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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

UNIVERSITY OF KENTUCKY HOSPITAL

Lexington, KY · CCN 180067 · Rates published

12,531 distinct procedures filed
16 distinct payers
129,212 rate rows
2026-04-01 last MRF observed
Data quality

105,205 of 129,212 rate rows are consumer-grade (81.4%)

24,007 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 23,137
placeholder amount (≤ $0.02) — excluded from medians 870
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cleverleypteusstatic.blob.core.windows.net/readable/616001218_university-of-kentucky-hospital_standardcharges.json
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 0263c658172b2d9f… · 38,498,961 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 2 $4,505,000.00 $4,595,100.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,691,450.00 $4,496,025.34 $3,765,279.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 2 $3,335,820.00 $4,069,700.40 $3,402,536.40 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,321,376.38 $4,059,988.87 $3,387,803.91 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,245,381.39 $3,968,059.86 $3,310,289.02 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 2 $3,180,000.00 $3,879,600.00 $3,243,600.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,938,320.00 $3,586,762.05 $2,997,086.40 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,587,087.26 $4,423,919.21 $2,898,693.05 nat. median
$2,469,189
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $3,987,720.00 $2,611,840.00 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,926,550.00 $940,156.40 nat. median
$824,563
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $588,494.81 $1,471,237.02 $716,932.48 nat. median
$675,122
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $614,180.81 $1,535,452.02 $691,168.19 nat. median
$754,974
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $562,260.84 $1,405,652.09 $685,885.51 nat. median
$674,188
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $559,781.08 $1,399,452.70 $680,859.71 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $531,849.12 $1,329,622.80 $649,274.53 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,290.60 $1,223,226.50 $597,129.24 nat. median
$620,080
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $310,182.05 $622,220.97 $452,814.84 nat. median
$370,174
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $278,250.00 $695,625.00 $339,465.00 nat. median
$324,450
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $202,713.58 $506,783.96 $246,036.20 nat. median
$209,753
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $15,840.81 $469,256.65 $236,041.83 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $153,360.64 $307,639.35 $183,773.27 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $152,460.61 $305,833.91 $179,120.81 nat. median
$202,986
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $111,502.61 $278,756.53 $152,201.06 nat. median
$111,989
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $69,432.62 $199,584.82 $117,384.86 nat. median
$133,176
0.9× median
7
MS_DRG 		Lung Transplant 14 $93,021.29 $186,599.43 $112,036.50 nat. median
$122,708
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 14 $81,302.94 $163,092.59 $105,416.29 nat. median
$98,017
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $86,324.58 $173,165.92 $103,054.52 nat. median
$117,303
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $2,030.00 $163,279.91 $97,252.82 nat. median
$108,660
0.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 4 $68,801.71 $172,004.28 $93,914.33 nat. median
$70,825
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $10,104.30 $181,841.94 $93,689.47 nat. median
$98,905
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $78,108.66 $281,565.00 $93,382.48 nat. median
$102,358
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 14 $62,201.19 $787,403.42 $90,803.52 nat. median
$83,442
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $74,060.32 $148,563.99 $89,494.04 nat. median
$100,136
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $70,269.85 $376,609.58 $84,987.59 nat. median
$93,672
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 14 $71,521.13 $143,470.41 $84,779.63 nat. median
$99,019
0.9× median
38240
HCPCS 		Transplt Allo Hct/donor 4 $61,429.50 $153,573.75 $83,851.26 nat. median
$15,912
outlier · 5.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $60,551.97 $121,466.43 $80,915.02 nat. median
$79,312
1.0× median
9067
OTHER 		Lutetium Lu 177 Dotatat Ther 1 $78,404.44 $78,404.44 $78,404.44 nat. median
$321
outlier · 244.4×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $55,153.23 $373,857.46 $77,244.98 nat. median
$74,915
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 $63,221.95 $129,819.33 $76,847.67 nat. median
$82,712
0.9× median
1580
OTHER 		New Technology - Level 43 ($40,001-$50,000) 1 $75,602.67 $75,602.67 $75,602.67 nat. median
$45,289
1.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $2,625.00 $121,084.59 $71,772.36 nat. median
$81,118
0.9× median
L7181
HCPCS 		Electronic Elbo Simultaneous 4 $49,605.45 $124,013.62 $67,711.44 nat. median
$50,598
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $1,585.82 $386,203.12 $67,296.51 nat. median
$77,576
