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Hospital

SENTARA ALBEMARLE MEDICAL CENTER

Elizabeth City, NC · CCN 340109 · Rates published

8,185 distinct procedures filed
15 distinct payers
39,147 rate rows
2026-04-01 last MRF observed
Data quality

18,385 of 39,147 rate rows are consumer-grade (47.0%)

20,762 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 20,762
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sentara.com/Documents/s/sentaraalbemarlemedicalcenterstandardchargesxlsx-1395240
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 84cffb06a2565752… · 12,505,873 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
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 $298,491.67 $304,461.50 $304,461.50 nat. median
$370,174
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $193,709.08 $197,583.26 $197,583.26 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 $147,580.66 $150,532.27 $150,532.27 nat. median
$206,474
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $146,714.56 $149,648.85 $149,648.85 nat. median
$202,976
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $95,744.77 $124,988.00 $97,659.67 nat. median
$133,161
0.7× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 7 $47,776.31 $168,642.05 $95,305.13 nat. median
$66,526
1.4× median
7
MS_DRG 		Lung Transplant 3 $89,515.43 $91,305.74 $91,305.74 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $83,071.11 $84,732.53 $84,732.53 nat. median
$117,357
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $78,328.59 $79,895.16 $79,895.16 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 3 $78,238.73 $79,803.50 $79,803.50 nat. median
$98,047
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $21,141.13 $77,705.27 $76,943.46 nat. median
$98,894
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 3 $75,164.84 $76,668.14 $76,668.14 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 3 $71,269.08 $72,694.46 $72,694.46 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 3 $68,825.59 $70,202.10 $70,202.10 nat. median
$99,019
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $67,621.47 $68,973.90 $68,973.90 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $62,276.89 $63,522.43 $63,522.43 nat. median
$82,711
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $59,856.90 $61,054.04 $61,054.04 nat. median
$83,470
0.7× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $58,086.67 $59,248.40 $59,248.40 nat. median
$81,118
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $54,391.36 $55,479.19 $55,479.19 nat. median
$77,570
0.7× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $53,074.57 $54,136.06 $54,136.06 nat. median
$74,915
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 $52,670.89 $53,724.31 $53,724.31 nat. median
$72,135
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $13,696.73 $53,902.69 $53,374.23 nat. median
$73,807
0.7× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $49,896.99 $50,894.93 $50,894.93 nat. median
$68,090
0.7× median
10
MS_DRG 		Pancreas Transplant 3 $49,600.46 $50,592.47 $50,592.47 nat. median
$68,884
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 $49,579.72 $50,571.31 $50,571.31 nat. median
$64,023
0.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 4 $44,478.46 $109,468.39 $50,505.07 nat. median
$62,134
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 $49,316.36 $50,302.69 $50,302.69 nat. median
$71,271
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $49,287.33 $50,273.08 $50,273.08 nat. median
$68,886
0.7× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $47,541.98 $48,492.82 $48,492.82 nat. median
$65,950
0.7× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 3 $46,527.26 $47,457.81 $47,457.81 nat. median
$64,732
0.7× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $46,218.97 $47,143.35 $47,143.35 nat. median
$60,691
0.8× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $46,185.10 $47,108.80 $47,108.80 nat. median
$63,724
0.7× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $45,450.32 $46,359.33 $46,359.33 nat. median
$64,508
0.7× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $45,450.32 $46,359.33 $46,359.33 nat. median
$61,920
0.7× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $45,285.12 $46,190.82 $46,190.82 nat. median
$59,793
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 6 $25,329.95 $59,435.24 $44,585.33 nat. median
$79,312
0.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 $42,361.23 $43,208.45 $43,208.45 nat. median
$60,726
0.7× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 3 $42,312.15 $43,158.39 $43,158.39 nat. median
$60,185
0.7× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 3 $41,906.40 $42,744.53 $42,744.53 nat. median
$59,898
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 3 $41,531.06 $42,361.68 $42,361.68 nat. median
$57,822
0.7× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 $41,519.31 $42,349.70 $42,349.70 nat. median
$59,099
0.7× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 $41,218.63 $42,043.00 $42,043.00 nat. median
$58,020
0.7× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 $41,083.14 $41,904.80 $41,904.80 nat. median
