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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

MCCULLOUGH-HYDE MEMORIAL HOSPITAL

Oxford, OH · CCN 360046 · Rates published

18,809 distinct procedures filed
34 distinct payers
237,616 rate rows
2026-04-01 last MRF observed
Data quality

205,430 of 237,616 rate rows are consumer-grade (86.5%)

32,186 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 32,072
placeholder amount (≤ $0.02) — excluded from medians 114
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.trihealth.com/static/pricing/310650283_MCCULLOUGH-HYDEMEMORIALHOSPITALINC_STANDARDCHARGES.csv
Found on page https://www.trihealth.com/patients-and-visitors/billing-and-insurance/pricing-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint a965447327a3afa9… · 51,735,531 bytes · first seen 2026-05-14

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,505,000.00 $4,640,150.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,321,376.38 $4,982,064.57 $3,786,437.83 nat. median
$3,325,455
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,691,450.00 $4,614,465.33 $3,783,736.25 nat. median
$3,710,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,245,381.39 $4,868,072.08 $3,699,801.96 nat. median
$3,286,000
1.1× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 5 $3,180,000.00 $4,770,000.00 $3,625,265.83 nat. median
$3,180,000
1.1× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 4 $3,335,820.00 $4,836,939.00 $3,435,894.60 nat. median
$3,335,820
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 5 $2,938,320.00 $4,407,480.00 $3,349,745.62 nat. median
$3,004,655
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 5 $2,587,087.26 $3,880,630.89 $2,949,333.03 nat. median
$2,468,984
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 5 $2,332,000.00 $3,498,000.00 $2,658,528.27 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $2,160,818.48 $1,848,177.95 nat. median
$824,563
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $566,531.30 $1,682,855.41 $1,433,324.19 nat. median
$753,246
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $587,649.57 $1,647,769.39 $1,411,387.10 nat. median
$674,867
outlier · 2.1×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $562,201.24 $1,576,412.28 $1,348,470.16 nat. median
$673,137
outlier · 2.0×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $558,081.73 $1,564,861.17 $1,342,522.97 nat. median
$625,184
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $531,849.12 $1,492,267.04 $1,275,533.74 nat. median
$634,303
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,290.60 $1,372,418.36 $1,173,465.65 nat. median
$619,808
1.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $855,742.82 $675,910.99 nat. median
$324,450
outlier · 2.1×
J3403
HCPCS 		Revakinagene, Per Implant 8 $262,233.77 $806,485.78 $492,900.00 nat. median
$265,000
1.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $201,669.02 $565,479.93 $486,167.99 nat. median
$209,753
outlier · 2.3×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $312,481.42 $856,199.09 $402,679.61 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $203,078.05 $556,433.86 $261,322.87 nat. median
$265,286
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $154,915.42 $424,468.25 $199,093.41 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $154,011.12 $421,990.47 $197,924.99 nat. median
$202,976
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 7 $110,901.76 $303,870.82 $189,794.83 nat. median
$111,989
1.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $184,197.20 $211,826.78 $187,814.16 nat. median
$76,329
outlier · 2.5×
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $23,726.53 $241,924.47 $179,696.20 nat. median
$16,785
outlier · 10.7×
L5969
HCPCS 		Ak/ft Power Asst Incl Motors 1 $171,795.25 $175,168.68 $173,481.96 nat. median
$15,234
outlier · 11.4×
90288
HCPCS 		Botulism Ig IV 1 $149,029.65 $165,169.62 $161,988.75 nat. median
$55,037
outlier · 2.9×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $137,685.79 $140,389.44 $139,037.61 nat. median
$96,983
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $100,793.63 $276,174.55 $129,164.31 nat. median
$133,161
1.0× median
7
MS_DRG 		Lung Transplant 15 $94,289.57 $258,353.42 $120,760.62 nat. median
$122,708
1.0× median
C1882
HCPCS 		Aicd, Other Than Sing/dual 1 $117,562.50 $119,871.00 $118,716.75 nat. median
$27,114
outlier · 4.4×
A9543
HCPCS 		Y90 Ibritumomab, Rx 8 $56,824.55 $205,861.17 $117,323.98 nat. median
$62,507
1.9× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 8 $64,274.79 $180,226.51 $112,255.92 nat. median
$69,774
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $87,561.07 $239,917.33 $112,066.92 nat. median
$117,357
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $82,609.41 $226,349.78 $105,669.04 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $82,515.59 $226,092.72 $105,547.81 nat. median
$98,047
1.1× median
C1721
HCPCS 		Aicd, Dual Chamber 1 $103,237.75 $105,264.96 $104,251.36 nat. median
