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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

MARION GENERAL HOSPITAL

Marion, OH · CCN 360011 · Rates published

10,929 distinct procedures filed
14 distinct payers
150,610 rate rows
2026-04-01 last MRF observed
Data quality

88,238 of 150,610 rate rows are consumer-grade (58.6%)

62,372 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 61,558
template filing: same amount across many unrelated codes — excluded 792
placeholder amount (≤ $0.02) — excluded from medians 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/311070887_marion-general-hospital_standardcharges.json
Found on page https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 1244725f01fbdfce… · 23,125,128 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $3,832,677.33 $3,722,119.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,316,462.59 $3,449,121.09 $3,349,627.21 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,248,445.72 $3,378,383.54 $3,280,930.17 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,945,740.00 $3,063,569.60 $2,975,197.40 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,455,110.60 $2,553,315.03 $2,479,661.71 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $2,332,000.00 $2,425,280.00 $2,355,320.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $961,560.52 $606,519.35 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $937,241.17 $580,015.67 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $878,026.14 $576,601.64 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $898,131.13 $571,250.88 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $832,179.16 $546,560.93 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $829,687.57 $501,537.22 nat. median
$620,080
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $394,322.50 $394,322.50 $394,322.50 nat. median
$76,377
outlier · 5.2×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 10 $300,444.14 $312,461.91 $300,444.14 nat. median
$370,174
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $56,824.55 $421,582.72 $240,340.12 nat. median
$62,507
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $195,371.99 $203,186.87 $195,371.99 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $149,116.10 $155,080.74 $149,116.10 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $148,247.59 $154,177.49 $148,247.59 nat. median
$202,986
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $110,901.76 $115,337.83 $112,010.78 nat. median
$111,989
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $412,113.26 $107,783.47 nat. median
$69,774
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $81,539.81 $101,022.44 $97,136.96 nat. median
$133,176
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $360,987.25 $94,412.05 nat. median
$66,682
1.4× median
7
MS_DRG 		Lung Transplant 10 $90,890.39 $94,526.01 $90,890.39 nat. median
$122,708
0.7× median
J9600
HCPCS 		Porfimer Sodium Injection 4 $24,228.42 $151,599.50 $88,398.53 nat. median
$31,644
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $84,428.27 $87,805.40 $84,428.27 nat. median
$117,303
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $79,672.64 $82,859.55 $79,672.64 nat. median
$108,660
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 10 $79,582.54 $82,765.84 $79,582.54 nat. median
$98,017
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $77,519.76 $80,620.55 $77,519.76 nat. median
$98,905
0.8× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $294,201.70 $76,945.05 nat. median
$60,368
1.3× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $76,500.15 $79,560.16 $76,500.15 nat. median
$102,358
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $72,593.62 $75,497.36 $72,593.62 nat. median
$100,136
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 10 $11,435.12 $100,142.56 $70,143.38 nat. median
$99,019
0.7× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 3 $68,801.71 $71,553.78 $69,489.73 nat. median
$70,825
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $68,935.93 $71,693.37 $68,935.93 nat. median
$93,672
0.7× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $63,576.58 $66,119.64 $63,576.58 nat. median
$82,712
0.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $61,149.91 $63,595.91 $61,149.91 nat. median
$83,442
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $59,558.46 $61,940.80 $59,558.46 nat. median
$79,312
0.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $57,948.41 $61,749.77 $59,374.78 nat. median
$81,118
0.7× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $55,669.26 $57,896.03 $55,669.26 nat. median
$77,576
0.7× median
A9604
HCPCS 		Sm 153 Lexidronam 4 $3,159.80 $105,838.72 $54,562.46 nat. median
$11,413
outlier · 4.8×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $54,348.83 $56,522.78 $54,348.83 nat. median
$74,915
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $54,119.40 $56,284.18 $54,119.40 nat. median
$73,807
0.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $53,944.04 $56,101.80 $53,944.04 nat. median
$72,138
0.7× median
J9216
HCPCS 		Interferon Gamma 1-b Inj 1 $52,923.72 $52,923.72 $52,923.72 nat. median
$10,268
outlier · 5.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $30,337.03 $53,208.98 $51,162.48 nat. median
$68,090
0.8× median
10
MS_DRG 		Pancreas Transplant 10 $50,865.12 $52,899.72 $50,865.12 nat. median
$68,882