$52,303
0.8× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 3 $40,987.76 $41,807.52 $41,807.52 nat. median
$56,918
0.7× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $40,565.41 $41,376.72 $41,376.72 nat. median
$57,424
0.7× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 $40,539.15 $41,349.93 $41,349.93 nat. median
$56,696
0.7× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 $39,863.82 $40,661.10 $40,661.10 nat. median
$54,592
0.7× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $39,609.45 $40,401.64 $40,401.64 nat. median
$55,916
0.7× median
213
MS_DRG 		Endovascular Abdominal Aorta With Iliac Branch Procedures 3 $39,447.70 $40,236.65 $40,236.65 nat. median
$51,061
0.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $38,860.85 $39,638.07 $39,638.07 nat. median
$54,210
0.7× median

Other procedures at this hospital

Browse this hospital's 8,185 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
             
0238T HCPCS Trluml Perip Athrc Iliac Art 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 2 2 — — $30,002.22 $30,602.27 $30,302.25 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 2 2 — — $30,002.22 $30,602.27 $30,302.25 2026-04-01
0632T HCPCS Perq Tcat US Abltj Nrv P-art 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
0645T HCPCS Tcat Impltj C Sins Rdctj Dev 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $30,002.22 $30,602.27 $30,302.25 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 3 — — $193,709.08 $197,583.26 $197,583.26 2026-04-01
10 MS_DRG Pancreas Transplant 3 3 — — $49,600.46 $50,592.47 $50,592.47 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 3 — — $37,700.27 $38,454.28 $38,454.28 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 3 — — $29,142.18 $29,725.02 $29,725.02 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 3 3 — — $19,919.81 $20,318.21 $20,318.21 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 3 — — $83,071.11 $84,732.53 $84,732.53 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 5 5 — — $15,235.28 $32,467.77 $30,072.61 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 — — $25,897.55 $26,415.50 $26,415.50 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 3 3 — — $40,987.76 $41,807.52 $41,807.52 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 5 3 — — $30,979.46 $43,509.52 $31,599.05 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 3 3 — — $17,446.60 $17,795.53 $17,795.53 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 4 3 — — $13,500.00 $26,352.75 $26,094.39 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 3 3 — — $37,549.59 $38,300.58 $38,300.58 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 4 — — $20,573.71 $83,819.41 $20,985.18 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 3 3 — — $298,491.67 $304,461.50 $304,461.50 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 3 — — $49,316.36 $50,302.69 $50,302.69 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 3 — — $78,328.59 $79,895.16 $79,895.16 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 3 — — $54,391.36 $55,479.19 $55,479.19 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 4 — — $44,478.46 $109,468.39 $50,505.07 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 8 5 — — $10,200.00 $43,065.20 $20,778.76 2026-04-01
20802 HCPCS Replantation Arm Complete 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
20805 HCPCS Replant Forearm Complete 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
20808 HCPCS Replantation Hand Complete 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
20838 HCPCS Replantation Foot Complete 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 3 3 — — $78,238.73 $79,803.50 $79,803.50 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 3 — — $36,592.24 $37,324.08 $37,324.08 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 3 3 — — $75,164.84 $76,668.14 $76,668.14 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 3 3 — — $39,447.70 $40,236.65 $40,236.65 2026-04-01
215 MS_DRG Other Heart Assist System Implant 3 3 — — $68,825.59 $70,202.10 $70,202.10 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $67,621.47 $68,973.90 $68,973.90 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $45,450.32 $46,359.33 $46,359.33 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 3 — — $45,450.32 $46,359.33 $46,359.33 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $53,074.57 $54,136.06 $54,136.06 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 3 — — $21,963.08 $22,402.34 $22,402.34 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $36,861.81 $37,599.05 $37,599.05 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 3 — — $34,839.28 $35,536.07 $35,536.07 2026-04-01
22533 HCPCS Lat Lumbar Spine Fusion 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
22556 HCPCS Thorax Spine Fusion 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
22586 HCPCS Prescrl Fuse With Instr L5-s1 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
22610 HCPCS Thorax Spine Fusion 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