$22,213
outlier · 4.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $80,367.78 $220,207.72 $102,772.69 nat. median
$98,894
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $79,306.14 $217,298.82 $101,400.98 nat. median
$102,358
1.0× median
C1722
HCPCS 		Aicd, Single Chamber 1 $99,618.75 $101,574.90 $100,596.82 nat. median
$20,770
outlier · 4.8×
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 7 $68,801.71 $188,516.69 $99,762.48 nat. median
$70,825
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $75,238.58 $206,153.71 $96,145.41 nat. median
$100,136
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 8 $54,404.11 $154,177.59 $95,016.78 nat. median
$66,682
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 15 $72,687.33 $199,163.28 $92,849.03 nat. median
$99,019
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $71,430.11 $195,718.50 $91,224.61 nat. median
$93,672
1.0× median
38240
HCPCS 		Transplt Allo Hct/donor 9 $638.91 $188,519.92 $88,882.68 nat. median
$15,979
outlier · 5.6×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $65,849.85 $180,428.59 $84,014.52 nat. median
$82,711
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $63,323.14 $173,505.40 $80,749.84 nat. median
$83,470
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $61,666.09 $168,965.09 $78,608.82 nat. median
$79,312
1.0× median

Other procedures at this hospital

Browse this hospital's 18,809 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,505,000.00 $4,640,150.00 $4,595,100.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 5 — — $3,321,376.38 $4,982,064.57 $3,786,437.83 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,691,450.00 $4,614,465.33 $3,783,736.25 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 5 — — $3,245,381.39 $4,868,072.08 $3,699,801.96 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 6 5 — — $3,180,000.00 $4,770,000.00 $3,625,265.83 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 5 4 — — $3,335,820.00 $4,836,939.00 $3,435,894.60 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 6 5 — — $2,938,320.00 $4,407,480.00 $3,349,745.62 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 5 — — $2,587,087.26 $3,880,630.89 $2,949,333.03 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 6 5 — — $2,332,000.00 $3,498,000.00 $2,658,528.27 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 13 7 — — $770,620.00 $2,160,818.48 $1,848,177.95 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 7 — — $566,531.30 $1,682,855.41 $1,433,324.19 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 7 — — $587,649.57 $1,647,769.39 $1,411,387.10 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 7 — — $562,201.24 $1,576,412.28 $1,348,470.16 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 7 — — $558,081.73 $1,564,861.17 $1,342,522.97 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 7 — — $531,849.12 $1,492,267.04 $1,275,533.74 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 7 — — $489,290.60 $1,372,418.36 $1,173,465.65 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 16 8 — — $278,250.00 $855,742.82 $675,910.99 2026-04-01
J3403 HCPCS Revakinagene, Per Implant 21 8 — — $262,233.77 $806,485.78 $492,900.00 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 13 7 — — $201,669.02 $565,479.93 $486,167.99 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 23 15 — — $312,481.42 $856,199.09 $402,679.61 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 15 — — $203,078.05 $556,433.86 $261,322.87 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 15 — — $154,915.42 $424,468.25 $199,093.41 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 15 — — $154,011.12 $421,990.47 $197,924.99 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 7 — — $110,901.76 $303,870.82 $189,794.83 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 1 — — $184,197.20 $211,826.78 $187,814.16 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 6 1 — — $23,726.53 $241,924.47 $179,696.20 2026-04-01
L5969 HCPCS Ak/ft Power Asst Incl Motors 2 1 — — $171,795.25 $175,168.68 $173,481.96 2026-04-01
90288 HCPCS Botulism Ig IV 3 1 — — $149,029.65 $165,169.62 $161,988.75 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $137,685.79 $140,389.44 $139,037.61 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 23 15 — — $100,793.63 $276,174.55 $129,164.31 2026-04-01
7 MS_DRG Lung Transplant 23 15 — — $94,289.57 $258,353.42 $120,760.62 2026-04-01
C1882 HCPCS Aicd, Other Than Sing/dual 2 1 — — $117,562.50 $119,871.00 $118,716.75 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 20 8 — — $56,824.55 $205,861.17 $117,323.98 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 17 8 — — $64,274.79 $180,226.51 $112,255.92 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 15 — — $87,561.07 $239,917.33 $112,066.92 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 15 — — $82,609.41 $226,349.78 $105,669.04 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 23 15 — — $82,515.59 $226,092.72 $105,547.81 2026-04-01