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 5 $56,824.55 $142,061.37 $66,804.65 nat. median
$62,507
1.1× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $65,822.00 $65,822.00 $65,822.00 nat. median
$76,377
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $54,915.47 $184,162.36 $65,424.45 nat. median
$73,807
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $49,406.18 $292,614.22 $65,212.63 nat. median
$72,138
0.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 5 $63,235.61 $160,705.75 $64,282.30 nat. median
$69,774
0.9× median
10
MS_DRG 		Pancreas Transplant 14 $51,543.05 $103,394.66 $62,723.51 nat. median
$68,882
0.9× median

Other procedures at this hospital

Browse this hospital's 12,531 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
             
93581 HCPCS Transcath Closure Of Vsd 4 4 — — $17,902.75 $44,756.89 $24,437.26 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 4 4 — — $17,902.75 $44,756.89 $24,437.26 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 4 4 — — $17,902.75 $44,756.89 $24,437.26 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 4 4 — — $17,902.75 $44,756.89 $24,437.26 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 4 4 — — $17,902.75 $44,756.89 $24,437.26 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 4 4 — — $17,902.75 $44,756.89 $24,437.26 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 4 4 — — $17,902.75 $44,756.89 $24,437.26 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 4 4 — — $17,902.75 $44,756.89 $24,437.26 2026-04-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 4 4 — — $17,962.99 $44,907.48 $24,519.48 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 4 4 — — $17,989.68 $44,974.20 $24,555.91 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 26 14 — — $7,520.81 $39,940.31 $24,623.54 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 14 — — $19,804.25 $39,727.05 $24,744.62 2026-04-01
503 MS_DRG Foot Procedures With Mcc 23 14 — — $20,048.47 $40,216.96 $24,784.28 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 28 14 — — $20,107.37 $40,335.11 $24,852.94 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 4 4 — — $18,407.12 $46,017.80 $25,125.72 2026-04-01
800 MS_DRG Splenic Procedures With Cc 22 14 — — $20,179.92 $40,480.64 $25,186.88 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 14 — — $18,552.25 $37,601.75 $25,292.19 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 27 14 — — $20,616.65 $41,356.71 $25,446.54 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 28 14 — — $20,475.14 $42,597.51 $25,534.42 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 26 14 — — $200.00 $41,523.86 $25,543.66 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 26 14 — — $11,802.40 $41,584.37 $25,578.82 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 4 4 — — $18,811.05 $47,027.63 $25,677.08 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 29 14 — — $20,832.14 $41,788.98 $25,697.71 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 27 14 — — $20,845.07 $41,814.92 $25,712.78 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 28 14 — — $17,207.14 $127,401.65 $25,799.01 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 22 14 — — $20,740.19 $41,604.55 $25,846.44 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 4 4 — — $18,946.23 $47,365.59 $25,861.61 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 4 4 — — $18,946.23 $47,365.59 $25,861.61 2026-04-01
63655 HCPCS Implant Neuroelectrodes 4 4 — — $18,946.23 $47,365.59 $25,861.61 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 4 4 — — $18,946.23 $47,365.59 $25,861.61 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 14 — — $19,106.78 $39,964.33 $26,026.58 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 30 14 — — $21,161.84 $158,902.68 $26,342.82 2026-04-01
570 MS_DRG Skin Debridement With Mcc 23 14 — — $21,125.92 $44,515.31 $26,560.94 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 26 14 — — $17,738.28 $43,469.07 $26,673.92 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 14 — — $21,384.84 $43,705.38 $26,811.23 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 14 — — $21,379.48 $42,886.95 $26,862.39 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 14 — — $21,693.38 $43,516.62 $27,235.58 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 14 — — $21,696.25 $43,522.38 $27,239.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 29 14 — — $19,802.99 $44,800.46 $27,447.53 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 4 4 — — $20,123.89 $50,309.72 $27,469.11 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 4 4 — — $20,131.45 $50,328.62 $27,479.43 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 14 — — $9,697.29 $45,897.97 $27,493.57 2026-04-01
263 MS_DRG Vein Ligation And Stripping 23 14 — — $21,090.55 $100,095.25 $27,554.12 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 23 14 — — $21,990.75 $44,113.15 $27,589.12 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 4 4 — — $20,241.22 $50,603.05 $27,629.27 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 4 4 — — $20,241.22 $50,603.05 $27,629.27 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 14 — — $21,892.62 $45,274.52 $27,722.98 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 27 14 — — $22,205.17 $45,381.15 $27,784.93 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 25 14 — — $22,633.63 $45,402.76 $27,797.49 2026-04-01