0.7× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 10 $50,844.33 $52,878.10 $50,844.33 nat. median
$64,027
0.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 $50,580.24 $52,603.45 $50,580.24 nat. median
$71,240
0.7× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 $46,278.04 $52,573.18 $50,551.13 nat. median
$68,887
0.7× median
L7181
HCPCS 		Electronic Elbo Simultaneous 3 $49,338.18 $51,311.71 $49,831.56 nat. median
$50,598
1.0× median

Other procedures at this hospital

Browse this hospital's 10,929 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
             
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 52 11 — — $8,260.15 $113,236.35 $35,358.92 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 44 10 — — $17,137.98 $147,819.14 $32,987.69 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 44 12 — — $9,811.40 $123,672.07 $19,986.50 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 42 11 — — $11,224.33 $40,369.84 $18,706.27 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 40 10 — — $12,698.95 $100,746.77 $37,699.65 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 10 — — $15,088.67 $120,945.60 $30,250.49 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 11 — — $19,883.53 $136,070.66 $23,518.73 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 38 10 — — $16,046.13 $79,674.24 $49,035.93 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 10 — — $42,240.74 $174,836.19 $45,728.96 2026-04-01
791 MS_DRG Prematurity With Major Problems 36 11 — — $2,533.47 $31,071.38 $29,262.08 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 36 10 — — $16,864.64 $127,652.10 $21,548.14 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 34 12 — — $4,261.00 $74,404.56 $30,028.69 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 11 — — $10,998.40 $20,987.08 $20,179.88 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 11 — — $14,883.63 $103,024.54 $42,324.27 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 32 10 — — $31,812.22 $135,179.39 $32,192.67 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 10 — — $11,836.38 $55,405.22 $27,739.25 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 32 10 — — $16,104.59 $22,166.41 $21,313.86 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 32 10 — — $18,582.59 $21,862.93 $21,022.05 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 32 10 — — $7,906.58 $19,489.12 $18,739.54 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 10 — — $9,544.76 $35,627.35 $33,648.26 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 30 10 — — $13,886.95 $120,736.94 $27,035.02 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 30 10 — — $18,276.47 $41,674.49 $26,576.86 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 30 11 — — $14,470.61 $138,763.19 $25,571.81 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 30 10 — — $18,043.05 $124,893.02 $25,306.34 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 30 10 — — $18,633.93 $60,407.50 $22,716.77 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 30 10 — — $16,518.38 $21,154.32 $20,340.69 2026-04-01
215 MS_DRG Other Heart Assist System Implant 28 10 — — $11,435.12 $100,142.56 $70,143.38 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 28 10 — — $19,405.05 $32,367.36 $31,122.46 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 28 10 — — $27,706.49 $125,809.84 $30,522.20 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 28 10 — — $12,009.01 $62,445.03 $25,797.77 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 28 10 — — $23,900.05 $49,765.25 $25,777.67 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 28 10 — — $7,409.77 $48,815.80 $24,282.57 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 28 10 — — $17,823.68 $34,596.40 $23,574.88 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 28 10 — — $12,489.83 $24,491.92 $23,549.92 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 10 — — $26,494.27 $50,713.05 $40,633.01 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 11 — — $33,961.39 $97,182.43 $38,069.09 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 10 — — $11,597.75 $37,125.06 $35,697.17 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 26 10 — — $32,548.52 $35,981.05 $34,597.16 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 10 — — $24,113.81 $26,992.64 $25,300.10 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 26 10 — — $18,831.55 $26,075.66 $25,072.75 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 26 10 — — $9,715.21 $24,315.30 $23,380.10 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 10 — — $18,144.16 $24,188.43 $23,258.11 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 26 10 — — $22,096.60 $23,037.93 $22,151.86 2026-04-01