C1721 HCPCS Aicd, Dual Chamber 2 1 — — $103,237.75 $105,264.96 $104,251.36 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 15 — — $80,367.78 $220,207.72 $102,772.69 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 15 — — $79,306.14 $217,298.82 $101,400.98 2026-04-01
C1722 HCPCS Aicd, Single Chamber 2 1 — — $99,618.75 $101,574.90 $100,596.82 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 11 7 — — $68,801.71 $188,516.69 $99,762.48 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 15 — — $75,238.58 $206,153.71 $96,145.41 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 8 — — $54,404.11 $154,177.59 $95,016.78 2026-04-01
215 MS_DRG Other Heart Assist System Implant 23 15 — — $72,687.33 $199,163.28 $92,849.03 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 15 — — $71,430.11 $195,718.50 $91,224.61 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 17 9 — — $638.91 $188,519.92 $88,882.68 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 23 15 — — $65,849.85 $180,428.59 $84,014.52 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 23 15 — — $63,323.14 $173,505.40 $80,749.84 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 15 — — $61,666.09 $168,965.09 $78,608.82 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 15 — — $61,474.84 $168,441.06 $78,361.71 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $75,780.76 $77,268.82 $76,524.79 2026-04-01
J9226 HCPCS Supprelin La Implant 17 8 — — $41,173.43 $121,091.69 $75,423.20 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 23 15 — — $57,616.58 $157,869.43 $73,376.56 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 15 — — $56,241.72 $154,102.31 $71,600.15 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 11 7 — — $49,338.18 $135,186.61 $71,540.36 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 23 15 — — $56,002.83 $153,447.75 $71,291.49 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 15 — — $55,820.24 $152,947.46 $71,055.57 2026-04-01
C1817 HCPCS Septal Defect Imp Sys 2 1 — — $69,305.50 $70,666.41 $69,985.96 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 11 7 — — $47,919.99 $131,300.77 $69,483.99 2026-04-01
S9989 HCPCS Services Outside US 2 1 — — $67,375.00 $68,698.00 $68,036.50 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 15 — — $52,924.01 $145,011.79 $67,313.45 2026-04-01
10 MS_DRG Pancreas Transplant 23 15 — — $52,614.40 $144,163.46 $66,913.40 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 23 15 — — $52,592.75 $144,104.14 $66,885.43 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 23 15 — — $52,317.78 $143,350.72 $66,530.15 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 23 15 — — $52,287.47 $143,267.67 $66,490.98 2026-04-01
C9601 HCPCS Perc Drug-el Cor Stent Bran 4 2 — — $886.00 $103,276.93 $65,148.50 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 15 — — $50,709.81 $138,944.88 $64,452.54 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 15 — — $50,465.15 $138,274.51 $64,136.42 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 15 — — $49,405.68 $135,371.56 $62,767.51 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 23 15 — — $49,083.79 $134,489.58 $62,351.61 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 23 15 — — $49,048.43 $134,392.70 $62,305.92 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 17 9 — — $1,736.65 $132,010.98 $62,240.06 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 17 9 — — $1,485.83 $132,010.98 $62,240.06 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 17 9 — — $1,395.57 $132,010.98 $62,240.06 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 17 9 — — $3,660.47 $132,010.98 $62,240.06 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 15 — — $48,281.25 $132,290.62 $61,314.67 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 15 — — $48,281.25 $132,290.62 $61,314.67 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 15 — — $48,108.76 $131,818.00 $61,091.81 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 23 15 — — $47,266.53 $129,510.29 $60,003.58 2026-04-01
0466T HCPCS Insj Chwal Respir Eltrd/ra 1 1 — — $59,884.00 $59,884.00 $59,884.00 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 7 — — $39,537.89 $108,333.82 $58,378.66 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 23 15 — — $45,055.93 $123,453.25 $57,147.33 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 15 — — $45,004.68 $123,312.82 $57,081.12 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 23 15 — — $44,581.04 $122,152.05 $56,533.75 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 23 15 — — $44,189.15 $121,078.27 $56,027.40 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 23 15 — — $44,176.88 $121,044.65 $56,011.55 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 15 — — $43,862.94 $120,184.46 $55,605.91 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 23 15 — — $43,621.89 $119,523.98 $55,294.45 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 23 15 — — $43,180.92 $118,315.72 $54,724.70 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 23 15 — — $43,153.50 $118,240.59 $54,689.26 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 23 15 — — $42,448.39 $116,308.59 $53,778.21 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 15 — — $42,182.80 $115,580.87 $53,435.05 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 23 15 — — $42,013.92 $115,118.14 $53,216.84 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 23 15 — — $41,960.51 $114,971.80 $53,147.84 2026-04-01
