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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 MELBOURNE HOSPITAL

Melbourne, FL · CCN 100291 · Rates published

12,178 distinct procedures filed
65 distinct payers
235,320 rate rows
2026-04-01 last MRF observed
Data quality

183,385 of 235,320 rate rows are consumer-grade (77.9%)

51,935 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 35,506
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 2,291
placeholder amount (≤ $0.02) — excluded from medians 54
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 23
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 21
percent-of-charges filed in the dollar field — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=gd6D*_*ixLi58nftS4kqNqYA*-*&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 success · 2026-08-12
Content fingerprint c85985ddb91298b9… · 18,653,228 bytes · first seen 2026-05-13

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 $4,820,350.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,626,302.40 $4,238,056.67 $3,832,677.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $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 10 $2,415,828.84 $4,787,465.68 $3,434,683.97 nat. median
$2,460,273
1.4× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,196,470.58 $3,735,712.57 $3,378,383.54 nat. median
$3,286,000
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,294,688.00 $4,547,400.00 $3,264,800.00 nat. median
$2,405,851
1.4× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,898,608.16 $4,868,633.01 $3,122,484.40 nat. median
$2,997,086
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $758,290.08 $1,502,709.00 $1,078,868.00 nat. median
$809,151
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $582,258.58 $1,153,866.09 $817,360.34 nat. median
$691,418
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $556,815.04 $1,103,444.44 $781,912.18 nat. median
$631,793
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $553,537.57 $1,096,949.46 $770,308.88 nat. median
$624,417
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $548,400.85 $1,086,769.97 $766,997.68 nat. median
$610,161
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $524,698.49 $1,039,798.83 $746,395.44 nat. median
$588,565
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $481,475.73 $954,143.99 $685,369.15 nat. median
$577,541
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 $110,095.49 $1,305,761.51 $428,082.79 nat. median
$370,165
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $273,798.00 $542,587.50 $383,053.12 nat. median
$302,242
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $150,017.10 $847,386.69 $350,298.75 nat. median
$261,939
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 $5,577.29 $1,301,697.35 $278,357.54 nat. median
$199,832
1.4× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 3 $121,120.27 $439,314.31 $267,116.49 nat. median
$229
outlier · 1164.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $157,436.15 $762,783.66 $266,881.25 nat. median
$205,166
1.3× median
9489
OTHER 		Inj, Nusinersen, 0.1mg 2 $148,061.96 $365,961.57 $257,011.77 nat. median
$1,286
outlier · 199.8×
9257
OTHER 		Inj., Emicizumab-kxwh 0.5 Mg 1 $197,486.36 $197,486.36 $197,486.36 nat. median
$57
outlier · 3494.1×
1809
OTHER 		Injection, Alemtuzumab 1 $181,845.95 $181,845.95 $181,845.95 nat. median
$2,478
outlier · 73.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $46,857.34 $1,092,734.82 $174,195.21 nat. median
$132,706
1.3× median
7
MS_DRG 		Lung Transplant 21 $95,778.88 $391,588.15 $161,877.50 nat. median
$122,690
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $83,900.00 $615,011.66 $153,227.45 nat. median
$108,240
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 21 $83,804.58 $343,910.42 $153,052.43 nat. median
$96,134
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $74,883.17 $971,044.67 $150,680.43 nat. median
$114,305
1.3× median
9394
OTHER 		Inj. Inebilizumab-cdon, 1 Mg 1 $150,277.95 $150,277.95 $150,277.95 nat. median
$505
outlier · 297.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $80,540.53 $328,811.04 $146,800.35 nat. median
$100,978
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $45,196.94 $333,259.05 $143,376.80 nat. median
$96,835
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $76,403.77 $333,652.78 $139,477.38 nat. median
$99,646
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 28 $4,132.11 $456,946.65 $131,266.20 nat. median
$98,002
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $82,553.84 $130,327.56 $130,327.56 nat. median
$75,807
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $71,468.22 $736,343.62 $128,318.77 nat. median
$92,900