22612 HCPCS Lumbar Spine Fusion 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $34,197.82 $52,760.48 $34,881.78 2026-04-01
22802 HCPCS Post Fusion 7-12 Vert Seg 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
22804 HCPCS Post Fusion 13/> Vert Seg 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
22836 HCPCS Ant Thrc Vrt Body Tethrg <7 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
22837 HCPCS Ant Thrc Vrt Body Tethrg 8+ 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
22838 HCPCS Rev Rplc/rmv Thrc Vrt Tethrg 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 5 4 — — $21,770.23 $61,737.49 $22,205.63 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $39,609.45 $40,401.64 $40,401.64 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 6 — — $25,329.95 $59,435.24 $44,585.33 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 3 — — $41,906.40 $42,744.53 $42,744.53 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 4 — — $13,696.73 $53,902.69 $53,374.23 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 3 — — $37,759.72 $38,514.91 $38,514.91 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 3 — — $40,565.41 $41,376.72 $41,376.72 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 3 — — $28,954.16 $29,533.24 $29,533.24 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 3 — — $34,020.18 $58,831.90 $34,700.58 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 3 — — $27,040.15 $27,580.95 $27,580.95 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 3 — — $19,703.46 $20,097.53 $20,097.53 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 8 6 — — $4,778.21 $50,579.34 $22,290.22 2026-04-01
245 MS_DRG Aicd Generator Procedures 5 5 — — $11,452.19 $32,167.32 $31,536.59 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 3 — — $31,428.07 $32,056.63 $32,056.63 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 6 3 — — $24,112.11 $62,202.42 $26,689.85 2026-04-01
25442 HCPCS Reconstruct Wrist Joint 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
25446 HCPCS Wrist Replacement 2 2 — — $16,759.24 $17,094.42 $16,926.83 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 4 3 — — $18,645.19 $21,244.27 $19,018.09 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 3 3 — — $21,719.08 $22,153.46 $22,153.46 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 3 3 — — $21,491.67 $21,921.50 $21,921.50 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $22,484.27 $22,933.96 $22,933.96 2026-04-01
263 MS_DRG Vein Ligation And Stripping 5 5 — — $20,926.54 $23,888.73 $21,556.28 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 4 3 — — $23,091.17 $28,055.36 $23,552.99 2026-04-01
265 MS_DRG Aicd Lead Procedures 3 3 — — $25,010.02 $25,510.22 $25,510.22 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 3 — — $42,361.23 $43,208.45 $43,208.45 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 3 — — $32,907.99 $33,566.15 $33,566.15 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 3 — — $47,541.98 $48,492.82 $48,492.82 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 3 — — $29,191.95 $29,775.79 $29,775.79 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 5 3 — — $13,500.00 $32,361.35 $17,787.77 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 3 — — $67.56 $37,200.70 $36,835.99 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 4 — — $24,582.15 $111,721.26 $28,356.56 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 4 3 — — $17,647.05 $21,826.08 $17,999.99 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 3 3 — — $28,516.62 $29,086.95 $29,086.95 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 3 3 — — $22,753.16 $23,208.22 $23,208.22 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 3 — — $49,287.33 $50,273.08 $50,273.08 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 3 — — $41,519.31 $42,349.70 $42,349.70 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 3 3 — — $31,924.37 $32,562.86 $32,562.86 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $38,475.14 $39,244.64 $39,244.64 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 4 3 — — $24,928.45 $37,552.73 $25,427.02 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 3 3 — — $41,531.06 $42,361.68 $42,361.68 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 3 — — $18,706.02 $19,080.14 $19,080.14 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 3 — — $23,581.94 $24,053.58 $24,053.58 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 3 — — $146,714.56 $149,648.85 $149,648.85 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 3 — — $30,970.48 $31,589.89 $31,589.89 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 3 — — $46,218.97 $47,143.35 $47,143.35 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 3 3 — — $16,742.93 $17,077.79 $17,077.79 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 3 — — $30,848.82 $31,465.80 $31,465.80 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 3 — — $16,626.11 $16,958.63 $16,958.63 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 3 3 — — $18,806.94 $19,183.08 $19,183.08 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 4 4 — — $29,912.21 $52,918.85 $30,510.45 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 3 3 — — $21,780.60 $22,216.21 $22,216.21 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 3 3 — — $22,191.19 $22,635.01 $22,635.01 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 3 — — $34,474.31 $35,163.80 $35,163.80 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 3 3 — — $16,895.00 $17,232.90 $17,232.90 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 3 — — $31,772.30 $39,735.84 $32,407.75 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 7 4 — — $16,570.12 $39,045.76 $19,183.92 2026-04-01
