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

PARKVIEW HUNTINGTON HOSPITAL

Huntington, IN · CCN 150091 · Rates published

3,394 distinct procedures filed
35 distinct payers
207,709 rate rows
2026-04-01 last MRF observed
Data quality

127,960 of 207,709 rate rows are consumer-grade (61.6%)

79,749 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 70,005
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,396
placeholder amount (≤ $0.02) — excluded from medians 318
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.parkview.com/-/media/parkview-media/file/price-transparency/351970706_parkview-huntington-hospital_standardcharges.ashx
Found on page https://www.parkview.com/patients-and-visitors/billing-and-insurance/request-an-estimate
Discovered viaCMS hospital list
Last fetch success · 2026-10-12
Content fingerprint a3f125e20407436c… · 30,931,778 bytes · first seen 2026-10-12

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 2 $4,505,000.00 $4,730,250.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,248,445.72 $4,984,800.00 $4,385,401.72 nat. median
$3,248,446
1.3× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,945,740.00 $4,897,200.00 $4,197,679.50 nat. median
$2,968,000
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,974,693.88 $3,979,755.11 nat. median
$3,325,455
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,975,110.00 $3,869,530.00 nat. median
$3,685,267
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,455,110.60 $3,965,706.94 $3,498,532.62 nat. median
$2,455,111
1.4× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,847,800.00 $3,323,100.00 nat. median
$2,332,000
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $1,541,240.00 $1,098,133.50 nat. median
$813,967
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $591,726.20 $1,156,649.16 $887,589.30 nat. median
$621,313
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $565,868.94 $1,106,757.66 $848,803.42 nat. median
$599,737
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,538.19 $1,083,271.32 $843,807.28 nat. median
$579,571
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $557,317.93 $1,082,520.90 $835,976.90 nat. median
$574,037
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,230.17 $1,066,152.96 $799,845.26 nat. median
$562,501
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,304.61 $979,440.00 $733,956.91 nat. median
$513,770
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 5 $278,250.00 $422,100.00 $375,637.50 nat. median
$286,598
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $337,714.43 $1,152,030.74 $346,157.29 nat. median
$168,055
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $219,863.60 $747,621.60 $225,360.19 nat. median
$186,516
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $167,982.15 $569,588.64 $172,181.71 nat. median
$131,925
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $167,008.02 $566,245.89 $171,183.22 nat. median
$145,435
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $110,901.76 $166,352.64 $141,345.39 nat. median
$108,243
1.3× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $121,181.71 $121,181.71 $121,181.71 nat. median
$95,583
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $109,681.40 $369,527.65 $112,423.43 nat. median
$97,418
1.2× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $102,820.55 $120,116.70 $105,841.78 nat. median
$92,809
1.1× median
7
MS_DRG 		Lung Transplant 12 $102,675.14 $345,485.44 $105,242.02 nat. median
$70,649
1.5× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $95,427.10 $320,613.54 $97,812.78 nat. median
$72,715
1.3× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 7 $63,342.28 $126,862.11 $97,049.53 nat. median
$66,211
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $90,093.11 $302,309.76 $92,345.44 nat. median
$65,418
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $89,992.04 $301,962.95 $92,241.84 nat. median
$2,110
outlier · 43.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $87,678.39 $294,023.57 $89,870.35 nat. median
$2,736
outlier · 32.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $86,534.78 $290,099.24 $88,698.15 nat. median
$74,509
1.2× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $103,202.56 $87,688.46 nat. median
$68,802
1.3× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $111,891.94 $85,150.85 nat. median
$63,499
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $82,153.15 $275,063.52 $84,206.98 nat. median
$69,922
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 12 $79,404.91 $265,632.85 $81,390.04 nat. median
$73,023
1.1× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $78,050.61 $260,985.54 $80,001.88 nat. median
$69,822
1.1× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $72,039.48 $240,358.11 $73,840.46 nat. median
$2,596
outlier · 28.4×
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $69,317.67 $231,018.14 $71,050.61 nat. median
$2,633
outlier · 27.0×
J9226