2616 OTHER Brachytx, Non-str,yttrium-90 6 5 — — $26,327.17 $32,244.35 $28,058.04 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 14 — — $22,404.34 $45,875.37 $28,072.10 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 14 — — $22,891.50 $45,920.04 $28,098.06 2026-04-01
665 MS_DRG Prostatectomy With Mcc 21 14 — — $22,419.58 $44,973.37 $28,098.95 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 14 — — $22,933.88 $46,955.97 $28,147.45 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 14 — — $11,810.76 $71,009.97 $28,151.57 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 22 14 — — $21,147.47 $42,421.54 $28,256.96 2026-04-01
J9266 HCPCS Pegaspargase Injection 9 5 — — $27,070.53 $71,060.15 $28,424.06 2026-04-01
652 MS_DRG Kidney Transplant 25 14 — — $22,846.49 $246,163.73 $28,454.72 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 30 14 — — $23,126.02 $46,546.83 $28,462.25 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 14 — — $14,333.90 $45,601.60 $28,471.29 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 29 14 — — $9,291.30 $130,220.81 $28,499.93 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 22 14 — — $20,974.36 $42,074.28 $28,499.93 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 14 — — $23,246.09 $46,663.55 $28,530.07 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 22 14 — — $22,329.77 $46,258.65 $28,577.76 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 14 — — $22,823.26 $50,869.53 $28,578.89 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 14 — — $23,364.86 $46,869.60 $28,649.79 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 24 14 — — $2,065.00 $73,657.87 $28,718.97 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 21 14 — — $23,135.01 $46,408.51 $28,949.52 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 28 14 — — $17,200.88 $47,430.11 $28,975.48 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 24 14 — — $1,071.46 $47,435.87 $28,978.83 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 4 4 — — $21,299.94 $53,249.85 $29,074.42 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 27 14 — — $23,995.53 $48,134.71 $29,384.88 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 7 5 — — $26,891.01 $50,585.66 $29,460.65 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 4 4 — — $21,723.17 $54,307.93 $29,652.13 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 14 — — $23,727.60 $47,597.25 $29,654.05 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 27 14 — — $24,626.20 $57,088.18 $30,119.98 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 26 14 — — $24,505.52 $57,265.71 $30,279.11 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 14 — — $24,473.20 $49,092.90 $30,540.48 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 24 14 — — $25,049.99 $50,249.95 $30,613.94 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 27 14 — — $25,056.46 $50,262.91 $30,621.48 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 14 — — $24,814.39 $49,777.33 $30,642.72 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 21 14 — — $24,699.46 $49,546.79 $30,809.48 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 14 — — $20,534.09 $50,814.78 $30,942.14 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 14 — — $25,279.85 $50,917.61 $31,190.68 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 29 14 — — $25,462.38 $51,242.73 $31,190.80 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 14 — — $13,372.26 $51,284.51 $31,215.08 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 24 14 — — $25,590.16 $51,333.50 $31,243.54 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 8 5 — — $30,869.86 $49,510.74 $31,252.35 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 14 — — $25,649.77 $51,453.10 $31,313.03 2026-04-01
L5858 HCPCS Stance Phase Only 4 4 — — $23,009.05 $57,522.62 $31,407.36 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 14 — — $25,611.70 $51,376.73 $31,581.35 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 14 — — $25,675.63 $152,346.23 $31,656.60 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 4 4 — — $23,212.40 $58,031.00 $31,684.92 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 14 — — $11,152.11 $55,553.46 $31,726.79 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 14 — — $1,125.00 $51,964.62 $31,926.35 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 26 14 — — $25,771.99 $276,229.23 $31,972.01 2026-04-01
265 MS_DRG Aicd Lead Procedures 22 14 — — $25,989.53 $52,134.64 $32,026.14 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 29 14 — — $26,373.10 $62,573.55 $32,156.13 2026-04-01