332 MS_DRG Rectal Resection With Mcc 3 3 — — $25,027.30 $25,527.85 $25,527.85 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 2 — — $30,002.22 $30,602.27 $30,302.25 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 2 — — $30,002.22 $30,602.27 $30,302.25 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 2 — — $30,002.22 $30,602.27 $30,302.25 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 2 — — $30,002.22 $30,602.27 $30,302.25 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 3 — — $24,683.07 $25,176.73 $25,176.73 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 3 — — $26,755.37 $27,290.48 $27,290.48 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 5 5 — — $11,563.56 $38,104.15 $18,210.10 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 5 3 — — $13,500.00 $20,224.15 $17,569.20 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 3 — — $20,059.44 $20,460.63 $20,460.63 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 3 — — $30,364.27 $30,971.56 $30,971.56 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 3 3 — — $23,768.57 $24,243.94 $24,243.94 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 3 3 — — $16,688.32 $17,022.09 $17,022.09 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 4 3 — — $22,755.92 $34,711.98 $23,211.04 2026-04-01
37182 HCPCS Insert Hepatic Shunt (tips) 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37184 HCPCS Prim Art M-thrmbc 1st Vsl 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37242 HCPCS Vasc Embolize/occlude Artery 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 3 — — $95,744.77 $124,988.00 $97,659.67 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 3 3 — — $26,689.70 $27,223.49 $27,223.49 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $27,790.83 $28,346.65 $28,346.65 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 3 — — $37,813.64 $38,569.91 $38,569.91 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 3 — — $20,047.00 $20,447.94 $20,447.94 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 3 — — $24,646.43 $25,139.36 $25,139.36 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 3 3 — — $22,833.34 $23,290.01 $23,290.01 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 3 — — $24,625.69 $25,118.20 $25,118.20 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 4 — — $16,495.47 $50,921.63 $17,760.81 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 3 — — $28,706.70 $29,280.83 $29,280.83 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 4 — — $21,141.13 $77,705.27 $76,943.46 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $49,896.99 $50,894.93 $50,894.93 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 3 — — $38,860.85 $39,638.07 $39,638.07 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 3 — — $62,276.89 $63,522.43 $63,522.43 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 3 — — $39,863.82 $40,661.10 $40,661.10 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 3 — — $46,185.10 $47,108.80 $47,108.80 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $29,313.60 $29,899.87 $29,899.87 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 3 — — $36,839.70 $37,576.49 $37,576.49 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 3 — — $22,329.43 $22,776.02 $22,776.02 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $58,086.67 $59,248.40 $59,248.40 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $41,218.63 $42,043.00 $42,043.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $28,842.19 $29,419.03 $29,419.03 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 3 — — $38,176.53 $38,940.06 $38,940.06 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 3 3 — — $18,386.67 $18,754.40 $18,754.40 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $9,716.18 $40,184.48 $39,396.55 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 3 — — $21,529.68 $43,864.51 $21,960.27 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 4 — — $12.02 $43,165.87 $36,700.81 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 5 3 — — $24,376.85 $47,037.64 $24,864.39 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 4 3 — — $18,994.95 $22,819.57 $19,374.85 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 4 — — $13,067.77 $27,108.64 $21,385.66 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 3 — — $33,377.33 $34,044.88 $34,044.88 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 3 3 — — $20,364.27 $20,771.56 $20,771.56 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 3 3 — — $16,874.95 $17,212.45 $17,212.45 