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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

EXETER HOSPITAL INC

Exeter, NH · CCN 300023 · Rates published

8,638 distinct procedures filed
10 distinct payers
56,614 rate rows
2026-04-01 last MRF observed
Data quality

44,487 of 56,614 rate rows are consumer-grade (78.6%)

12,127 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 12,124
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://exeterhospital.org/222674014_exeter-hospital-standardcharges.json
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint 1f96dcff7d7139ac… · 13,217,780 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $1,487,590.69 $609,477.99 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $1,449,967.23 $582,845.01 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $1,358,358.09 $579,414.33 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $1,389,461.68 $574,037.47 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $1,287,430.11 $549,227.08 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $1,283,575.47 $503,983.75 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $331,700.23 $1,015,659.46 $338,334.23 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $215,260.11 $659,122.13 $219,565.31 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $163,999.69 $502,163.76 $167,279.68 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $163,037.22 $499,216.70 $166,297.96 nat. median
$202,976
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $106,396.82 $325,784.93 $108,524.76 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 5 $99,474.43 $304,588.70 $101,463.92 nat. median
$122,708
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $92,313.15 $282,661.01 $94,159.41 nat. median
$117,357
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $87,043.01 $266,523.94 $88,783.87 nat. median
$108,660
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 5 $86,943.15 $266,218.18 $88,682.01 nat. median
$98,047
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $84,657.19 $259,218.62 $86,350.33 nat. median
$98,894
0.9× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $83,527.27 $255,758.83 $85,197.82 nat. median
$102,358
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $79,198.09 $242,502.96 $80,782.05 nat. median
$100,136
0.8× median
215
MS_DRG 		Other Heart Assist System Implant 5 $76,482.75 $234,188.64 $78,012.40 nat. median
$99,019
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $75,144.67 $230,091.46 $76,647.56 nat. median
$93,672
0.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $69,205.48 $211,905.79 $70,589.59 nat. median
$82,711
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $66,516.26 $203,671.44 $67,846.59 nat. median
$83,470
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $64,752.63 $198,271.25 $66,047.68 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $64,549.07 $197,647.97 $65,840.05 nat. median
$81,118
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $63,342.28 $166,747.37 $65,242.55 nat. median
$69,774
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $60,442.65 $185,074.18 $61,651.50 nat. median
$77,570
0.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $58,979.36 $180,593.62 $60,158.95 nat. median
$74,915
0.8× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $58,725.11 $179,815.10 $59,899.61 nat. median
$73,807
0.8× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $58,530.77 $179,220.05 $59,701.39 nat. median
$72,135
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,272.32 $146,060.99 $56,930.49 nat. median
$66,682
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $55,448.26 $169,781.47 $56,557.23 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 5 $55,118.74 $168,772.46 $56,221.11 nat. median
$68,884
0.8× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $55,095.69 $168,701.90 $56,197.60 nat. median
$64,023
0.9× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $54,803.03 $167,805.79 $55,899.09 nat. median
$71,271
0.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $54,770.77 $167,707.01 $55,866.19 nat. median
$68,886
0.8× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 5 $53,091.64 $162,565.54 $54,153.47 nat. median
$66,526
0.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $52,831.24 $161,768.21 $53,887.86 nat. median
$65,950
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 5 $51,703.63 $158,315.47 $52,737.70 nat. median
$64,732
0.8× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 $51,361.04 $157,266.48 $52,388.26 nat. median
$60,691
0.9× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 $51,323.40 $157,151.23 $52,349.87 nat. median
$63,724
0.8× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $50,506.88 $154,651.06 $51,517.02 nat. median
$64,508
0.8× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $50,506.88 $154,651.06 $51,517.02 nat. median
$61,920
0.8× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 $50,323.30 $154,088.93 $51,329.77 nat. median
$59,793
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 5 $49,426.89 $151,344.14 $50,415.43 nat. median
$62,134
0.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $47,074.11 $144,139.97 $48,015.59 nat. median
$60,726
0.8× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 5 $47,019.57 $143,972.98 $47,959.96 nat. median