HCPCS 		Supprelin La Implant 7 $45,020.65 $91,120.78 $69,350.43 nat. median
$57,036
1.2× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $67,532.68 $224,892.87 $69,220.99 nat. median
$60,505
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $67,326.65 $224,185.91 $69,009.82 nat. median
$59,651
1.2× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $63,170.48 $209,923.85 $64,749.74 nat. median
$56,428
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $61,689.46 $204,841.69 $63,231.69 nat. median
$55,923
1.1× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $61,432.13 $203,958.65 $62,967.93 nat. median
$55,935
1.1× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,338.18 $74,007.27 $62,881.99 nat. median
$48,410
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 $61,235.44 $203,283.69 $62,766.32 nat. median
$52,327
1.2× median
L7180
HCPCS 		Electronic Elbow Sequential 4 $47,919.99 $71,879.98 $61,074.49 nat. median
$42,745
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $58,115.59 $192,577.81 $59,568.48 nat. median
$9,905
outlier · 6.0×
10
MS_DRG 		Pancreas Transplant 12 $57,782.07 $191,433.32 $59,226.62 nat. median
$23,080
outlier · 2.6×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 12 $57,758.74 $191,353.29 $59,202.71 nat. median
$37,013
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $57,462.54 $190,336.86 $58,899.10 nat. median
$45,605
1.3× median

Other procedures at this hospital

Browse this hospital's 3,394 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,505,000.00 $4,730,250.00 $4,617,625.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 5 5 — — $3,248,445.72 $4,984,800.00 $4,385,401.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — — $2,945,740.00 $4,897,200.00 $4,197,679.50 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,316,462.59 $4,974,693.88 $3,979,755.11 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 3 — — $3,685,266.67 $4,975,110.00 $3,869,530.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 6 — — $2,455,110.60 $3,965,706.94 $3,498,532.62 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 6 — — $2,332,000.00 $3,847,800.00 $3,323,100.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 8 6 — — $770,620.00 $1,541,240.00 $1,098,133.50 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 9 7 — — $591,726.20 $1,156,649.16 $887,589.30 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 9 7 — — $565,868.94 $1,106,757.66 $848,803.42 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 9 7 — — $562,538.19 $1,083,271.32 $843,807.28 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 9 7 — — $557,317.93 $1,082,520.90 $835,976.90 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 9 7 — — $533,230.17 $1,066,152.96 $799,845.26 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 9 7 — — $489,304.61 $979,440.00 $733,956.91 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 5 — — $278,250.00 $422,100.00 $375,637.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 12 — — $337,714.43 $1,152,030.74 $346,157.29 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 18 12 — — $219,863.60 $747,621.60 $225,360.19 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $167,982.15 $569,588.64 $172,181.71 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 12 — — $167,008.02 $566,245.89 $171,183.22 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 5 4 — — $110,901.76 $166,352.64 $141,345.39 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $121,181.71 $121,181.71 $121,181.71 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 12 — — $109,681.40 $369,527.65 $112,423.43 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $102,820.55 $120,116.70 $105,841.78 2026-04-01
7 MS_DRG Lung Transplant 18 12 — — $102,675.14 $345,485.44 $105,242.02 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 18 12 — — $95,427.10 $320,613.54 $97,812.78 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 7 — — $63,342.28 $126,862.11 $97,049.53 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $90,093.11 $302,309.76 $92,345.44 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 18 12 — — $89,992.04 $301,962.95 $92,241.84 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $87,678.39 $294,023.57 $89,870.35 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 12 — — $86,534.78 $290,099.24 $88,698.15 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 5 4 — — $68,801.71 $103,202.56 $87,688.46 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 7 — — $55,272.32 $111,891.94 $85,150.85 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $82,153.15 $275,063.52 $84,206.98 2026-04-01
215 MS_DRG Other Heart Assist System Implant 18 12 — — $79,404.91 $265,632.85 $81,390.04 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $78,050.61 $260,985.54 $80,001.88 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $72,039.48 $240,358.11 $73,840.46 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 18 12 — — $69,317.67 $231,018.14 $71,050.61 2026-04-01