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 3 — — $29,673.73 $42,612.71 $30,963.73 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 4 3 — — $23,879.17 $28,514.30 $24,356.75 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 4 3 — — $16,998.68 $20,700.85 $17,338.65 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 4 3 — — $20,130.64 $24,923.06 $20,533.25 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 4 3 — — $19,160.15 $21,291.94 $19,543.35 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 3 3 — — $22,306.62 $22,752.75 $22,752.75 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 4 3 — — $12,422.02 $25,886.71 $25,632.92 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 5 3 — — $627.72 $17,880.84 $17,530.24 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 3 — — $25,061.86 $25,563.10 $25,563.10 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 5 4 — — $5,256.84 $21,270.03 $20,852.97 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 3 — — $71,269.08 $72,694.46 $72,694.46 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 4 4 — — $21,875.99 $37,097.74 $22,313.51 2026-04-01
503 MS_DRG Foot Procedures With Mcc 3 3 — — $19,292.87 $19,678.73 $19,678.73 2026-04-01
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 7 6 — — $3,408.98 $36,041.81 $17,469.13 2026-04-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 8 7 — — $6,289.56 $35,446.90 $18,181.43 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $17,140.06 $29,710.00 $23,425.03 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 3 3 — — $20,878.55 $21,296.12 $21,296.12 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 12 9 — — $11,057.23 $43,790.10 $17,585.73 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 8 5 — — $16,152.73 $46,493.96 $19,950.69 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 3 3 — — $22,028.75 $22,469.32 $22,469.32 2026-04-01
5155 OTHER Level 5 Airway Endoscopy 4 4 — — $11,738.00 $35,327.69 $17,499.90 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 3 — — $25,833.27 $26,349.94 $26,349.94 2026-04-01
5193 OTHER Level 3 Endovascular Procedures 7 6 — — $11,156.51 $92,179.69 $27,696.26 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 6 5 — — $7,978.94 $40,735.62 $21,508.00 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 4 3 — — $19,839.63 $24,227.41 $20,236.42 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 3 2 — — $16,769.67 $63,601.14 $34,507.59 2026-04-01
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 4 4 — — $5,832.97 $28,031.32 $19,671.33 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 3 3 — — $17,154.21 $17,497.29 $17,497.29 2026-04-01
5626 OTHER Level 6 Radiation Therapy 5 4 — — $6,885.99 $88,225.69 $26,671.55 2026-04-01
5694 OTHER Level 4 Drug Administration 9 7 — — $720.33 $74,624.99 $21,093.01 2026-04-01
570 MS_DRG Skin Debridement With Mcc 4 3 — — $18,071.98 $20,736.30 $20,533.00 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $45,285.12 $46,190.82 $46,190.82 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 3 — — $23,995.29 $24,475.20 $24,475.20 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 3 — — $33,878.47 $34,556.04 $34,556.04 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 3 3 — — $18,322.38 $18,688.83 $18,688.83 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 3 — — $22,385.42 $26,368.49 $22,833.13 2026-04-01
5791 OTHER Pulmonary Treatment 1 1 — — $21,492.26 $21,492.26 $21,492.26 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 3 3 — — $32,052.25 $32,693.30 $32,693.30 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $19,057.85 $19,439.01 $19,439.01 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 5 3 — — $24,105.89 $31,318.40 $24,588.01 2026-04-01
61624 HCPCS Transcath Occlusion Cns 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 3 3 — — $19,958.52 $20,357.69 $20,357.69 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 4 4 — — $24,602.19 $40,882.59 $25,094.23 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 3 3 — — $20,875.78 $21,293.30 $21,293.30 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 3 — — $25,760.69 $26,275.90 $26,275.90 2026-04-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 12 8 — — $6,983.48 $20,733.66 $18,914.15 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 3 — — $32,497.40 $33,147.35 $33,147.35 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 3 — — $25,615.53 $26,127.84 $26,127.84 2026-04-01
652 MS_DRG Kidney Transplant 3 3 — — $22,323.21 $22,769.67 $22,769.67 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 3 3 — — $35,918.98 $36,637.36 $36,637.36 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 3 3 — — $19,349.55 $19,736.54 $19,736.54 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 3 — — $22,007.32 $22,447.47 $22,447.47 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 3 3 — — $17,563.42 $17,914.69 $17,914.69 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 5 5 — — $12,099.48 $21,585.19 $21,161.95 2026-04-01
665 MS_DRG Prostatectomy With Mcc 3 3 — — $21,574.61 $22,006.10 $22,006.10 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 3 3 — — $20,183.86 $20,587.54 $20,587.54 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 7 3 — — $6.49 $58,848.73 $29,623.49 2026-04-01