$60,185
0.8× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 5 $46,568.68 $142,592.35 $47,500.05 nat. median
$59,898
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 5 $46,151.58 $141,315.22 $47,074.61 nat. median
$57,822
0.8× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 $46,138.52 $141,275.23 $47,061.29 nat. median
$59,099
0.8× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $45,804.39 $140,252.11 $46,720.48 nat. median
$58,020
0.8× median

Other procedures at this hospital

Browse this hospital's 8,638 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 5 3 — — $591,726.20 $1,487,590.69 $609,477.99 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 5 3 — — $565,868.94 $1,449,967.23 $582,845.01 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 5 3 — — $562,538.19 $1,358,358.09 $579,414.33 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 5 3 — — $557,317.93 $1,389,461.68 $574,037.47 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 5 3 — — $533,230.17 $1,287,430.11 $549,227.08 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 5 3 — — $489,304.61 $1,283,575.47 $503,983.75 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 7 5 — — $331,700.23 $1,015,659.46 $338,334.23 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 7 5 — — $215,260.11 $659,122.13 $219,565.31 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 5 — — $163,999.69 $502,163.76 $167,279.68 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 7 5 — — $163,037.22 $499,216.70 $166,297.96 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 7 5 — — $106,396.82 $325,784.93 $108,524.76 2026-04-01
7 MS_DRG Lung Transplant 7 5 — — $99,474.43 $304,588.70 $101,463.92 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 7 5 — — $92,313.15 $282,661.01 $94,159.41 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 5 — — $87,043.01 $266,523.94 $88,783.87 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 7 5 — — $86,943.15 $266,218.18 $88,682.01 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 5 — — $84,657.19 $259,218.62 $86,350.33 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 5 — — $83,527.27 $255,758.83 $85,197.82 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 5 — — $79,198.09 $242,502.96 $80,782.05 2026-04-01
215 MS_DRG Other Heart Assist System Implant 7 5 — — $76,482.75 $234,188.64 $78,012.40 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $75,144.67 $230,091.46 $76,647.56 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 5 — — $69,205.48 $211,905.79 $70,589.59 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 7 5 — — $66,516.26 $203,671.44 $67,846.59 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 7 5 — — $64,752.63 $198,271.25 $66,047.68 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $64,549.07 $197,647.97 $65,840.05 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 5 3 — — $63,342.28 $166,747.37 $65,242.55 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 5 — — $60,442.65 $185,074.18 $61,651.50 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 5 — — $58,979.36 $180,593.62 $60,158.95 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 7 5 — — $58,725.11 $179,815.10 $59,899.61 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 5 — — $58,530.77 $179,220.05 $59,701.39 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 5 3 — — $55,272.32 $146,060.99 $56,930.49 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 5 — — $55,448.26 $169,781.47 $56,557.23 2026-04-01
10 MS_DRG Pancreas Transplant 7 5 — — $55,118.74 $168,772.46 $56,221.11 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 5 — — $55,095.69 $168,701.90 $56,197.60 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 5 — — $54,803.03 $167,805.79 $55,899.09 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 5 — — $54,770.77 $167,707.01 $55,866.19 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 7 5 — — $53,091.64 $162,565.54 $54,153.47 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 7 5 — — $52,831.24 $161,768.21 $53,887.86 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 5 — — $51,703.63 $158,315.47 $52,737.70 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 7 5 — — $51,361.04 $157,266.48 $52,388.26 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 7 5 — — $51,323.40 $157,151.23 $52,349.87 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $50,506.88 $154,651.06 $51,517.02 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 5 — — $50,506.88 $154,651.06 $51,517.02 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 5 — — $50,323.30 $154,088.93 $51,329.77 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 5 — — $49,426.89 $151,344.14 $50,415.43 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 5 — — $47,074.11 $144,139.97 $48,015.59 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 5 — — $47,019.57 $143,972.98 $47,959.96 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 7 5 — — $46,568.68 $142,592.35 $47,500.05 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 7 5 — — $46,151.58 $141,315.22 $47,074.61 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 5 — — $46,138.52 $141,275.23 $47,061.29 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $45,804.39 $140,252.11 $46,720.48 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 5 — — $45,653.83 $139,791.12 $46,566.91 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 7 5 — — $45,547.83 $139,466.54 $46,458.79 2026-04-01