J9226 HCPCS Supprelin La Implant 10 7 — — $45,020.65 $91,120.78 $69,350.43 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 — — $67,532.68 $224,892.87 $69,220.99 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $67,326.65 $224,185.91 $69,009.82 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $63,170.48 $209,923.85 $64,749.74 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $61,689.46 $204,841.69 $63,231.69 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 12 — — $61,432.13 $203,958.65 $62,967.93 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 5 4 — — $49,338.18 $74,007.27 $62,881.99 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $61,235.44 $203,283.69 $62,766.32 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 5 4 — — $47,919.99 $71,879.98 $61,074.49 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $58,115.59 $192,577.81 $59,568.48 2026-04-01
10 MS_DRG Pancreas Transplant 18 12 — — $57,782.07 $191,433.32 $59,226.62 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 12 — — $57,758.74 $191,353.29 $59,202.71 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 12 — — $57,462.54 $190,336.86 $58,899.10 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $57,429.89 $190,224.81 $58,865.63 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 12 — — $55,730.41 $184,393.00 $57,123.67 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 12 — — $55,466.86 $183,488.62 $56,853.53 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $54,325.58 $179,572.29 $55,683.72 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 12 — — $53,978.85 $178,382.45 $55,328.32 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 12 — — $53,940.75 $178,251.72 $55,289.27 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $53,114.34 $175,415.85 $54,442.20 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $53,114.34 $175,415.85 $54,442.20 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $52,928.53 $174,778.25 $54,251.74 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 12 — — $52,021.26 $171,664.93 $53,321.79 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 12 — — $49,639.97 $163,493.46 $50,880.97 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 12 — — $49,584.77 $163,304.04 $50,824.39 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 5 4 — — $39,537.89 $59,306.84 $50,391.42 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $49,128.42 $161,738.04 $50,356.63 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 18 12 — — $48,706.27 $160,289.43 $49,923.93 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 12 — — $48,693.06 $160,244.07 $49,910.38 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $48,354.87 $159,083.58 $49,563.74 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 18 12 — — $48,095.21 $158,192.54 $49,297.59 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 — — $47,620.19 $156,562.51 $48,810.69 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 12 — — $47,590.65 $156,461.13 $48,780.42 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 12 — — $8,102.33 $158,560.69 $48,202.49 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 12 — — $46,831.09 $153,854.69 $48,001.86 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $46,545.00 $152,872.94 $47,708.62 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 12 — — $46,363.08 $152,248.68 $47,522.15 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $46,305.55 $152,051.26 $47,463.19 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $45,703.03 $149,983.72 $46,845.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 12 — — $45,567.76 $149,519.52 $46,706.96 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 — — $45,269.22 $148,495.08 $46,400.95 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 — — $44,933.37 $147,342.59 $46,056.71 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 18 12 — — $44,676.04 $146,459.55 $45,792.94 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 12 — — $44,525.22 $145,942.00 $45,638.35 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 12 — — $44,464.58 $145,733.91 $45,576.19 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 12 — — $44,397.72 $145,504.48 $45,507.67 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 12 — — $44,228.24 $144,922.90 $45,333.94 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 5 4 — — $34,970.13 $52,455.19 $44,569.77 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $43,454.69 $142,268.44 $44,541.06 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 12 — — $43,429.81 $142,183.07 $44,515.56 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 12 — — $43,151.49 $141,228.00 $44,230.27 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 12 — — $43,015.44 $140,761.13 $44,090.82 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 12 — — $42,464.23 $138,869.66 $43,525.84 2026-04-01