V5249 HCPCS Hearing Aid, Binaural, Itc 2 1 — — $52,250.00 $53,276.00 $52,763.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 23 15 — — $41,401.18 $113,439.23 $52,425.15 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 15 — — $41,275.61 $113,095.17 $52,262.90 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 15 — — $40,998.47 $112,335.81 $51,904.82 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 15 — — $40,686.69 $111,481.53 $51,501.98 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 23 15 — — $40,447.80 $110,826.97 $51,193.32 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 15 — — $40,307.79 $110,443.34 $51,012.41 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 23 15 — — $40,251.50 $110,289.11 $50,939.68 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 23 15 — — $40,189.43 $110,119.04 $50,859.48 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 11 7 — — $34,970.13 $95,818.16 $50,706.69 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 23 15 — — $40,032.10 $109,687.95 $50,656.20 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 15 — — $4,887.00 $119,796.86 $50,228.13 2026-04-01
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 15 9 — — $5,219.00 $102,675.54 $50,078.37 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 15 — — $39,314.00 $107,720.36 $49,728.36 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 23 15 — — $39,290.90 $107,657.07 $49,698.52 2026-04-01
J9266 HCPCS Pegaspargase Injection 17 8 — — $28,424.06 $79,701.06 $49,642.62 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 23 15 — — $39,032.53 $106,949.13 $49,364.69 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 15 — — $38,906.23 $106,603.07 $49,201.50 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 23 15 — — $38,394.54 $105,201.04 $48,540.36 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 23 15 — — $38,329.58 $105,023.05 $48,456.43 2026-04-01
69930 HCPCS Implant Cochlear Device 17 9 — — $3,093.45 $98,820.21 $48,197.99 2026-04-01
C9606 HCPCS Perc D-e Cor Revasc W Ami S 4 2 — — $4,249.00 $67,109.06 $47,412.83 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 23 15 — — $37,202.27 $101,934.22 $46,999.87 2026-04-01
E0194 HCPCS Air Fluidized Bed 6 1 — — $6,143.25 $62,638.92 $46,526.83 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 23 15 — — $36,821.21 $100,890.12 $46,507.51 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 23 15 — — $36,532.52 $100,099.10 $46,134.51 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 16 — — $35,726.69 $99,925.09 $46,052.45 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 23 15 — — $36,347.05 $99,590.92 $45,894.85 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 17 9 — — $2,734.46 $94,075.06 $45,883.62 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 17 9 — — $1,209.84 $94,075.06 $45,883.62 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 15 9 — — $15,006.00 $94,075.06 $45,883.62 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 23 15 — — $36,199.09 $99,185.51 $45,703.69 2026-04-01
C1714 HCPCS Cath, Trans Atherectomy, Dir 2 1 — — $44,825.00 $45,705.20 $45,265.10 2026-04-01
61886 HCPCS Implant Neurostim Arrays 17 9 — — $2,190.35 $92,483.11 $45,107.17 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 17 9 — — $1,312.80 $92,483.11 $45,107.17 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 17 9 — — $839.00 $92,483.11 $45,107.17 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 15 9 — — $5,219.00 $92,483.11 $45,107.17 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 15 9 — — $8,147.00 $92,483.11 $45,107.17 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 15 9 — — $5,219.00 $92,483.11 $45,107.17 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 7 2 — — $30,285.53 $70,808.63 $45,064.86 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 23 15 — — $35,675.85 $97,751.83 $45,027.63 2026-04-01
E0329 HCPCS Ped Hospital Bed Semi/elect 6 1 — — $5,922.68 $60,389.78 $44,856.21 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 15 — — $35,499.76 $97,269.34 $44,800.10 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 23 15 — — $35,185.81 $96,409.12 $44,394.46 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 17 9 — — $2,185.54 $94,075.06 $44,354.16 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 17 9 — — $1,943.65 $94,075.06 $44,354.16 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 17 9 — — $1,679.37 $94,075.06 $44,354.16 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 17 9 — — $1,202.71 $94,075.06 $44,354.16 2026-04-01