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $64,285.61 $738,537.76 $117,595.62 nat. median
$81,364
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $66,855.30 $272,432.28 $117,024.58 nat. median
$81,124
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $59,587.07 $254,903.32 $109,350.00 nat. median
$79,040
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 $3,143.94 $496,640.97 $105,118.17 nat. median
$77,385
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 $39,288.04 $332,990.67 $105,042.50 nat. median
$80,459
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 $33,080.92 $314,667.54 $100,845.15 nat. median
$73,475
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $961.46 $361,855.41 $97,057.41 nat. median
$66,640
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 $3,457.72 $293,091.12 $96,562.30 nat. median
$74,472
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 $2,756.22 $489,545.48 $96,279.70 nat. median
$68,581
1.4× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 $10,170.80 $347,817.51 $95,248.75 nat. median
$71,485
1.3× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 11 $55,915.36 $110,807.87 $93,760.51 nat. median
$63,643
1.5× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 $53,093.01 $215,736.03 $92,564.50 nat. median
$69,153
1.3× median
10
MS_DRG 		Pancreas Transplant 21 $53,023.00 $216,978.82 $91,226.67 nat. median
$67,750
1.3× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 $9,920.49 $205,969.76 $89,420.98 nat. median
$59,832
1.5× median
0100T
OTHER 		Prosth Retina Receive&Gen 1 $88,839.00 $89,169.00 $89,004.00 nat. median
$5,118
outlier · 17.4×

Other procedures at this hospital

Browse this hospital's 12,178 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 $4,820,350.00 $4,640,150.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,626,302.40 $4,238,056.67 $3,832,677.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,263,399.19 $3,813,931.98 $3,449,121.10 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 10 — — $2,415,828.84 $4,787,465.68 $3,434,683.97 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,196,470.58 $3,735,712.57 $3,378,383.54 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 12 10 — — $2,294,688.00 $4,547,400.00 $3,264,800.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,898,608.16 $4,868,633.01 $3,122,484.40 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 10 — — $758,290.08 $1,502,709.00 $1,078,868.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 10 — — $582,258.58 $1,153,866.09 $817,360.34 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 10 — — $556,815.04 $1,103,444.44 $781,912.18 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 10 — — $553,537.57 $1,096,949.46 $770,308.88 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 10 — — $548,400.85 $1,086,769.97 $766,997.68 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 10 — — $524,698.49 $1,039,798.83 $746,395.44 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 10 — — $481,475.73 $954,143.99 $685,369.15 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 45 22 — — $110,095.49 $1,305,761.51 $428,082.79 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 10 — — $273,798.00 $542,587.50 $383,053.12 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 39 23 — — $150,017.10 $847,386.69 $350,298.75 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 67 30 — — $5,577.29 $1,301,697.35 $278,357.54 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 4 3 — — $121,120.27 $439,314.31 $267,116.49 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 23 — — $157,436.15 $762,783.66 $266,881.25 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 2 2 — — $148,061.96 $365,961.57 $257,011.77 2025-11-01
9257 OTHER Inj., Emicizumab-kxwh 0.5 Mg 1 1 — — $197,486.36 $197,486.36 $197,486.36 2025-11-01
1809 OTHER Injection, Alemtuzumab 1 1 — — $181,845.95 $181,845.95 $181,845.95 2025-11-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 59 25 — — $46,857.34 $1,092,734.82 $174,195.21 2026-04-01
7 MS_DRG Lung Transplant 36 21 — — $95,778.88 $391,588.15 $161,877.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 21 — — $83,900.00 $615,011.66 $153,227.45 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 21 — — $83,804.58 $343,910.42 $153,052.43 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 48 23 — — $74,883.17 $971,044.67 $150,680.43 2026-04-01
9394 OTHER Inj. Inebilizumab-cdon, 1 Mg 1 1 — — $150,277.95 $150,277.95 $150,277.95 2025-11-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 22 — — $80,540.53 $328,811.04 $146,800.35 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 24 — — $45,196.94 $333,259.05 $143,376.80 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 36 21 — — $76,403.77 $333,652.78 $139,477.38 2026-04-01