7 MS_DRG Lung Transplant 3 3 — — $89,515.43 $91,305.74 $91,305.74 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 3 3 — — $24,707.95 $25,202.11 $25,202.11 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 — — $24,765.32 $25,260.63 $25,260.63 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 3 3 — — $17,747.97 $18,102.93 $18,102.93 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 4 3 — — $6,136.00 $17,309.75 $17,140.04 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 3 — — $41,083.14 $41,904.80 $41,904.80 2026-04-01
791 MS_DRG Prematurity With Major Problems 4 3 — — $1,001.70 $28,618.09 $28,337.52 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 5 4 — — $1,108.59 $29,397.88 $28,821.45 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 3 3 — — $31,305.03 $31,931.13 $31,931.13 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 3 3 — — $38,740.57 $39,515.38 $39,515.38 2026-04-01
800 MS_DRG Splenic Procedures With Cc 3 3 — — $19,419.36 $19,807.75 $19,807.75 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 3 — — $27,539.22 $28,090.00 $28,090.00 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 5 — — $15,261.63 $108,531.79 $17,916.03 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 3 — — $40,539.15 $41,349.93 $41,349.93 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 3 — — $31,691.43 $32,325.26 $32,325.26 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $32,334.27 $32,980.96 $32,980.96 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 3 — — $21,842.81 $22,279.67 $22,279.67 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 3 3 — — $37,947.73 $38,706.68 $38,706.68 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $33,208.67 $33,872.84 $33,872.84 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 4 4 — — $22,360.54 $33,536.94 $22,807.75 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 3 3 — — $17,920.09 $18,278.49 $18,278.49 2026-04-01
849 MS_DRG Radiotherapy 3 3 — — $18,728.83 $19,103.41 $19,103.41 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 3 3 — — $59,856.90 $61,054.04 $61,054.04 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 8 5 — — $12,711.00 $60,145.82 $38,828.76 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 4 — — $31,441.89 $69,019.90 $32,070.73 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 9 7 — — $47,776.31 $168,642.05 $95,305.13 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 17 10 — — $9,500.00 $174,332.20 $18,792.48 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 — — $26,715.28 $27,249.59 $27,249.59 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 3 3 — — $29,008.08 $29,588.24 $29,588.24 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 3 3 — — $25,389.50 $25,897.29 $25,897.29 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 4 — — $26,538.32 $42,822.11 $27,069.09 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 3 3 — — $147,580.66 $150,532.27 $150,532.27 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 3 3 — — $49,579.72 $50,571.31 $50,571.31 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 3 3 — — $22,263.08 $22,708.34 $22,708.34 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 3 — — $26,917.81 $27,456.17 $27,456.17 2026-04-01
93580 HCPCS Transcath Closure Of Asd 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 3 — — $25,081.21 $25,582.83 $25,582.83 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 3 — — $24,327.08 $24,813.62 $24,813.62 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 3 — — $17,828.16 $18,184.72 $18,184.72 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $46,527.26 $47,457.81 $47,457.81 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 3 — — $26,010.91 $31,910.51 $26,531.13 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 3 — — $52,670.89 $53,724.31 $53,724.31 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 3 — — $29,127.66 $29,710.21 $29,710.21 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 3 3 — — $20,350.45 $20,757.46 $20,757.46 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 3 3 — — $17,828.16 $18,184.72 $18,184.72 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 3 — — $18,896.79 $19,274.73 $19,274.73 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 3 — — $42,312.15 $43,158.39 $43,158.39 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 3 — — $24,965.78 $25,465.10 $25,465.10 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 3 3 — — $18,230.45 $18,595.06 $18,595.06 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 5 4 — — $19,948.84 $36,366.00 $20,347.82 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 3 — — $13,522.52 $39,921.95 $33,079.66 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 4 — — $16,993.84 $30,313.00 $18,520.66 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $23,698.07 $57,808.70 $24,172.03 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 2 2 — — $17,521.81 $17,872.25 $17,697.03 2026-04-01
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