L6700 HCPCS Ue Add Ext Power Myoel 11 7 — — $29,510.19 $80,857.92 $44,265.28 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 23 15 — — $34,757.12 $95,234.51 $43,840.56 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 15 — — $34,687.83 $95,044.65 $43,751.04 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 23 15 — — $34,586.79 $94,767.80 $43,620.49 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 17 9 — — $1,161.46 $92,483.11 $43,603.60 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 17 9 — — $1,478.54 $92,483.11 $43,603.60 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 17 9 — — $1,061.56 $92,483.11 $43,603.60 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 17 9 — — $2,053.92 $92,483.11 $43,603.60 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 23 15 — — $34,292.34 $93,961.01 $43,240.03 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 23 15 — — $34,158.82 $93,595.17 $43,067.51 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 11 7 — — $29,559.78 $80,993.80 $42,861.68 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 23 15 — — $33,915.60 $92,928.74 $42,753.26 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 11 7 — — $29,420.21 $80,611.38 $42,659.30 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 15 8 — — $17,771.01 $55,991.00 $42,620.21 2026-04-01
245 MS_DRG Aicd Generator Procedures 23 15 — — $33,753.94 $92,485.80 $42,544.38 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 23 15 — — $33,640.63 $92,175.33 $42,397.98 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 23 15 — — $33,512.17 $91,823.35 $42,231.99 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 23 15 — — $33,172.24 $90,891.94 $41,792.79 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 23 15 — — $33,162.86 $90,866.24 $41,780.66 2026-04-01
K0884 HCPCS Pwc Gp4 Std Mult Pow Opt S/b 6 1 — — $5,496.48 $56,044.22 $41,628.43 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 23 15 — — $33,035.84 $90,518.20 $41,616.54 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 15 — — $32,529.92 $89,131.98 $40,962.86 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 17 9 — — $8,693.00 $54,941.45 $40,540.76 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 17 9 — — $8,693.00 $54,941.45 $40,540.76 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 17 9 — — $8,693.00 $54,941.45 $40,540.76 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 17 9 — — $8,693.00 $97,877.10 $40,540.76 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 17 9 — — $8,693.00 $54,941.45 $40,540.76 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 17 9 — — $8,693.00 $54,941.45 $40,540.76 2026-04-01
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 17 9 — — $8,693.00 $54,941.45 $40,540.76 2026-04-01
C9602 HCPCS Perc D-e Cor Stent Ather S 17 9 — — $8,693.00 $54,941.45 $40,540.76 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 17 9 — — $1,003.64 $85,966.42 $40,531.13 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 23 15 — — $32,057.92 $87,838.70 $40,353.01 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 23 15 — — $31,808.93 $87,156.47 $40,031.29 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 23 15 — — $31,609.74 $86,610.69 $39,773.92 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 15 9 — — $10,993.00 $81,322.94 $39,663.97 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 15 9 — — $5,219.00 $81,322.94 $39,663.97 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 23 15 — — $31,432.92 $86,126.20 $39,545.46 2026-04-01
Q0483 HCPCS Monitor Elec Vad, Rep 11 7 — — $23,087.32 $63,259.26 $39,511.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 15 — — $31,305.90 $85,778.17 $39,381.34 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 6 1 — — $5,197.03 $52,990.92 $39,360.50 2026-04-01
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 15 9 — — $5,219.00 $80,673.95 $39,347.44 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 15 9 — — $10,593.00 $80,673.95 $39,347.44 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 23 15 — — $31,253.93 $85,635.77 $39,314.20 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 23 15 — — $31,238.78 $85,594.26 $39,294.62 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 23 15 — — $31,150.01 $85,351.03 $39,179.92 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 23 15 — — $31,113.92 $85,252.14 $39,133.30 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 23 15 — — $31,057.63 $85,097.91 $39,060.56 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 15 — — $32,201.27 $93,160.11 $38,941.20 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 15 — — $30,940.71 $84,777.55 $38,909.50 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 23 15 — — $30,799.26 $84,389.97 $38,726.73 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 16 — — $29,011.17 $92,214.89 $38,540.68 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 23 15 — — $30,600.79 $83,846.16 $38,470.29 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 17 9 — — $3,103.40 $81,322.94 $38,341.84 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 17 9 — — $4,873.50 $81,322.94 $38,341.84 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 17 9 — — $2,568.72 $81,322.94 $38,341.84 2026-04-01