215 MS_DRG Other Heart Assist System Implant 59 28 — — $4,132.11 $456,946.65 $131,266.20 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $82,553.84 $130,327.56 $130,327.56 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 24 — — $71,468.22 $736,343.62 $128,318.77 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 39 22 — — $64,285.61 $738,537.76 $117,595.62 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 21 — — $66,855.30 $272,432.28 $117,024.58 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 23 — — $59,587.07 $254,903.32 $109,350.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 25 — — $3,143.94 $496,640.97 $105,118.17 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 25 — — $39,288.04 $332,990.67 $105,042.50 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 55 26 — — $33,080.92 $314,667.54 $100,845.15 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 25 — — $961.46 $361,855.41 $97,057.41 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 27 — — $3,457.72 $293,091.12 $96,562.30 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 50 26 — — $2,756.22 $489,545.48 $96,279.70 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 59 30 — — $10,170.80 $347,817.51 $95,248.75 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 11 — — $55,915.36 $110,807.87 $93,760.51 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 36 21 — — $53,093.01 $215,736.03 $92,564.50 2026-04-01
10 MS_DRG Pancreas Transplant 36 21 — — $53,023.00 $216,978.82 $91,226.67 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 22 — — $9,920.49 $205,969.76 $89,420.98 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 2 1 — — $88,839.00 $89,169.00 $89,004.00 2026-04-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 5 2 — — $30,013.22 $223,076.39 $88,956.02 2025-11-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 22 — — $48,987.81 $238,243.98 $88,766.55 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 13 11 — — $62,328.81 $123,517.45 $88,305.00 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 56 26 — — $11,244.57 $216,888.10 $87,680.86 2026-04-01
9287 OTHER Brentuximab Vedotin Inj 10 6 — — $1,353.00 $148,546.46 $87,589.49 2025-11-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 24 — — $295.00 $451,744.33 $87,257.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 28 14 — — $14,134.98 $215,397.04 $86,023.65 2026-04-01
1233 OTHER Inj, Vasopressin, 1 Unit 1 1 — — $84,935.85 $84,935.85 $84,935.85 2025-11-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 25 — — $35,895.80 $317,086.20 $84,650.31 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 25 — — $2,614.92 $203,715.60 $83,520.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 63 30 — — $7,285.86 $788,986.45 $81,877.66 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 26 — — $2,443.32 $261,717.72 $81,392.06 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 23 — — $29,217.67 $185,095.87 $81,165.13 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 23 — — $45,224.65 $226,044.81 $80,858.51 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 11 — — $54,387.97 $107,781.03 $80,144.86 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 49 24 — — $27,596.28 $249,648.12 $80,050.95 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 55 27 — — $2,282.97 $190,437.36 $79,699.01 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 50 27 — — $2,600.45 $461,668.73 $79,291.79 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 27 — — $13,635.89 $307,726.46 $79,179.85 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 24 13 — — $22,513.89 $468,625.52 $78,639.02 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 66 29 — — $2,294.91 $207,973.64 $77,868.80 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 21 — — $42,613.85 $173,398.45 $77,497.66 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 45 23 — — $38,705.92 $174,385.57 $76,572.65 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 36 21 — — $41,862.98 $177,442.56 $75,706.55 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 25 — — $38,614.68 $276,866.55 $74,678.57 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 57 24 — — $22,964.89 $243,467.00 $74,476.27 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 56 26 — — $41,021.09 $492,077.36 $73,533.91 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 24 — — $43,772.82 $377,427.00 $73,532.86 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 27 — — $37,444.61 $179,820.48 $73,399.57 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 36 21 — — $40,598.31 $244,402.82 $72,769.17 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 55 27 — — $29,087.22 $864,582.76 $72,700.93 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 24 — — $39,581.74 $219,387.67 $72,405.63 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 27 — — $1,681.50 $209,877.46 $71,992.80 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 22 — — $39,844.51 $161,156.44 $70,675.55 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 23 — — $35,842.18 $168,310.76 $70,000.53 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 53 25 — — $17,579.42 $453,194.01 $68,861.96 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 57 26 — — $21,726.37 $286,686.10 $68,698.92 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 47 25 — — $5,466.64 $164,921.08 $68,176.25 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 24 — — $35,085.67 $172,568.97 $68,042.70 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 46 23 — — $38,866.84 $157,128.74 $67,236.43 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 23 — — $41,152.70 $504,102.05 $66,864.83 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 47 24 — — $3,177.10 $873,813.89 $66,789.90 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 10 — — $45,260.86 $89,693.78 $66,695.38 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 10 — — $45,260.86 $89,693.78 $66,695.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 67 29 — — $11,777.92 $214,473.83 $65,953.75 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 55 25 — — $24,366.79 $272,465.39 $65,833.29 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 53 26 — — $16,797.15 $187,093.58 $65,735.68 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 28 14 — — $1,783.09 $336,899.53 $65,664.10 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 10 — — $12,323.00 $128,088.31 $65,160.82 2026-04-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 8 6 — — $1,800.00 $111,816.32 $64,232.69 2025-11-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 57 27 — — $35,669.58 $217,813.23 $63,436.75 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 36 21 — — $34,760.90 $333,652.78 $63,093.26 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 23 — — $35,060.36 $187,810.44 $62,751.79 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 59 27 — — $13,820.56 $803,394.70 $62,721.54 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 86 34 — — $1,513.00 $183,872.06 $62,209.85 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 3 2 — — $17,849.00 $62,139.00 $61,909.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 3 2 — — $17,849.00 $62,139.00 $61,909.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 61 27 — — $13,055.08 $174,700.55 $61,579.21 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 36 21 — — $35,233.59 $142,160.93 $58,946.15 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 64 27 — — $4,026.20 $162,992.61 $58,647.50 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 28 — — $10,845.08 $225,385.94 $57,906.20 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 60 27 — — $8,878.06 $137,543.59 $56,858.75 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 67 27 — — $16,597.65 $305,225.94 $56,833.75 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 42 23 — — $33,967.45 $387,913.18 $56,783.35 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 65 29 — — $10,880.71 $422,811.90 $56,754.82 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 25 — — $15,094.07 $191,206.97 $56,512.93 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $56,497.80 $56,497.80 $56,497.80 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 69 28 — — $13,192.94 $219,191.74 $56,354.54 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 47 25 — — $15,515.29 $405,315.00 $56,065.50 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 61 27 — — $14,751.73 $165,870.93 $55,970.06 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 23 — — $26,827.53 $522,450.00 $55,906.42 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 23 — — $26,090.66 $198,101.23 $55,890.34 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 37 22 — — $33,483.02 $134,949.17 $55,786.25 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 25 — — $310.00 $187,780.63 $55,758.59 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 66 29 — — $16,537.53 $140,211.00 $55,658.53 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 56 28 — — $667.00 $121,571.88 $54,793.12 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 27 — — $32,446.20 $335,053.70 $54,256.94 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 47 23 — — $29,377.48 $135,448.83 $53,851.36 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 50 25 — — $24,785.70 $146,010.23 $53,806.32 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 47 26 — — $31,670.81 $161,080.34 $53,020.42 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 26 — — $1,825.06 $138,635.18 $52,996.18 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 41 23 — — $9,836.65 $305,690.67 $52,457.50 2026-04-01