332 MS_DRG Rectal Resection With Mcc 21 14 — — $26,007.49 $52,170.67 $32,364.58 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 14 — — $26,043.40 $52,242.71 $32,407.28 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 14 — — $26,063.52 $52,283.06 $32,431.19 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 14 — — $26,383.88 $56,531.81 $32,490.38 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 14 — — $26,769.60 $53,699.46 $32,618.28 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 26 14 — — $1,090.74 $145,358.09 $32,706.19 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 29 14 — — $14,635.53 $53,856.52 $32,709.54 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 22 14 — — $26,618.76 $53,396.87 $32,766.88 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 26 14 — — $7,282.86 $108,931.50 $33,111.89 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 14 — — $27,029.63 $150,922.13 $33,250.57 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 14 — — $27,577.69 $90,432.44 $33,560.17 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 22 14 — — $24,935.07 $50,019.40 $33,745.35 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 28 14 — — $27,573.91 $187,406.59 $34,080.96 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 14 — — $27,761.58 $55,689.34 $34,112.24 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 14 — — $27,949.56 $56,366.57 $34,168.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 14 — — $7,560.12 $56,032.28 $34,499.52 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 14 — — $27,972.04 $56,111.53 $34,700.21 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 4 4 — — $25,526.34 $63,815.86 $34,843.46 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 4 4 — — $25,526.34 $63,815.86 $34,843.46 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 4 4 — — $25,526.34 $63,815.86 $34,843.46 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 14 — — $9,838.15 $57,406.90 $35,120.21 2026-04-01
791 MS_DRG Prematurity With Major Problems 22 14 — — $18,832.00 $58,486.13 $35,753.57 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 27 14 — — $2,625.00 $57,931.38 $35,778.78 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 25 14 — — $2,475.00 $217,341.10 $35,956.33 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 14 — — $29,811.90 $60,356.42 $36,486.30 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 26 14 — — $29,831.00 $73,793.03 $36,548.43 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 14 — — $30,144.18 $60,468.81 $36,551.61 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 14 — — $30,180.09 $110,422.75 $36,593.47 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 14 — — $10,005.50 $119,620.63 $36,696.45 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 14 — — $30,191.97 $186,622.06 $36,774.31 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 14 — — $29,418.16 $61,105.69 $36,921.66 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 23 14 — — $29,950.24 $139,298.00 $37,052.06 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 14 — — $782.48 $60,257.69 $37,077.68 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 14 — — $30,283.53 $60,748.34 $37,081.17 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 14 — — $30,637.65 $61,458.71 $37,498.06 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 14 — — $19.55 $62,353.51 $37,646.71 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 25 14 — — $17,143.64 $87,681.59 $38,105.02 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 14 — — $10,912.21 $63,295.86 $38,194.26 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 4 — — $28,012.29 $70,030.72 $38,236.77 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 27 14 — — $32,192.77 $111,031.63 $38,939.40 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 31 14 — — $22,104.56 $74,950.98 $39,499.51 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 14 — — $32,057.01 $64,305.93 $39,556.78 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 24 14 — — $22,876.15 $67,043.32 $39,727.07 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 30 14 — — $32,517.70 $65,513.40 $39,877.59 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 14 — — $30,256.37 $174,082.47 $39,899.70 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 14 — — $32,771.72 $65,739.62 $40,010.35 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 27 14 — — $33,174.69 $142,612.54 $40,083.90 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 14 — — $19,616.54 $66,062.38 $40,199.77 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 4 4 — — $29,510.19 $73,775.47 $40,281.40 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 4 4 — — $29,579.67 $73,949.17 $40,376.25 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 4 4 — — $29,719.96 $74,299.90 $40,567.74 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 14 — — $28,695.20 $67,402.42 $40,580.38 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 14 — — $22,544.25 $67,742.47 $40,777.96 2026-04-01
5166 OTHER Cochlear Implant Procedure 8 5 — — $30,632.53 $70,112.81 $40,856.23 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 21 14 — — $33,307.57 $66,814.53 $41,043.56 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 4 4 — — $30,135.76 $75,339.40 $41,135.32 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 29 14 — — $6,708.87 $68,598.37 $41,275.28 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 14 — — $33,701.20 $80,305.84 $41,511.54 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 14 — — $14,366.86 $69,225.16 $41,639.48 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 4 — — $30,654.50 $76,636.25 $41,843.39 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 4 — — $30,654.50 $76,636.25 $41,843.39 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 4 4 — — $30,654.50 $76,636.25 $41,843.39 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 4 4 — — $30,654.50 $76,636.25 $41,843.39 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 4 — — $30,654.50 $76,636.25 $41,843.39 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 4 4 — — $30,654.50 $76,636.25 $41,843.39 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 4 — — $30,654.50 $76,636.25 $41,843.39 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 14 — — $22,616.74 $69,576.74 $41,843.76 2026-04-01
