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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

KETTERING HEALTH GREENE MEMORIAL

Xenia, OH · CCN 360026 · Rates published

13,755 distinct procedures filed
33 distinct payers
968,185 rate rows
2026-04-01 last MRF observed
Data quality

701,790 of 968,185 rate rows are consumer-grade (72.5%)

266,395 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 251,455
template filing: same amount across many unrelated codes — excluded 13,816
placeholder amount (≤ $0.02) — excluded from medians 1,006
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 116
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ketteringhealth.org/wp-content/uploads/2026/03/310809436_1255317848_greene-memorial-hospital-inc_standardcharges.json
Found on page https://ketteringhealth.org/billing-insurance/patient-pricing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 4e3ebc960d6b370d… · 51,688,074 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,685,266.67 $4,526,200.00 $4,197,865.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,316,462.59 $4,958,780.45 $4,052,573.44 nat. median
$3,324,572
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,248,445.72 $4,938,537.21 $3,895,460.00 nat. median
$3,286,000
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,455,110.60 $3,809,595.13 $3,717,752.19 nat. median
$2,460,273
1.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,945,740.00 $4,570,904.76 $3,620,960.00 nat. median
$2,997,086
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $4,897,200.00 $3,531,326.90 nat. median
$2,405,851
1.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $2,070,347.69 $1,193,382.13 nat. median
$809,151
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $591,726.20 $1,589,731.61 $901,051.07 nat. median
$691,418
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $565,868.94 $1,520,263.51 $861,676.94 nat. median
$631,793
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $562,538.19 $1,511,315.09 $856,605.02 nat. median
$624,417
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $557,317.93 $1,497,290.36 $848,655.89 nat. median
$610,161
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $533,230.17 $1,432,576.18 $811,976.24 nat. median
$588,565
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $489,304.61 $1,314,565.76 $745,088.59 nat. median
$577,541
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $306,201.61 $953,398.11 $391,500.98 nat. median
$370,165
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $199,495.46 $620,027.39 $267,580.80 nat. median
$261,939
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $152,520.23 $499,151.43 $225,366.60 nat. median
$205,166
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $85,649.81 $470,512.11 $203,586.90 nat. median
$199,832
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $110,901.76 $297,948.67 $172,086.26 nat. median
$111,503
1.5× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 5 $84,183.30 $186,452.72 $159,272.94 nat. median
$83,623
1.9× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $72,737.70 $161,102.52 $137,618.12 nat. median
$58,534
outlier · 2.4×
90288
HCPCS 		Botulism Ig IV 1 $135,886.95 $135,886.95 $135,886.95 nat. median
$52,716
outlier · 2.6×
J7330
HCPCS 		Cultured Chondrocytes Implnt 3 $88,813.56 $187,316.25 $134,648.12 nat. median
$75,807
1.8× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $67,347.40 $149,163.86 $127,419.79 nat. median
$51,048
outlier · 2.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $61,312.18 $308,349.35 $126,619.79 nat. median
$132,706
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $86,826.42 $275,656.04 $124,458.55 nat. median
$114,305
1.1× median
7
MS_DRG 		Lung Transplant 15 $93,389.05 $288,530.37 $124,145.05 nat. median
$122,690
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 5 $63,006.85 $139,550.22 $119,207.57 nat. median
$62,767
1.9× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 5 $60,808.55 $134,681.34 $115,048.43 nat. median
$46,826
outlier · 2.5×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $58,104.85 $128,693.07 $109,933.09 nat. median
$57,648
1.9× median
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 6 $68,801.71 $184,842.67 $106,759.61 nat. median
$70,178
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $81,996.84 $252,938.93 $104,687.15 nat. median
$108,240
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $37,531.12 $242,873.32 $103,484.45 nat. median
$100,978
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $74,807.73 $230,478.75 $101,161.70 nat. median
$99,646
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $79,810.48 $246,108.31 $101,061.29 nat. median
$96,835
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 16 $6,229.55 $222,912.56 $100,644.90 nat. median
$98,002
1.0× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 9 $63,342.28 $170,175.37 $98,288.22 nat. median
$69,291
1.4× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 $49,577.65 $109,806.67 $93,799.82 nat. median
$40,712
outlier · 2.3×
38240