J9226 HCPCS Supprelin La Implant 13 11 — — $44,300.32 $87,790.27 $52,223.95 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 2 1 — — $51,860.00 $52,053.00 $51,956.50 2026-04-01
33820 HCPCS Revise Major Vessel 3 2 — — $17,849.00 $52,053.00 $51,860.00 2026-04-01
33824 HCPCS Revise Major Vessel 3 2 — — $17,849.00 $52,053.00 $51,860.00 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 14 11 — — $23,145.12 $327,980.07 $51,486.40 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 28 — — $11,229.04 $184,211.66 $51,396.84 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 24 — — $22,987.32 $148,992.96 $51,029.93 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 53 25 — — $28,345.83 $204,906.43 $50,800.50 2026-04-01
9054 OTHER Lutetium Lu 177 Vipivotide 9 7 — — $179.56 $95,062.96 $50,739.90 2025-11-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 45 23 — — $19,722.55 $412,066.51 $50,254.76 2026-04-01
791 MS_DRG Prematurity With Major Problems 58 26 — — $3,502.02 $147,534.49 $50,212.25 2026-04-01
69930 HCPCS Implant Cochlear Device 12 10 — — $33,881.18 $89,169.00 $49,926.54 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 36 21 — — $27,925.99 $112,055.98 $49,846.71 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 55 26 — — $28,160.13 $313,726.22 $49,100.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 23 — — $13,086.42 $157,400.89 $49,024.08 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 12 10 — — $36,100.00 $89,693.78 $48,756.62 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 41 24 — — $29,093.77 $116,866.85 $48,311.25 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 41 23 — — $26,896.94 $194,400.00 $48,020.84 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 56 27 — — $9,121.38 $154,225.26 $47,991.25 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 29 17 — — $12,617.38 $110,712.65 $47,984.25 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 12 10 — — $32,254.27 $89,169.00 $47,529.16 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 12 10 — — $32,254.27 $89,169.00 $47,529.16 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 12 10 — — $32,254.27 $89,169.00 $47,529.16 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 53 25 — — $1,381.55 $227,587.22 $46,774.53 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 12 10 — — $31,708.46 $62,836.89 $46,724.87 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 53 27 — — $9,000.00 $116,754.97 $46,537.44 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 40 21 — — $25,612.73 $104,478.42 $46,299.15 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 57 26 — — $16,288.30 $103,159.96 $46,220.00 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 42 23 — — $20,720.00 $106,419.62 $46,214.47 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 55 27 — — $1,000.04 $127,047.98 $46,154.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 41 23 — — $25,717.38 $103,023.89 $45,995.85 2026-04-01
332 MS_DRG Rectal Resection With Mcc 38 22 — — $27,301.37 $109,482.73 $45,396.33 2026-04-01
265 MS_DRG Aicd Lead Procedures 41 24 — — $26,912.74 $109,407.13 $45,227.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 25 — — $16,486.51 $110,572.63 $45,217.04 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 24 — — $26,009.88 $172,875.00 $45,197.02 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 41 23 — — $26,962.27 $108,085.73 $44,952.91 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 23 — — $26,874.92 $107,725.90 $44,803.26 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 39 23 — — $20,964.38 $227,441.65 $44,785.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 65 27 — — $12,326.47 $262,614.58 $44,724.03 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 49 24 — — $14,285.55 $176,670.94 $44,636.25 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 36 21 — — $24,971.69 $99,885.19 $44,502.79 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 41 23 — — $26,784.09 $107,623.09 $44,490.00 2026-04-01
9111 OTHER Inj Teclistamab Cqyv 0.5 Mg 1 1 — — $44,482.02 $44,482.02 $44,482.02 2025-11-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 44 24 — — $24,412.39 $97,581.05 $44,147.56 2026-04-01
