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 16 10 — — $21,325.00 $87,344.69 $49,813.32 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 16 10 — — $21,325.00 $87,344.69 $49,813.32 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 16 10 — — $21,325.00 $87,344.69 $49,813.32 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 41 26 — — $24,952.77 $120,471.22 $49,801.25 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 47 26 — — $2,128.84 $128,974.14 $49,498.81 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 26 — — $26,698.72 $135,448.83 $49,047.40 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 1 — — $22,122.78 $75,234.00 $48,678.39 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 50 26 — — $24,271.75 $313,734.14 $48,500.82 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 41 26 — — $24,423.08 $117,042.23 $48,383.75 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 42 26 — — $26,377.94 $116,866.85 $48,311.25 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 47 27 — — $9,591.37 $116,754.97 $48,265.00 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 41 26 — — $24,335.22 $107,816.61 $48,020.84 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 45 26 — — $26,203.22 $116,092.75 $47,991.25 2026-04-01
791 MS_DRG Prematurity With Major Problems 47 26 — — $15,879.00 $122,736.04 $47,104.70 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 55 26 — — $25,682.48 $428,876.00 $47,037.50 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 47 26 — — $13,822.90 $113,020.57 $47,005.32 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 45 26 — — $5,709.72 $113,008.48 $47,000.28 2026-04-01
J9266 HCPCS Pegaspargase Injection 16 11 — — $27,969.27 $90,956.99 $46,899.70 2026-04-01
33968 HCPCS Remove Aortic Assist Device 4 2 — — $17,849.00 $62,139.00 $46,780.50 2026-04-01
33967 HCPCS Insert I-aort Percut Device 4 2 — — $17,849.00 $62,139.00 $46,780.50 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 44 26 — — $23,468.45 $107,676.74 $46,742.61 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 14 10 — — $5,005.00 $103,116.95 $46,724.87 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 14 10 — — $5,005.00 $103,116.95 $46,724.87 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 41 26 — — $25,292.09 $112,055.98 $46,604.14 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 41 26 — — $25,435.41 $112,690.98 $46,585.00 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 19 11 — — $11,463.51 $121,892.25 $46,560.96 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 45 26 — — $23,284.17 $103,159.96 $46,056.60 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 44 26 — — $16,845.71 $111,067.20 $45,913.75 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 41 26 — — $20,522.29 $117,752.82 $45,557.77 2026-04-01
265 MS_DRG Aicd Lead Procedures 41 26 — — $24,694.22 $109,407.13 $45,502.48 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 26 — — $24,613.68 $109,050.32 $45,354.09 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 42 26 — — $24,745.40 $110,118.03 $45,321.25 2026-04-01
332 MS_DRG Rectal Resection With Mcc 41 26 — — $24,711.28 $109,482.73 $45,258.75 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 41 26 — — $24,650.54 $109,213.61 $45,147.50 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 41 26 — — $20,964.38 $108,336.71 $44,785.00 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 41 26 — — $24,395.96 $108,085.73 $44,681.25 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 44 26 — — $10,833.67 $107,976.87 $44,636.25 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 41 26 — — $24,314.75 $107,725.90 $44,532.50 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 42 26 — — $7,225.61 $107,623.09 $44,490.00 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 2 2 — — $44,359.30 $44,360.11 $44,359.71 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 41 26 — — $24,019.91 $106,419.62 $44,259.97 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 48 26 — — $24,069.05 $106,637.33 $44,082.50 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 47 26 — — $2,797.47 $105,479.22 $43,603.75 2026-04-01
652 MS_DRG Kidney Transplant 41 26 — — $22,041.34 $101,111.88 $43,598.25 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 42 26 — — $23,801.51 $105,452.00 $43,592.50 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 41 26 — — $23,692.31 $104,968.19 $43,392.50 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 26 — — $23,577.65 $104,460.19 $43,182.50 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 51 27 — — $21,257.83 $271,185.32 $42,908.11 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 41 26 — — $21,685.76 $219,387.67 $42,894.90 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 45 26 — — $23,398.83 $103,667.96 $42,855.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 45 26 — — $2,503.69 $103,023.89 $42,588.75 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 42 26 — — $5,401.43 $113,289.69 $42,580.03 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 16 10 — — $22,856.84 $89,169.00 $42,392.01 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 16 10 — — $22,856.84 $89,169.00 $42,392.01 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 16 10 — — $22,856.84 $89,169.00 $42,392.01 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 16 10 — — $22,856.84 $89,169.00 $42,392.01 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 16 10 — — $22,856.84 $89,169.00 $42,392.01 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 16 10 — — $22,856.84 $89,169.00 $42,392.01 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 41 26 — — $22,545.02 $99,885.19 $42,242.19 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 43 26 — — $22,047.48 $97,680.84 $42,238.08 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 41 26 — — $16,373.76 $109,718.58 $42,108.74 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 45 26 — — $21,220.29 $113,526.00 $41,974.20 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 43 26 — — $22,799.60 $101,013.06 $41,757.50 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 42 26 — — $22,468.58 $99,546.52 $41,151.25 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 15 10 — — $28,126.13 $114,481.32 $41,141.72 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 43 26 — — $22,024.96 $97,581.05 $40,584.01 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 50 26 — — $20,205.19 $111,021.84 $40,503.02 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 42 26 — — $20,714.97 $97,816.91 $40,436.25 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 41 26 — — $21,981.96 $97,390.55 $40,260.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 42 26 — — $21,910.98 $97,076.08 $40,251.99 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 41 26 — — $20,313.93 $93,430.80 $40,181.40 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 42 26 — — $20,093.48 $160,694.90 $40,151.63 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 53 26 — — $1,032.79 $126,080.36 $40,150.74 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 16 11 — — $23,840.77 $77,530.94 $39,976.89 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 48 26 — — $20,710.29 $96,543.89 $39,910.00 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 47 26 — — $21,750.59 $96,365.48 $39,836.25 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 26 — — $21,729.44 $96,271.74 $39,797.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 46 26 — — $5,142.72 $168,099.48 $39,641.09 2026-04-01