HCPCS 		Transplt Allo Hct/donor 7 $13,471.00 $216,748.64 $93,718.12 nat. median
$13,835
outlier · 6.8×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 $48,048.15 $106,419.07 $90,906.04 nat. median
$45,104
outlier · 2.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $65,192.12 $218,873.70 $90,778.27 nat. median
$92,900
1.0× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 5 $47,696.65 $105,640.55 $90,241.01 nat. median
$38,383
outlier · 2.4×
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $199,068.06 $87,998.49 nat. median
$63,643
1.4× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $61,569.86 $238,598.21 $87,826.76 nat. median
$79,040
1.1× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $63,186.06 $194,170.37 $87,507.35 nat. median
$81,364
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $81,905.33 $252,653.05 $86,000.60 nat. median
$96,134
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $55,272.32 $159,077.71 $85,525.65 nat. median
$65,655
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $65,650.47 $201,869.70 $82,895.26 nat. median
$81,124
1.0× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 5 $43,753.20 $96,906.43 $82,780.09 nat. median
$46,399
1.8× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $52,422.45 $230,495.89 $81,673.14 nat. median
$68,581
1.2× median

Other procedures at this hospital

Browse this hospital's 13,755 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
27702 HCPCS Reconstruct Ankle Joint 60 8 — — $11,376.86 $93,500.13 $27,997.06 2026-04-01
22630 HCPCS Lumbar Spine Fusion 60 8 — — $11,376.86 $93,500.13 $27,997.06 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 52 7 — — $17,965.68 $63,168.31 $28,058.15 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 52 7 — — $17,965.68 $63,168.31 $28,058.15 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 109 15 — — $22,576.58 $68,478.74 $28,119.93 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 112 15 — — $17,737.14 $68,522.72 $28,137.99 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 123 16 — — $9,192.42 $72,230.55 $28,248.16 2026-04-01
570 MS_DRG Skin Debridement With Mcc 114 15 — — $7,013.60 $68,412.77 $28,345.82 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 125 15 — — $10,132.34 $69,189.07 $28,411.62 2026-04-01
5115 OTHER Level 5 Musculoskeletal Procedures 2 2 — — $16,519.76 $40,626.82 $28,573.29 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 52 7 — — $18,877.17 $66,373.15 $28,698.53 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 52 7 — — $18,877.17 $66,373.15 $28,698.53 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 52 7 — — $18,877.17 $66,373.15 $28,698.53 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 52 7 — — $18,877.17 $66,373.15 $28,698.53 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 52 7 — — $18,877.17 $66,373.15 $28,698.53 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 52 7 — — $10,672.27 $66,373.15 $28,698.53 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 52 7 — — $11,376.86 $66,373.15 $28,698.53 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 52 7 — — $10,817.74 $66,373.15 $28,698.53 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 52 7 — — $11,376.86 $66,373.15 $28,698.53 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 52 7 — — $10,817.74 $66,373.15 $28,698.53 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 52 7 — — $18,877.17 $66,373.15 $28,698.53 2026-04-01
L6965 HCPCS Shldr Disartic Myoelectronic 28 6 — — $18,506.37 $49,719.21 $28,716.33 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 113 15 — — $20,416.81 $70,077.55 $28,776.47 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 110 15 — — $23,133.79 $70,150.12 $28,806.27 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 111 15 — — $1,843.11 $70,158.91 $28,809.88 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 52 7 — — $10,817.74 $66,850.14 $28,904.77 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 52 7 — — $8,386.90 $66,850.14 $28,904.77 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 52 7 — — $8,386.90 $66,850.14 $28,904.77 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 119 15 — — $10,204.36 $73,948.08 $28,919.86 2026-04-01
263 MS_DRG Vein Ligation And Stripping 110 15 — — $19,080.17 $70,970.40 $29,143.11 2026-04-01
63655 HCPCS Implant Neuroelectrodes 56 8 — — $19,012.83 $66,850.14 $29,197.56 2026-04-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 36 5 — — $15,469.80 $34,263.16 $29,268.52 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 119 15 — — $254.36 $74,873.95 $29,281.95 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 60 8 — — $4,830.00 $66,850.14 $29,443.27 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 52 7 — — $14,014.53 $66,373.15 $29,481.68 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 109 15 — — $23,787.04 $72,109.57 $29,610.89 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 110 15 — — $15,424.80 $71,060.56 $29,634.30 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 125 17 — — $13,582.21 $76,123.07 $29,770.46 2026-04-01