22558 HCPCS Lumbar Spine Fusion 17 9 — — $4,104.79 $81,322.94 $38,341.84 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 17 9 — — $4,401.73 $81,322.94 $38,341.84 2026-04-01
22630 HCPCS Lumbar Spine Fusion 17 9 — — $4,220.32 $81,322.94 $38,341.84 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 17 9 — — $5,429.00 $51,338.50 $37,882.17 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 23 15 — — $29,842.99 $81,769.79 $37,491.16 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 23 15 — — $29,580.29 $81,049.99 $37,151.73 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 17 9 — — $2,911.59 $78,337.35 $36,934.21 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 17 9 — — $2,739.96 $78,337.35 $36,934.21 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 17 9 — — $2,416.56 $78,337.35 $36,934.21 2026-04-01
C1767 HCPCS Generator, Neuro Non-recharg 2 1 — — $36,290.16 $37,002.76 $36,646.46 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 23 15 — — $29,059.21 $79,622.24 $36,478.47 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 15 — — $28,931.47 $79,272.23 $36,313.42 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 23 15 — — $28,761.87 $78,807.52 $36,094.28 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 23 15 — — $28,720.01 $78,692.83 $36,040.19 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 23 15 — — $28,693.31 $78,619.67 $36,005.69 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 23 15 — — $28,535.25 $78,186.59 $35,801.47 2026-04-01
K0008 HCPCS Cstm Manual Wheelchair/base 2 1 — — $35,200.00 $35,891.20 $35,545.60 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 24 15 — — $26,278.46 $72,002.98 $35,494.66 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 15 — — $27,984.59 $76,677.78 $35,089.98 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 15 — — $27,866.23 $76,353.47 $34,937.05 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 23 15 — — $27,801.99 $76,177.45 $34,854.05 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 23 15 — — $27,799.11 $76,169.56 $34,850.32 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 15 — — $27,723.33 $75,961.92 $34,752.41 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 23 15 — — $27,571.77 $75,546.65 $34,556.59 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad, Rep 11 7 — — $20,015.46 $54,842.36 $34,254.03 2026-04-01
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 6 1 — — $4,467.93 $45,556.59 $33,838.44 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 23 15 — — $27,013.89 $74,018.06 $33,835.76 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 23 15 — — $26,993.68 $73,962.68 $33,809.65 2026-04-01
332 MS_DRG Rectal Resection With Mcc 23 15 — — $26,957.59 $73,863.80 $33,763.03 2026-04-01
265 MS_DRG Aicd Lead Procedures 23 15 — — $26,939.55 $73,814.37 $33,739.72 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 23 15 — — $26,893.36 $73,687.81 $33,680.04 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 14 8 — — $13,768.00 $54,941.45 $33,668.79 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 23 15 — — $26,854.39 $73,581.03 $33,629.68 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 23 15 — — $26,684.06 $73,114.32 $33,409.61 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 23 15 — — $26,624.16 $72,950.20 $33,332.21 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 23 15 — — $26,598.18 $72,879.01 $33,298.64 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 23 15 — — $26,559.93 $72,774.21 $33,249.22 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 23 15 — — $26,538.28 $72,714.89 $33,221.25 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 23 15 — — $26,513.74 $72,647.65 $33,189.54 2026-04-01
L5858 HCPCS Stance Phase Only 11 7 — — $22,885.05 $62,705.04 $33,183.32 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 23 15 — — $26,492.81 $72,590.30 $33,162.50 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 23 15 — — $26,226.50 $71,860.61 $32,818.41 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 23 15 — — $26,002.05 $71,245.62 $32,528.40 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 23 15 — — $25,995.55 $71,227.81 $32,520.01 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 17 9 — — $1,159.84 $66,665.86 $32,515.22 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 17 9 — — $1,105.14 $66,665.86 $32,515.22 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 15 9 — — $10,993.00 $66,665.86 $32,515.22 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 15 9 — — $10,993.00 $66,665.86 $32,515.22 2026-04-01
C1820 HCPCS Generator Neuro Rechg Bat Sy 2 1 — — $32,089.37 $32,719.48 $32,404.42 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 23 15 — — $25,880.08 $70,911.42 $32,370.81 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 23 15 — — $25,758.83 $70,579.19 $32,214.15 2026-04-01