570 MS_DRG Skin Debridement With Mcc 26 10 — — $19,259.73 $24,528.49 $21,513.48 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 26 10 — — $4,182.90 $101,230.35 $18,823.41 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 26 10 — — $5,303.35 $93,110.83 $18,622.40 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 10 — — $81,539.81 $101,022.44 $97,136.96 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 10 — — $30,337.03 $53,208.98 $51,162.48 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 10 — — $46,278.04 $52,573.18 $50,551.13 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 10 — — $25,339.79 $49,337.93 $47,440.32 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 10 — — $18,947.27 $38,696.54 $37,208.21 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 10 — — $30,884.92 $36,651.45 $35,241.78 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 10 — — $27,330.82 $50,350.40 $30,400.21 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 10 — — $26,966.79 $165,997.47 $28,995.22 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 10 — — $23,248.52 $92,918.51 $27,891.05 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 24 10 — — $26,959.47 $28,037.85 $26,959.47 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 10 — — $14,692.10 $27,309.06 $26,258.71 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 10 — — $22,413.67 $26,196.77 $25,189.20 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 10 — — $20,535.22 $25,886.80 $24,891.15 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 10 — — $20,857.06 $23,951.99 $23,030.76 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 24 10 — — $21,935.99 $23,887.12 $22,968.38 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 24 10 — — $19,446.73 $22,092.17 $21,242.47 2026-04-01
503 MS_DRG Foot Procedures With Mcc 24 11 — — $11,938.60 $40,947.85 $20,473.77 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 24 10 — — $10,321.88 $20,982.03 $20,175.03 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 24 10 — — $17,600.11 $54,657.27 $19,118.69 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 24 10 — — $6,418.82 $19,861.09 $19,097.20 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 10 — — $57,948.41 $61,749.77 $59,374.78 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 10 — — $46,537.86 $55,692.32 $46,537.86 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 10 — — $32,148.49 $34,465.80 $33,140.19 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 10 — — $31,575.77 $33,942.77 $31,575.77 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 10 — — $21,828.47 $29,033.36 $27,916.69 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 10 — — $25,908.39 $28,298.81 $27,210.39 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 22 10 — — $24,968.94 $27,208.85 $26,162.36 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 10 — — $25,961.35 $140,820.57 $25,961.35 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 22 10 — — $21,911.79 $26,875.82 $25,842.13 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 22 10 — — $25,521.90 $26,542.78 $25,521.90 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 11 — — $20,277.70 $25,765.69 $24,774.70 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 22 10 — — $23,389.94 $24,904.26 $23,946.40 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 10 — — $8,925.36 $24,620.95 $23,673.99 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 10 — — $22,692.81 $24,145.91 $23,217.22 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 22 10 — — $19,179.56 $23,986.59 $23,064.03 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 22 10 — — $20,227.93 $23,822.96 $22,906.69 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 10 — — $14,869.85 $22,946.38 $22,063.83 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 22 10 — — $18,492.58 $22,943.50 $22,061.06 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 22 10 — — $19,385.06 $22,919.72 $22,038.19 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 22 10 — — $21,367.23 $36,962.34 $21,367.23 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 22 10 — — $18,519.26 $21,047.63 $20,238.11 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 22 10 — — $13,439.50 $20,680.71 $19,885.30 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 22 10 — — $18,448.11 $20,617.27 $19,824.30 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 22 10 — — $16,955.11 $20,347.67 $19,565.07 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 22 10 — — $17,239.92 $19,791.17 $19,029.97 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 22 10 — — $16,712.80 $19,681.59 $18,924.61 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 20 10 — — $300,444.14 $312,461.91 $300,444.14 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 10 — — $195,371.99 $203,186.87 $195,371.99 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 10 — — $149,116.10 $155,080.74 $149,116.10 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 10 — — $148,247.59 $154,177.49 $148,247.59 2026-04-01
7 MS_DRG Lung Transplant 20 10 — — $90,890.39 $94,526.01 $90,890.39 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 20 10 — — $84,428.27 $87,805.40 $84,428.27 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 10 — — $79,672.64 $82,859.55 $79,672.64 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 20 10 — — $79,582.54 $82,765.84 $79,582.54 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $77,519.76 $80,620.55 $77,519.76 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 10 — — $76,500.15 $79,560.16 $76,500.15 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 10 — — $72,593.62 $75,497.36 $72,593.62 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $68,935.93 $71,693.37 $68,935.93 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 10 — — $63,576.58 $66,119.64 $63,576.58 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 20 10 — — $61,149.91 $63,595.91 $61,149.91 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 10 — — $59,558.46 $61,940.80 $59,558.46 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 10 — — $55,669.26 $57,896.03 $55,669.26 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $54,348.83 $56,522.78 $54,348.83 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 10 — — $54,119.40 $56,284.18 $54,119.40 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 10 — — $53,944.04 $56,101.80 $53,944.04 2026-04-01