69930 HCPCS Implant Cochlear Device 19 12 — — $992.00 $110,182.70 $39,596.91 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 54 27 — — $4,080.32 $95,279.94 $39,507.24 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 41 26 — — $21,567.00 $95,552.08 $39,500.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 42 26 — — $21,599.76 $95,697.22 $39,475.42 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 41 26 — — $19,625.79 $95,010.82 $39,276.25 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 42 26 — — $18,273.51 $98,358.17 $39,157.21 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 41 26 — — $19,793.87 $140,371.04 $39,152.70 2026-04-01
800 MS_DRG Splenic Procedures With Cc 43 26 — — $19,174.16 $102,977.45 $38,702.29 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 55 26 — — $20,625.92 $99,534.42 $38,200.18 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 48 27 — — $4,593.92 $91,717.90 $37,915.00 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 26 — — $18,176.12 $97,925.76 $37,866.40 2026-04-01
665 MS_DRG Prostatectomy With Mcc 42 26 — — $17,776.68 $94,378.85 $37,618.26 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 42 26 — — $19,668.29 $117,230.59 $37,572.91 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 48 26 — — $1,126.07 $89,084.17 $36,938.20 2026-04-01
570 MS_DRG Skin Debridement With Mcc 45 26 — — $20,073.01 $88,932.98 $36,763.75 2026-04-01
33824 HCPCS Revise Major Vessel 4 2 — — $17,849.00 $52,053.00 $36,592.50 2026-04-01
33820 HCPCS Revise Major Vessel 4 2 — — $17,849.00 $52,053.00 $36,592.50 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 43 26 — — $4,360.41 $86,193.42 $36,563.45 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 45 26 — — $2,633.96 $92,573.64 $36,353.43 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 41 26 — — $18,638.96 $87,750.68 $36,275.00 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 22 10 — — $12,323.00 $104,891.94 $36,220.50 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 22 10 — — $12,323.00 $104,891.94 $36,220.50 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 22 10 — — $12,323.00 $104,891.94 $36,220.50 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 22 10 — — $12,323.00 $104,891.94 $36,220.50 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 46 26 — — $17,218.79 $152,806.83 $36,131.03 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 3 1 — — $18,424.00 $36,234.00 $36,100.00 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 3 1 — — $18,424.00 $36,234.00 $36,100.00 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 42 26 — — $19,706.51 $87,309.20 $36,092.50 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 41 26 — — $18,154.50 $91,355.57 $35,910.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 49 26 — — $19,589.12 $86,789.11 $35,877.50 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 16 10 — — $18,424.00 $64,829.22 $35,776.74 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 16 10 — — $18,424.00 $64,829.22 $35,776.74 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 16 10 — — $18,424.00 $64,829.22 $35,776.74 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 16 10 — — $18,424.00 $64,366.66 $35,650.26 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 41 26 — — $18,000.26 $157,890.46 $35,604.90 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 13 9 — — $19,934.99 $64,829.22 $35,453.48 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 42 26 — — $18,469.82 $81,830.08 $35,283.43 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 47 26 — — $19,105.22 $101,655.75 $35,204.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 41 26 — — $13,102.57 $91,321.78 $35,048.26 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 26 — — $18,611.58 $91,222.00 $35,009.96 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 52 26 — — $18,759.88 $119,266.32 $34,940.19 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 16 10 — — $18,837.05 $61,258.70 $34,936.60 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 16 10 — — $18,837.05 $62,139.00 $34,936.60 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 16 10 — — $18,837.05 $61,258.70 $34,936.60 2026-04-01
93580 HCPCS Transcath Closure Of Asd 16 10 — — $18,837.05 $61,258.70 $34,936.60 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 16 10 — — $18,837.05 $62,139.00 $34,936.60 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 41 26 — — $17,603.04 $84,358.14 $34,819.20 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 43 26 — — $17,603.04 $84,358.14 $34,819.20 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 46 26 — — $17,424.23 $90,661.60 $34,817.82 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 16 10 — — $18,424.00 $61,258.70 $34,800.43 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 53 26 — — $17,226.30 $97,520.49 $34,770.62 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 57 27 — — $1,864.02 $263,613.50 $34,648.75 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 44 26 — — $18,817.21 $83,369.19 $34,568.52 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 44 26 — — $18,755.10 $83,094.02 $34,454.43 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 52 28 — — $5,250.00 $82,664.64 $34,172.50 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 55 26 — — $12,262.08 $240,051.26 $34,010.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 22 10 — — $12,323.00 $103,116.95 $33,996.37 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 22 10 — — $12,323.00 $103,116.95 $33,996.37 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 22 10 — — $12,323.00 $103,116.95 $33,996.37 2026-04-01
0888T OTHER Histotripsy Mal Renal Tissue 15 10 — — $17,601.75 $57,241.48 $33,987.13 2026-04-01
503 MS_DRG Foot Procedures With Mcc 41 26 — — $15,280.17 $84,397.28 $33,920.70 2026-04-01
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