2039 OTHER Gen, Neuro, Imp Led, Ex Cntr 3 3 — — $41,747.68 $42,570.80 $41,896.87 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 14 — — $5,744.67 $70,916.78 $42,622.39 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 14 — — $200.00 $250,434.06 $42,837.56 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 14 — — $35,205.32 $70,621.39 $42,875.27 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 29 14 — — $2,030.00 $71,863.45 $43,172.45 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 30 14 — — $35,473.96 $71,160.29 $43,191.52 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 14 — — $32,183.43 $64,559.52 $43,344.80 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 14 — — $34,371.10 $72,624.24 $44,050.65 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 26 14 — — $37,325.74 $80,324.41 $44,922.27 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 14 — — $37,390.39 $75,004.61 $44,997.62 2026-04-01
J9226 HCPCS Supprelin La Implant 9 5 — — $41,173.43 $102,933.57 $45,212.04 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 30 14 — — $37,315.32 $95,708.31 $46,047.13 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 14 — — $3,042.34 $188,907.70 $46,064.26 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 14 — — $9,315.46 $76,278.36 $46,195.11 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 14 — — $38,282.52 $76,794.21 $46,497.85 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 14 — — $39,068.68 $145,912.50 $47,079.82 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 14 — — $22,160.05 $78,824.43 $47,217.13 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 29 14 — — $39,433.95 $192,788.31 $47,379.55 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 4 4 — — $34,970.13 $87,425.32 $47,734.22 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 21 14 — — $39,020.21 $78,274.01 $47,835.26 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 14 — — $39,671.71 $79,580.91 $48,133.24 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 14 — — $40,382.83 $81,007.40 $48,485.54 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 14 — — $38,425.73 $80,203.38 $48,498.54 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 14 — — $40,939.51 $82,124.10 $49,134.39 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 14 — — $40,257.84 $80,756.68 $49,306.66 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 14 — — $41,126.21 $83,376.82 $49,392.26 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 21 14 — — $40,992.66 $82,230.72 $50,180.28 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 14 — — $41,425.08 $83,098.14 $50,197.37 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 14 — — $31,676.60 $84,560.66 $50,550.16 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 14 — — $42,126.86 $145,880.33 $51,023.52 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 14 — — $42,692.16 $85,639.89 $51,689.03 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 14 — — $43,157.62 $86,573.59 $51,719.77 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 14 — — $2,035.00 $85,922.31 $51,854.75 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 26 14 — — $43,145.41 $86,549.10 $52,222.60 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 14 — — $39,238.57 $78,712.04 $52,688.37 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 14 — — $44,020.30 $141,094.87 $52,725.29 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 14 — — $43,547.66 $87,356.00 $53,217.88 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 14 — — $43,969.30 $88,201.81 $53,719.17 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 4 4 — — $39,992.59 $99,981.48 $54,589.89 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 14 — — $27,391.97 $193,822.68 $55,289.74 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 9 5 — — $56,269.19 $140,672.98 $57,017.10 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 14 — — $42,593.04 $93,571.00 $57,130.89 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 14 — — $29,746.93 $157,271.60 $57,356.87 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 14 — — $47,058.71 $94,399.12 $57,392.13 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $47,230.38 $94,743.50 $57,596.23 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 14 — — $47,230.38 $94,743.50 $57,596.23 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 14 — — $48,029.13 $96,345.78 $57,971.87 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 4 — — $43,015.98 $107,539.94 $58,716.81 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 4 4 — — $43,015.98 $107,539.94 $58,716.81 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 4 — — $43,015.98 $107,539.94 $58,716.81 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 26 14 — — $49,403.96 $99,103.66 $59,442.61 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 30 14 — — $49,647.46 $99,592.13 $59,717.46 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 14 — — $48,349.49 $156,000.12 $60,536.90 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 14 — — $38,255.91 $103,351.43 $61,468.52 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 14 — — $51,217.66 $154,574.82 $61,725.51 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 14 — — $7,561.26 $104,012.81 $61,852.81 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 14 — — $51,247.83 $102,802.45 $62,372.53 2026-04-01