J9226 HCPCS Supprelin La Implant 5 3 — — $45,020.65 $119,038.52 $46,371.27 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 7 5 — — $45,078.50 $138,029.47 $45,980.07 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 5 — — $45,049.31 $137,940.10 $45,950.30 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 7 5 — — $44,298.85 $135,642.19 $45,184.83 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 5 — — $44,016.18 $134,776.66 $44,896.50 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 7 5 — — $43,836.44 $134,226.29 $44,713.17 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 5 — — $43,779.59 $134,052.24 $44,655.18 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 1 1 — — $44,632.45 $44,632.45 $44,632.45 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 5 — — $43,184.29 $132,229.44 $44,047.98 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 5 — — $43,050.64 $131,820.19 $43,911.65 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 5 — — $42,755.68 $130,917.02 $43,610.79 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 7 5 — — $42,423.84 $129,900.96 $43,272.32 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 7 5 — — $42,169.59 $129,122.45 $43,012.98 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 5 — — $42,020.58 $128,666.16 $42,860.99 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 7 5 — — $41,960.66 $128,482.70 $42,799.87 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 5 — — $41,894.60 $128,280.43 $42,732.49 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 5 — — $41,727.15 $127,767.70 $42,561.69 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 5 — — $40,962.86 $125,427.46 $41,782.12 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 7 5 — — $40,938.28 $125,352.19 $41,757.05 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 5 — — $40,663.29 $124,510.18 $41,476.56 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 7 5 — — $40,528.87 $124,098.58 $41,339.45 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 7 5 — — $39,984.26 $122,431.01 $40,783.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 7 5 — — $39,915.13 $122,219.33 $40,713.43 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 5 — — $38,715.31 $118,545.50 $39,489.62 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 7 5 — — $38,309.74 $117,303.65 $39,075.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 5 — — $38,002.49 $116,362.85 $38,762.54 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 9 6 — — $35,718.87 $116,155.87 $38,693.59 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 5 — — $37,805.08 $115,758.38 $38,561.18 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 5 — — $37,647.61 $115,276.22 $38,400.56 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 7 5 — — $37,090.71 $113,571.02 $37,832.52 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 7 5 — — $36,903.29 $112,997.14 $37,641.36 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 7 5 — — $36,569.15 $111,974.02 $37,300.53 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 5 — — $36,112.88 $110,576.93 $36,835.14 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 5 — — $36,039.14 $110,351.14 $36,759.92 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 5 — — $35,931.61 $110,021.86 $36,650.24 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 7 5 — — $35,618.21 $109,062.24 $36,330.57 2026-04-01
69930 HCPCS Implant Cochlear Device 5 3 — — $35,206.20 $152,005.58 $36,262.39 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 7 — — $34,549.66 $108,109.68 $36,189.79 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 5 — — $35,476.10 $108,627.12 $36,185.62 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 5 — — $35,217.24 $107,834.50 $35,921.58 2026-04-01
245 MS_DRG Aicd Generator Procedures 7 5 — — $35,045.18 $107,307.65 $35,746.08 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 5 — — $34,939.95 $106,985.42 $35,638.75 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 7 5 — — $34,924.59 $106,938.38 $35,623.08 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 7 5 — — $34,787.86 $106,519.73 $35,483.62 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 7 5 — — $34,426.07 $105,411.94 $35,114.59 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 7 5 — — $34,416.08 $105,381.36 $35,104.40 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 7 5 — — $34,280.89 $104,967.41 $34,966.51 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 5 3 — — $33,515.67 $144,706.57 $34,521.14 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 5 3 — — $33,515.67 $144,706.57 $34,521.14 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 5 3 — — $33,515.67 $144,706.57 $34,521.14 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 5 3 — — $33,515.67 $144,706.57 $34,521.14 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 5 3 — — $33,515.67 $144,706.57 $34,521.14 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 5 3 — — $33,515.67 $144,706.57 $34,521.14 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 5 3 — — $33,515.67 $144,706.57 $34,521.14 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 5 — — $33,742.43 $103,318.66 $34,417.28 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