J9266 HCPCS Pegaspargase Injection 10 7 — — $28,424.06 $56,848.12 $43,518.65 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $42,394.26 $138,629.56 $43,454.12 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $41,179.91 $134,462.46 $42,209.41 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 12 — — $40,769.42 $133,053.86 $41,788.65 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 12 — — $40,458.45 $131,986.74 $41,469.91 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 12 — — $40,390.03 $131,751.97 $41,399.78 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $40,099.27 $130,754.21 $41,101.75 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 18 12 — — $39,535.63 $128,820.06 $40,524.02 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 12 — — $39,345.94 $128,169.12 $40,329.59 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 12 — — $32,157.50 $131,301.11 $40,258.65 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 12 — — $39,007.75 $127,008.62 $39,982.94 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 12 — — $37,730.42 $122,625.43 $39,616.94 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 12 — — $38,545.95 $125,423.95 $39,509.60 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 — — $38,471.32 $125,167.84 $39,433.10 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 12 — — $38,362.48 $124,794.35 $39,321.54 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 18 12 — — $38,045.28 $123,705.89 $38,996.41 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 12 — — $37,901.46 $123,212.34 $38,848.99 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 12 — — $37,639.46 $122,313.29 $38,580.44 2026-04-01
245 MS_DRG Aicd Generator Procedures 18 12 — — $37,465.32 $121,715.71 $38,401.96 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 12 — — $37,358.81 $121,350.22 $38,292.78 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 12 — — $37,343.26 $121,296.86 $38,276.84 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 18 12 — — $37,204.87 $120,821.99 $38,134.99 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 18 12 — — $36,838.70 $119,565.46 $37,759.67 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 12 — — $36,828.60 $119,530.78 $37,749.32 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 5 4 — — $29,559.78 $44,339.67 $37,674.23 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 5 4 — — $29,510.19 $44,265.28 $37,611.03 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 12 — — $36,691.77 $119,061.25 $37,609.07 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 5 4 — — $29,420.21 $44,130.32 $37,496.34 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 12 — — $36,146.78 $117,191.12 $37,050.45 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 12 — — $35,638.34 $115,446.38 $36,529.30 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 6 — — $24,228.42 $39,976.89 $36,342.63 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 12 — — $35,370.12 $114,525.99 $36,254.38 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 18 12 — — $35,155.55 $113,789.67 $36,034.44 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 12 — — $34,965.08 $113,136.06 $35,839.21 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 12 — — $34,828.25 $112,666.53 $35,698.96 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 12 — — $34,772.28 $112,474.45 $35,641.58 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 12 — — $34,755.95 $112,418.42 $35,624.85 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 12 — — $34,660.32 $112,090.28 $35,526.83 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 18 12 — — $34,621.45 $111,956.89 $35,486.99 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 12 — — $34,560.81 $111,748.81 $35,424.83 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $34,434.87 $111,316.62 $35,295.74 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 12 — — $34,282.49 $110,793.73 $35,139.55 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 12 — — $34,068.70 $110,060.09 $34,920.42 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 22 12 — — $5,330.26 $111,236.59 $34,411.55 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 12 — — $33,252.39 $107,258.90 $34,083.70 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 12 — — $32,969.40 $106,287.82 $33,793.