2050 OTHER Cath Coronary Drug-delivery 4 3 — — $3,129.10 $42,628.00 $29,781.67 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 111 15 — — $8,042.16 $72,833.10 $29,908.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 110 15 — — $23,517.81 $72,995.86 $29,974.83 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 114 15 — — $10,928.03 $73,028.84 $29,988.38 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 116 15 — — $3,543.92 $74,953.11 $30,045.74 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 111 15 — — $19,855.94 $73,226.75 $30,069.65 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 114 15 — — $4,900.82 $73,332.33 $30,106.88 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 112 15 — — $17,009.85 $151,322.53 $30,312.58 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 109 15 — — $24,529.00 $74,335.14 $30,524.79 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 109 15 — — $24,605.25 $74,563.86 $30,618.71 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 109 15 — — $24,651.44 $74,702.40 $30,675.60 2026-04-01
652 MS_DRG Kidney Transplant 109 15 — — $24,669.03 $74,755.20 $30,697.29 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 111 15 — — $24,675.63 $74,774.99 $30,705.41 2026-04-01
L6970 HCPCS Interscapular-thor Switch CT 28 6 — — $19,809.02 $53,218.91 $30,737.66 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 52 7 — — $5,437.00 $71,419.38 $30,880.43 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 118 15 — — $5,432.98 $77,198.46 $30,945.81 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 110 15 — — $21,110.86 $73,750.17 $30,948.15 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 113 15 — — $23,229.83 $70,438.22 $31,050.75 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 28 6 — — $20,015.46 $53,773.53 $31,057.99 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 111 15 — — $19,447.28 $76,378.18 $31,363.74 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 44 7 — — $17,331.79 $71,419.38 $31,455.74 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 113 15 — — $25,128.00 $76,131.86 $31,546.65 2026-04-01
509 MS_DRG Arthroscopy 36 5 — — $16,686.75 $36,958.52 $31,570.96 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 112 16 — — $23,806.44 $75,267.60 $31,636.15 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 60 8 — — $4,830.00 $106,331.41 $31,839.18 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 60 8 — — $4,830.00 $106,331.41 $31,839.18 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 110 15 — — $19,971.52 $78,759.90 $32,341.76 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 117 16 — — $15,848.53 $83,043.87 $32,477.07 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 125 15 — — $3,758.35 $81,288.95 $32,536.55 2026-04-01
665 MS_DRG Prostatectomy With Mcc 109 15 — — $23,875.02 $72,373.48 $32,617.30 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 36 5 — — $17,258.65 $38,225.18 $32,652.98 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 113 15 — — $10,324.01 $79,705.53 $32,668.60 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 120 15 — — $9,667.13 $132,431.07 $32,721.80 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 20 3 — — $5,007.82 $47,318.40 $32,730.24 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 116 15 — — $24,190.99 $80,446.65 $32,810.65 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 112 15 — — $26,442.56 $80,074.99 $32,914.65 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 121 16 — — $4,000.00 $84,477.73 $33,037.83 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 119 15 — — $2,388.58 $79,129.36 $33,278.50 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 109 15 — — $25,971.14 $78,660.91 $33,527.40 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 109 15 — — $24,287.06 $74,283.15 $33,538.80 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 113 15 — — $3,943.38 $82,005.88 $33,674.69 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 111 15 — — $27,001.42 $82,080.65 $33,705.39 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 28 6 — — $21,739.52 $58,405.39 $33,733.21 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 114 15 — — $25,159.81 $82,263.16 $33,780.34 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 28 6 — — $21,834.21 $58,659.79 $33,880.14 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 52 7 — — $10,817.74 $76,648.32 $34,045.71 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 52 7 — — $18,353.44 $76,648.32 $34,045.71 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 52 7 — — $18,353.44 $76,648.32 $34,045.71 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 52 7 — — $14,014.53 $76,648.32 $34,045.71 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 52 7 — — $11,376.86 $76,648.32 $34,045.71 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 52 7 — — $10,817.74 $76,648.32 $34,045.71 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 52 7 — — $10,817.74 $76,648.32 $34,045.71 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 52 7 — — $10,817.74 $76,648.32 $34,045.71 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 52 7 — — $10,817.74 $76,648.32 $34,045.71 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 52 7 — — $18,353.44 $76,648.32 $34,045.71 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 56 8 — — $10,499.00 $93,500.13 $34,110.81 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 111 15 — — $23,907.69 $83,162.64 $34,149.70 2026-04-01