61886 HCPCS Implant Neurostim Arrays 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 5 3 — — $32,948.52 $142,257.83 $33,936.97 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 5 — — $33,240.08 $101,780.45 $33,904.88 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 5 — — $32,975.07 $100,969.01 $33,634.57 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 5 — — $32,763.07 $100,319.86 $33,418.33 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 7 5 — — $32,574.88 $99,743.62 $33,226.38 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 7 5 — — $32,439.69 $99,329.66 $33,088.48 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 7 5 — — $32,384.38 $99,160.32 $33,032.07 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 5 — — $32,368.25 $99,110.93 $33,015.62 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 5 — — $32,273.77 $98,821.63 $32,919.25 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 5 — — $32,235.36 $98,704.03 $32,880.07 2026-04-01
5166 OTHER Cochlear Implant Procedure 2 2 — — $32,026.21 $33,654.36 $32,840.29 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 7 5 — — $32,175.45 $98,520.58 $32,818.96 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 5 — — $32,051.01 $98,139.55 $32,692.03 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 7 5 — — $32,027.97 $98,068.99 $32,668.53 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 5 — — $31,900.46 $97,678.56 $32,538.47 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 7 5 — — $31,689.22 $97,031.76 $32,323.00 2026-04-01
791 MS_DRG Prematurity With Major Problems 7 5 — — $31,178.41 $95,467.68 $31,801.98 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 5 — — $30,882.68 $94,562.16 $31,500.33 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $31,418.93 $31,418.93 $31,418.93 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 5 — — $30,603.09 $93,706.03 $31,215.15 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 5 — — $30,048.49 $92,007.89 $30,649.46 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 5 — — $29,912.54 $91,591.58 $30,510.79 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 5 — — $29,732.03 $91,038.86 $30,326.67 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 7 5 — — $29,687.47 $90,902.45 $30,281.22 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 7 5 — — $29,659.05 $90,815.42 $30,252.23 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 5 — — $29,490.83 $90,300.34 $30,080.65 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $29,664.01 $29,664.01 $29,664.01 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 5 — — $28,904.75 $88,505.76 $29,482.84 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 5 — — $28,710.41 $87,910.70 $29,428.17 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 7 5 — — $28,778.78 $88,120.03 $29,354.36 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 7 5 — — $28,707.34 $87,901.30 $29,281.49 2026-04-01
J9266 HCPCS Pegaspargase Injection 5 3 — — $28,424.06 $71,195.50 $29,276.78 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 5 — — $28,626.69 $87,654.34 $29,199.22 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 5 — — $28,465.38 $87,160.42 $29,034.69 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 8 6 — — $28,202.68 $86,356.03 $28,907.74 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 7 5 — — $28,214.20 $86,391.31 $28,778.48 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 5 — — $27,871.61 $85,342.32 $28,429.04 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 5 — — $27,850.11 $85,276.46 $28,407.11 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 5 — — $27,811.70 $85,158.86 $28,367.93 2026-04-01
265 MS_DRG Aicd Lead Procedures 7 5 — — $27,792.50 $85,100.06 $28,348.35 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 5 — — $27,743.34 $84,949.54 $28,298.21 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 7 5 — — $27,701.86 $84,822.53 $28,255.90 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 5 — — $27,520.58 $84,267.46 $28,070.99 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 5 — — $27,456.82 $84,072.24 $28,005.96 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 5 — — $27,429.17 $83,987.57 $27,977.75 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 5 — — $27,388.46 $83,862.91 $27,936.23 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 5 — — $27,365.42 $83,792.35 $27,912.73 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 5 — — $27,339.30 $83,712.38 $27,886.09 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 5 — — $27,317.02 $83,644.18 $27,863.36 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 7 5 — — $27,088.89 $82,945.63 $27,630.67 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 5 — — $27,033.58 $82,776.29 $27,574.25 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 5 — — $26,787.78 $82,023.65 $27,323.54 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 5 — — $26,664.88 $81,647.33 $27,198.18 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 5 — — $26,535.83 $81,252.19 $27,066.55 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 8 5 — — $25,373.13 $82,044.82 $27,062.64 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 7 5 — — $26,412.93 $80,875.87 $26,941.19 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 5 — — $26,334.58 $80,635.97 $26,861.27 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 7 5 — — $26,205.54 $80,240.83 $26,729.65 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 5 — — $26,170.97 $80,134.99 $26,694.39 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 7 5 — — $25,660.17 $78,570.91 $26,173.37 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 5 — — $25,373.65 $77,693.62 $25,881.12 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 7 5 — — $25,287.62 $77,430.19 $25,793.37 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 7 5 — — $25,284.55 $77,420.78 $25,790.24 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 7 5 — — $24,985.75 $76,505.86 $25,485.46 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 5 — — $24,875.90 $76,169.52 $25,373.42 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 7 5 — — $24,848.25 $76,084.85 $25,345.22 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 7 5 — — $24,813.69 $75,979.01 $25,309.96 2026-04-01
652 MS_DRG Kidney Transplant 7 5 — — $24,806.77 $75,957.84 $25,302.91 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 5 — — $24,788.34 $75,901.39 $25,284.11 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 7 5 — — $24,739.95 $75,753.22 $25,234.75 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 5 — — $24,660.06 $75,508.61 $25,153.26 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 5 — — $24,524.87 $75,094.66 $25,015.37 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 5 — — $24,479.55 $74,955.89 $24,969.14 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 5 — — $24,455.74 $74,882.98 $24,944.85 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 5 — — $24,406.58 $74,732.45 $24,894.71 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 7 5 — — $24,309.79 $74,436.10 $24,795.99 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 5 — — $24,272.92 $74,323.20 $24,758.38 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 5 — — $24,203.79 $74,111.52 $24,687.87 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 7 5 — — $24,192.27 $74,076.24 $24,676.12 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 7 5 — — $24,135.43 $73,902.19 $24,618.14 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 5 — — $23,974.89 $73,410.62 $24,454.39 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 7 5 — — $23,924.96 $73,257.74 $24,403.46 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 7 5 — — $23,882.71 $73,128.38 $24,360.36 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 7 5 — — $23,516.31 $72,006.48 $23,986.64 2026-04-01
263 MS_DRG Vein Ligation And Stripping 7 5 — — $23,484.82 $71,910.05 $23,954.52 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 5 — — $23,298.93 $71,340.86 $23,764.91 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 5 — — $23,201.38 $71,042.16 $23,665.41 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 7 5 — — $23,198.31 $71,032.75 $23,662.28 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 7 5 — — $23,172.96 $70,955.14 $23,636.42 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 5 — — $22,862.63 $70,004.93 $23,319.88 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 7 5 — — $22,629.89 $69,292.27 $23,082.49 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 7 5 — — $22,614.53 $69,245.23 $23,066.82 2026-04-01
570 MS_DRG Skin Debridement With Mcc 7 5 — — $22,591.48 $69,174.67 $23,043.31 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 7 5 — — $22,429.41 $68,678.40 $22,878.00 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 5 — — $22,291.15 $68,255.04 $22,736.97 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 7 5 — — $22,277.32 $68,212.70 $22,722.87 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 5 — — $22,179.00 $67,911.65 $22,622.58 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 7 5 — — $22,168.24 $67,878.72 $22,611.60 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 5 — — $22,046.88 $67,507.10 $22,598.06 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 8 5 — — $21,726.92 $68,497.30 $22,593.96 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 7 5 — — $22,135.98 $67,779.94 $22,578.70 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 5 — — $21,895.56 $67,043.76 $22,333.47 2026-04-01
800 MS_DRG Splenic Procedures With Cc 7 5 — — $21,579.86 $66,077.09 $22,011.46 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 7 5 — — $21,502.28 $65,839.54 $21,932.33 2026-04-01
503 MS_DRG Foot Procedures With Mcc 7 5 — — $21,439.29 $65,646.67 $21,868.08 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 5 — — $21,113.60 $64,649.42 $21,747.01 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 5 — — $21,291.81 $65,195.09 $21,717.65 2026-04-01
5362 OTHER Level 2 Laparoscopy And Related Services 2 2 — — $6,426.43 $36,837.20 $21,631.81 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 5 — — $21,178.12 $64,846.99 $21,601.68 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 7 5 — — $21,108.22 $64,632.96 $21,530.38 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 6 — — $20,899.29 $63,993.22 $21,421.78 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 5 — — $20,999.15 $64,298.98 $21,419.13 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 5 3 — — $20,714.60 $89,436.94 $21,336.04 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 5 3 — — $20,714.60 $89,436.94 $21,336.04 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 5 3 — — $20,714.60 $89,436.94 $21,336.04 2026-04-01