10 MS_DRG Pancreas Transplant 21 14 — — $51,543.05 $103,394.66 $62,723.51 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 9 5 — — $63,235.61 $160,705.75 $64,282.30 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 30 14 — — $49,406.18 $292,614.22 $65,212.63 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 14 — — $54,915.47 $184,162.36 $65,424.45 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $65,822.00 $65,822.00 $65,822.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 9 5 — — $56,824.55 $142,061.37 $66,804.65 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 14 — — $1,585.82 $386,203.12 $67,296.51 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 4 4 — — $49,605.45 $124,013.62 $67,711.44 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 27 14 — — $2,625.00 $121,084.59 $71,772.36 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 1 1 — — $75,602.67 $75,602.67 $75,602.67 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 14 — — $63,221.95 $129,819.33 $76,847.67 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 14 — — $55,153.23 $373,857.46 $77,244.98 2026-04-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 1 1 — — $78,404.44 $78,404.44 $78,404.44 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 14 — — $60,551.97 $121,466.43 $80,915.02 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 4 4 — — $61,429.50 $153,573.75 $83,851.26 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 14 — — $71,521.13 $143,470.41 $84,779.63 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 14 — — $70,269.85 $376,609.58 $84,987.59 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 14 — — $74,060.32 $148,563.99 $89,494.04 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 14 — — $62,201.19 $787,403.42 $90,803.52 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 14 — — $78,108.66 $281,565.00 $93,382.48 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 14 — — $10,104.30 $181,841.94 $93,689.47 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 4 4 — — $68,801.71 $172,004.28 $93,914.33 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 14 — — $2,030.00 $163,279.91 $97,252.82 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 14 — — $86,324.58 $173,165.92 $103,054.52 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 22 14 — — $81,302.94 $163,092.59 $105,416.29 2026-04-01
7 MS_DRG Lung Transplant 21 14 — — $93,021.29 $186,599.43 $112,036.50 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 14 — — $69,432.62 $199,584.82 $117,384.86 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 4 — — $111,502.61 $278,756.53 $152,201.06 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 14 — — $152,460.61 $305,833.91 $179,120.81 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 14 — — $153,360.64 $307,639.35 $183,773.27 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 14 — — $15,840.81 $469,256.65 $236,041.83 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 5 4 — — $202,713.58 $506,783.96 $246,036.20 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 5 4 — — $278,250.00 $695,625.00 $339,465.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 14 — — $310,182.05 $622,220.97 $452,814.84 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 4 — — $489,290.60 $1,223,226.50 $597,129.24 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 4 — — $531,849.12 $1,329,622.80 $649,274.53 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 4 — — $559,781.08 $1,399,452.70 $680,859.71 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 4 — — $562,260.84 $1,405,652.09 $685,885.51 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 4 — — $614,180.81 $1,535,452.02 $691,168.19 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 4 — — $588,494.81 $1,471,237.02 $716,932.48 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 5 4 — — $770,620.00 $1,926,550.00 $940,156.40 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 4 3 — — $2,332,000.00 $3,987,720.00 $2,611,840.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 3 — — $2,587,087.26 $4,423,919.21 $2,898,693.05 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 3 2 — — $2,938,320.00 $3,586,762.05 $2,997,086.40 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 3 2 — — $3,180,000.00 $3,879,600.00 $3,243,600.00 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 3 2 — — $3,245,381.39 $3,968,059.86 $3,310,289.02 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 2 — — $3,321,376.38 $4,059,988.87 $3,387,803.91 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 3 2 — — $3,335,820.00 $4,069,700.40 $3,402,536.40 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 3 2 — — $3,691,450.00 $4,496,025.34 $3,765,279.00 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 2 — — $4,505,000.00 $4,595,100.00 $4,550,050.00 2026-04-01
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