265 MS_DRG Aicd Lead Procedures 109 15 — — $27,518.85 $83,303.38 $34,207.49 2026-04-01
332 MS_DRG Rectal Resection With Mcc 109 15 — — $27,537.18 $83,358.35 $34,230.06 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 109 15 — — $27,573.84 $83,468.33 $34,275.22 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 36 5 — — $18,140.25 $40,177.79 $34,320.96 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 120 15 — — $10,108.23 $88,165.77 $34,480.16 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 111 15 — — $8,555.05 $81,130.59 $34,659.80 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 118 15 — — $26,181.82 $81,321.36 $34,871.42 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 109 15 — — $28,161.10 $85,229.85 $34,998.57 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 109 15 — — $28,392.05 $85,922.59 $35,283.03 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 119 15 — — $2,855.63 $135,730.91 $35,286.65 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 110 15 — — $4,759.06 $86,127.12 $35,367.02 2026-04-01
L5858 HCPCS Stance Phase Only 28 6 — — $22,885.05 $61,482.98 $35,510.73 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 117 15 — — $13,902.63 $86,487.79 $35,515.13 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 28 6 — — $23,087.32 $62,026.39 $35,824.59 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 44 7 — — $17,771.01 $62,255.50 $36,309.70 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 112 15 — — $17,570.06 $85,691.69 $36,339.04 2026-04-01
791 MS_DRG Prematurity With Major Problems 124 16 — — $93.85 $92,997.35 $36,369.71 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 111 15 — — $28,480.55 $88,647.38 $36,401.94 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 111 15 — — $26,566.75 $84,510.72 $36,678.55 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 109 15 — — $29,672.16 $89,762.36 $36,859.79 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 111 15 — — $29,370.09 $88,856.29 $36,940.75 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 110 15 — — $27,594.37 $83,529.90 $37,251.78 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 136 17 — — $2,155.38 $95,429.64 $37,320.94 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 109 15 — — $29,327.57 $88,728.74 $37,329.30 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 109 15 — — $27,198.46 $82,844.73 $37,404.35 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 109 15 — — $30,201.50 $91,350.15 $37,511.80 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 123 15 — — $4,442.96 $96,133.36 $37,596.15 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 109 15 — — $27,259.31 $83,757.91 $37,816.65 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 112 15 — — $30,468.37 $92,150.67 $37,840.52 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 64 8 — — $24,228.42 $84,877.13 $38,301.50 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 113 15 — — $31,238.20 $94,459.80 $38,788.73 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 52 7 — — $18,353.44 $90,067.48 $38,943.52 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 52 7 — — $18,353.44 $90,067.48 $38,943.52 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 52 7 — — $18,353.44 $90,067.48 $38,943.52 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 118 16 — — $17,261.96 $140,366.95 $39,211.24 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 117 15 — — $16,992.99 $96,608.40 $39,523.80 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 110 15 — — $4,499.08 $96,450.04 $39,606.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 109 15 — — $32,082.05 $96,995.45 $39,829.97 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 109 15 — — $32,254.51 $97,534.23 $40,175.50 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 111 15 — — $27,133.20 $82,146.62 $40,240.85 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 115 15 — — $14,723.46 $98,141.21 $40,300.46 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 52 7 — — $11,376.86 $93,500.13 $40,427.73 2026-04-01