652 MS_DRG Kidney Transplant 36 21 — — $24,430.00 $101,111.88 $44,043.92 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 53 27 — — $13,635.89 $345,602.98 $43,912.60 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 41 24 — — $2,465.98 $128,974.14 $43,718.34 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 22 — — $25,341.40 $104,968.19 $43,524.42 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 53 26 — — $1,211.50 $239,972.70 $43,387.51 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 25 — — $11,958.77 $181,305.00 $43,335.11 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 36 21 — — $24,047.59 $219,387.67 $43,333.38 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 42 24 — — $10,911.76 $111,067.20 $43,319.87 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 45 24 — — $13,815.73 $104,460.19 $43,182.50 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 41 24 — — $20,522.29 $117,752.82 $43,150.00 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 46 24 — — $25,170.02 $129,808.71 $43,052.02 2026-04-01
9236 OTHER Eculizumab Injection 5 2 — — $34,281.94 $69,936.56 $43,014.80 2025-11-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 60 27 — — $8,832.73 $357,409.82 $42,953.07 2026-04-01
9276 OTHER Cabazitaxel Injection 2 1 — — $38,663.81 $47,179.13 $42,921.47 2025-11-01
9150 OTHER Inj Mosunetuzumab-axgb, 1 Mg 1 1 — — $42,553.72 $42,553.72 $42,553.72 2025-11-01
245 MS_DRG Aicd Generator Procedures 49 25 — — $1,665.81 $137,957.85 $42,439.28 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 63 28 — — $11,539.55 $128,931.47 $42,370.85 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 27 — — $1,149.99 $344,605.43 $41,998.78 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 55 25 — — $21,403.89 $97,680.84 $41,953.65 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 23 — — $21,709.47 $120,471.22 $41,447.91 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 27 — — $8,838.16 $105,971.37 $41,295.96 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 11 — — $27,969.27 $55,426.92 $41,214.89 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 50 25 — — $23,601.27 $307,787.86 $41,140.30 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 12 10 — — $27,882.12 $62,139.00 $41,086.46 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 12 10 — — $27,882.12 $62,139.00 $41,086.46 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 10 — — $27,659.61 $89,169.00 $40,758.57 2026-04-01
5166 OTHER Cochlear Implant Procedure 7 5 — — $16,749.50 $102,211.42 $40,553.75 2025-11-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 56 26 — — $9,551.03 $382,543.64 $40,436.25 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 45 24 — — $24,366.14 $98,931.71 $40,260.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 42 24 — — $21,560.73 $97,076.08 $40,130.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 68 28 — — $15,285.32 $116,795.36 $40,063.37 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 47 26 — — $23,411.90 $158,932.01 $40,039.47 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 51 24 — — $22,012.98 $140,371.04 $39,953.16 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 56 27 — — $16,226.89 $95,279.94 $39,936.57 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 41 23 — — $22,335.20 $160,694.90 $39,745.35 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 10 — — $26,858.49 $53,225.67 $39,578.07 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 10 — — $26,858.49 $53,225.67 $39,578.07 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 10 — — $26,858.49 $53,225.67 $39,578.07 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 36 20 — — $12,019.95 $253,939.54 $39,476.80 2025-11-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 25 — — $21,571.65 $105,452.00 $39,130.94 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 40 22 — — $20,520.22 $117,230.59 $38,906.60 2026-04-01
800 MS_DRG Splenic Procedures With Cc 40 22 — — $21,346.51 $243,368.90 $38,875.40 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 42 24 — — $22,254.07 $93,430.80 $38,787.50 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 53 24 — — $1,100.66 $131,816.93 $38,563.16 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 42 24 — — $22,827.18 $188,524.78 $38,517.82 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 41 24 — — $24,423.08 $117,042.23 $38,393.15 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 42 23 — — $23,125.56 $92,573.64 $38,268.75 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 12 10 — — $28,126.13 $69,762.05 $37,921.93 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 23 — — $4,570.30 $244,861.64 $37,851.01 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 51 25 — — $17,332.65 $113,526.00 $37,799.40 2026-04-01
9472 OTHER Inj Talimogene Laherparepvec 1 1 — — $37,758.08 $37,758.08 $37,758.08 2025-11-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 23 — — $21,919.02 $87,309.20 $37,645.92 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 41 23 — — $13,102.57 $125,208.86 $36,960.00 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 26 — — $17,441.02 $133,026.04 $36,907.71 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 73 31 — — $1,845.91 $331,368.63 $36,826.25 2026-04-01