10 MS_DRG Pancreas Transplant 20 10 — — $50,865.12 $52,899.72 $50,865.12 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 20 10 — — $50,844.33 $52,878.10 $50,844.33 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 10 — — $50,580.24 $52,603.45 $50,580.24 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 10 — — $48,800.95 $50,752.99 $48,800.95 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 10 — — $47,783.43 $49,694.77 $47,783.43 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 10 — — $47,474.29 $49,373.26 $47,474.29 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $46,703.52 $48,571.66 $46,703.52 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $46,703.52 $48,571.66 $46,703.52 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 10 — — $43,605.88 $45,350.12 $43,605.88 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 10 — — $43,556.67 $45,298.94 $43,556.67 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 10 — — $43,149.80 $44,875.79 $43,149.80 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 20 10 — — $42,773.42 $44,484.36 $42,773.42 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 10 — — $42,761.64 $44,472.11 $42,761.64 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $42,460.12 $44,158.52 $42,460.12 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 20 10 — — $42,228.62 $43,917.76 $42,228.62 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 10 — — $41,805.11 $43,477.31 $41,805.11 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 10 — — $41,778.77 $43,449.92 $41,778.77 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 10 — — $41,101.57 $42,745.63 $41,101.57 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $40,846.50 $42,480.36 $40,846.50 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 10 — — $40,684.30 $42,311.67 $40,684.30 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 10 — — $40,095.83 $41,699.66 $40,095.83 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 10 — — $39,975.22 $41,574.23 $39,975.22 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $39,709.06 $41,297.42 $39,709.06 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 10 — — $39,409.62 $40,986.00 $39,409.62 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 20 10 — — $39,180.19 $40,747.40 $39,180.19 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 10 — — $39,045.72 $40,607.55 $39,045.72 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 10 — — $38,991.66 $40,551.33 $38,991.66 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 10 — — $38,932.05 $40,489.33 $38,932.05 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 20 10 — — $38,780.95 $40,332.19 $38,780.95 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $38,091.27 $39,614.92 $38,091.27 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 10 — — $37,820.95 $39,333.79 $37,820.95 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 20 10 — — $37,145.83 $38,631.66 $37,145.83 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $36,063.15 $37,505.68 $36,063.15 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $35,419.92 $36,836.72 $35,419.92 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 10 — — $35,099.69 $36,503.68 $35,099.69 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 10 — — $34,428.04 $35,805.16 $34,428.04 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 10 — — $34,126.52 $35,491.58 $34,126.52 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 10 — — $33,714.80 $35,063.39 $33,714.80 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 10 — — $33,551.22 $34,893.27 $33,551.22 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 20 10 — — $33,268.42 $34,599.16 $33,268.42 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 10 — — $32,906.60 $34,222.86 $32,906.60 2026-04-01
245 MS_DRG Aicd Generator Procedures 20 10 — — $32,751.33 $34,061.38 $32,751.33 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 10 — — $32,656.37 $33,962.62 $32,656.37 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 10 — — $32,642.51 $33,948.21 $32,642.51 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 20 10 — — $32,519.13 $33,819.90 $32,519.13 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 10 — — $32,183.65 $33,471.00 $32,183.65 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 10 — — $32,061.66 $33,344.13 $32,061.66 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 10 — — $30,883.33 $32,118.66 $30,883.33 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 20 10 — — $30,692.02 $31,919.70 $30,692.02 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 10 — — $30,350.30 $31,564.31 $30,350.30 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 10 — — $30,335.75 $31,549.18 $30,335.75 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 20 10 — — $30,215.83 $31,424.46 $30,215.83 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 10 — — $30,161.77 $31,368.24 $30,161.77 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 10 — — $30,049.48 $31,251.46 $30,049.48 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 10 — — $29,913.63 $31,110.18 $29,913.63 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 10 — — $29,723.01 $30,911.93 $29,723.01 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 20 6 — — $74.79 $96,716.87 $29,553.53 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 10 — — $28,742.92 $29,892.64 $28,742.92 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 10 — — $28,242.47 $29,372.17 $28,242.47 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 20 10 — — $28,119.78 $29,244.57 $28,119.78 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 10 — — $27,956.90 $29,075.18 $27,956.90 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 10 — — $27,096.71 $28,180.58 $27,096.71 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 10 — — $27,032.25 $28,113.54 $27,032.25 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 10 — — $26,813.91 $27,886.47 $26,813.91 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 20 10 — — $26,587.26 $27,650.75 $26,587.26 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 10 — — $26,278.12 $27,329.24 $26,278.12 2026-04-01
332 MS_DRG Rectal Resection With Mcc 20 10 — — $26,224.05 $27,273.01 $26,224.05 2026-04-01
265 MS_DRG Aicd Lead Procedures 20 10 — — $26,206.72 $27,254.99 $26,206.72 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 10 — — $26,124.93 $27,169.93 $26,124.93 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 10 — — $25,903.82 $26,939.97 $25,903.82 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 10 — — $25,878.87 $26,914.02 $25,878.87 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 10 — — $25,821.34 $26,854.19 $25,821.34 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 20 10 — — $24,961.85 $25,960.32 $24,961.85 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 20 10 — — $24,743.51 $25,733.25 $24,743.51 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 20 10 — — $24,024.03 $24,984.99 $24,024.03 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 10 — — $23,943.63 $24,901.38 $23,943.63 2026-04-01
652 MS_DRG Kidney Transplant 20 10 — — $23,512.49 $24,452.99 $23,512.49 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 20 10 — — $23,495.86 $24,435.69 $23,495.86 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 20 10 — — $23,452.19 $24,390.28 $23,452.19 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 20 10 — — $23,195.73 $24,123.56 $23,195.73 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 20 10 — — $23,151.37 $24,077.42 $23,151.37 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $22,957.98 $23,876.30 $22,957.98 2026-04-01
665 MS_DRG Prostatectomy With Mcc 20 10 — — $22,761.82 $23,672.29 $22,761.82 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 20 10 — — $22,678.65 $23,585.80 $22,678.65 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 20 10 — — $22,348.02 $23,241.94 $22,348.02 2026-04-01
263 MS_DRG Vein Ligation And Stripping 20 10 — — $22,319.60 $23,212.38 $22,319.60 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 20 10 — — $21,758.16 $22,628.49 $21,758.16 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 20 10 — — $21,534.28 $22,395.65 $21,534.28 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 20 10 — — $21,229.99 $22,079.19 $21,229.99 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 10 — — $21,141.27 $21,986.92 $21,141.27 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 20 10 — — $21,131.56 $21,976.82 $21,131.56 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 20 10 — — $21,102.45 $21,946.55 $21,102.45 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 20 10 — — $20,885.50 $21,720.92 $20,885.50 2026-04-01
800 MS_DRG Splenic Procedures With Cc 20 10 — — $20,600.62 $21,424.64 $20,600.62 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 20 10 — — $20,530.61 $21,351.83 $20,530.61 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 20 10 — — $20,076.61 $20,879.67 $20,076.61 2026-04-01
849 MS_DRG Radiotherapy 20 10 — — $19,908.17 $20,704.50 $19,908.17 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 10 — — $19,500.61 $20,280.63 $19,500.61 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 20 10 — — $19,408.42 $20,184.76 $19,408.42 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 20 10 — — $19,005.01 $19,765.21 $19,005.01 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 20 10 — — $19,005.01 $19,765.21 $19,005.01 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 20 10 — — $18,614.78 $19,359.37 $18,614.78 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 16 7 — — $16,229.40 $72,578.48 $22,640.19 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 16 4 — — $15,618.73 $67,134.08 $22,582.18 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 4 — — $63,342.28 $412,113.26 $107,783.47 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 4 — — $55,272.32 $360,987.25 $94,412.05 2026-04-01
J9226 HCPCS Supprelin La Implant 14 4 — — $45,020.65 $294,201.70 $76,945.05 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 4 — — $28,424.06 $175,958.45 $46,019.91 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 12 4 — — $56,824.55 $421,582.72 $240,340.12 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 12 4 — — $24,228.42 $151,599.50 $88,398.53 2026-04-01
A9604 HCPCS Sm 153 Lexidronam 12 4 — — $3,159.80 $105,838.72 $54,562.46 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 12 6 — — $20,554.62 $44,475.78 $20,968.19 2026-04-01