22558 HCPCS Lumbar Spine Fusion 52 7 — — $11,376.86 $93,500.13 $40,427.73 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 115 15 — — $4,735.53 $98,899.93 $40,462.40 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 36 5 — — $21,460.50 $47,531.62 $40,602.79 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 109 15 — — $31,583.52 $95,495.61 $41,018.15 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 109 15 — — $29,542.39 $91,038.09 $41,103.65 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 52 7 — — $23,576.00 $92,753.96 $41,199.52 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 113 15 — — $31,370.79 $100,338.19 $41,202.62 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 128 16 — — $9,053.25 $106,913.72 $41,812.17 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 109 15 — — $33,645.45 $101,879.80 $41,835.66 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 109 15 — — $33,769.34 $102,266.86 $41,994.60 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 124 15 — — $16,935.36 $102,295.44 $42,006.34 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 111 15 — — $17,863.90 $96,023.40 $42,086.90 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 110 15 — — $13,014.23 $103,722.71 $42,592.43 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 119 16 — — $8,591.16 $160,446.49 $42,610.49 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 130 15 — — $21,462.68 $104,817.90 $43,149.24 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 110 15 — — $31,439.82 $95,064.58 $43,813.66 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 52 7 — — $23,576.00 $98,838.91 $43,902.35 2026-04-01
J9266 HCPCS Pegaspargase Injection 68 9 — — $28,424.06 $76,364.08 $43,929.38 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 147 16 — — $6,275.59 $234,522.82 $43,934.80 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 109 15 — — $35,324.30 $107,124.85 $43,989.48 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 115 16 — — $17,629.88 $105,301.73 $44,195.90 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 110 15 — — $31,886.32 $96,403.86 $44,433.68 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 110 15 — — $13,707.56 $104,560.61 $44,452.40 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 73 15 — — $42,402.19 $129,237.56 $44,522.30 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 109 15 — — $35,742.42 $108,431.14 $44,691.80 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 109 15 — — $34,110.04 $103,331.26 $45,167.75 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 109 15 — — $35,158.17 $106,605.83 $45,364.40 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 60 8 — — $14,014.53 $151,778.13 $45,447.44 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 28 6 — — $29,420.21 $79,040.34 $45,651.34 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 28 6 — — $29,510.19 $79,282.08 $45,790.96 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 28 6 — — $29,559.78 $79,415.30 $45,867.91 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 52 7 — — $10,817.74 $106,331.41 $45,975.74 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 52 7 — — $10,817.74 $106,331.41 $45,975.74 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 52 7 — — $10,817.74 $106,331.41 $45,975.74 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 52 7 — — $8,386.90 $106,331.41 $45,975.74 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 52 7 — — $3,086.00 $106,331.41 $45,975.74 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 52 7 — — $3,086.00 $106,331.41 $45,975.74 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 109 15 — — $34,870.97 $105,708.58 $46,064.55 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 110 15 — — $36,220.38 $109,924.38 $46,141.50 2026-04-01
245 MS_DRG Aicd Generator Procedures 110 15 — — $34,345.85 $104,067.98 $46,421.75 2026-04-01
61886 HCPCS Implant Neurostim Arrays 64 9 — — $6,350.00 $106,331.41 $46,441.45 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 117 15 — — $10,838.90 $113,414.48 $46,572.24 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 110 15 — — $37,709.17 $114,575.64 $47,049.05 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 111 15 — — $37,055.93 $112,534.82 $47,337.55 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 109 15 — — $36,048.63 $109,387.80 $47,564.60 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 36 5 — — $25,236.75 $55,895.42 $47,747.38 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 52 7 — — $18,353.44 $108,161.73 $48,043.36 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 52 7 — — $10,817.74 $108,161.73 $48,043.36 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 52 7 — — $18,353.44 $108,161.73 $48,043.36 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 52 7 — — $10,817.74 $108,161.73 $48,043.36 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 52 7 — — $23,576.00 $108,161.73 $48,043.36 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 52 7 — — $10,817.74 $108,161.73 $48,043.36 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 52 7 — — $18,353.44 $108,161.73 $48,043.36 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 116 15 — — $5,585.45 $118,208.68 $48,468.38 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 121 15 — — $21,129.84 $119,767.91 $48,761.60 2026-04-01