570 MS_DRG Skin Debridement With Mcc 41 24 — — $12,099.40 $88,932.98 $36,763.75 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 41 23 — — $20,249.93 $91,355.57 $36,644.16 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 38 22 — — $8,862.98 $81,830.08 $36,575.19 2026-04-01
1488 OTHER Injection, Ramucirumab 1 1 — — $36,398.21 $36,398.21 $36,398.21 2025-11-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 39 22 — — $20,084.05 $157,890.46 $36,332.82 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 2 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 2 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
32655 HCPCS Thoracoscopy Resect Bullae 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
32652 HCPCS Thoracoscopy Rem Totl Cortex 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
32650 HCPCS Thoracoscopy W/pleurodesis 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56637 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56631 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
33822 HCPCS Revise Major Vessel 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 60 29 — — $10,872.26 $91,176.00 $36,075.00 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 45 25 — — $6,340.13 $86,193.42 $35,847.89 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 10 9 — — $31,708.46 $62,836.89 $35,768.69 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 10 9 — — $31,708.46 $62,836.89 $35,768.69 2026-04-01
9309 OTHER Inj. Tagraxofusp-erzs 10 Mcg 1 1 — — $35,634.32 $35,634.32 $35,634.32 2025-11-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 38 23 — — $21,392.69 $109,633.92 $35,232.81 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 58 28 — — $1,035.16 $101,013.06 $35,100.43 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 41 24 — — $3,599.21 $84,358.14 $34,958.88 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 48 25 — — $9,384.06 $84,358.14 $34,889.04 2026-04-01
9182 OTHER Inj Mogamulizumab-kpkc, 1 Mg 1 1 — — $34,656.70 $34,656.70 $34,656.70 2025-11-01
0720 RC Inj Glofitamab Gxbm, 2.5 Mg 1 1 — — $34,498.56 $34,498.56 $34,498.56 2025-11-01
J9600 HCPCS Porfimer Sodium Injection 13 11 — — $23,840.77 $47,245.42 $34,494.72 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 44 25 — — $20,962.64 $195,795.69 $34,463.75 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 67 29 — — $6,711.52 $215,827.85 $34,358.75 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 77 29 — — $1,110.29 $136,473.46 $34,216.78 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 10 — — $12,323.00 $89,169.00 $34,089.88 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 18 10 — — $12,323.00 $89,169.00 $34,089.88 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 18 10 — — $12,323.00 $89,169.00 $34,089.88 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 18 10 — — $12,323.00 $89,169.00 $34,089.88 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 61 26 — — $5,900.78 $97,520.49 $34,074.00 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 59 27 — — $9,653.73 $100,046.26 $34,059.15 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 45 23 — — $6,909.11 $113,289.69 $33,980.86 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 22 — — $20,519.74 $81,563.98 $33,820.00 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 12 10 — — $22,856.84 $89,169.00 $33,681.32 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 12 10 — — $22,856.84 $89,169.00 $33,681.32 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 12 10 — — $22,856.84 $89,169.00 $33,681.32 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 12 10 — — $22,856.84 $89,169.00 $33,681.32 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 12 10 — — $22,856.84 $89,169.00 $33,681.32 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 12 10 — — $22,856.84 $89,169.00 $33,681.32 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 18 10 — — $12,323.00 $62,836.89 $33,513.01 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 18 10 — — $12,323.00 $62,836.89 $33,513.01 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 18 10 — — $12,323.00 $62,836.89 $33,513.01 2026-04-01
61886 HCPCS Implant Neurostim Arrays 18 10 — — $12,323.00 $89,169.00 $33,513.01 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 18 10 — — $12,323.00 $62,836.89 $33,513.01 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 18 10 — — $12,323.00 $62,836.89 $33,513.01 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 69 27 — — $295.00 $85,688.68 $33,370.00 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 38 22 — — $17,074.88 $95,010.82 $33,185.46 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 53 26 — — $9,102.69 $80,151.87 $33,133.75 2026-04-01
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