J9015 HCPCS Aldesleukin Injection 12 4 — — $3,338.87 $36,084.56 $19,778.49 2026-04-01
J0716 HCPCS Centruroides Immune F(ab) 12 4 — — $4,871.94 $34,099.65 $19,583.24 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 3 — — $591,726.20 $961,560.52 $606,519.35 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 3 — — $565,868.94 $937,241.17 $580,015.67 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 3 — — $562,538.19 $878,026.14 $576,601.64 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 3 — — $557,317.93 $898,131.13 $571,250.88 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 3 — — $533,230.17 $832,179.16 $546,560.93 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 3 — — $489,304.61 $829,687.57 $501,537.22 2026-04-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 8 2 — — $11,191.95 $42,792.75 $42,792.75 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 8 4 — — $8,142.18 $60,612.22 $30,039.10 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 3 — — $3,685,266.67 $3,832,677.33 $3,722,119.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 3 — — $3,316,462.59 $3,449,121.09 $3,349,627.21 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 3 — — $3,248,445.72 $3,378,383.54 $3,280,930.17 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 3 — — $2,945,740.00 $3,063,569.60 $2,975,197.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 3 — — $2,455,110.60 $2,553,315.03 $2,479,661.71 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 3 — — $2,332,000.00 $2,425,280.00 $2,355,320.00 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 6 1 — — $394,322.50 $394,322.50 $394,322.50 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 3 — — $110,901.76 $115,337.83 $112,010.78 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 6 3 — — $68,801.71 $71,553.78 $69,489.73 2026-04-01
J9216 HCPCS Interferon Gamma 1-b Inj 6 1 — — $52,923.72 $52,923.72 $52,923.72 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 6 3 — — $49,338.18 $51,311.71 $49,831.56 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 6 3 — — $47,919.99 $49,836.79 $48,399.19 2026-04-01
5376 OTHER Level 6 Urology And Related Services 6 3 — — $8,642.45 $49,001.61 $40,635.54 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 6 3 — — $34,970.13 $36,368.94 $35,319.83 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 6 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 6 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 6 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 6 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 6 3 — — $29,971.44 $31,170.29 $30,271.15 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 6 3 — — $29,559.78 $30,742.17 $29,855.38 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 6 3 — — $29,510.19 $30,690.60 $29,805.29 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
61886 HCPCS Implant Neurostim Arrays 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 6 3 — — $29,464.26 $30,642.83 $29,758.90 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 6 3 — — $29,420.21 $30,597.02 $29,714.41 2026-04-01
A9571 HCPCS Indium In-111 Auto Platelet 6 1 — — $27,364.74 $27,364.74 $27,364.74 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 6 3 — — $24,957.55 $25,955.85 $25,207.12 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 6 3 — — $24,957.55 $25,955.85 $25,207.12 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 6 3 — — $24,957.55 $25,955.85 $25,207.12 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 6 3 — — $23,087.32 $24,010.81 $23,318.19 2026-04-01
L5858 HCPCS Stance Phase Only 6 3 — — $22,885.05 $23,800.45 $23,113.90 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 6 3 — — $21,834.21 $22,707.58 $22,052.55 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 6 3 — — $21,739.52 $22,609.10 $21,956.92 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 6 3 — — $21,239.12 $22,088.69 $21,451.51 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 6 3 — — $20,015.46 $20,816.08 $20,215.61 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 6 3 — — $19,809.02 $20,601.38 $20,007.11 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 6 3 — — $18,524.06 $19,265.02 $18,709.30 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 6 3 — — $18,524.06 $19,265.02 $18,709.30 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 6 3 — — $18,524.06 $19,265.02 $18,709.30 2026-04-01
1013T HCPCS Lap Srg Imp/rpl Eso Nea&pg/r 6 3 — — $18,524.06 $19,265.02 $18,709.30 2026-04-01
64580 HCPCS Implant Neuroelectrodes 6 3 — — $18,524.06 $19,265.02 $18,709.30 2026-04-01
63655 HCPCS Implant Neuroelectrodes 6 3 — — $18,524.06 $19,265.02 $18,709.30 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 6 3 — — $18,524.06 $19,265.02 $18,709.30 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 6 3 — — $18,506.37 $19,246.62 $18,691.43 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 6 3 — — $18,391.89 $19,127.57 $18,575.81 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 6 3 — — $18,391.89 $19,127.57 $18,575.81 2026-04-01
5416 OTHER Level 6 Gynecologic Procedures 4 2 — — $6,913.48 $33,905.43 $20,409.46 2026-04-01
5461 OTHER Level 1 Neurostimulator And Related Procedures 4 2 — — $2,470.47 $34,919.31 $18,694.89 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 2 1 — — $25,366.07 $25,366.07 $25,366.07 2026-04-01
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