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 19 12 — — $6,731.62 $108,286.00 $33,551.70 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $32,408.09 $104,361.67 $33,218.29 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 12 — — $32,270.48 $103,889.47 $33,077.24 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 12 — — $32,087.79 $103,262.53 $32,889.99 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 12 — — $32,042.70 $103,107.80 $32,843.77 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 12 — — $32,013.93 $103,009.09 $32,814.28 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 12 — — $31,843.67 $102,424.85 $32,639.76 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 12 — — $31,250.49 $100,389.31 $32,031.75 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 12 — — $31,122.99 $99,951.79 $31,901.07 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 12 — — $31,053.80 $99,714.36 $31,830.15 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 12 — — $31,050.69 $99,703.69 $31,826.96 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 12 — — $30,969.06 $99,423.57 $31,743.28 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 12 — — $30,805.79 $98,863.33 $31,575.94 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 18 12 — — $30,551.57 $97,990.96 $31,315.36 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 12 — — $30,539.91 $97,950.94 $31,303.41 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 12 — — $30,204.84 $96,801.12 $30,959.96 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 12 — — $30,183.07 $96,726.42 $30,937.65 2026-04-01
332 MS_DRG Rectal Resection With Mcc 18 12 — — $30,144.20 $96,593.03 $30,897.81 2026-04-01
265 MS_DRG Aicd Lead Procedures 18 12 — — $30,124.76 $96,526.34 $30,877.88 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 12 — — $30,075.00 $96,355.60 $30,826.88 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 — — $30,033.02 $96,211.54 $30,783.85 2026-04-01
L8614 HCPCS Cochlear Device 1 1 — — $30,728.19 $30,728.19 $30,728.19 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 12 — — $29,849.55 $95,581.94 $30,595.79 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 12 — — $29,785.02 $95,360.51 $30,529.65 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 12 — — $29,757.03 $95,264.47 $30,500.96 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 12 — — $29,715.83 $95,123.08 $30,458.72 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 12 — — $29,692.51 $95,043.04 $30,434.82 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 12 — — $28,983.48 $92,610.01 $30,432.65 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 12 — — $29,666.07 $94,952.34 $30,407.72 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 12 — — $29,643.53 $94,874.97 $30,384.62 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 12 — — $29,412.63 $94,082.63 $30,147.94 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 12 — — $29,356.65 $93,890.55 $30,090.57 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 18 12 — — $29,114.87 $93,060.87 $29,842.74 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 12 — — $28,852.87 $92,161.82 $29,574.19 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 12 — — $28,728.48 $91,734.97 $29,446.69 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 5 4 — — $23,087.32 $34,630.98 $29,425.02 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 — — $28,649.19 $91,462.86 $29,365.42 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 12 — — $28,518.58 $91,014.66 $29,231.54 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 12 — — $28,483.59 $90,894.61 $29,195.68 2026-04-01
L5858 HCPCS Stance Phase Only 5 4 — — $22,885.05 $34,327.57 $29,167.22 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 12 — — $8,247.84 $93,036.86 $29,107.87 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 12 — — $27,676.61 $88,125.44 $28,368.53 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 18 12 — — $27,589.54 $87,826.64 $28,279.28 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 12 — — $27,586.43 $87,815.97 $28,276.09 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 19 12 — — $12,186.02 $89,120.53 $27,966.60 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 12 — — $27,284.01 $86,778.20 $27,966.11 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 12 — — $27,172.83 $86,396.70 $27,852.15 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 5 4 — — $21,834.21 $32,751.32 $27,827.92 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 12 — — $27,144.85 $86,300.66 $27,823.47 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 12 — — $27,109.86 $86,180.61 $27,787.60 2026-04-01
652 MS_DRG Kidney Transplant 18 12 — — $27,102.86 $86,156.60 $27,780.43 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 12 — — $27,084.21 $86,092.57 $27,761.31 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 18 12 — — $27,035.23 $85,924.50 $27,711.11 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 5 4 — — $21,739.52 $32,609.28 $27,707.23 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 18 12 — — $26,954.37 $85,647.05 $27,628.23 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 12 — — $26,817.54 $85,177.52 $27,487.98 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 12 — — $26,771.68 $85,020.12 $27,440.97 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 12 — — $26,747.58 $84,937.42 $27,416.27 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 18 12 — — $26,697.82 $84,766.68 $27,365.26 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 18 12 — — $26,599.86 $84,430.53 $27,264.85 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 12 — — $26,562.55 $84,302.48 $27,226.61 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 12 — — $26,492.58 $84,062.38 $27,154.90 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 12 — — $26,480.91 $84,022.36 $27,142.93 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 12 — — $26,423.38 $83,824.94 $27,083.97 2026-04-01