69930 HCPCS Implant Cochlear Device 64 9 — — $15,624.00 $113,617.42 $49,623.69 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 109 15 — — $39,746.31 $120,940.07 $49,662.52 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 60 8 — — $3,958.00 $151,778.13 $50,273.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 113 15 — — $28,922.65 $121,010.43 $50,314.85 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 117 15 — — $5,977.89 $180,633.60 $50,539.05 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 118 17 — — $12,400.58 $184,306.35 $50,892.82 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 109 15 — — $36,730.72 $113,514.09 $51,251.55 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 113 15 — — $5,915.78 $123,678.02 $51,258.20 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 109 15 — — $40,738.13 $124,038.69 $51,569.80 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 111 15 — — $41,411.78 $126,143.30 $51,799.17 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 44 7 — — $14,014.53 $118,050.03 $51,993.60 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 109 15 — — $41,682.08 $126,987.78 $52,145.94 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 110 15 — — $40,837.43 $127,370.43 $52,303.07 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 114 16 — — $33,630.75 $111,969.62 $52,418.56 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 109 15 — — $40,874.69 $124,465.32 $52,505.55 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 109 15 — — $39,494.31 $120,152.77 $52,509.35 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 129 16 — — $1,513.53 $134,440.80 $52,577.55 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 109 15 — — $38,808.69 $118,010.77 $52,954.90 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 109 15 — — $42,825.95 $130,561.44 $53,613.42 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 36 5 — — $28,456.30 $63,026.21 $53,838.69 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 36 5 — — $28,593.10 $63,329.20 $54,097.51 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 109 15 — — $42,566.90 $129,752.15 $54,194.65 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 28 6 — — $34,970.13 $93,950.75 $54,263.15 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 8 1 — — $55,169.68 $55,169.68 $55,169.68 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 109 15 — — $43,513.67 $132,710.04 $55,308.05 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 110 15 — — $44,205.62 $134,871.83 $55,383.43 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 115 16 — — $28,519.63 $144,348.22 $55,896.10 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 122 15 — — $25,785.53 $243,177.34 $56,802.17 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 109 15 — — $45,369.20 $138,507.06 $56,908.80 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 109 15 — — $43,970.52 $134,137.31 $57,337.25 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 109 15 — — $40,469.23 $126,992.96 $57,337.25 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 109 15 — — $44,523.80 $135,865.86 $57,751.45 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 109 15 — — $44,906.02 $137,060.01 $58,028.85 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 109 15 — — $41,107.68 $129,122.30 $58,298.65 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 113 15 — — $40,817.61 $135,828.48 $58,843.00 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 109 15 — — $45,319.22 $138,350.93 $60,077.05 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 109 15 — — $48,346.77 $147,809.58 $60,696.15 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 131 16 — — $15,325.27 $155,735.41 $60,905.52 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 109 15 — — $48,515.01 $148,335.18 $60,911.98 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 109 15 — — $48,515.01 $148,335.18 $61,345.30 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 110 15 — — $49,297.76 $150,780.66 $61,916.19 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 109 15 — — $50,645.06 $154,989.90 $63,644.66 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 110 16 — — $22,506.25 $150,672.91 $63,689.90 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 109 15 — — $49,611.71 $151,761.50 $64,865.05 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 52 7 — — $10,817.74 $151,778.13 $65,626.07 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 36 5 — — $34,750.05 $76,965.87 $65,746.32 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 109 15 — — $52,720.21 $161,473.04 $66,306.88 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 111 15 — — $19,075.71 $162,482.47 $67,437.65 2026-04-01
J9226 HCPCS Supprelin La Implant 68 9 — — $45,020.65 $126,141.59 $69,858.54 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 109 15 — — $55,868.13 $171,307.77 $70,905.15 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 116 15 — — $38,701.44 $257,748.80 $72,411.98 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 110 15 — — $56,279.22 $172,592.08 $73,501.50 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 28 6 — — $47,919.99 $128,741.85 $74,357.45 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 109 15 — — $52,452.02 $166,785.69 $75,303.65 2026-04-01