63655 HCPCS Implant Neuroelectrodes 5 3 — — $20,714.60 $89,436.94 $21,336.04 2026-04-01
64580 HCPCS Implant Neuroelectrodes 5 3 — — $20,714.60 $89,436.94 $21,336.04 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 5 3 — — $20,714.60 $89,436.94 $21,336.04 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 5 3 — — $20,714.60 $89,436.94 $21,336.04 2026-04-01
849 MS_DRG Radiotherapy 7 5 — — $20,812.49 $63,727.44 $21,228.74 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 7 5 — — $20,787.15 $63,649.82 $21,202.89 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 5 — — $20,719.55 $63,442.85 $21,133.94 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 2 2 — — $20,888.02 $20,893.52 $20,890.77 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 7 5 — — $20,432.27 $62,563.20 $20,840.92 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 7 5 — — $20,360.83 $62,344.46 $20,768.05 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 7 5 — — $20,258.67 $62,031.65 $20,663.84 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 7 5 — — $19,937.59 $61,048.51 $20,336.34 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 7 5 — — $19,913.78 $60,975.60 $20,312.06 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 7 5 — — $19,839.27 $60,747.46 $20,236.06 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 7 5 — — $19,811.62 $60,662.78 $20,207.85 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 7 5 — — $19,811.62 $60,662.78 $20,207.85 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 7 5 — — $19,722.52 $60,389.95 $20,116.97 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 7 5 — — $19,610.37 $60,046.56 $20,002.58 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 5 — — $19,517.43 $59,761.97 $19,907.78 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 5 — — $19,480.56 $59,649.07 $19,870.17 2026-04-01
9522 OTHER Rbc Leukoreduced Irradiated 1 1 — — $19,804.60 $19,804.60 $19,804.60 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 7 5 — — $19,387.61 $59,364.48 $19,775.36 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 7 5 — — $19,379.16 $59,338.61 $19,766.74 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 7 5 — — $19,141.04 $58,609.49 $19,523.86 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 7 5 — — $19,062.69 $58,369.58 $19,443.94 2026-04-01
22808 HCPCS Ant Fusion 2-3 Vert Seg 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22862 HCPCS Revise Lumbar Artif Disc 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
25446 HCPCS Wrist Replacement 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
20838 HCPCS Replantation Foot Complete 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22612 HCPCS Lumbar Spine Fusion 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22800 HCPCS Post Fusion <=6 Vert Seg 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
20982 HCPCS Ablate Bone Tumor(s) Perq 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22610 HCPCS Thorax Spine Fusion 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
23472 HCPCS Reconstruct Shoulder Joint 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22812 HCPCS Ant Fusion 8/> Vert Seg 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
20805 HCPCS Replant Forearm Complete 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
20802 HCPCS Replantation Arm Complete 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22810 HCPCS Ant Fusion 4-7 Vert Seg 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
24363 HCPCS Replace Elbow Joint 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22556 HCPCS Thorax Spine Fusion 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22818 HCPCS Kyphectomy 1-2 Segments 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22819 HCPCS Kyphectomy 3 Or More 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
28705 HCPCS Fusion Of Foot Bones 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
20808 HCPCS Replantation Hand Complete 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
27703 HCPCS Reconstruction Ankle Joint 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
27487 HCPCS Revise/replace Knee Joint 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22861 HCPCS Revise Cerv Artific Disc 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22600 HCPCS Neck Spine Fusion 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
22857 HCPCS Lumbar Artif Diskectomy 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
27295 HCPCS Amputation Of Leg At Hip 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
27290 HCPCS Amputation Of Leg At Hip 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
27280 HCPCS Fusion Of Sacroiliac Joint 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
23616 HCPCS Treat Humerus Fracture 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 5 3 — — $18,721.85 $80,833.08 $19,283.51 2026-04-01
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