665 MS_DRG Prostatectomy With Mcc 18 12 — — $26,260.90 $83,267.37 $26,917.43 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 18 12 — — $26,167.61 $82,947.24 $26,821.80 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 18 12 — — $25,796.77 $81,674.70 $26,441.69 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 12 — — $25,764.90 $81,565.32 $26,409.03 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 12 — — $25,576.76 $80,919.71 $26,216.18 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 12 — — $23,820.33 $83,093.97 $26,210.37 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 18 12 — — $25,478.02 $80,580.90 $26,114.97 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 18 12 — — $25,474.91 $80,570.23 $26,111.78 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 12 — — $25,449.26 $80,482.19 $26,085.49 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 18 12 — — $25,135.17 $79,404.40 $25,763.55 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 12 — — $24,309.53 $76,571.20 $25,525.01 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 18 12 — — $24,899.61 $78,596.06 $25,522.10 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 5 4 — — $20,015.46 $30,023.19 $25,509.90 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 18 12 — — $24,884.06 $78,542.70 $25,506.16 2026-04-01
570 MS_DRG Skin Debridement With Mcc 18 12 — — $24,860.74 $78,462.67 $25,482.26 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 18 12 — — $24,696.70 $77,899.76 $25,314.12 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 20 12 — — $24,206.37 $77,694.34 $25,252.76 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 5 4 — — $19,809.02 $29,713.53 $25,246.79 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 12 — — $24,556.76 $77,419.56 $25,170.68 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 18 12 — — $24,542.77 $77,371.54 $25,156.34 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 12 — — $24,443.25 $77,030.06 $25,054.33 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 18 12 — — $24,432.37 $76,992.71 $25,043.18 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 18 12 — — $24,399.72 $76,880.66 $25,009.72 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 12 — — $24,156.38 $76,045.64 $24,760.29 2026-04-01
800 MS_DRG Splenic Procedures With Cc 18 12 — — $23,836.85 $74,949.17 $24,432.77 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 18 12 — — $23,758.33 $74,679.73 $24,352.29 2026-04-01
503 MS_DRG Foot Procedures With Mcc 18 12 — — $23,694.58 $74,460.97 $24,286.94 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 18 12 — — $23,545.31 $73,948.75 $24,133.94 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 12 — — $23,430.25 $73,553.91 $24,016.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 18 12 — — $23,359.51 $73,311.14 $23,943.50 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 12 — — $23,249.11 $72,932.32 $23,830.34 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 18 12 — — $23,148.04 $72,585.50 $23,726.74 2026-04-01
849 MS_DRG Radiotherapy 18 12 — — $23,060.19 $72,284.04 $23,636.69 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 12 — — $23,034.54 $72,196.00 $23,610.40 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 5 4 — — $18,506.37 $27,759.56 $23,586.55 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 12 — — $22,966.12 $71,961.24 $23,540.28 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 12 — — $8,979.76 $73,329.82 $23,364.95 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 12 — — $22,675.36 $70,963.48 $23,242.25 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 12 — — $22,603.06 $70,715.37 $23,168.14 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 12 — — $22,499.66 $70,360.56 $23,062.15 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 5 4 — — $17,892.75 $26,839.12 $22,804.48 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 5 4 — — $17,866.14 $26,799.21 $22,770.57 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 18 12 — — $22,174.69 $69,245.42 $22,729.06 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 18 12 — — $22,150.59 $69,162.72 $22,704.35 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 12 — — $22,075.18 $68,903.94 $22,627.06 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 18 12 — — $22,047.19 $68,807.90 $22,598.37 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 18 12 — — $22,047.19 $68,807.90 $22,598.37 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 18 12 — — $21,957.01 $68,498.43 $22,505.93 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 18 12 — — $21,843.51 $68,108.93 $22,389.60 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 12 — — $21,749.44 $67,786.13 $22,293.17 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 12 — — $21,712.12 $67,658.08 $22,254.92 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 18 12 — — $21,618.05 $67,335.27 $22,158.50 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 18 12 — — $21,609.50 $67,305.93 $22,149.74 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 18 12 — — $21,368.49 $66,478.91 $21,902.70 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 18 12 — — $21,289.19 $66,206.79 $21,821.42 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 12 — — $21,114.27 $65,606.54 $21,642.12 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 12 — — $21,108.83 $65,587.86 $21,636.55 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 12 — — $20,997.65 $65,206.37 $21,522.59 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 18 12 — — $20,975.11 $65,129.00 $21,499.49 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 18 12 — — $20,826.62 $64,619.45 $21,347.28 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 18 12 — — $20,765.20 $64,408.70 $21,284.33 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 18 12 — — $20,695.23 $64,168.59 $21,212.61 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 20 12 — — $20,614.38 $63,891.14 $21,193.92 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 12 — — $20,632.26 $63,952.50 $21,148.06 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 18 12 — — $20,580.17 $63,773.76 $21,094.67 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 19 12 — — $15,153.29 $65,497.16 $21,082.40 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 12 — — $20,548.30 $63,664.38 $21,062.01 2026-04-01
792 MS_DRG Prematurity Without Major Problems 26 13 — — $3,224.90 $65,339.76 $21,036.53 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 18 12 — — $20,273.86 $62,722.65 $20,780.71 2026-04-01
333 MS_DRG Rectal Resection With Cc 18 12 — — $20,204.67 $62,485.21 $20,709.78 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 12 — — $20,176.68 $62,389.17 $20,681.10 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 18 12 — — $20,163.47 $62,343.82 $20,667.56 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 18 12 — — $20,087.28 $62,082.37 $20,589.46 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 12 — — $20,074.84 $62,039.69 $20,576.71 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 18 12 — — $20,056.18 $61,975.66 $20,557.58 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 12 — — $19,963.66 $61,658.19 $20,462.75 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 18 12 — — $19,842.38 $61,242.02 $20,338.44 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 18 12 — — $19,836.94 $61,223.34 $20,332.86 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 12 — — $19,764.64 $60,975.24 $20,258.75 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 18 12 — — $19,733.54 $60,868.52 $20,226.88 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 18 12 — — $19,687.67 $60,711.12 $20,179.86 2026-04-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 18 12 — — $19,658.13 $60,609.75 $20,149.58 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 18 12 — — $19,609.15 $60,441.68 $20,099.38 2026-04-01
L6960 HCPCS Shldr Disartic Switch Contro 5 4 — — $15,621.74 $23,432.61 $19,910.06 2026-04-01
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 18 12 — — $19,399.25 $59,721.37 $19,884.23 2026-04-01
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/Mcc 18 12 — — $19,389.14 $59,686.69 $19,873.87 2026-04-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 18 12 — — $19,251.53 $59,214.49 $19,732.82 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 18 12 — — $19,198.67 $59,033.08 $19,678.63 2026-04-01
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 18 12 — — $19,181.56 $58,974.39 $19,661.10 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 12 — — $19,160.57 $58,902.36 $19,639.58 2026-04-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 18 12 — — $19,089.05 $58,656.92 $19,566.28 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 18 12 — — $19,061.84 $58,563.55 $19,538.39 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 18 12 — — $19,035.40 $58,472.84 $19,511.28 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 12 — — $19,005.08 $58,368.80 $19,480.21 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 18 12 — — $18,963.10 $58,224.74 $19,437.18 2026-04-01
141 MS_DRG Major Head And Neck Procedures With Cc 18 12 — — $18,952.22 $58,187.39 $19,426.03 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 18 12 — — $18,934.34 $58,126.03 $19,407.70 2026-04-01
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 12 — — $18,922.68 $58,086.01 $19,395.75 2026-04-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 21 12 — — $18,459.32 $56,496.00 $19,382.29 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 18 12 — — $18,865.92 $57,891.26 $19,337.57 2026-04-01
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