10 MS_DRG Pancreas Transplant 109 15 — — $52,741.33 $167,751.48 $75,739.70 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 28 6 — — $49,338.18 $132,551.95 $76,558.05 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 109 15 — — $57,620.18 $176,781.52 $76,574.75 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 109 15 — — $61,383.32 $188,538.30 $80,451.70 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 114 15 — — $52,422.45 $230,495.89 $81,673.14 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 36 5 — — $43,753.20 $96,906.43 $82,780.09 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 109 15 — — $65,650.47 $201,869.70 $82,895.26 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 60 8 — — $55,272.32 $159,077.71 $85,525.65 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 73 15 — — $81,905.33 $252,653.05 $86,000.60 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 109 15 — — $63,186.06 $194,170.37 $87,507.35 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 112 15 — — $61,569.86 $238,598.21 $87,826.76 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 56 8 — — $56,824.55 $199,068.06 $87,998.49 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 36 5 — — $47,696.65 $105,640.55 $90,241.01 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 112 15 — — $65,192.12 $218,873.70 $90,778.27 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 36 5 — — $48,048.15 $106,419.07 $90,906.04 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 52 7 — — $13,471.00 $216,748.64 $93,718.12 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 36 5 — — $49,577.65 $109,806.67 $93,799.82 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 68 9 — — $63,342.28 $170,175.37 $98,288.22 2026-04-01
215 MS_DRG Other Heart Assist System Implant 112 16 — — $6,229.55 $222,912.56 $100,644.90 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 111 15 — — $79,810.48 $246,108.31 $101,061.29 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 109 15 — — $74,807.73 $230,478.75 $101,161.70 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 111 15 — — $37,531.12 $242,873.32 $103,484.45 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 109 15 — — $81,996.84 $252,938.93 $104,687.15 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 28 6 — — $68,801.71 $184,842.67 $106,759.61 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 36 5 — — $58,104.85 $128,693.07 $109,933.09 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 36 5 — — $60,808.55 $134,681.34 $115,048.43 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 36 5 — — $63,006.85 $139,550.22 $119,207.57 2026-04-01
7 MS_DRG Lung Transplant 109 15 — — $93,389.05 $288,530.37 $124,145.05 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 109 15 — — $86,826.42 $275,656.04 $124,458.55 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 119 15 — — $61,312.18 $308,349.35 $126,619.79 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 36 5 — — $67,347.40 $149,163.86 $127,419.79 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 20 3 — — $88,813.56 $187,316.25 $134,648.12 2026-04-01
90288 HCPCS Botulism Ig IV 4 1 — — $135,886.95 $135,886.95 $135,886.95 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 36 5 — — $72,737.70 $161,102.52 $137,618.12 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 36 5 — — $84,183.30 $186,452.72 $159,272.94 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 28 6 — — $110,901.76 $297,948.67 $172,086.26 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 113 15 — — $85,649.81 $470,512.11 $203,586.90 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 109 15 — — $152,520.23 $499,151.43 $225,366.60 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 111 15 — — $199,495.46 $620,027.39 $267,580.80 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 109 15 — — $306,201.61 $953,398.11 $391,500.98 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 48 6 — — $489,304.61 $1,314,565.76 $745,088.59 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 48 6 — — $533,230.17 $1,432,576.18 $811,976.24 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 48 6 — — $557,317.93 $1,497,290.36 $848,655.89 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 48 6 — — $562,538.19 $1,511,315.09 $856,605.02 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 48 6 — — $565,868.94 $1,520,263.51 $861,676.94 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 48 6 — — $591,726.20 $1,589,731.61 $901,051.07 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 40 6 — — $770,620.00 $2,070,347.69 $1,193,382.13 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 36 6 — — $2,332,000.00 $4,897,200.00 $3,531,326.90 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 28 5 — — $2,945,740.00 $4,570,904.76 $3,620,960.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 5 — — $2,455,110.60 $3,809,595.13 $3,717,752.19 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 20 4 — — $3,248,445.72 $4,938,537.21 $3,895,460.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 4 — — $3,316,462.59 $4,958,780.45 $4,052,573.44 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 3 — — $3,685,266.67 $4,526,200.00 $4,197,865.00 2026-04-01
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-04-01
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