S2120 HCPCS Ldl Apheresis, Heparin Induced 3 1 — — $10,593.00 $32,829.23 $32,197.00 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 23 15 — — $25,643.36 $70,262.81 $32,064.95 2026-04-01
L8614 HCPCS Cochlear Device 2 1 — — $31,739.24 $32,362.48 $32,050.86 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 15 — — $25,569.74 $70,061.09 $31,969.83 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 23 15 — — $25,448.50 $69,728.89 $31,813.17 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 23 15 — — $25,416.02 $69,639.89 $31,771.21 2026-04-01
L6975 HCPCS Interscap-thor Myoelectronic 11 7 — — $21,834.21 $59,825.74 $31,659.60 2026-04-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 11 7 — — $21,739.52 $59,566.28 $31,522.30 2026-04-01
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 14 8 — — $15,006.00 $51,338.50 $31,460.85 2026-04-01
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 17 9 — — $979.80 $66,665.86 $31,431.38 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 17 9 — — $1,115.57 $66,665.86 $31,431.38 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 17 9 — — $1,124.70 $66,665.86 $31,431.38 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 17 9 — — $977.13 $66,665.86 $31,431.38 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 17 9 — — $1,189.60 $66,665.86 $31,431.38 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 17 9 — — $978.07 $66,665.86 $31,431.38 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 17 9 — — $1,374.31 $66,665.86 $31,431.38 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 17 9 — — $1,189.60 $66,665.86 $31,431.38 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 15 — — $27,184.00 $74,900.01 $31,203.75 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 15 — — $16,167.14 $74,870.34 $31,191.18 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 23 15 — — $24,936.08 $68,324.86 $31,151.10 2026-04-01
791 MS_DRG Prematurity With Major Problems 25 17 — — $1,450.00 $82,531.13 $31,024.48 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 30 19 — — $1,871.39 $84,718.22 $30,919.06 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 15 — — $24,666.88 $67,587.25 $30,803.27 2026-04-01
C1816 HCPCS Receiver/transmitter, Neuro 2 1 — — $30,448.00 $31,045.89 $30,746.94 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 23 15 — — $24,586.05 $67,365.78 $30,698.83 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 23 15 — — $24,583.16 $67,357.86 $30,695.10 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad, Rep 11 7 — — $17,892.75 $49,026.14 $30,621.25 2026-04-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 16 8 — — $12,553.71 $38,608.27 $30,494.85 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 23 15 — — $24,302.42 $66,588.63 $30,332.36 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 15 — — $24,199.21 $66,305.84 $30,199.01 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 23 15 — — $24,173.23 $66,234.65 $30,165.44 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 23 15 — — $24,140.76 $66,145.68 $30,123.48 2026-04-01
652 MS_DRG Kidney Transplant 23 15 — — $24,134.26 $66,127.87 $30,115.09 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 23 15 — — $24,116.94 $66,080.42 $30,092.71 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 23 15 — — $24,071.47 $65,955.83 $30,033.96 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 23 15 — — $23,996.41 $65,750.16 $29,936.98 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 23 15 — — $23,869.39 $65,402.13 $29,772.86 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 23 15 — — $23,826.81 $65,285.46 $29,717.84 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 23 15 — — $23,804.44 $65,224.17 $29,688.94 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 23 15 — — $23,758.25 $65,097.60 $29,629.26 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 23 15 — — $23,667.31 $64,848.43 $29,511.76 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 15 — — $23,632.67 $64,753.52 $29,467.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 23 15 — — $23,567.72 $64,575.55 $29,383.08 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 23 15 — — $23,556.89 $64,545.88 $29,369.09 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 23 15 — — $23,503.49 $64,399.56 $29,300.08 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 17 9 — — $2,534.81 $62,117.93 $29,287.13 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 17 9 — — $2,024.50 $62,117.93 $29,287.13 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 17 9 — — $1,874.02 $62,117.93 $29,287.13 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 17 9 — — $2,278.38 $62,117.93 $29,287.13 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 17 9 — — $2,208.09 $62,117.93 $29,287.13 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 17 9 — — $2,434.52 $62,117.93 $29,287.13 2026-04-01
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